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Service Specialist jobs at Vidant Health - 588 jobs

  • HIMS Operations Specialist III

    Vidant Health 4.2company rating

    Service specialist job at Vidant Health

    Under the supervision of the Health Information Management Services (HIMS) Manager and/or Supervisor and the overall supervision of the Director of HIMS, the HIMS Operations Specialist III demonstrates a commitment to excellence in patient and staff relations. As a member of the HIMS team, the HIMS Operations Specialist III performs specialized health information activities necessary to organize, maintain, and use electronic health records. The HIMS Operations Specialist III prepares records for Release of Information; accurately preps/scans/QA charts, performs necessary duties for Vital Records, resolves any patient identity issues, and prepares deficiency/delinquency lists for physicians. The HIMS Operations Specialist II is required to perform and complete any additional duties associated with the HIMS department in a quality, effective manner and assist the HIMS Manager and/or Supervisor as needed. In addition, may be requested to complete special projects, run reports, etc. Minimum Requirements * High School or equivalent (prefer additional educational training) * Associate degree or higher preferred * Related fields include, but not limited to: Business Administration, Medical Office Administration, Management Information Systems, Office Systems Technology, Computer Science * Medical Terminology and computer experience preferred. * Five years of similar work environment experience required. * Notary Public certification required within 6 months of employment (as deemed necessary). * Detail oriented, dependable and works well with others is necessary. * Able to understand the paper medical record as well as the electronic medical record. Other Information * Onsite role based out of Greenville, NC * Monday - Friday afternoon/evening shift: * 2:45 - 11:15 p.m. * Great Benefits #LI-AH2 ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research. General Statement It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position. Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification. We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint. Share:
    $43k-56k yearly est. 38d ago
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  • Customer Success Executive

    Luma Therapeutics 3.6company rating

    Remote

    WE'RE LUMA HEALTH. Needing healthcare can be hard - getting care shouldn't be. We built Luma Health because we are all patients. We believe it should be easy to see and connect with our doctor. To get the care we need, when we need it. So, we've created solutions to fix this problem. Our technology makes messaging easier, scheduling appointments more efficient, and it modernizes care delivery from beginning to end. Customer Success Executive What YOU will do at Luma Health We are looking for a highly driven and empathetic Customer Success Executive to serve as a trusted advisor to our strategic customer base, comprising large health & hospital systems and Academic Medical Centers across the country. As a Customer Success Executive (CSE), you will play a key role in ensuring our customers derive maximum value from our products and services. You will manage a portfolio of strategic healthcare clients, responsible for building strong relationships at all levels within the customer's organization, and acting as a trusted advisor. You will be responsible for driving customer adoption, usage, satisfaction, retention, and growth, while leveraging deep industry and product knowledge to support our clients' long-term success. Key Responsibilities: Customer Relationship Management: Develop and nurture relationships with key stakeholders at healthcare organizations, including executive teams, clinical leaders, and operational managers. Serve as the primary point of contact for high-value clients, ensuring their needs are met and addressing concerns in a timely, professional manner. Onboarding & Adoption: Lead the team through the onboarding of new customers, working closely with internal teams to ensure seamless implementation and integration of our solutions into customer workflows. Drive product adoption and usage, working with clients to optimize their use of the platform and ensuring they achieve their desired outcomes. Strategic Planning & Account Growth: Work closely with clients to understand their business goals, challenges, and strategic priorities, tailoring solutions to meet their needs. Identify opportunities for upselling and cross-selling, positioning new products and features that align with customer objectives. Customer Success Strategy: Develop and implement customer success plans that align with customer goals and KPIs, ensuring measurable outcomes. Monitor customer health metrics (e.g., engagement, retention, satisfaction) and proactively address issues that may lead to churn or dissatisfaction. Conduct regular business reviews with customers to track progress, showcase value, and identify areas for improvement. Data-Driven Insights: Analyze customer data and feedback to derive actionable insights that help improve product offerings and customer success processes. Use data to drive customer outcomes, presenting reports and updates to both clients and internal stakeholders. Advocacy & Thought Leadership: Serve as an advocate for the customer within the company, ensuring their needs and feedback are communicated to relevant teams, such as Product and Engineering. Stay informed on industry trends, regulations, and technology developments in healthcare, positioning yourself as a trusted advisor to clients. Collaboration & Cross-Functional Support: Work closely with internal teams, including Sales, Product, and Support, to ensure customer needs are met and issues are resolved promptly. Provide training and education to both customers and internal stakeholders on the best practices for using our products and services. Who You Are 5+ years of relevant work experience in customer success or account management. SaaS experience preferred Excellent project management skills and ability to collaborate across multiple internal and external stakeholders Have exceptional written and verbal communication skills You have proven success in building trust and driving results for a broad range of stakeholders: senior executives, IT, and day-to-day users of the software Ability to quickly identify underlying drivers of problems, quickly develop hypotheses, and execute on a path to solve Proven record of unblocking relationships, turning detractors into advocates, and driving issues to resolution with great client satisfaction Tech-savvy and possess strong analytical skills: i.e., can analyze source material and verify accuracy and completeness of details Growth company DNA -- ability to thrive in a dynamic, fast-paced startup environment Proven Success in growing annual account spend over time. Nice to have: Healthcare, EMR, EHR Consulting, or Product Management experience Process building experience Upsell experience We Take Care of You! Competitive Health Benefits: Luma Health covers 99% of the employee and 85% of the dependent premium costs. Work Life Balance Flexible Time Off Wellness Programs Discounted Perks 401(k) and Company Equity Don't meet every single requirement? At Luma Health we are dedicated to building an inclusive workplace so if you're excited about this role but your past experience doesn't align with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles. Luma Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We believe in order to thrive, businesses need a diverse team and leadership. We welcome every race, religion, color, national origin, sex, sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, or other applicable legally protected characteristics. Everyone is welcome here. Come join us if you want to make a difference in health care. Pay Transparency Notice: Depending on your work location and experience, the target annual salary for this position can range as detailed below. Full time offers from Luma also include incentive plan + stock options + benefits (including medical, dental, and vision.) Base Pay Range: $100,000-$125,000 USD Please note that you will never be asked to submit payment or share financial information to participate in our interview process. All emails from Luma Health will come from "@lumahealth.io" email addresses. Any emails from other email addresses are scams. If you suspect that you've been contacted by a scammer, we recommend you cease all communication with the scammer and contact the FBI Internet Crime Complaint Center. If you'd like to verify the legitimacy of an email you've received from Luma Health recruiting, forward it to *********************.
    $33k-60k yearly est. Auto-Apply 7d ago
  • SERVICE RESPONSE CENTER REP

