Reviewer jobs at US Oncology Holdings Inc

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP's Compliance Special Investigations Unit (SIU). Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary * Hybrid schedule * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Life, short-term, and long-term disability options * Career advancement opportunities and professional development * Wellness programs that promote a healthy work-life balance * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * A minimum of two (2) years of experience performing medical reviews of medical records and claims in a healthcare setting * Bachelor's degree in Medical Billing/Medical Coding, Nursing, Healthcare Administration, or related field from an accredited institution required * In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position * This experience is in addition to the minimum years listed in the Experience Requirements above * Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) required * One of the following licenses preferred: * Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians * Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN Key Qualifications * Must have a valid California Driver's license * Strong understanding of medical coding, billing practices, and healthcare regulations * Thorough understanding of ICD, CPT, HCPCS, DRG, revenue codes, NDC's and other guidelines and general understanding of investigative processes within a healthcare environment are required * Knowledge of Medi-Cal and Medicare rules and regulations, and managed care in California is preferred * Strong verbal and written communication, interpersonal skills, critical problem-solving skills, and attention to detail * Above average proficiency in the use of technology applications, particularly Excel, Word, and others as necessary * Detail-oriented with strong organizational and time management abilities. Ability to articulate medical review findings clearly and thoroughly * Conduct research in support of medical reviews and make determinations on claims with a high level of accuracy * Demonstrated ability to interpret and analyze healthcare data and records * Adapt to different technology software and platforms, including anti-fraud solutions * Ability to work independently and collaboratively with a team Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $71,572.80 USD Annually - $93,038.40 USD Annually

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP's Compliance Special Investigations Unit (SIU). Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary Hybrid schedule State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Perform reviews of medical records and healthcare claims, determining the accuracy of codes billed and compliance with appropriate policies, procedures, and regulations. Understand, interpret, analyze, and make determinations concerning use of CDT, CPT, ICD, DRG, REV and HCPCS coding as it relates to potential healthcare FWA schemes. Conduct research relevant to issues under review. Prepare and submit detailed reports with the results of medical reviews, including corrective action recommendations to investigators. Recommendations may include determinations to deny, recover on overpaid claims, risk mitigation strategies, create internal process improvements or provide education to subjects under review. Apply knowledge of healthcare coding conventions, policies, and other areas of vulnerability. Support/participate in provider calls and reinforce medical review findings and provider education. Presents findings to leadership, regulators and law enforcement and assist in legal proceedings, as appropriate. Maintain knowledge of new and relevant regulations, standards, and coding guidelines. Identify inefficiencies in policies or processes and recommend improvements. Maintain confidentiality and discretion in all investigative activities. Support special projects and other duties as assigned. Qualifications Education & Requirements A minimum of two (2) years of experience performing medical reviews of medical records and claims in a healthcare setting Bachelor's degree in Medical Billing/Medical Coding, Nursing, Healthcare Administration, or related field from an accredited institution required In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position This experience is in addition to the minimum years listed in the Experience Requirements above Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) required One of the following licenses preferred: Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN Key Qualifications Must have a valid California Driver's license Strong understanding of medical coding, billing practices, and healthcare regulations Thorough understanding of ICD, CPT, HCPCS, DRG, revenue codes, NDC's and other guidelines and general understanding of investigative processes within a healthcare environment are required Knowledge of Medi-Cal and Medicare rules and regulations, and managed care in California is preferred Strong verbal and written communication, interpersonal skills, critical problem-solving skills, and attention to detail Above average proficiency in the use of technology applications, particularly Excel, Word, and others as necessary Detail-oriented with strong organizational and time management abilities. Ability to articulate medical review findings clearly and thoroughly Conduct research in support of medical reviews and make determinations on claims with a high level of accuracy Demonstrated ability to interpret and analyze healthcare data and records Adapt to different technology software and platforms, including anti-fraud solutions Ability to work independently and collaboratively with a team Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.) Pay Range USD $71,572.80 - USD $93,038.40 /Yr.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP's Compliance Special Investigations Unit (SIU). Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary Hybrid schedule State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Perform reviews of medical records and healthcare claims, determining the accuracy of codes billed and compliance with appropriate policies, procedures, and regulations. Understand, interpret, analyze, and make determinations concerning use of CDT, CPT, ICD, DRG, REV and HCPCS coding as it relates to potential healthcare FWA schemes. Conduct research relevant to issues under review. Prepare and submit detailed reports with the results of medical reviews, including corrective action recommendations to investigators. Recommendations may include determinations to deny, recover on overpaid claims, risk mitigation strategies, create internal process improvements or provide education to subjects under review. Apply knowledge of healthcare coding conventions, policies, and other areas of vulnerability. Support/participate in provider calls and reinforce medical review findings and provider education. Presents findings to leadership, regulators and law enforcement and assist in legal proceedings, as appropriate. Maintain knowledge of new and relevant regulations, standards, and coding guidelines. Identify inefficiencies in policies or processes and recommend improvements. Maintain confidentiality and discretion in all investigative activities. Support special projects and other duties as assigned. Qualifications Education & Requirements A minimum of two (2) years of experience performing medical reviews of medical records and claims in a healthcare setting Bachelor's degree in Medical Billing/Medical Coding, Nursing, Healthcare Administration, or related field from an accredited institution required In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position This experience is in addition to the minimum years listed in the Experience Requirements above Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) required One of the following licenses preferred: Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN Key Qualifications Must have a valid California Driver's license Strong understanding of medical coding, billing practices, and healthcare regulations Thorough understanding of ICD, CPT, HCPCS, DRG, revenue codes, NDC's and other guidelines and general understanding of investigative processes within a healthcare environment are required Knowledge of Medi-Cal and Medicare rules and regulations, and managed care in California is preferred Strong verbal and written communication, interpersonal skills, critical problem-solving skills, and attention to detail Above average proficiency in the use of technology applications, particularly Excel, Word, and others as necessary Detail-oriented with strong organizational and time management abilities. Ability to articulate medical review findings clearly and thoroughly Conduct research in support of medical reviews and make determinations on claims with a high level of accuracy Demonstrated ability to interpret and analyze healthcare data and records Adapt to different technology software and platforms, including anti-fraud solutions Ability to work independently and collaboratively with a team Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.) Pay Range USD $71,572.80 - USD $93,038.40 /Yr.

