Data Entry Specialist
This position offers an hourly wage of $20.00. We are seeking a highly focused and accurate Data Entry Specialist to join our pharmacy benefit solutions team. This role is fundamental to our operations, as it involves the precise and efficient entry of prescription and member data into our proprietary systems. The successful candidate will be responsible for handling a high volume of information with exceptional attention to detail, ensuring that all data is entered correctly and in a timely manner. The primary duties include interpreting and keying prescription information from various sources, verifying member eligibility, and making necessary updates to records. This position requires the ability to work independently while maintaining high standards of quality and productivity. The ideal candidate will possess excellent typing skills, a strong work ethic, and the ability to maintain confidentiality with sensitive health information. You will be a crucial part of a team that ensures the seamless processing of pharmacy claims, directly impacting patient access to medications. A keen eye for identifying and correcting errors is essential, as is the ability to adapt to changing procedures and systems. This is an excellent opportunity for a meticulous individual to contribute to a vital aspect of the healthcare industry.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Coordinator, Service Provider Helpdesk
This position offers an hourly pay range of $20.00 to $25.00. We are looking for a customer-oriented and technically proficient Coordinator for our Service Provider Helpdesk. In this role, you will be the first point of contact for our network of service providers, offering critical support and troubleshooting for technical and operational issues. The successful candidate will be responsible for managing inbound inquiries via phone and email, creating and managing support tickets, and resolving problems in a timely and effective manner. This requires the ability to quickly diagnose issues, guide users through step-by-step solutions, and escalate complex problems to the appropriate internal teams. The coordinator will be responsible for documenting all interactions and solutions in our helpdesk system, contributing to our knowledge base, and identifying trends in support requests. The ideal candidate will possess strong problem-solving skills, excellent communication abilities, and a patient and professional demeanor. A passion for technology and a commitment to providing outstanding customer service are essential. This role is vital for maintaining a strong and positive relationship with our service providers, ensuring they have the support they need to succeed, and contributing to the overall efficiency of our network operations.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Collections Representative
This role offers an hourly pay range of $17.74 to $31.63. We are seeking a professional and empathetic Collections Representative to join our team. This position is responsible for managing a portfolio of patient accounts and engaging in outreach to resolve outstanding balances. The successful candidate will contact patients by phone to discuss their accounts, explain balances, and negotiate payment arrangements in a manner that is both compassionate and effective. This role requires a thorough understanding of healthcare billing and a commitment to adhering to all relevant regulations and compliance standards, including FDCPA and HIPAA. The representative will be responsible for accurately documenting all collection activities, processing payments, and following up on promised payments. The ideal candidate will possess strong communication and negotiation skills, with the ability to handle sensitive financial conversations with professionalism and tact. You must be a resilient and goal-oriented individual who can balance the need to meet collection targets with the imperative of providing a positive patient experience. This is a challenging yet rewarding role for someone who is skilled at problem-solving and is dedicated to helping patients navigate their financial responsibilities while supporting the financial health of the organization.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Registration Services Representative
This position offers an hourly wage between $17.36 and $24.79. We are seeking a friendly and detail-oriented Registration Services Representative to be the welcoming face of our healthcare facility. This role is a critical part of the patient experience, responsible for ensuring a smooth and efficient check-in and registration process. The successful candidate will greet patients upon arrival, collect and verify demographic and insurance information, and accurately enter all data into our electronic medical record system. Key responsibilities include scheduling patient appointments, answering phones, obtaining necessary signatures on consent forms, and collecting copayments. The representative will also be responsible for verifying insurance eligibility and benefits and explaining financial policies to patients. The ideal candidate will have outstanding customer service and interpersonal skills, with the ability to remain calm and helpful in a fast-paced environment. Strong attention to detail is paramount to ensure the accuracy of patient information, which is vital for billing and clinical care. This role requires a compassionate individual who can effectively communicate with a diverse patient population and collaborate with clinical and administrative staff to provide a seamless and positive experience for every patient from the moment they walk through our doors.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Patient Account Representative
This position offers an hourly pay range of $18 to $23. We are looking for a diligent and knowledgeable Patient Account Representative to join our revenue cycle management team. This role is responsible for managing all aspects of patient accounts to ensure timely and accurate payment for services rendered. The successful candidate will be tasked with a variety of duties, including submitting claims to insurance payers, following up on unpaid or denied claims, and posting payments and adjustments. A key part of this role is to analyze and resolve billing issues, which involves researching claim denials, filing appeals when necessary, and communicating with insurance companies to facilitate payment. The representative will also serve as a point of contact for patients regarding their bills, answering questions about balances, explaining insurance processing, and setting up payment plans. The ideal candidate will have a strong understanding of the medical billing and collections process, including knowledge of CPT and ICD-10 codes, insurance guidelines, and payer requirements. Excellent problem-solving skills, attention to detail, and a commitment to providing excellent customer service are essential for success in this role, which is vital to the financial health of our organization.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Quality Assurance Specialist