    Moffitt Cancer Center 4.9company rating

    Tampa, FL jobs

    At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999. Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision. Summary Job Summary Position Highlights: The Environmental Services Specialty Technician's primary responsibility is disinfecting Specialty areas such as Infusion Pharmacy, Sterile Processing, Operating Rooms, Procedure Rooms, Cell Therapy. As part of the Spill Response Team, deactivates and decontaminates chemotherapy and other hazardous agent spills. Responsible for reducing the spread of bacteria and infection as well as providing an environment that appears clean, fresh, and polished. This position performs a variety of duties that support the department in maintaining a clean environment for patients and staff, this includes cleaning/disinfecting other areas as needed. Responsibilities: * Clean spills containing blood or other potentially infectious material using established infection control, safety, and ES departmental procedures. * Occasionally may have to work at off-site locations. * Follow departmental and other regulatory standards regarding all cleaning policies and procedures (using proper disinfectants, labeling chemical bottles, keeping an organized cart, etc.) * Perform all essential functions following established safety and infection control requirements (perform hand hygiene, wear PPE, etc.) * Safely uses, dilutes, and stores chemicals and cleaning materials. * Complete working knowledge of different types of hazardous materials (chemotherapy, pharmaceutical, bio-hazardous, sharps, pathological, microbiological, and bodily fluids) and how to properly handle and dispose. * Proper operation of cleaning equipment- Properly clean and disinfect all types of areas including clinical inpatient/outpatient (patient rooms, exam rooms, nurse stations, etc.), support/common areas, offices, labs, conference rooms, elevators, stairwells, corridors, external grounds, etc. Credentials and Qualifications: * No Education required. * Minimum two (2) years in Healthcare Janitorial / Environmental Services experience including 6 months applying proficient knowledge of specialty area (for example including terminal cleans), Material Safety Data Sheet (MSDS), Personal Protective Equipment (PPE). * Ability to communicate effectively in English, both oral/written form (for the safety of our patients and staff in an emergency situation). * For internal candidates only (Average quality score of 90% in previous 12 months and successful completion of all competencies over a rolling 12-month period.) * Valid FL Driver's License. Equal Employment Opportunity Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence. Share:
    $30k-34k yearly est. 14d ago
  • Consumer Services Representative

    Ocean Dental 3.3company rating

    Edmond, OK jobs

    We are seeking a customer-focused and detail-oriented Consumer Services Representative to join our team in a fully remote capacity. The ideal candidate will be responsible for assisting customers with inquiries, resolving issues, providing product or service information, and ensuring a positive customer experience across multiple communication channels. Key Responsibilities Respond to customer inquiries via phone, email, chat, or messaging platform. Provide accurate information about products, services, policies, and procedures. Resolve customer issues efficiently while maintaining professionalism and empathy. Document all customer interactions in the CRM system. Process orders, returns, refunds, and account updates as needed. Escalate complex issues to the appropriate department or supervisor. Meet performance metrics such as response time, customer satisfaction, and quality standards. Stay informed about product updates, feature changes, and company policies. Contribute to a positive team environment and suggest process improvements. Qualifications High school diploma or equivalent (Associates or Bachelors degree a plus). Prior customer service experience preferred (call center, retail, hospitality, or similar). Strong written and verbal communication skills. Ability to work independently in a remote environment with minimal supervision. Comfortable using customer support software, CRM systems, and communication tools. Strong problem-solving and multitasking abilities. Reliable high-speed internet and a quiet workspace. Key Skills Customer service & communication Active listening Conflict resolution Multitasking & time management Tech-savviness Attention to detail Empathy & patience Work Environment 100% remote position Flexible or set schedule depending on role Requires consistent internet connection and adequate home office setup Benefits (Optional Section) Health, dental, and vision insurance Paid time off & holidays Retirement savings plan Performance bonuses Remote work stipend Preferred qualifications: Legally authorized to work in the United States 18 years or older
    $24k-28k yearly est. 33d ago
  • Transaction Flow Specialist/Full Time/Remote - Michigan Residents

    Henry Ford Hospital 4.6company rating

    Troy, MI jobs

    Under minimal supervision, this position is responsible for the Henry Ford Health System's (HFHS) transaction flow processes, including effective design of the insurance recovery and patient pay workflows, research and identification of root causes resulting in edits and denials, development of error prevention initiatives, and coordination with CBO staff, HFHS business units, and internal customers to drive performance improvement. EDUCATION/EXPERIENCE REQUIRED: * High school degree or equivalent. * Associate's degree or equivalent years of college education, preferred. * Two (2) years of experience within healthcare revenue cycle. * One (1) year of healthcare accounts receivable billing. One (1) year of experience with resolving insurance payer denials. * Experience with both technical (UB) and professional (1500) billing, preferred. * Experience with billing and follow up of variety of insurance payers, preferred. * Experience at a large, complex, integrated healthcare organization, preferred. * Experience with patient billing, patient accounting and other related applications, preferred. Experience with EPIC Patient Accounting System, preferred. * Ability to communicate effectively with colleagues, supervisors, and managers. * Strong organizational and time management skills required to effectively prioritize workflow to meet third party requirements. * Ability to work independently. * Ability to understand and lead change. * Knowledge of Medical terminology, preferred. Ability to analyze data and identify opportunities. Additional Information * Organization: Corporate Services * Department: CBO - Transaction Flow * Shift: Day Job * Union Code: Not Applicable
    $36k-44k yearly est. 22d ago
  • Bilingual Sales & Enrollment Client Specialist - Remote

    Thriveworks 4.3company rating

    Remote

    Bilingual Sales & Enrollment Client Specialist - Remote (Spanish) Thriveworks, clinician-founded and led, is a leading mental health provider of therapy and psychiatry. We offer in-person and online care, with 340+ offices and 2,200 clinicians across the US. In 2007, our Founder, AJ Centore, PhD, called 40 fellow clinicians and reached 40 voicemails - quickly learning that the counseling experience was subpar for both clients and clinicians. A year later, in 2008, he launched Thriveworks and set out to make therapy work better for everyone. Thriveworks offers mental health services to individuals of all ages, from adults to teens to children, helping them with their unique individual and relationship challenges. About the Job Our Center of Excellence is built on a culture of service excellence. Everyone can benefit from working with a skilled therapist, counselor, or life coach, and we strive to ensure that people all across the country have that very opportunity. The role of Enrollment Specialist at Thriveworks is a sales and full-time remote position, and is responsible for actively managing a pipeline of prospective clients seeking mental health services. The ideal candidate excels in a fast-paced, mission-driven environment, demonstrating exceptional communication, attention to detail, and adaptability. We have a lot of people reaching out for support, and it's our job to help them feel heard, explain what Thriveworks offers, and match them with the right service. You'll walk them through the scheduling process and make sure they feel comfortable, informed, and excited about getting started with their first appointment. Responsibilities Manage high-volume inbound and outbound client interactions using platforms such as Salesforce, NICE, and ThriveSupport. Prospecting new leads, handling inbound calls, and conducting outbound outreach to support referral programs and engage prospective clients. Handle 50+ calls daily while maintaining a high standard of organization and follow-through. Meet or exceed key performance indicators (KPIs), including client conversion rates, intake targets, quality assurance (QA) standards, and schedule adherence. Ensure clients are a strong fit for services by aligning their needs with appropriate offerings Address and escalate client concerns to other departments and leadership, and follow up as necessary to ensure satisfactory resolution. Work collaboratively in a fast-paced and ever-changing team environment. Additional duties requested by Supervisor/Manager. Compensation: The base salary starts at $43,118 ($20.73/Hr). In addition to the base salary, Enrollment Specialists have the opportunity to earn $0 - $30,000+ in commission annually, based on performance and achievement of goals. Requirements: Sales/Customer Service and Call Center experience is required, experience in the mental health field is preferred. Bachelor's degree or a minimum of 2 years of inside sales experience within a digital health or similar sales environment (handling both inbound and outbound leads). High proficiency in Google Suite (Docs, Sheets, Gmail, etc.) and CRM platforms, particularly Salesforce. Must be fluent in Spanish Must have a designated, quiet workspace to maintain client confidentiality and adhere to HIPAA compliance standards. Excellent verbal and written communication skills, with the ability to engage a diverse range of clientele professionally and empathetically. Work hours: Monday-Friday, 8:00 AM to 9:30 PM EST; Saturday & Sunday, 8:00 AM to 6:00 PM EST (subject to change). This is an FT position with benefits, ranging between 32 - 40 hours per week, depending on the business needs. Shift Bid opportunities are available (every 6 months) based on performance. Internal candidates must be currently in good standing in their current role. Benefits: Competitive compensation + commission opportunities 401(k) with employer match Medical, Dental, Vision, Life Insurance Paid time off and holidays Employee Assistance Program (EAP) Professional growth and advancement opportunities This is a remote, sedentary role that requires extended periods of sitting and working on a computer. Frequent typing and use of a standard keyboard and mouse are required. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified to bring your unique perspective to our team. Interested in joining Team Thriveworks? We're thrilled to meet you! With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address. Our interviews will take place over Google Meet (not Microsoft Teams or Zoom) We will never ask you to purchase or send us equipment. If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team. By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
    $43.1k yearly Auto-Apply 7d ago
  • 988 Crisis Call Specialist

    Western Montana Mental Health Center 3.5company rating

    Missoula, MT jobs

    988 Crisis Call Specialist Looking for a career that makes a difference in the lives of others, offering hope, meaningful life choices, and better outcomes? Who we are Since 1971 Western Montana Mental Health Center (WMMHC) has been the center of community partnership in the 15 counties we serve across western Montana. We have committed to providing whole-person, person-centered care by ensuring an approach to health care that emphasizes recovery, wellness, trauma-informed care, and physical-behavioral health integration. We know the work we do is important and makes a significant impact in the lives of our clients and in our communities. Working at WMMHC also gives you the opportunity to work under the Big Sky, giving you the adventure of a life time while serving your community and changing lives. We offer a work life balance so you still have time to discover all the natural beauty and recreational dreams that Montana has to offer while still engaging in a career path that is challenging and fulfilling. If you want to join our team where community is at the heart of what we do, then you've come to the right place! Job Summary: Do you like to talk on the phone? Are you the person your family and friends turn to when they need support? Can you remain calm in stressful situations and empathize without judgement? If you can answer yes to these questions, the National Suicide Prevention Lifeline team needs your help! With training in the following tasks, you will be able to serve your community members. Triage incoming Lifeline calls and obtain caller information. Conduct assessments and dispatch appropriate interventions when needed. Deescalate callers in crisis over the phone. Develop appropriate and realistic safety plans and complete appropriate follow up tasks. Knowledge and familiarity with community resources Complete documentation in an accurate and thorough manner. Location: Remote* only after training and available to come into office when needed. We are seeking a candidate who is able and willing to work varied shifts including evenings, weekends, holidays, and overnights. Overnights shifts offer a pay differential. *Remote work is available after completion of training. Qualifications High School diploma or equivalent Ability to pass background check Provide proof of auto liability insurance coverage per Western's policies Montana Driver's License with a good driving record 1-year related work experience in human services, preferred Benefits: We know that whole-person care is not just important for our clients, but recognize it's just as important for our employees. WMMHC has worked hard to provide a benefits package that encompasses that same concept. Our comprehensive benefits package focuses on the health, security, and growth of our employees. Benefit offerings will vary based upon full time, part time, or variable status. Health Insurance - 3 options to choose from starting as low as $5 per pay period Employer paid benefits: Employee Assistance Program, Life insurance for employees and dependents, and long term disability Voluntary options available: dental & vision insurance, short term disability, additional life insurance and dependent care flexible spending account Health savings account (HAS) with match or medical flexible spending account (FSA) 403(B) Retirement enrollment offered right away with an employer match offered after one year Generous paid time off to take care of yourself and do the things you love Accrued PTO starts immediately Extended sick leave 9 paid holidays and 8 floating holidays Loan forgiveness programs through PSLF or NHSC
    $38k-45k yearly est. Auto-Apply 60d+ ago
  • Service Specialist - Training and Incident Response

    Allone Health 3.8company rating

    Remote

    AllOne Health is in the business of care; and service is what matters most. As a leader in workplace behavioral health, we've proven that a company's success is directly linked to the health and well-being of their employees. By joining our team, you will make a difference in the lives of our clients and their communities. The meaningful work that we do includes counseling, providing work-life resources, wellness and more through our Employee Assistance Programs (EAP). We are currently seeking a Service Specialist - Training and Incident Response to work remotely. This is a full-time, non-exempt position working Monday-Friday 11:30 AM - 8:00 PM EST. POSITION SUMMARY: The Specialist role involves efficiently coordinating phone and email coverage, managing client organizational service requests, and documenting case management activities to ensure data accuracy. Key responsibilities include full-cycle case fulfillment, multitasking, and maintaining high professionalism. Additionally, the position involves supporting other organizational services, as needed, including investigating escalations, assisting in recruitment, maintaining provider relationships, soliciting feedback, and participating in after-hours support, including responding to Critical Incident Stress Debriefing (CISD) calls through the after-hours call tree. KEY ACCOUNTABILITIES & DUTIES: Case Management Provide clients general information and/or consultation, escalate issues when necessary, and engage in full-cycle case fulfillment for client organizational service requests. Assist in the recruitment process by continually seeking new candidate sourcing options for onsite, online, or telephonic requests. This includes searching for viable provider websites that can produce dynamic training facilitators or experienced behavioral health providers. Document all case management activities and time spent on each case, maintain detailed records of communications with clients and providers, to generate team metrics and ensure data integrity and accessibility. Create and send appropriate materials such as confirmation notices, sign-in sheets, and evaluation forms to clients and facilitators via email for scheduled sessions, ensuring all necessary documentation is provided. Investigate client and provider escalations, determine appropriate next steps, and work to preserve and strengthen relationships with all parties involved. Consult with the Director for approval on next steps, especially when dealing with complex escalations. Essential Functions Coordinate phone and email coverage with team members to ensure client requests are addressed promptly and efficiently, maintaining a high level of customer service. Ensure all data is entered accurately in EAPX to provide data for quarterly and annual client utilization reports, supporting data-driven decision-making and reporting. Effectively build and maintain relationships with providers in various states and cities, fostering a network of reliable and professional contacts. Provide weekly updates to the team on scheduled sessions, or more frequently if necessary, to keep the team informed and aligned on upcoming activities and responsibilities. Participate in the after-hours call tree and respond to after-hours Critical Incident Stress Debriefing (CISD) calls in collaboration with colleagues, ensuring the coordination of necessary services accordingly, demonstrating flexibility and commitment to client support outside of regular business hours. Perform other related duties and projects as needed and/or required. QUALIFICATIONS: Required Knowledge/Skills/Abilities Satisfy client needs for all organizational service requests in an expeditious manner while maintaining a high level of professionalism and ensuring protocols are followed. Flexibility to work both independently and collaboratively within a highly cooperative team, while taking initiative. Strong consultative skills. Ability to thrive in a fast-paced environment. Sensitivity to deadlines is required. Focus on processes and tasks. Reliable and responsible. Ability to multitask and adapt to various roles. Embraces change, maintains flexibility, and is willing to continue learning in a dynamic environment. Strong attention to detail and organizational skills. Effective communication skills for both internal and external interactions, with the ability to resolve client issues and build positive relationships. Ability to handle clients' emotional and personal information confidentially and discreetly. Professional phone etiquette, sensitivity, and tact. Excellent written and verbal communication skills. Exceptional customer service skills. Positive attitude. Education & Experience High school diploma required. BA/BS degree in Human Resources, Business Administration, Psychology, Social Work, or Public Administration is preferred. Required experience with Microsoft Suite and Smartsheet programs. Excellent IT applications and database skills set. Professional call center/scheduling experience a plus. Must have a reliable internet connection. Company Perks: We don't want you to wait - Immediate medical (Blue Cross/Blue Shield), dental, and vision insurance is available Self-Care is a top priority - We offer desirable work schedules and a generous amount of Paid Time Off Thinking about your future? - We have a 401(k) retirement program with a company match Of course, we know that life happens - Employee Assistance Program (EAP) benefits are available to you and your family …and many more! AllOne Health is an AA/EO employer and actively seeks candidates from diverse backgrounds.
    $29k-37k yearly est. 27d ago
  • Referral Processing Specialist (Remote)

    Advocate Health and Hospitals Corporation 4.6company rating

    Oak Brook, IL jobs

    Department: 10422 IL Home Health Divisional - Patient Access Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Full Time Remote Position Hours: 8:30am-5:30pm Weekend and Holiday rotation required Day one is onsite for equipment pickup Pay Range $20.40 - $30.60 Major Responsibilities: Provide support to the day-to-day operations of Customer Service Center. When entering referral, correctly identify insurance coverage, investigate and verify sources of reimbursement and make recommendations based on the information obtained. Follows a standardized workflow to support achievement of goals and standards related to referral processing. Team Work. Education/Experience Required: HS diploma 2 years of experience in a medical office setting Call center experience a plus Knowledge of medical terminology and health care industry Knowledge of Medicare/Medicaid and other third party payers. Knowledge, Skills & Abilities Required: Strong communication skills (both oral and written). Able to work effectively with all colleagues, to ensure the seamless referral processing Ability to work well in a team environment with a positive attitude Appreciation of the need for and ability to maintain confidentiality Rational/logical decision making Ability to prioritize work and work unsupervised for periods of time Strong interpersonal skills Ability to take responsibility for processing referrals within timeframes and responding to queries about Medicare, Medicaid and Managed Care Services. Competent in the use of a range of software packages including Microsoft Office, Word and Excel (used daily) Ability to follow through on tasks and communicate between and among team members Ability to respond to callers professionally and courteously. Ability to express self clearly and assertively, and work in a busy office Physicial Requirements and Working Conditions: Independent thinker High energy, self-starter Effective communicator • Detail oriented Work flexible hours Occasional travel to other Advocate and referral locations as necessary in all weather conditions on all types of roads including expressways 10 lbs or less regularly of office supplies/equipment to perform job 20-50 lbs occasionally (e.g. box of of paper) This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. 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.
    $20.4-30.6 hourly Auto-Apply 1d ago
  • Client Operations Specialist

    Enablecomp 3.7company rating

    Remote

    EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. Position Summary The Client Operations Specialist performs all activities involved in the preparation and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of claims by the Revenue Specialists as well as assisting the Client Operation Analysts by engaging the document management process for the purpose of processing claims. The Client Operations Specialist also helps support the Client Operations Analysts with client recons and work queues.Key Responsibilities Assist with document retrieval process for including but not limited to implant invoices, UB-04 documents, Explanations of Benefits, medical record components. Scan and upload documents received from client. Manual reporting to clients for records requested and received in support of recovery team. Manual updating of information in electronic HIS systems to support production processes and Account Management teams. Manual review and reconciliation of ATB reports to locate accounts missing between both systems used to generate bills to EC. Locate, acquire, and store medical records from within client system. Assist in efficiently moving work through the department. Assist in compiling and working client recons, including but not limited to, posting adjustments, entering refund and payment research requests, and reviewing or rebilling missing claims. Assist in managing client work queues. Assist and cooperate with other departments. Use several systems to perform accurate and timely data entry. File and handle confidential documentation and patient health information (PHI). Other duties as required. Requirements and Qualifications High School Diploma required. 1 year of document control experience desired. Experience with electronic document management in a healthcare setting desired. Equivalent combination of education and experience will be considered. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). Regular and predictable attendance. Special Considerations and Prerequisites Ability to handle large volumes of work while paying close attention to detail. Ability to work in a fast-paced environment. Demonstrated experience in working under limited supervision, manage multiple tasks and prioritize assignments with limited time constraints. Effectively communicate issues/problems and results that impact timelines for project completion. Ability to interact professionally at multiple levels within a client-oriented organization. Competent in MS Office Suite and Windows applications. General office environment; must be able to sit and/or stand for long periods of time. EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. Don't just take our word for it! Hear what our people are saying: “I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” - Revenue Specialist “I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” - Supervisor, Operations
    $43k-73k yearly est. Auto-Apply 60d+ ago
  • Client Specialist (3rd Shift)

    Anuvia Prevention & Recovery Center 3.8company rating

    Charlotte, NC jobs

    Now Hiring: Client Specialist (3rd Shift) Supportive. Purpose-Driven. Recovery-Focused. Status: FT | Hourly, Non-Exempt Reports To: Shift Supervisor Schedule: 3rd shift 11pm-7:30am About the Role Anuvia is seeking compassionate and reliable Client Specialists to join our Clinical Inpatient team. This vital position supports individuals in our detox and residential programs-helping them navigate recovery with dignity, safety, and care. If you're ready to make a difference and grow within a structured career ladder, we want to hear from you. What You'll Do Welcome and orient new clients into the detox program, complete service plans, and intake documentation. Maintain a therapeutic and secure environment by performing safety checks, room searches, and drug screenings. Administer medications (if certified), support mental/physical health observations, and provide first aid/CPR if needed. Facilitate daily therapeutic or educational activities and help transition clients to appropriate levels of care. Collaborate with clinical staff to evaluate client needs and maintain accurate documentation in electronic health records. Be an active participant in shift communication, incident reporting, and quality improvement processes. Career Growth Opportunities We offer a clear career ladder with built-in certification support and increased responsibility at each level: Client Specialist I: Entry-level with certification required within 60 days Client Specialist II: Certified and able to train others Client Specialist III: Med Tech certification required within 90 days Client Specialist IV: Enrolled in CADC registration program with supervision requirements Client Specialist V: CADC-I certified Already a Qualified Professional (QP)? You'll also support screenings, service plans, therapeutic interventions, and staff supervision. What We're Looking For Education: High School Diploma or GED required Experience: 2 years in healthcare or substance use treatment preferred Skills: Strong communication, problem-solving, time management, and adaptability Certifications: CADC preferred Med Tech (within 90 days for CSIII) CPR/First Aid (or willing to obtain) Valid NC or SC Driver's License required You'll Thrive If You Are: Calm under pressure and able to handle crisis situations with professionalism Passionate about helping others overcome barriers in their recovery Committed to excellence, teamwork, and continuous learning Comfortable working in a diverse, fast-paced residential treatment environment Why Join Anuvia? Purpose-driven work that truly makes a difference Structured advancement with credentialing support Supportive team culture in a respected treatment center Opportunity to grow into a QP or Certified Counselor role Competitive Benefits: We offer a comprehensive benefits package, including: -Immediate health benefits with no waiting period. -Generous time off policies and company-provided disability insurance. -Competitive salary with a 401(k)-plan featuring a 7% employer contribution after the first year. -Access to continuous learning and development opportunities, plus a range of additional benefits and opportunities for career advancement.
    $45k-74k yearly est. 60d+ ago
  • Mail Services Specialist

    Advocate Aurora Health 3.7company rating

    Winston-Salem, NC jobs

    Department: 10357 Enterprise Corporate - Mailroom Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: M-F 9am - 5:30pm * Full Time What We Offer: * Day 1 Health Coverage: Choose from either copay or HSA-eligible health insurance options with coverage starting on your first day of work. * Generous PTO: Accrual starts at up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters. * Parental Benefits: Six weeks paid birthing-mother maternity leave & four weeks paid parental leave for non-birthing parents. * Retirement: Up to 7% employer-paid retirement contributions * Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor's degree and up to $5,000 per year towards a graduate degree. What You'll Need: * Valid applicable state driver's license required. * Three years' experience in a mail services department preferred. * Computer data entry experience required. * Must have knowledge of hazardous regulations that relate to transporting dangerous materials. LICENSURE, CERTIFICATION, and/or REGISTRATION: Valid applicable state driver's license required. What You'll Do: * Maintains optimum customer service environment in Mail Services window operations. * Ensures customer service is top priority during window processing duty. * Coordinates financial and statistical data for review by the Director, Controller's Office, and customers. * Compiles accurate financial reporting of financial data and statistics related to departmental charges, metered postage, stamps, sales, inventory, bulk mailings, overnight shipping, office supplies, and machine service/contracts. * Communicates with WFBH mail recipients. Addresses customer inquiries as they arise concerning charges, shipping, and delivery. * Provides customers with resources and shipping information to facilitate productivity for department, customers, and final recipients. * Resolves matters to prevent mail arrival delay to final destination. * Trains Mail Services staff and assists staff with work activities as necessary. * Ensures compliance with federal shipping regulations and safe transit of bio-hazardous materials. * Serves as a work team leader. Provides encouragement and motivation to co-workers. Serves as a positive role model for co-workers. Skills/Qualifications: * Excellent oral, written, and listening communication skills * Communication skills adequate to assist customers, train staff, and conduct business in a professional manner. * Must be able to lift heavy weight (50 lbs. to 70 lbs.) * Administrative skills to provide adequate documentation, conduct employee conferences, answer telephones, balance figures, compile statistics, compose letters and memos, coordinate meetings, file material, data entry (at least 50 words per minute), maintain inventories, and maintain schedules. * Machine skills to effectively operate photocopier, personal computer, fax, cash register, and calculator. * Software operation skills in MS Excel, MS PowerPoint, mail management system, and/or other software packages required for job performance. * Ability to analyze statistical data and form conclusions from the information. Work Environment: * May encounter packages containing toxic, caustic, or bio-hazardous substances * Subject to high traffic levels, many interruptions, and crowded conditions * May be required to operate simple machinery and computer terminals * Moderate noise level Handles absentee replacement on short notice * Subject to long irregular hours Pay Range $22.50 - $33.75 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.
    $22.5-33.8 hourly 60d+ ago
  • Contract Operations Specialist

    Merz Therapeutics 4.1company rating

    Raleigh, NC jobs

    Step into the future with us at Merz Therapeutics, where our family roots meet a bold new vision. Together, we're embarking on a transformative journey, blending time-honored traditions with exciting new products. As a private, family-owned company, we have the liberty and support to make decisions for ourselves, our customers and the patients we serve. We pride ourselves on building an inclusive culture where there is room to celebrate individual growth with the ability to contribute to a common good as a collaborative team. Our mission is grounded in a long-term view of making a difference for the common good, while growing together as a family. If you‘re looking to immerse yourself in a passionate team rooted in community, connection and camaraderie, then we're looking for YOU! #IAmMerz Are you ready to galvanize a team around a culture of care, putting patients first to spark change? The Contract Operations Specialist will be responsible for contracting within the Commercial segment and the associated contract operations functions for the Merz Therapeutics USA organization. The role will be responsible for the administration and maintenance of customer agreements, as well as working with cross functional teams to assist with the implementation of contract strategies and maintenance within internal systems. The role will be responsible for the oversight of rebate payments, fees and chargeback processing functions managed by a third party service provider. Essential Duties and Responsibilities: 1. Contract Administration Manage process flow for customer agreements as it relates to internal processes and systems and notifications to third party service provider. This includes working with internal stakeholders and external customers on questions and issues that may arise specific to membership and pricing. Assist in maintaining internal contracting databases/tracker, membership and pricing validation processes and internal routing of agreements/approval documents; as well as acting as the lead for loading agreements and amendments into the Merz e-contracts system. 2. Rebate and Chargeback Processing Manage process flow of third party agreements to ensure accurate and timely processing of managed care rebates, chargebacks, admin fees agreements. This will include administration of third party systems to ensure accurate product, customer and account information and processing of all rebates and fees to ensure timely payment to customers and consultants. Review and reconcile all rebate and admin fee calculations. Responsible for weekly processing of chargeback credit requests from the 3rd party service provider and working internally with A/R to ensure credits are issued in a timely manner and returned to the 3rd party service provider in a timely fashion. 3. Data Analysis/Reporting Review and analyze commercial contracting data (i.e. chargeback data, managed care rebates, wholesaler data, Cuvposa scorecard reports). Ensure data accuracy and support team with providing relevant reports to key internal stakeholders including adhoc requests (i.e. monthly chargeback reports, quarterly payer rebate reports). Also responsible to ensure chargeback credit requests reconcile with SAP. 4. Wholesaler/Third Party Service Provider Engagement Work with Manager and Sr. Director in the oversight of trade accounts and third party processor regarding all chargeback, admin fees. Notify wholesaler/third party processor and internal stakeholders of all chargeback contracts and price changes to ensure accurate chargeback processing. Process Fee For Service/Drop Ship Fees in accordance with distribution agreements with wholesalers. Work closely with A/R in the management of chargeback open deductions and their resolution. Assist Sr Director, with administrative tasks re: new product launches or list price changes. 5. Medicaid Rebate Processing Works closely with Manager and Sr. Director to reconcile and review Medicaid rebates and payment processing with 3 rd party service provider and the timely submission of payment requests to Merz A/P. Responsible for tracking Medicaid payments made by the states. 7. 6. Departmental Policies and Procedures Draft and revise policy and procedure documents internally and with third party service provider. 7. Other project or duties as assigned. Job Related Qualifications & Skills Bachelors degree in Business, Accounting, Finance or related field required. Minimum of 4 years related experience including exposure to accounting, financial concepts and analysis; as well as SAP experience required. Previous experience with commercial contract administration within pharma with Managed Care, GPO, Specialty Pharma or Wholesalers/Distributor preferred. Knowledge of Commercial Contracting segments and administration activities (i.e. Managed Care, GPO, Specialty, Wholesalers) preferred. Ability to partner across all departments and functions as well as act independently and take initiative required. Proficiency in MS Word, Excel, PowerPoint software programs to prepare charts, tables, forms, reports and presentations required. Excellent verbal and written communication skills required. Strong interpersonal, teamwork, organization and workload planning skillsets required. Detail-oriented and accuracy driven while prioritizing correctness over speed required.
    $54k-92k yearly est. 25d ago
  • Regulatory Operations Specialist

