FULL_TIME

FEED

YEAR

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters:<ul><li style="text-align:justify;margin-left:8px">With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.</li><li style="text-align:justify;margin-left:8px">As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.</li><li style="text-align:justify;margin-bottom:11px;margin-left:8px">This is not just a job—it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.</li></ul>Join Our Team:<ul><li style="text-align:justify;margin-left:8px">Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? </li><li style="text-align:justify;margin-left:8px">If so,that's great!If not,no problem! Let us help you on your career path as a Licensed Claims Adjuster. </li><li style="text-align:justify;margin-bottom:11px;margin-left:8px">You're welcome to sign up on our jobs roster if you meet our guidelines.</li></ul>How We Can Help You Succeed:<ul><li style="text-align:justify;margin-left:8px">At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.</li><li style="text-align:justify;margin-left:8px">Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.</li><li style="text-align:justify;margin-bottom:11px;margin-left:8px">Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.</li></ul><div class="WordSection1"><div class="WordSection1">Don't miss out on this opportunity—let us assist you in advancing your career in claims adjusting and achieving your professional goals.With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at 281-741-8505 or info@milehighadjustershouston.com to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at <a href="http://www.milehighadjustershouston.com" rel="nofollow" style="color:#467886;text-decoration:underline">www.milehighadjustershouston.com</a> to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (<a href="https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg" rel="nofollow" style="color:#467886;text-decoration:underline">https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg</a>) and Facebook at: (<a href="https://www.facebook.com/milehighadjustershouston" rel="nofollow" style="color:#467886;text-decoration:underline">https://www.facebook.com/milehighadjustershouston</a>) for additional resources and updates. <a href="https://zfrmz.com/pDjRHSOoPxg7PDUFWjtN" rel="nofollow" style="color:#467886;text-decoration:underline">APPLY HERE</a> #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston</div></div>By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.Powered by JazzHR

MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in San Luis Obispo, California

Claims Processing

Insurance Claims

Microsoft Excel

Training Program

Training Program Development

Training/Teaching

YouTube

partner JazzHR

UNKNOWN

Annual health examination; annual Tuberculosis skin test clearance or chest x-ray; proof of immunity to MMR, Varicella, and Hepatitis B; proof of Tdap vaccine; during current flu season, must provide proof of influenza vaccine or a signed declination form. Under the direct supervision of the 340B Director, the 340B Data Analyst shall perform analysis of 340B program to develop reports to guide decision making and track overall financial impact of 340B to the organization.