This role offers a maximum hiring rate of $30.00 per hour. We are seeking a meticulous and analytical Quality Assurance Specialist to uphold and enhance our standards of service excellence. The primary responsibility of this position is to monitor and evaluate the quality and accuracy of work performed by our service and operations teams. The successful candidate will be responsible for reviewing customer interactions, transactions, and processes against a defined set of quality criteria. This includes listening to call recordings, reviewing written correspondence, and auditing case documentation to identify areas of strength and opportunities for improvement. The specialist will score evaluations using a standardized rubric and provide constructive, detailed feedback and coaching to employees to drive performance improvement. Additionally, this role involves analyzing quality data to identify trends, report on performance metrics, and provide insights and recommendations to leadership. The ideal candidate will possess a strong analytical mindset, exceptional attention to detail, and excellent written and verbal communication skills. You must be objective, consistent, and fair in your evaluations and have a passion for driving continuous improvement and ensuring a high-quality customer experience in every interaction.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Special Order Account Representative
This position offers an hourly pay range of $21.41 to $25.00. We are seeking a customer-focused and resourceful Special Order Account Representative to manage non-standard product requests for our clients. This role is dedicated to sourcing and procuring items that are not typically available in our standard inventory, providing a tailored solution to meet unique customer needs. The successful candidate will be responsible for the entire special order process, from initial customer inquiry to final delivery. This includes collaborating with customers to understand their specific requirements, researching products, contacting vendors to obtain pricing and availability, and generating accurate quotes. Once an order is placed, the representative will manage the purchase order process, track the order status, and proactively communicate updates to the customer. The ideal candidate will be an excellent problem-solver with strong organizational and project management skills. You must be able to manage multiple requests simultaneously while maintaining a high level of accuracy and customer satisfaction. Strong communication and negotiation skills are essential for effectively liaising with both customers and a wide network of suppliers. This is a dynamic role for a proactive individual who excels at finding solutions and is committed to going above and beyond for the customer.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Provider Network Coordinator
This remote position offers an annual salary range of $35,200.00 to $56,200.00. We are looking for a detail-oriented and organized Provider Network Coordinator to provide essential administrative support to our provider network management team. This role is crucial for maintaining accurate and up-to-date information for our network of healthcare providers. The successful candidate will be responsible for a variety of tasks, including processing provider applications, conducting initial credentialing verifications, and managing provider data in our systems. Key responsibilities will involve handling provider inquiries, resolving data discrepancies, and assisting with the creation and maintenance of provider directories. The coordinator will also support provider relations efforts by helping to prepare materials for provider communications and meetings. The ideal candidate will have experience in a healthcare or managed care environment, with a strong understanding of provider data management processes. Proficiency in data entry and database management, along with a high level of accuracy, is essential. Strong written and verbal communication skills are required for interacting professionally with providers and internal team members. This is an excellent opportunity for an administrative professional with provider-related experience to play a key role in supporting the integrity and efficiency of our provider network.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Medical Claims Follow-Up Specialist
This position offers an hourly rate of $17.00. We are seeking a persistent and detail-oriented Medical Claims Follow-Up Specialist to join our revenue cycle team. The primary objective of this role is to resolve unpaid and underpaid medical claims by actively following up with insurance companies. The successful candidate will be responsible for managing a portfolio of aged accounts receivable and taking the necessary actions to secure payment. This involves systematically reviewing outstanding claims, identifying the reasons for denials or delays, and contacting payers via phone and online portals to check claim status and appeal denied claims. The specialist will be responsible for correcting and resubmitting claims, providing requested medical documentation, and challenging incorrect claim adjudications. The ideal candidate will have a solid understanding of the medical claims process, including familiarity with different insurance payers, billing codes, and denial reason codes. You must be a tenacious problem-solver with excellent communication skills and the ability to navigate complex payer systems and requirements. Strong organizational skills are essential for managing a high volume of claims and documenting all follow-up activities accurately. This role is critical for maximizing reimbursement and ensuring the financial stability of the organization.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Document Specialist
This position offers a competitive salary and benefits package. We are looking for a highly organized and meticulous Document Specialist to manage clinical documentation within our post-acute care setting. This role is essential for ensuring that all medical records are accurate, complete, and compliant with regulatory standards. The successful candidate will be responsible for the entire lifecycle of clinical documents, including receiving, reviewing, processing, and filing patient-related information. A primary duty will be to conduct quality assurance checks on all documentation, such as histories and physicals, progress notes, and signed orders, to identify any missing or incomplete information. The specialist will be responsible for communicating with clinical staff and external partners to obtain necessary corrections or signatures in a timely manner. This position requires a strong understanding of medical terminology and healthcare documentation requirements. The ideal candidate will be proficient with electronic health record (EHR) systems and possess excellent attention to detail and organizational skills. You must be able to work independently and manage a high volume of documents while maintaining the confidentiality and integrity of patient health information. This is a vital role for supporting clinical operations and ensuring regulatory compliance.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa