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We are currently seeking a meticulous and experienced Home Health Biller with 1-3 years of medical billing experience to ensure accurate and timely billing processes. The ideal candidate will possess excellent math skills, extreme attention to detail, and the ability to manage billing operations efficiently.

Location: Girard, OhioPosition: Home Health BillerWindsor Home Health is a leading home health care provider committed to delivering exceptional care and support to our patients. We are currently seeking a meticulous and experienced Home Health Biller with 1-3 years of medical billing experience to ensure accurate and timely billing processes. The ideal candidate will possess excellent math skills, extreme attention to detail, and the ability to manage billing operations efficiently.Key Responsibilities:<ul><li>Process and submit accurate home health billing claims to insurance companies</li><li>Review and verify patient insurance information and eligibility</li><li>Resolve billing discrepancies and follow up on unpaid claims</li><li>Maintain accurate records of billing activities and patient accounts</li><li>Collaborate with the finance and clinical teams to ensure accurate billing and coding</li><li>Stay updated on billing regulations and compliance requirements</li></ul>Qualifications:<ul><li>1-3 years of medical billing experience, preferably in home health care</li><li>Strong attention to detail and accuracy</li><li>Excellent math and analytical skills</li><li>Proficiency in medical billing software and electronic health records (EHR) systems</li><li>Knowledge of Medicare, Medicaid, and insurance billing regulations</li><li>Strong communication and interpersonal skills</li><li>Ability to work independently and manage time effectively</li></ul>Benefits:<ul><li>Competitive salary</li><li>Supportive leadership</li><li>Opportunities for professional development</li><li>Collaborative work environment</li><li>Work-life balance with generous paid time-off (20 days in one year!) employee wellness and mental health programs</li><li>Referral bonuses</li><li>The chance to make a meaningful impact on the lives of patients and their families at home, where they are most comfortable</li></ul>How to Apply: If you are a detail-oriented and experienced Home Health Biller ready to contribute to our dedicated team, we want to hear from you! Apply now!Join us in shaping the future of home health care in Girard, OH. Together, we can make a difference!Windsor Home Health complies with Title VII of the Civil Rights Act of 1964, the Rehabilitation Act of 1973, the Genetic Information Nondiscrimination Act, the Americans with Disabilities Act (ADA) and other applicable EEOC considerations, reasonable accommodations may be requested and will be reviewed and considered.<h3 style="text-align:center"></h3>

Windsor Home Health

Home Health Biller PRN

Analysis Skills

Billing

Billing Records

Billing Software

Communication Skills

Detail Oriented

Finance

Healthcare Providers

Healthcare Software

Home Care

Insurance

Insurance Claims

Insurance Regulations

Interpersonal Skills

Leadership

Mathematics

Medicaid

Medical Billing

Medical Coding

Medical Record System

Medical Records

Medicare

Operations Management

Reconciliation

Record Keeping

Regulatory Compliance

Team Player

Time Management

Talent Acquisition

Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.

YEAR

Overview:
Nurse Practitioner Per DiemThis position covers all zip codes in: Trumball County, OH ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual’s personal needs and what is required to keep them in the home and out of the hospital. <div class="x_x_elementToProof">Compensation:<ul><li style="margin:0in">Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income</li><li style="margin:0in">In-home visit rate: $120 - $140 depending on state of residence</li><li style="margin:0in">If available, our telehealth rate is $85 per completed assessment</li></ul></div>Benefit:This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.