    Bioventus 4.2company rating

    Durham, NC jobs

    Are you ready to work for a more active world? At Bioventus, our business depends on developing our people. We invest in you and challenge you to be the best. We value our colleagues for their different perspectives and individual contributions, and our leaders listen. Our success rests on working together to achieve shared goals and rewards. Join a diverse team of global colleagues driven to help patients resume and enjoy active lives. The Regulatory Operations Specialist provides hands-on regulatory affairs support for new product marketing approvals and renewals for existing products, legalizations, and Certificate to Foreign Government (CFGs), including development of regulatory requirements and supporting submissions. Responsibilities include compliance with applicable regulations, standards and established corporate policies and procedures Key Responsibilities: 1. Support various applications (i.e., 510(k), PMA Supplements and Technical Documentation) to receive product clearance / approvals for new products and maintain existing registrations globally. 2. Support maintenance of Technical Files compliant to the MDD 93/42/EEC and Technical Documentation compliant to the EU MDR 2017/745. 3. Perform and coordinate legalization of Regulatory documents. 4. Coordinate administrative payment to government agencies. 5. Execute regulatory/legal blocks and licensing in system for various geographies worldwide. 6. Maintain dossiers and regulatory documentation organization in databases and SharePoints. 7. Communicate with Regulatory Agencies regarding requests for documentation, CFGs, declaration of conformity, and changes of products, including manufacturing, design and new product development. 8. Support Regulatory during internal audits and external audits by regulatory agencies. 9. Support Regulatory cross-functional teams for projects as assigned. 10. Perform Regulatory Assessments for design, manufacturing, and labeling changes to ensure compliance with regulations and standards where the product is registered. 11. Research requirements and set priorities while maintaining project schedules. 12. Execute additional responsibilities as defined by management. Education and Experience (Knowledge, Skills & Abilities) * Bachelor's Degree in Life Sciences, Engineering or other related discipline. * 1-2 years of experience in Regulatory Affairs, preferably in the medical device industry. * FDA, EU, Health Canada, Brazil, Japan, and Australia registration experience. * Ability to develop clear, concise, and timely oral and written communication and reports. * Experience with SAP and GTS module. * Excellent communication skills, oral and written, with all levels of personnel. * Must be detail oriented and possess considerable organizational skills. * Ability to effectively partner with employees, management, department, and cross-functional teams to meet performance objectives and to support mission and vision of the Company. Place in the Organization: Reports to Director, Regulatory Affairs Are you the top talent we are looking for? Apply now! Hit the "Apply" button to send us your resume and cover letter. Bioventus is committed to fostering an inclusive and diverse community of employees with a strong sense of belonging. We believe we are bettered by all forms of diversity and take pride in working with top talent from every walk of life. In the spirit of inclusivity, qualified applicants will be considered without regard to age, ethnicity, disability, gender, veteran status, gender expression, gender identity, nationality, race, religion or sexual orientation. All individuals, regardless of personal characteristics, are encouraged to apply.
    $53k-89k yearly est. Auto-Apply 25d ago
  • Specialist/ECMO- Levine Children's Hospital- PRN

    Atrium Health 4.7company rating

    Charlotte, NC jobs

    00161083 Employment Type: PRN Shift: Variable Shift Details: Standard Hours: 4.00 Department Name: LCH ECMO Our mission is to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit atriumhealth.org/about-us. Job Summary Operates extra-corporeal membrane oxygenation (ECMO) equipment and performs ECMO therapy according to physician orders, provides care through skillful assessment, diagnosis, outcomes identification, planning, implementation and evaluation in accordance with facility and department policies, procedures, and/or protocols under the supervision of the ECMO team manager. Essential Functions Monitors pump functioning throughout patient therapy and maintains pump integrity; monitors circuit volume and administers products, medications and/or volumes as ordered; monitors anticoagulation, electrolyte acid-base balance and blood gas composition volumes and adjusts ECMO circuit to maintain physician orders. Recommends appropriate changes to current patient management based on new information or changing patient status. Generates and compiles appropriate documentation and charges related to ECMO. Operates point of care laboratory equipment; interprets and acts on results based upon physician orders. Sets up and primes ECMO circuits; initiates and maintains extracorporeal life support according to protocols. Assists with logistics of cannulation, decannulation, and in-house transport of patients on ECMO. Coordinates and assists with interfacility transport for patients on ECMO. Manages planned and emergent disruption of ECMO. Replaces circuit components under normal and emergent conditions. Facilitates a multidisciplinary approach in the care of ECMO patients. Participates in Quality Improvement and Research. Assures to maintain competency with ECLS/ECMO procedures at least 24 hours quarterly and 96 hours annually of pump time. If these can not be met with patient care, specialist will participate in drills to meet requirements. Provides CRRT in the neonatal and pediatric populations. Will assist with provision of CRRT in adult cardiac patients on ECMO as requested. Promotes shared governance, or facility decision making activities, developing and nurturing research to positively affect clinical outcomes and promotion. Physical Requirements Work requires walking, standing, sitting lifting, reaching, stooping, bending, pushing and pulling. Must be able to lift and support 35 pounds in handling patients, medical equipment and supplies. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell and touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient and/or conditions. Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader. Education, Experience and Certifications Graduate of an accredited Registered Nurse or Respiratory Therapy program is required with current licensure and certification as appropriate. For RN, BSN preferred. Current Basic Life Support for Healthcare Provider status according to American Heart Association. ACLS preferred. Minimum of (2) two years of direct patient care experience in a neonatal, pediatric or adult ICU setting is required. At Atrium Health, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Atrium Health is an EOE/AA Employer
    $21k-31k yearly est. 60d+ ago
  • Legal Operations Specialist