Job Category: Revenue Cycle Work Shift/Schedule: Varies Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. The Coding Quality Reviewer II is responsible for performing quality analysis of coded medical records, documenting the analysis, summarizing the metrics and reporting quality statistics to management. Responsible for complex multi-specialty coding to include but not limited to: Neurosurgery, UI, Neurology, Critical Care, hospitalists, surgical and others as defined. The Coding Quality Reviewer II is also responsible for communicating identified issues to coding staff and management, as well as reviewing and correcting coding issues from the EMR and PMS systems. In addition, the Coding Quality Reviewer II may be called upon to provide education to staff and clients, prepare coding audits for physician education, and/or coding charts as business needs dictate. The Coding Quality Reviewer II is responsible for providing and ensuring accurate, complete and timely coding of professional services to include all surgical and inpatient services. All coding staff must ensure accuracy and compliance with regulatory standards. Coding Quality Reviewer II is also responsible for performing audits in accordance with NGPG's annual Compliance Work Plan and preparing written and oral communications to the Coding Compliance Manager. Minimum Job Qualifications Licensure or other certifications: CPC and/or CCS-P Coding Certification required Educational Requirements: High School Diploma or GED Minimum Experience: Three (3) years experience coding Multi-Specialty records required. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: Other: Job Specific and Unique Knowledge, Skills and Abilities Extensive knowledge of ICD-9, CPT, HCPCS coding, medical terminology, federal and state regulatory guidelines and third party payor requirements required Accuracy and attention to detail imperative Ability to interact well with others at all levels with a flexible, energetic, proactive and positive style In-depth knowledge of Optimal coding policy and procedures Highly skilled proficient with Microsoft Office products Ability to communicate (both verbally and written) technical coding information to both technical and non-technical audiences Ability to organize data and provide detailed reporting Ability to prepare presentations and present to large or small audiences Must be highly motivated, detail oriented individual Excellent written and oral communication skills Problem solving and analytical skills Ability to be a self starter/work independently and as a team player Ability to travel to NGHS/NGPG sites as needed Essential Tasks and Responsibilities Perform timely, concurrent quality review of coded medical records. Correct errors identified in the quality process in both EMR and PMS systems. Maintain coding quality statistics and provide detailed reporting to management. Communicate errors to the Posting, Clinicians and AR staff on an individual basis. Communicate to management any problem areas identified in the quality process and steps taken to resolve. Assist with the review and correction of coding errors in the billing process (TM queues). Assist with the review and correction of coding errors in the electronic claims process (clearinghouse on-line errors). Promptly and professionally respond to both verbal and written coding questions from the internal staff and other areas of the company. Review documentation deficiencies for accuracy and communicate identified errors to the coding staff and management. Prepare documentation audits as needed for on-site physician education. Production coding of medical records as per business needs. Adherence to Coding policy and procedures. Review charge slips/cards for completeness (providers are ultimately responsible for codes they assign). Attends Regional and Local sponsored in-services and/or continuing education. Participates in professional development activities and maintains professional affiliations as necessary. Provide and/or validate CPT, ICD-9-CM and HCPCS coding of professional services for outpatient clinics, outreach offices or programs, minor diagnostic procedures, and/or ancillary services. Review charge tickets for missing or inaccurate information. Items reviewed include service and diagnosis codes units of service, modifiers, facility code, place of service, provider billing numbers, etc. Communicate with providers and clinic staff to ensure charge capture of all professional services, supplies, drugs, vaccinations, etc. Monitor reconciliation procedures to ensure all charges are captured and billed in a timely manner. Research and correct claims manager edits in a timely manner by applying coding and carrier specific guidelines while maintaining compliance initiatives. Provide coding coverage to other specialties, departments, divisions, and/or units as required. Attend billing educational sessions to enhance coding knowledge i.e. American Academy of Professional Coders, Professional Medical Coding Curriculum, NGPG Compliance Proficiency training, specialty seminars. Performs other job duties as assigned. Cross trains in other positions as requested. Physical Demands Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time Weight Carried: Up to 20 lbs, Occasionally 0-30% of time Vision: Moderate, Frequently 31-65% of time Kneeling/Stooping/Bending: Occasionally 0-30% Standing/Walking: Occasionally 0-30% Pushing/Pulling: Occasionally 0-30% Intensity of Work: Frequently 31-65% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. What you'll do: Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim. Using the revised codes, regroup the claim using provided software to determine the ‘new DRG'. Determine where the regrouped ‘new DRG' differs from what was originally claimed by the provider, write a customer facing ‘rationale' or ‘findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review Document all aspect of audits including uploading all provider communications, clinical rationale, and/or financial research Identify new DRG coding concepts to expand the DRG product. Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures Meet and/or exceed all internal and department productivity and quality standards Recommend new methods to improve departmental procedures Achieve and maintain personal production and savings quota Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: Registered Nurse licensure preferred Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 3 - 5 years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Understanding of hospital coding and billing rules Clinical skills to evaluate appropriate Medical Record Coding Experience conducting root cause analysis and identifying solutions Strong organization skills with attention to detail Outstanding verbal and written communication skills Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $79,000.00 - $105,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies. What you'll do: Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. Implement and conduct quality assurance program to ensure accurate results to our clients Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures Serve as the Subject Matter Expert on DRG validation to team members and other departments within the organization Prepare and conduct training for new team members Identify new DRG coding concepts to expand the DRG product Meet and/or exceed all internal and department productivity and quality standards Must remain current in all national coding guidelines including Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant Recommend efficiencies and process improvements to improve departmental procedures Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: Registered Nurse licensure preferred Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Strong understanding of hospital coding and billing rules Clinical and critical thinking skills to evaluate appropriate coding Strong organization skills with attention to detail Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships. Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. * AD1 2025, hiring chart reviewers for research Job Summary Under the direction of the Principal Investigator, the Clinical Research Reviewer (CRR) will conduct participant interviews and/or chart review for clinical research studies within the Division of General Internal Medicine and Primary Care. The Research Specialist will be responsible for conducting these interviews and/or chart reviews in accordance with specific guidelines and protocols established for each relevant study. Qualifications General Summary/Overview Statement Under the direction of the Principal Investigator, the Clinical Research Reviewer (CRR) will conduct participant interviews and/or chart review for clinical research studies within the Division of General Internal Medicine and Primary Care. The Research Specialist will be responsible for conducting these interviews and/or chart reviews in accordance with specific guidelines and protocols established for each relevant study. Principal Duties and Responsibilities: * Work directly with Project Leaders and study staff to successfully execute the research project's specific aims and objectives related to the study. * Make reasonable efforts to adhere to study-specific timelines. * Responsible for maintaining project adherence to all applicable policies and procedures for research study and in accordance with Institutional Review Board (IRB) requirements. * May only work with this research project while serving as an active chart reviewer. Qualifications * Bachelor's required; MS preferred in scientific/medical field * Must have completed education required for a Nurse, Nurse Practitioner (NP), or Physician Assistant (PA) degree. Skills/Abilities/Competencies Required * Excellent interpersonal skills required for working with project leadership, clinicians, and staff in a professional and respectful manner * Organizational skills and ability to prioritize tasks * Ability to work independently * Ability to complete work and meet deadlines * Proficiency in BWH computer systems (EHR, Epic) * Strong analytical skills * Knowledge of healthcare terminology and workflow processes Additional Job Details (if applicable) Remote Type Hybrid Work Location 1620 Tremont Street Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Rotating (United States of America) Pay Range $49,504.00 - $72,404.80/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Premier Medical Resources is looking for a Medical Records Reviewer to join our team! The Medical Records Reviewer is responsible for analyzing the patient files for completeness prior to being released to third parties. ESSENTIAL FUNCTIONS: • Reviews images scanned and identifies documents that are of poor quality and rescans. • Indexes documents to correct encounter and document type with accuracy. • Assures each document is indexed to the correct patient/encounter, each document has the correct document name. • Correctly appends page/documents when and where appropriate. • Perform quality reviews of the prepping/scanning output, indexing, analysis and client interaction work product as applicable to their section to ensure the quality of images being produced. • Answers telephone and deals with inquiries. • Invoices third parties cost associated with the release of medical records. • Follows through with mailing and postage for completed files. • Updates information and scans into database. • Performs other job-related duties and special projects as assigned. KNOWLEDGE, SKILLS, AND ABILITIES: • Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology • Knowledge of computer and relevant software applications such as Microsoft excel, Word, Outlook, and ECW. • Strong attention to detail: being careful about detail and thorough in completing work tasks • Strong attention to detail • Ability to adapt with flexibility: being open to change (positive or negative) and to considerable variety in the workplace • Ability to work independently by guiding oneself with little or no supervision and depending one oneself to get things done • Exceptional customer service and phone etiquette • Energetic with a desire to learn and develop new skills • Must be able to multi-task and have organization skills EDUCATION AND EXPERIENCE: • High School diploma or GED • One (1) of experience with medical records. • One (1) of customer service experience. Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet. Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment for this position is contingent upon the successful completion of a background check and drug screening.

Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. , AD1 2025, hiring chart reviewers for research Job Summary Under the direction of the Principal Investigator, the Clinical Research Reviewer (CRR) will conduct participant interviews and/or chart review for clinical research studies within the Division of General Internal Medicine and Primary Care. The Research Specialist will be responsible for conducting these interviews and/or chart reviews in accordance with specific guidelines and protocols established for each relevant study. Qualifications General Summary/Overview Statement Under the direction of the Principal Investigator, the Clinical Research Reviewer (CRR) will conduct participant interviews and/or chart review for clinical research studies within the Division of General Internal Medicine and Primary Care. The Research Specialist will be responsible for conducting these interviews and/or chart reviews in accordance with specific guidelines and protocols established for each relevant study. Principal Duties and Responsibilities : Work directly with Project Leaders and study staff to successfully execute the research project's specific aims and objectives related to the study. Make reasonable efforts to adhere to study-specific timelines. Responsible for maintaining project adherence to all applicable policies and procedures for research study and in accordance with Institutional Review Board (IRB) requirements. May only work with this research project while serving as an active chart reviewer. Qualifications Bachelor's required; MS preferred in scientific/medical field Must have completed education required for a Nurse, Nurse Practitioner (NP), or Physician Assistant (PA) degree. Skills/Abilities/Competencies Required Excellent interpersonal skills required for working with project leadership, clinicians, and staff in a professional and respectful manner Organizational skills and ability to prioritize tasks Ability to work independently Ability to complete work and meet deadlines Proficiency in BWH computer systems (EHR, Epic) Strong analytical skills Knowledge of healthcare terminology and workflow processes Additional Job Details (if applicable) Remote Type Hybrid Work Location 1620 Tremont Street Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Rotating (United States of America) Pay Range $49,504.00 - $72,404.80/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Full-time Description Employee is a Lead Bill Reviewer who will assist the Bill Review Supervisor in a variety of functions related to the ultimate goals of the department. Candidate's commute to the nearest office location is more than 50 miles Candidate must show exemplary productivity and performance Candidate must report to the closest office as needed for personnel meetings and training and/or as supervisor requests (at a minimum, once a month). Live in a location that can receive an approved high speed internet connection Have a “meets” or “exceeds” performance rating on most current performance review and currently meeting all performance expectations. Employee must not have an open Corrective Action Plan. Under close supervision, meets daily production quotas in processing and auditing medical bills in accordance with the appropriate workers' compensation fee schedule by performing the following duties. Essential Duties and Responsibilities: Must be able to process all clients' bills to serve as a team backup for all clients. Must be able to serve as a backup to the Bill Review Supervisor in day to day operations. Non-exempt employees must log all time worked in the Paylocity system including log-in and log-off time as well as lunch time. Codes medical bills into the company system with speed and accuracy, maintaining company production standards related to quantity and quality of output. Performs preliminary screening for appropriateness and medical necessity of services rendered. Uses CPT and ICD-10 codes, fee schedules, and other resource materials to determine appropriate reimbursement of billed services, including applicable fee schedule and/or repricing rational. Flags any problem bills. Communicates with clients and/or providers to clarify information Assists with bill review reporting functions (internal and external reports) May specialize in state specific or client specific areas of responsibility May assist is answering provider calls. May travel to other offices to assist with training May be called upon to assist with sales and marketing presentations Requirements Competency: To perform the job successfully, an individual should demonstrate the following competencies: Design - Demonstrates attention to detail. Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions. Team Work - Supports everyone's efforts to succeed. Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickl Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Education and/or Experience: High school diploma or general education degree (GED), plus minimum of one year data entry/medical billing experience; additional two years bill review experience in a workers' comp environment. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records. Salary Description $25.00 - $30.00

Full-time Description Employee is a Lead Bill Reviewer who will assist the Bill Review Supervisor in a variety of functions related to the ultimate goals of the department. Candidate's commute to the nearest office location is more than 50 miles Candidate must show exemplary productivity and performance Candidate must report to the closest office as needed for personnel meetings and training and/or as supervisor requests (at a minimum, once a month). Live in a location that can receive an approved high speed internet connection Have a “meets” or “exceeds” performance rating on most current performance review and currently meeting all performance expectations. Employee must not have an open Corrective Action Plan. Under close supervision, meets daily production quotas in processing and auditing medical bills in accordance with the appropriate workers' compensation fee schedule by performing the following duties. Essential Duties and Responsibilities: Must be able to process all clients' bills to serve as a team backup for all clients. Must be able to serve as a backup to the Bill Review Supervisor in day to day operations. Non-exempt employees must log all time worked in the Paylocity system including log-in and log-off time as well as lunch time. Codes medical bills into the company system with speed and accuracy, maintaining company production standards related to quantity and quality of output. Performs preliminary screening for appropriateness and medical necessity of services rendered. Uses CPT and ICD-10 codes, fee schedules, and other resource materials to determine appropriate reimbursement of billed services, including applicable fee schedule and/or repricing rational. Flags any problem bills. Communicates with clients and/or providers to clarify information Assists with bill review reporting functions (internal and external reports) May specialize in state specific or client specific areas of responsibility May assist is answering provider calls. May travel to other offices to assist with training May be called upon to assist with sales and marketing presentations Requirements Competency: To perform the job successfully, an individual should demonstrate the following competencies: Design - Demonstrates attention to detail. Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions. Team Work - Supports everyone's efforts to succeed. Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickl Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Education and/or Experience: High school diploma or general education degree (GED), plus minimum of one year data entry/medical billing experience; additional two years bill review experience in a workers' comp environment. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records. Salary Description $25.00 - $30.00

Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay 100% of the DENTAL monthly premiums for Employee Only coverage. We provide an affordable VISION monthly premium for Employee + Family coverage. We pay 100% of BASIC LIFE for a benefit amount of $10,000. We offer safe harbor matching contributions for the 403(B) RETIREMENT SAVINGS account. We offer up to fifteen (15) days of PAID TIME OFF based on paid hours per pay period. We offer eleven (11) company-observed PAID HOLIDAYS. We offer education and TUITION REIMBURSEMENT. We offer MILEAGE REIMBURSEMENT. Bienvivir is currently accepting applications for the following position: MEDICAL RECORDS REVIEWER The Medical Records Reviewer works under the general supervision of the Medical Records (MR) Supervisor, is responsible for complying with and enforcing organization and department policies and procedures, the National PACE Association (NPA) standards, Center for Medicare & Medicaid Services (CMS) regulations, HIPAA requirements, and Electronic Medical Record (EMR) guidelines. Responsible for data entry and audits to ensure medical records are accurately documented, securely stored, and accessible to authorized users in compliance with healthcare regulations. Duties include scanning and organizing documents into the EMR, properly categorizing and labeling records, processing record requests, preparing and releasing medical records to nursing home facilities, and maintaining confidentiality and security. Additional duties include covering MR staff responsibilities, assisting with training, and performing administrative, clerical, and project-based tasks. RESPONSIBILITIES: 1. Responsible for data entry into the EMR. Effectively scans, uploads, and audits all relevant paper and electronic documents into the EMR. a. Audits documents for accuracy, completeness, and relevance; perform data entry in the EMR as required. b. Follows EMR and scanning program guidelines in accordance with Compliance and MR policies and procedures. c. Reviews and prepares paper documents for scanning and/or uploading. Review electronic documents to ensure completeness, accuracy, and correct categorization before uploading them to the EMR. Performs audits as needed. d. Identifies and resolves discrepancies by coordinating with appropriate MR staff before uploading documents to the EMR. e. Serves as backup for uploading electronic progress notes to the EMR. f. Assists in auditing electronic progress notes uploads. Manages the electronic lab process by processing results from contracted laboratories for all centers and promptly entering lab data into the EMR. Maintains tracking logs and ensures timely documentation. 2. Responsible for collecting information related to participants' inpatient stays, emergency room visits, and completes the Service Utilization Report (SUR). a. Collects and tracks hospitalization data from interdepartmental meeting minutes. b. Audits, reviews, and processes hospital medical records, ensuring accuracy, completeness, and relevance before scanning and/or uploading them to the EMR. c. Maintains updated logs to reflect any changes affecting data entry or reporting. d. Prepares and submits weekly hospitalization data to the MR Coordinators for entry into the EMR, providing the information required for SUR processing. e. Collaborates with MR Coordinators to resolve discrepancies in received medical records when information does not match what was reported. 3. Responsible for processing medical records for Visitors. a. Completes the entry of both electronic and paper Visitors documents into the EMR. Processes and pre-audits visitor medical records for storage in the network file share and upload them into the EMR. b. Maintains an up-to-date visitor tracking log. c. Ensures all visitor records are saved in the network file share and accurately labeled and categorized in their appropriate folders. d. Maintains and organizes the visitors purge folder in accordance with record retention policies. e. Contacts external facilities to cancel medical record requests based on visitor disposition and complete the record disposition process as required. 4. Responsible for initiating, verifying, and tracking medical record requests for participants' hospitalization stays, emergency room visits, and visitors' previous medical history in compliance with departmental and regulatory standards. a. Contacts the Billing Departments of external facilities to verify admission and discharge dates, emergency room visits, and facility names. b. Initiates medical record requests by preparing and faxing the request form, tracks, follows up on pending records, and keeps the ER/Hospital tracking log up to date. c. Contacts external facilities to verify and request visitor medical records, using the information provided in the visitor's authorization for release of information form. d. Tracks and follows up weekly with external facilities on pending record releases to obtain visitor records prior to their scheduled appointments with Bienvivir Primary Care Providers. Maintains an up-to-date visitor tracking log. 5. Responsible for preparing and auditing medical records to be sent to Nursing Home Facilities upon admission and monthly thereafter for the duration of the participant's stay at the facility in accordance with MR standard operating procedures and Interdisciplinary team (IDT) policy. a. Retrieves records from the EMR, prepares and audits medical record packets for participants placement admissions, respite stays, and monthly medical records updates to be sent to nursing home facilities and maintains records of the packets sent as a backup documentation. 6. Provides backup support and coverage for MR staff during absences, including the following responsibilities: a. MR Reviewer: Performs all duties associated with this role as needed. b. MR Progress Notes Specialist: Completes electronic progress note processes and manages the mail-out process for nursing home facilities. c. MR Coordinator: Attends daily morning meetings and documents meeting minutes and center updates. 7. Meetings: a. Attends the organization and department staff meetings, training, and in-services (for missed meetings staff are responsible for checking with the MR Supervisor to obtain information). 8. Additional Duties as Assigned: a. Prepares and submits monthly labels requests to ensure adequate inventory. b. Must actively participate in assigned cross-training within the MR Department. c. Performs various projects and clerical duties as assigned. QUALIFICATIONS / REQUIREMENTS: High school diploma or GED equivalent required. Certified from an accredited technical/trade school in the medical field preferred. Two (2) years of work experience in the medical field preferred. Experience with electronic health records programs, scanning procedures, and familiarity with HIPAA, CMS, TMHP and other regulatory requirements preferred.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines. They will work closely with Expert Claim Review and Concept Development staff to efficiently identify billing errors and adhere to policies and procedures for claims processing. This is a production-based role with production and quality metric goals. What you'll do: * Conduct detailed review of hospital itemized bills for identification of billing and coding errors for all payor's claims * Contribute process improvement and efficiency ideas to team leaders and in team meetings * Translate client reimbursement policies into Zelis coding and clinical concepts * Understand payor policies and their application to claims processing * Prepare and upload documentation clearly and precisely identifying findings * Accurately calculate/verify the value of review and documentation for claim processing * Monitor multiple reports to track client specific requirements, turnaround time and overall claims progression * Maintain individual average productivity standard of 10 processed claims per day * Consistently meet or exceed individual average quality standard of 85% * Ability to manage a variety of claim types with charges up to $500,000 * Collaborate between multiple areas within the department as necessary * Follow standard procedures and suggest areas of improvement * Remain current in all national coding guidelines including Official Coding Guidelines and AHA Coding Clinic and share with review team * Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: * CPC credential preferred * 1 - 2 years of applicable healthcare experience preferred * Working knowledge of health/medical insurance and handling of claims * General knowledge of provider claims/billing, with medical coding and billing experience * Knowledge of ICD-10 and CPT coding * Ability to manage and prioritize multiple tasks * Attention to detail is essential * Accountable for day-to-day tasks * Excellent verbal and written communication skills * Proficient in Microsoft Office Suite Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $59,000.00 - $79,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines. They will work closely with Expert Claim Review and Concept Development staff to efficiently identify billing errors and adhere to policies and procedures for claims processing. This is a production-based role with production and quality metric goals. What you'll do: Conduct detailed review of hospital itemized bills for identification of billing and coding errors for all payor's claims Contribute process improvement and efficiency ideas to team leaders and in team meetings Translate client reimbursement policies into Zelis coding and clinical concepts Understand payor policies and their application to claims processing Prepare and upload documentation clearly and precisely identifying findings Accurately calculate/verify the value of review and documentation for claim processing Monitor multiple reports to track client specific requirements, turnaround time and overall claims progression Maintain individual average productivity standard of 10 processed claims per day Consistently meet or exceed individual average quality standard of 85% Ability to manage a variety of claim types with charges up to $500,000 Collaborate between multiple areas within the department as necessary Follow standard procedures and suggest areas of improvement Remain current in all national coding guidelines including Official Coding Guidelines and AHA Coding Clinic and share with review team Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: CPC credential preferred 1 - 2 years of applicable healthcare experience preferred Working knowledge of health/medical insurance and handling of claims General knowledge of provider claims/billing, with medical coding and billing experience Knowledge of ICD-10 and CPT coding Ability to manage and prioritize multiple tasks Attention to detail is essential Accountable for day-to-day tasks Excellent verbal and written communication skills Proficient in Microsoft Office Suite Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $59,000.00 - $79,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

We are a technology-led healthcare solutions provider. We are driven by our purpose to enable healthcare organizations to be future-ready. We offer accelerated, global growth opportunities for talent that's bold, industrious, and nimble. With Indegene, you gain a unique career experience that celebrates entrepreneurship and is guided by passion, innovation, collaboration, and empathy. To explore exciting opportunities at the convergence of healthcare and technology, check out ************************ Looking to jump-start your career? We understand how important the first few years of your career are, which create the foundation of your entire professional journey. At Indegene, we promise you a differentiated career experience. You will not only work at the exciting intersection of healthcare and technology but also will be mentored by some of the most brilliant minds in the industry. We are offering a global fast-track career where you can grow along with Indegene's high-speed growth. We are purpose-driven. We enable healthcare organizations to be future ready and our customer obsession is our driving force. We ensure that our customers achieve what they truly want. We are bold in our actions, nimble in our decision-making, and industrious in the way we work. Must Have Senior Associate Scientific Writing-Content Job Description * Review of promotional and medical communication materials (for various client products) and ensure the content in these materials is medically accurate, scientifically rigorous, truthful and balanced, relevant to product and therapy area, compliant to various pharma regulations and guidelines and is supported by authentic and up to date references. * Develop and update content for various medical materials, perform literature search to identify appropriate references to support creation/update of scientific content, track and audit assets for various purposes. * Develop and review content for various deliverables meeting quality requirements as per client satisfaction metrics, within assigned timelines and with guidance from the manager. The tasks will be carried out as per assigned processes, guidelines, and SOPs with help of tools and platforms specified by the client and the manager. * Responsible to follow the best practices in the department regarding - processes, communication (internal & external), project management, documentation and technical requirements like - language, grammar, stylization, content search, summarizing, data conflicts and referencing. * Participate in assigned training programs and work on assignments as per requirement. * Participate in client calls as per project requirements. * Compliance to quality, confidentiality and security; Adhere and follow quality systems, processes and policies; Comply to training and specifications Must have: * "Past experience in Medical Information domain (1-3 years) - Standard response letters, Slide decks, etc. Nice to have: * Education- MD/MDS/PhD with Post Doc (or experience)/MBBS with experience * Minimum 2 to 4 years of experience in pharmaceutical companies * Understanding of any specialty area of medicine (preferred) or an overall understanding of the medical field * Strong flair and passion for writing * Strong written and verbal communication/presentation skills * Passion for networking * Being up to date with the latest technical/scientific developments and relating them to various projects * Client-oriented attitude with focus on creating strong long-term relationships with clients and encouraging others to work toward this goal * Ability to assure timely completion of assignments * Skilled in problem identification and problem solving Perks: (Mention if any, otherwise ignore) Good to have EQUAL OPPORTUNITY Indegene is proud to be an Equal Employment Employer and is committed to the culture of Inclusion and Diversity. We do not discriminate on the basis of race, religion, sex, colour, age, national origin, pregnancy, sexual orientation, physical ability, or any other characteristics. All employment decisions, from hiring to separation, will be based on business requirements, the candidate's merit and qualification. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, national origin, gender identity, sexual orientation, disability status, protected veteran status, or any other characteristics.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies. What you'll do: * Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. * Implement and conduct quality assurance program to ensure accurate results to our clients * Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures * Serve as the Subject Matter Expert on DRG validation to team members and other departments within the organization * Prepare and conduct training for new team members * Identify new DRG coding concepts to expand the DRG product * Meet and/or exceed all internal and department productivity and quality standards * Must remain current in all national coding guidelines including Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant * Recommend efficiencies and process improvements to improve departmental procedures * Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: * Registered Nurse licensure preferred * Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) * 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred * Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers * Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs * Strong understanding of hospital coding and billing rules * Clinical and critical thinking skills to evaluate appropriate coding * Strong organization skills with attention to detail * Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships. * Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies. What you'll do: Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. Implement and conduct quality assurance program to ensure accurate results to our clients Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures Serve as the Subject Matter Expert on DRG validation to team members and other departments within the organization Prepare and conduct training for new team members Identify new DRG coding concepts to expand the DRG product Meet and/or exceed all internal and department productivity and quality standards Must remain current in all national coding guidelines including Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant Recommend efficiencies and process improvements to improve departmental procedures Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: Registered Nurse licensure preferred Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Strong understanding of hospital coding and billing rules Clinical and critical thinking skills to evaluate appropriate coding Strong organization skills with attention to detail Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships. Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