Responsibilities:
<ul><li>Knowledge of CMS Regulations and NCQA HEDIS Guidelines</li><li>Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices</li><li>Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)</li><li>Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements</li><li>Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required</li><li>Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing</li><li>Address and close identified gaps in care (disease-specific or preventive)</li><li>Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and</li><li>Perform, document and communicate results of Point of Care (POC) Testing</li><li>Maintain compliance with Company policies, procedures and mission statement</li><li>Adhere to all confidentiality and HIPAA requirements as outlined within the Company’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position</li><li>Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company</li><li>Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function</li><li>On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)</li><li>We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such</li><li>Other duties as assigned</li></ul>

Qualifications:
<ul style="margin-top:0in"><li>Active un-encumbered license to practice nursing</li><li>ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine. </li><li>Maintains current CPR certification</li><li>Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:</li><li><ul style="margin-top:0in"><li>Hepatitis B</li><li>Influenza</li><li>MMR: Measles, Mumps and Rubella</li><li>Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)</li><li>Varicella</li><li>Tuberculosis</li></ul></li><li>Home Health exp a plus </li><li>Must be able to effectively communicate with elderly and chronically ill patients and families</li><li>Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial</li><li>Ability to multitask</li><li>Excellent customer service skills</li><li>Bi-lingual or multi-lingual a plus</li><li>Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision</li><li>Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools</li></ul>This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

ComplexCare Solutions

Nurse Practitioner (Per Diem)

American Nurses Credentialing Center (ANCC)

CPR Certification

Cardiology

Centers for Medicare and Medicaid Services (CMS)

Certified Coding Specialist (CCS)

Clinical Nursing

Clinical Outcomes

Clinical Practices/Protocols

Cloud Computing

Computer Skills

Computer Systems

Content Management Systems (CMS)

Corporate Policies

Current Procedural Terminology (CPT)

Customer Support/Service

Department of Health and Human Services

Diabetes

Disease

Diversity

Documentation

Emergency Medicine

Emergency Services

Equal Employment Opportunity (EEO)

HIPAA (Health Insurance Portability and Accountability Act)

Health Plan

Healthcare

Healthcare Effectiveness Data and Information Set (HEDIS)

Hepatitis B

Hospital

ICD-10

Maintain Compliance

Medical Conditions

Messaging Technology

Multilingual

Multitasking

National Committee for Quality Assurance (NCQA)

Nurse Practitioner

Nursing Credentials

Operations Processes

Patient Assessment

Primary Care

Regulations

Risk Management

Staff Requirements

Telehealth

Treatment Plan

[AW]-iCims

HOUR

Amedisys, Inc.

NP Hospice Nurse Practitioner

Assisted Living

Conferences

Disease Treatment

Electrocardiogram

Employee Assistance Plan

Hospice Care

Medicare Reimbursement

Nursing Home

Preferred Provider Organization (PPO)

Psychiatry and Mental Health

Quality of Life

Radiography

Registered Nurse (RN)

Regulatory Requirements

Reimbursement

Sports

Vehicle Fleets

Working under the guidance of senior architects, the Junior Salesforce Architect assists with translating business requirements into well‑designed technical solutions, contributes to architectural assessments and platform best practices, and supports reliable, secure system performance across Sales Cloud, Service Cloud, and Experience Cloud. Create and maintain solution artifacts such as process flows, data models, and integration diagrams, and implement solutions using an appropriate mix of declarative tools, Flows, and programmatic components (Apex, Lightning Web Components) when required to support well‑architected, maintainable designs.

About Us:
WHY PRODRIVEN GLOBAL BRANDS? BECAUSE WE ARE THE PROFESSIONAL’S CHOICE!  You will find our market leading products and brands on job sites all over the world.Focusing on end users' needs and delivering exceptional customer experience drives our success. Our entire process—from research to engineering to manufacturing to commercialization—creates products that ensure ease of use, productivity, durability and safety for the end user. On jobsites across the world, ProDriven Global Brands are most preferred.Presently this position is in a hybrid status with a minimum of 1 day per month in the office for collaboration, teamwork, and business needs.  The status and minimum in-office requirements are subject to change based on evolving business needs.

Overview:
This position plays a key role in supporting the design, governance, and continuous improvement of our global Salesforce ecosystem. Serving as a bridge between business stakeholders and technical delivery teams, this role helps ensure that Salesforce solutions are scalable, efficient, and aligned with strategic business objectives. Working under the guidance of senior architects, the Junior Salesforce Architect assists with translating business requirements into well‑designed technical solutions, contributes to architectural assessments and platform best practices, and supports reliable, secure system performance across Sales Cloud, Service Cloud, and Experience Cloud.