    Advocate Health and Hospitals Corporation 4.6company rating

    Charlotte, NC jobs

    Department: 10113 Advocate Aurora Health Corporate - Legal Services Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday-Friday 8-5 Pay Range $43.30 - $64.95 The Legal Operations Specialist/Manager is a generalist role that supports the legal department by executing operational processes, managing legal systems, and ensuring efficient workflows. This role is critical in maintaining day-to-day operations and supporting strategic initiatives in the legal department. Major Responsibilities: Serve as the primary administrator and subject matter expert for core legal technology platforms, including contract lifecycle management, matter management, and e-billing systems. Ensure optimal system configuration, user access controls, and ongoing maintenance to support legal team operations. Develop and implement data governance protocols to maintain the accuracy, consistency, and security of legal data across platforms. Conduct regular audits and reconciliations to identify and resolve data integrity issues. Lead initiatives to evaluate and enhance legal department workflows, identifying opportunities for automation and efficiency gains. Collaborate with legal and business stakeholders to document current processes and design future-state solutions. Monitor key performance indicators and operational metrics to assess the impact of implemented improvements. Support change management efforts by facilitating adoption of new tools and processes. Develop and deliver training programs for legal team members and business users on legal systems and processes. Create and maintain user guides, SOPs, and reference materials to support consistent system usage and compliance. Manage the legal department's knowledge repository, ensuring content is current, searchable, and aligned with business needs. Coordinate onboarding support for new legal team members, including systems access and training. Act as a liaison between the legal department and cross-functional teams such as IT, Finance, Procurement, and HR. Facilitate resolution of system-related issues and process bottlenecks by coordinating with internal stakeholders. Participate in cross-functional projects and initiatives that impact legal operations, providing subject matter expertise. Communicate effectively with stakeholders at all levels to ensure alignment and transparency. Support legal vendor onboarding, including compliance checks, system setup, and documentation management. Maintain vendor records and assist with performance tracking and relationship management. Provide operational support for department initiatives, events, and reporting needs. Assist with budget planning and resource allocation for legal operations activities. Manage legal invoice intake, review, and processing in coordination with the e-billing system and Finance team. Track legal spend against budget and provide regular reporting to department leadership. Identify cost-saving opportunities and support implementation of billing guidelines and controls. Respond to inquiries related to invoice status, payment issues, and budget variances. Licensure, Registration, and/or Certification Required: None Required. Education Required: Bachelor's Degree in Business or related field. Experience Required: Typically requires 5 years of experience with legal project operations and management in-house or at a law firm (preferred). Knowledge, Skills & Abilities Required: Knowledge in the use of project and program management methodologies and tools. Computer skills in Microsoft Office Suite Excellent interpersonal and oral and written communication skills to effectively form collaborative relationships and work with staff at all level of the organization. Ability to coordinate a variety of projects and tasks simultaneously. Proficient in the use of project management methodologies, tools and processes. Ability to learn and understand business processes quickly and the overall impact projects have on the business needs of the organization. Physical Requirements and Working Conditions: Position requires travel and is therefore exposed to road, weather, and normal travel hazards. Operates all equipment necessary to perform the job. Exposed to a normal office environment. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. 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.
    $35k-53k yearly est. Auto-Apply 60d+ ago
  • Call Center Specialist - On-Call

    Integrated Family Services, Pllc 3.3company rating

    Greenville, NC jobs

    Call Center Specialist - On-Call No Phone Calls Please. Shifts: Weekday Shift (6:00 pm - 7:00 am) Weekend Shift (Saturday 7:00 am until Sunday 7:00 am / Sunday 7:00 am until Monday 7:00 am) GENERAL DESCRIPTION: The Call Center is the point of access for individuals and/or their families seeking services at IFS for a mental health, substance use and intellectual and/or developmental disabilities crisis. Access Coordinators are the point of contact for all incoming calls for Integrated Family Services during business hours on Monday through Friday. They are responsible for answering the incoming calls for all office locations in a timely and professional manner while assisting callers in reaching the appropriate department, staff, and/or service. They will utilize customer service skills and techniques in determining the need of the caller to ensure that individual receives the best quality of service. Access Coordinators will briefly screen to determine the best appropriate action to occur at the time of the call. They will ensure that if a client is experiencing a crisis that they are linked to the Mobile Crisis Department for further assistance. Must possess the following knowledge/skills: strong knowledge of available community resources; psycho-educational skills; strong individual and group counseling skills; strong assessment skills; strong community integration skills; strong family/caregivers training and consultation skills; strong mentoring skills; strong mediation skills; strong adaptive skill training in all functional domains including vocational, educational, personal care, domestic, social, communication, leisure, problem-solving, etc.; strong behavioral crisis and modeling intervention skills; strong motivational interviewing skills; competency in Wellness Education and symptom management issues, cognitive behavioral therapy interventions and cultural competence. WORK DUTIES AND TASKS: Responsible for answering all incoming IFS calls and assisting individuals in reaching the appropriate department, staff, and/or service. Responsible for the knowledge of the departments and services offered within IFS. Responsible for answering calls in a timely and professional manner. Responsible for utilizing positive customer service at all times. Responsible for briefly assessing clients who are experiencing mental health, developmental disability, and/or substance abuse crisis. Responsible for identifying appropriate natural supports or community resources to stabilize the individual's crisis as needed. Responsible for ensuring the overall safety of the client, their families and the community as needed Responsible for networking with other community agencies to ensure effective care across the service delivery continuum. Maintains the client's electronic health record to ensure that appropriate Medicaid and agency standards are met. Providing support via phone to individuals who are experiencing a crisis while linking them to the Mobile Crisis Department. Making service and resource referrals as needed. Responsible for engaging in monthly supervisions with Call Center Director to ensure best quality of service. Attends staff meetings, clinical team meetings and training/events as assigned. Attends continuing education per licensing requirements and as relevant to job duties. Attends a minimum of 2 hours of cultural competency continuing education per year. Completes annual adult CPR and First Aid certification courses. Completes annual TB tests and any other required competencies as outlined by the Human Resources Department for all staff Other duties as assigned QUALIFICATIONS, EDUCATION AND EXPERIENCE REQUIREMENTS: A graduate of a college or university with a Master's degree in a human service field and has one year of full time, post graduate degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has one year of full time, post graduate degree accumulated supervised experience in alcoholism and drug abuse counseling; or A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full time, post bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has four years of full time, post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling. A minimum of one year's experience in providing crisis management services in the following setting: assertive outreach, assertive community treatment, emergency department, or other services providing 24/7 response in emergent or urgent situations AND twenty (20) hours of training in appropriate crisis intervention, strategies within the first 90 days of employment. No criminal convictions of child abuse or violent crimes. Must be able to pass background MVR and sexual offender check. Must possess a valid driver's license. Must be able to keep strict confidentiality and work with diverse populations
    $31k-35k yearly est. Auto-Apply 60d+ ago
  • Credit Balance Resolution Specialist