HOUR

Job Title: 340B Data AnalystDepartment: 340BReports To: 340B DirectorFLSA Status: Non-ExemptWage Range the Company Expects to Pay: $34.00 - $37.49 per hourSUMMARY Under the direct supervision of the 340B Director, the 340B Data Analyst shall perform analysis of 340B program to develop reports to guide decision making and track overall financial impact of 340B to the organization. In addition, the 340B data analyst shall perform chart reviews to locate chart notes, consultations, medications and referral orders to support 340B claims. Review invoices, pricing, prepare and maintain accounting documents and records. The data analyst will work with team members, clinic staff, outside medical staff, physicians, wholesalers, and other players in 340B to ensure all requirements are met.It is the primary purpose of CHCCC to provide the highest quality of total care possible to the patient population it serves. Such a level of quality depends ultimately on the staff's desire and ability to work together, individually, and as a team. The employee is expected to be professional, punctual, maintain regular attendance, cooperative, organized, and enthusiastic at all times.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Additional duties may be assigned with or without prior notice.Uses 340B reports to identify patient charts that require review for chart notes, consultations, and medication documentation and referral orders.Performs chart review, identifies presence or absence of required elements.Works with Specialty offices or Referral Department to retrieve the missing consultation documentation.Contacts pharmacies to obtain a copy of the prescription when the consultation documentation does not include medication referenced in 340B claims report.Interact with multiple 340B program affiliates, including wholesalers, vendors, insurance providers, internal and contracted pharmacies, internal departments, medical providers, and regulators.Works with office staff, medication case managers, and physicians to ensure medication reconciliation is completed to reflect medications from 340B claims report.Works with office staff and physicians to ensure referral order is in chart for patients seen by and receiving prescription drugs from consulting specialist.Faxes consultations and prescription slips to Athena for scanning into patient’s EMR.Work with the 340B team to verify 340B claims reports.Review invoice pricing and 340B financial reports, prepare and maintain accounting documents and records.Demonstrates professionalism and provides quality customer service using AIDET Standards.Ability to work with high volume of claims data/records.Effective organizational and time management skills with the proven ability to work independently and meet deadlines with precision, intention, and efficiency.Identifies and addresses problems, questions, concerns, analysis, etc. in a timely manner so that proper actions can be implemented to prevent losses, maximize reimbursement, and meet deadlines, to facilitate the growth and stability of the organization.Helps to develop reports, charts, and tables to guide 340B decision makingAssists in 340B oversight committee reports and other committee reportsAssists in 340B fiscal year end reports and reconciliation for financeCross analyzes financials reports and invoices in order to verify accuracyIdentifies trends in 340B space and propose solutions to those trendsDemonstrates adherence to and observes all safety policies and procedures.Demonstrates cultural sensitivity and competence with patients.Maintains and adheres to HIPAA, employee confidentiality, and privileged communications (patient, employee, and corporation).Must be able to meet deadlines.Must be detail oriented.Perform other duties as assigned.SUPERVISORY RESPONSIBILITIESThis job has no supervisory responsibilities.QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.EDUCATION and/or EXPERIENCEFour-year degree or equivalent experience- accounting or finance background preferredLANGUAGE SKILLS Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Candidate should have effective professional communication and writing skillsMATHEMATICAL SKILLSAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.REASONING ABILITYAbility to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.COMPUTER SKILLSExperience with word processing, spreadsheets, email, and keyboarding required. Microsoft Office, particularly Microsoft Excel, and Google Suite skills required.Excellent command of Microsoft ExcelCERTIFICATES, LICENSES, REGISTRATIONS Possession of current, valid, California Driver's License (Class C).OTHER REQUIREMENTSRequired to pass a criminal history background check and drug screen upon hire. Annual health examination; annual Tuberculosis skin test clearance or chest x-ray; proof of immunity to MMR, Varicella, and Hepatitis B; proof of Tdap vaccine; during current flu season, must provide proof of influenza vaccine or a signed declination form. If declined, a flu mask is mandatory during flu season. Health screening requirements are subject to change based on CDC recommendations and federal, state, and/or local public health ordinances.PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to sit. The employee is occasionally required to stand and walk. The employee must regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is frequently exposed to moving mechanical parts. The employee is occasionally exposed to risk of electrical shock. The noise level in the work environment (office setting) is usually moderate.Must be willing to have a flexible work schedule that may include evenings/weekends, and travel as needed.

Community Health Centers of the Central Coast

340B Data Analyst

Accounting

Analysis Skills

Background Investigation

Billing

Case Management

Centers for Disease Control and Prevention (CDC)

Class C License

Communication Skills

Concrete

Consulting

Customer Support/Service

Data Analysis

Depth Perception

Detail Oriented

Documentation

Electronic Medical Records

Fax Machines

Finance

Financial Analysis

Financial Reporting

HIPAA (Health Insurance Portability and Accountability Act)

Healthcare Providers

Identify Issues

Insurance

Mathematics

Medical Office

Medications

Microsoft Office

Organizational Skills

Patient Charts

Physical Demands

Prescription Drugs

Pricing

Problem Solving Skills

Public Health

Quality of Care

Reconciliation

Reimbursement

Reporting Skills

Risk

Safety Process

Time Management

Trend Analysis

User Documentation

Willing to Travel

Writing Skills

clearcompany

ADAPTED_NOW

Annual health examination; annual Tuberculosis skin test clearance or chest x-ray; proof of immunity to MMR, Varicella, and Hepatitis B; proof of Tdap vaccine; during current flu season, must provide proof of influenza vaccine or a signed declination form. Under the direct supervision of the Director of UM and Referrals, the Referral Clerk is responsible for processing specialty referral orders by obtaining insurance authorization, attaching clinical documents, and submitting to specialty offices.