**MUST work PST HOURS *** Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members enrolled with a CareSource Management Group line of business, as well as monitoring the delivery of healthcare services in a cost effective manner. Essential Functions: Complete prospective, concurrent and retrospective review of acute inpatient admissions, post acute admissions, elective inpatient admissions, outpatient procedures, homecare services and durable medical equipment Coordinate care and facilitate discharge to an appropriate level of care in a timely and cost-effective manner Refer cases to CareSource Medical Directors when clinical criterial is not met or case conference is needed/appropriate Maintain knowledge of state and federal regulations governing CareSource, State Contracts and Provider Agreements, benefits, and accreditation standards Identify and refer quality issues to Quality Improvement Identify and refer appropriate members for Care Management Document, identify and communicate with Health Partners, Care Managers and Discharge Planners to establish safe discharge planning needs and coordination of care Provide guidance to non-clinical medical management staff Provide guidance to and assist with oversight of LPN medical management staff Attend medical advisement and State Hearing meetings, as requested Assist Team Leader with special projects or research, as requested Perform any other job-related instructions, as requested Education and Experience: Completion of an accredited registered nursing (RN) degree program is required Minimum of three (3) years clinical experience is required Med/surgical, emergency acute clinical care or home health experience is preferred Utilization Management/Utilization Review experience is preferred Medicaid/Medicare/Commercial experience is preferred MSL highly preferred If does not reside in Nevada, must be able to obtain a Nevada license Competencies, Knowledge and Skills: Basic data entry skills and internet utilization skills Working knowledge of Microsoft Outlook, Word, and Excel Effective oral and written communication skills Ability to work independently and within a team environment Attention to detail Familiarity of the healthcare field Proper grammar usage and phone etiquette Time management and prioritization skills Customer service oriented Decision making/problem solving skills Strong organizational skills Change resiliency Licensure and Certification: Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice is required MCG Certification is required or must be obtained within six (6) months of hire Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $61,500.00 - $98,400.00 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 (hourly/salary): Hourly Organization Level Competencies Create an Inclusive Environment 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 inclusive environment that welcomes and supports individuals of all backgrounds.#LI-JM1

Department: 85203 Wake Forest University Health Sciences - Academic Office of Clinical Research Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: . 8:00am - 5:00pm Pay Range $22.50 - $33.75 EDUCATION/EXPERIENCE: High School Diploma or GED required; Associates Degree preferred.Minimum of 1-year related coding/reimbursement experience preferred. Medical terminology, knowledge of accounts payable and receivable processes preferred.Minimum of 1-year business office experience in a healthcare environment or Research Office experience preferred. LICENSURE, CERTIFICATION, and/or REGISTRATION: CPC or RHIT certification preferred. ESSENTIAL FUNCTIONS: Performs review of all technical and professional charges generated from EPIC and any ancillary subsystems for allocation to the research study account, insurance claim and/or patient statement to verify the accuracy of charges as they compare to the research billing intention/plan outlined in the protocol Billing Grid. Performs remediation of charge errors discovered during EPIC review. Identifies appropriate use of billing modifiers and other CMS requirements for billing research-related charges to federal and non-federal payors. Verifies and resolves discrepancies by utilizing the tools and resources available, e.g., EPIC billing system, OnCore (clinical trial management system), medical record documentation, Charge Master data, Patient Accounting/VMG Business Offices and/or contacting study personnel in the appropriate internal department. Remains knowledgeable about CMS and Fiscal Intermediary medical necessity guidelines and their impact on billing and reimbursement in clinical research. Collaborates with the clinical research department administrators and study coordinators in the development and implementation of educational activities related to charge capture improvement projects. Supply all missing information and correct inaccurate data as needed. Processes charge related corrections/additions/removals in EPIC for both the hospital and physician billing to ensure organizational compliance with all state and federal regulations. Calculates and facilitates the refunding of inappropriate reimbursement in collaboration with WFBMC Financial Services. Responsible for the movement of funds and correction of fees in EPIC. Follows established hospital and physician departmental guidelines and state and federal regulations to assure the most productive and compliant outcome when processing charge related corrections. Perform specialized duties involved in the preparation and processing of particularly complex charge issues. Audit and review accounts to ensure accuracy; investigate and correct errors, follow-up on missing account information, and resolve past due accounts. Identify insurance issues that need to be forwarded and addressed by the appropriate insurance teams. Report issues to the appropriate supervisor as needed. Prioritizes job tasks; demonstrates willingness to assist Manager/Director in the completion of special projects and daily task to support the Department's productivity and efficiency. Demonstrates responsibility for personal development by participating in continuing education offerings. Performs other related duties, as assigned. SKILLS/QUALIFICATIONS: Excellent oral and written communication skills. Excellent phone etiquette and internal/external customer service skills, required. Strong interpersonal skills and attention to detail. Experience with computerized databases (e.g., Microsoft Excel), word processing (e.g., Microsoft Word), and presentation software (e.g., Microsoft PowerPoint). Demonstrates ability to work independently. WORK ENVIRONMENT: Clean, comfortable, well-lit, office environment. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.