    Vidant Health 4.2company rating

    Service specialist job at Vidant Health

    * Research and resolve patient accounts with credit balances. * Validate and process third party payer refund requests. * Compiles and submits quarterly governmental credit balance reports. * Stays current on rules and regulations affecting billing, reimbursement and submission of claims. * Process correspondence received from third party payers and patients. * Performs other related responsibilities as required or requested. * Demonstrates service excellence. Responsibilities * Review and research patient accounts with credit balances. Contact third party payers, employers, state agencies and patients to help determine resolution. Evaluate documentation for posting or payment discrepancies. Initiate a refund or validate a corrected claim using billing software based on payer regulations and departmental policies and procedures. Recognizes and reports trends and potential problems with billing and posting issues that creates credit balances. Documents all actions taken. * Validate all requests from third party payers for refund, ensuring they are legitimate in accordance to our contractual obligations and meet governmental requirements. Initiate refund within required timeframe. Documents all actions taken. * Review credit balance data to identify accounts qualifying for the quarterly Medicare and Medicaid Credit Balance Report. Prepare reports as required by CMS and DMA regulations. Follow up with agencies to ensure the reports are received by the required due dates. Documents all actions taken. * Reviews payer bulletins and websites for changes in rules and regulations. Interprets and incorporates changes into billing and collection activities. Attends educational seminars and meetings. * Responds to all requests for documents required for timely claim resolution and prompt patient customer service. * Performs in accordance with accepted procedure and responds to special requests by management in a timely and accurate manner. * Adheres to the policies and procedures. Uses tact and courtesy in all interactions including but not limited to staff, patients and payers. Promotes a positive image and supports management in goals and objectives. Handles inquiries and complaints discreetly and effectively. Minimum Requirements * High School plus 2 years or more of formal training or education. Specify: Business or related * 3 to 4 years experience. Reimbursement and/or billing knowledge, knowledge of financial reporting, experience researching unpaid and denied insurance claims, familiarity with secondary billing, appeals, and contractual adjustments. Patient Accounting, Insurance or Cash Applications. Previous experience in a physician or hospital business/billing office working with insurance companies. * One year of related experience may be substituted for one year of education up to two years. Other Information * Onsite role (based out of Greenville, NC) * Monday - Friday day shift * 8:00 a.m. - 4:30 p.m. ET * Great Benefits #LI-AH2 ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research. General Statement It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position. Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification. We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint. Share:
    $36k-43k yearly est. 24d ago
  • TCL Financial Services Specialist (Hickory, NC)

    Partners Behavioral Health Management 4.3company rating

    Hickory, NC jobs

    Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Available for Hickory, NC Closing Date: Open Until Filled Primary Purpose of Position: This position is responsible for all the Transitions to Community Living (TCL) financial activities. Role and Responsibilities: 60%: Accounting/General Ledger Reconciliation of TCL member allowances (includes obtaining, tracking receipts and reconciling between ledgers). Assure proper coding and payment for TYSR, Barrier, CCT, CLA, Prorated rents, Security Deposits, Hold Fees, and Special Claims Prepare/Process TCL subsidy payments and adjustments Securing vendors documents as required Monthly preparation of journal entries and reconciliations related to TCL 25%: Procurement: Responsible for TCL purchasing and LME/MCO compliant with statutory requirements controlling purchasing for local governments in NC and LME/MCO policy and procedure Record and track all TCL purchase requests and assure that budget is available for purchases Assist staff with TCL purchases 10% Other Assist auditors during annual fiscal audit as needed Audit Clive, reconcile and recover funds based on audit Ensure Bridge clients are set up in Temporary Housing and Expenses are available with means to their budget 5% Reports Primary responsibility for preparation and submission of accurate FSR amounts and records in a timely manner Knowledge, Skills and Abilities: Strong working knowledge of North Carolina governmental purchasing rules and regulations General knowledge of accounting and auditing principles and practices Knowledge of and ability to explain and apply the provisions of the standardized accounting practices adopted by State Government Working knowledge of accounting software Ability to interpret and analyze accounting data and apply that analysis to the departmental or institutional needs and determine compliance with pertinent guidelines, rules, regulations, and laws Ability to establish and maintain effective working relationships with representatives of related contact agencies, departmental staff, vendors, and the public Excellent communication skills, both orally and in writing High level of accounting and data entry skill Excellent computer skills and proficiency in Word, Excel, and Outlook Education and Experience Required: Associate Degree in Accounting or Business and three (3) years of experience in business or governmental agency; or an equivalent combination of education and experience. NC residency, or within 40 miles of the NC border, is required.
    $27k-31k yearly est. Auto-Apply 14d ago
  • TCL Financial Services Specialist (Hickory, NC)

    Partners Behavioral Health Management 4.3company rating

    Hickory, NC jobs

    Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Available for Hickory, NC Closing Date: Open Until Filled Primary Purpose of Position: This position is responsible for all the Transitions to Community Living (TCL) financial activities. Role and Responsibilities: 60%: Accounting/General Ledger Reconciliation of TCL member allowances (includes obtaining, tracking receipts and reconciling between ledgers). Assure proper coding and payment for TYSR, Barrier, CCT, CLA, Prorated rents, Security Deposits, Hold Fees, and Special Claims Prepare/Process TCL subsidy payments and adjustments Securing vendors documents as required Monthly preparation of journal entries and reconciliations related to TCL 25%: Procurement: Responsible for TCL purchasing and LME/MCO compliant with statutory requirements controlling purchasing for local governments in NC and LME/MCO policy and procedure Record and track all TCL purchase requests and assure that budget is available for purchases Assist staff with TCL purchases 10% Other Assist auditors during annual fiscal audit as needed Audit Clive, reconcile and recover funds based on audit Ensure Bridge clients are set up in Temporary Housing and Expenses are available with means to their budget 5% Reports Primary responsibility for preparation and submission of accurate FSR amounts and records in a timely manner Knowledge, Skills and Abilities: Strong working knowledge of North Carolina governmental purchasing rules and regulations General knowledge of accounting and auditing principles and practices Knowledge of and ability to explain and apply the provisions of the standardized accounting practices adopted by State Government Working knowledge of accounting software Ability to interpret and analyze accounting data and apply that analysis to the departmental or institutional needs and determine compliance with pertinent guidelines, rules, regulations, and laws Ability to establish and maintain effective working relationships with representatives of related contact agencies, departmental staff, vendors, and the public Excellent communication skills, both orally and in writing High level of accounting and data entry skill Excellent computer skills and proficiency in Word, Excel, and Outlook Education and Experience Required: Associate Degree in Accounting or Business and three (3) years of experience in business or governmental agency; or an equivalent combination of education and experience. NC residency, or within 40 miles of the NC border, is required.
    $27k-31k yearly est. Auto-Apply 60d+ ago

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