Job Title: Referral ClerkDepartment: Referral CenterReports To: Director of Utilization Management (UM) and ReferralsFLSA Status: Non-ExemptWage Range that the Company Expects to Pay: $22.50 - $24.81 per hourSUMMARY Under the direct supervision of the Director of UM and Referrals, the Referral Clerk is responsible for processing specialty referral orders by obtaining insurance authorization, attaching clinical documents, and submitting to specialty offices. The Referral Clerk communicates with patients about referral details and documents in the electronic health record. The Referral Clerk obtains specialist consultation notes and closes referrals.It is the primary purpose of CHCCC to provide the highest quality of total care possible to the patient population it serves. Such a level of quality depends ultimately on the staff's desire and ability to work together, individually, and as a team. The employee is expected to be professional, punctual, maintain regular attendance, cooperative, motivated, and organized at all times.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Additional duties may be assigned with or without prior notice.Selects referrals from assigned site bucket, reviews referral order, and chart documents for appropriateness and completeness.Contacts patient to confirm referral and advises patient of referral detail.Obtains insurance authorization for referral and uploads into the electronic health record.Collates electronic documents relevant to referral order (chart notes, diagnostic studies, authorization) and submits to specialist.Documents actions in electronic health record.Selects follow up from assigned site bucket, reviews referral documentation, and looks for associated consultation notes in electronic health record.Contacts patient to confirm specialty appointment was made, kept, and notes date in electronic health record.Contacts specialty office to request consultation report, if indicated.Answers incoming telephone calls from patients or offices and addresses needs of the caller.Reviews and responds to patient cases as assigned.Completes chart processing and RAF requests as assigned from the Utilization Management bucket.Requests consultation notes and/or prescriptions for 340B claims as assigned.Demonstrates professionalism and provides quality customer service using AIDET Standards.Ability to work with high volume of patients, internal/external customers, and deal with frequent changes, delay or unexpected events.Demonstrates adherence to and observes all safety policies and procedures, inclusive of infection control rules and regulations.Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served (infants, pediatrics, adolescents, adults or geriatrics).Demonstrates knowledge of domestic violence, child and dependent abuse protocols.Demonstrates cultural sensitivity and competence with patients.Maintains and adheres to HIPAA, employee confidentiality, and privileged communications (patient, employee, and corporation).SUPERVISORY RESPONSIBILITIESThis job has no supervisory responsibilities.QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.COMPETENCIES To perform the job successfully, an individual should demonstrate the following characteristics: resourceful, independence, detail-oriented, professionalism, problem-solver, multi-tasker, team player, and customer service.EDUCATION and/or EXPERIENCEHigh school diploma or GED required. Graduation from an accredited school in Medical Assisting or a certified or registered medical assistant (CMA/RMA), or other relevant medical experience.LANGUAGE SKILLSAbility to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to respond effectively to the most sensitive inquires or complaints. Ability to write routine reports and correspondence. Ability to speak effectively before groups of patients or employees of organization. Bilingual - ability to read, speak, and write in English and another language is strongly preferred. MATHEMATICAL SKILLSAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.REASONING ABILITYAbility to apply sound judgment in understanding to carry out instructions in written or oral form. Ability to make appropriate job decisions following standard office policies and past precedents.COMPUTER SKILLSExperience with word processing, spreadsheets, email, and keyboarding required. Microsoft Office and Google Suite skills required. Working knowledge of EHR required.CERTIFICATES, LICENSES, REGISTRATIONS Possession of current, valid, unrestricted California Driver's License (Class C) required.OTHER REQUIREMENTSRequired to pass a criminal history background check and drug screen upon hire.Annual health examination; annual Tuberculosis skin test clearance or chest x-ray; proof of immunity to MMR, Varicella, and Hepatitis B; proof of Tdap vaccine; during current flu season, must provide proof of influenza vaccine or a signed declination form. If declined, a flu mask is mandatory during flu season.PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.This job is largely sedentary. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee will have repetitive finger and hand motions when typing. The employee will regularly need to operate a computer, keyboard, and telephone. The employee is regularly required to sit for an extended period of time however, may be frequently required to stand and walk. The employee may need to lift and/or move up to 25 pounds of supplies. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is frequently exposed to moving mechanical parts. The employee is occasionally exposed to risk of electrical shock. The noise level in the work environment is moderate (i.e. office setting with computers, phones, and printers). Must be able to work in a cubicle setting and work in a fast-paced environment consisting of inbound and outbound calls.Must be willing to have a flexible work schedule that may include evenings/weekends, and travel as needed.

Referral Clerk

Certified Medical Assistant

Clinical Study Publications

English Language

Geriatrics

High School Diploma

Infection Control

Keyboards

Lift/Move 25 Pounds

Medical Record System

Multilingual

Multitasking

Patient Care Authorizations

Pediatrics

Presentation/Verbal Skills

Printers

Regulations

Royal Air Force

Team Player

Telephone Skills

Utilization Management

Temp Referral Clerk (Assignment Expected to End 5/16/26)

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Independent Insurance Claims Adjuster in San Luis Obispo, CaliforniaMileHigh Adjusters Houston Inc

340B Data AnalystCommunity Health Centers of the Central Coast

Referral ClerkCommunity Health Centers of the Central Coast

Temp Referral Clerk (Assignment Expected to End 5/16/26)Community Health Centers of the Central Coast

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