Responsibilities:
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES <ul style="margin-top:0in"><li>Working under Direct supervision,</li><li>Solution Design: Assist in designing scalable, high-performance Salesforce solutions. Create and present design diagrams, including process flows, data models, and system integration maps.</li><li>Solution Discovery & Validation: Participate in discovery conversations with business stakeholders to understand context, goals, and constraints, and to surface architectural considerations. You will help validate that proposed solutions are valuable, viable, and feasible before development begins.</li><li>Requirements Gathering: Participate in business workshops to understand approved business requirements and clarify functional expectations. Translate validated requirements into solution-oriented designs and support the creation and refinement of user stories by ensuring alignment with architectural intent and technical constraints.</li><li>Solution Design & Implementation: Design scalable, high‑performance Salesforce solutions and translate architectural decisions into practical implementation. Create and maintain solution artifacts such as process flows, data models, and integration diagrams, and implement solutions using an appropriate mix of declarative tools, Flows, and programmatic components (Apex, Lightning Web Components) when required to support well‑architected, maintainable designs.</li><li>Governance & Best Practices: Support the enforcement of Salesforce best practices, coding standards, and data governance policies to ensure platform integrity and minimize technical debt.</li><li>Collaborative Partnership: Act as a true partner to our business and technology teams, moving beyond order-taking to collaboratively shape solutions that drive meaningful business outcomes.</li><li>Integration Support: Assist in the analysis and design of complex integrations between Salesforce and other enterprise systems, such as Data Lakes and various ERPs.</li><li>Performs other duties as assigned within the scope of responsibilities and requirements of the job</li><li>Performs Essential Job Functions and Duties with or without reasonable accommodation</li></ul>

Qualifications:
QUALIFICATIONS  Education, Licenses, and Certifications<ul><li>Bachelor's degree in Information Systems, Computer Science, Business Administration or related field preferred or equivalent work experience required</li><li>Required certifications: Salesforce Certified Application Architect credential or be actively on the journey toward Application Architect by holding a mixture of the below certifications:</li></ul><ul><li style="margin-left:1in">Salesforce Certified Administrator</li><li style="margin-left:1in">Salesforce Certified Advanced Administrator</li><li style="margin-left:1in">Salesforce Certified Platform App Builder</li><li style="margin-left:1in">Salesforce Certified Platform Developer I</li><li style="margin-left:1in">Salesforce Certified Experience Cloud Consultant</li><li style="margin-left:1in">Salesforce Certified Agent Force Specialist</li></ul> Years of Experience and Knowledge<ul style="margin-top:0in"><li>  5 ~ 7 years of Direct experience in the Salesforce ecosystem, serving in roles such as a Salesforce Implementation Consultant, Senior Business Analyst, or Senior Salesforce Administrator required.</li></ul> Skills and Abilities<ul><li>Ability to contribute to requirements discovery sessions by asking clarifying questions, identifying edge cases, and ensuring alignment between business requirements and solution design.</li><li>Working knowledge of Salesforce declarative capabilities, with the ability to assess when programmatic or custom development solutions are required.</li><li>Foundational understanding of Salesforce platform architecture, including data modeling, data governance, security/sharing models, platform limits, scalability, and performance considerations.</li><li>Familiarity with Salesforce design and integration patterns, including API-based integrations and system interoperability concepts.</li><li>Analytical and problem-solving skills with a focus on designing scalable, maintainable, and sustainable solutions.</li><li>Ability to communicate technical concepts, trade-offs, and architectural decisions clearly to both technical and non-technical stakeholders.</li><li>Experience using work management tools (e.g., Azure DevOps) to review user stories, track progress, and ensure delivery aligns with architectural standards.</li><li>Proficiency with standard business documentation tools (e.g., Microsoft Word, PowerPoint, Outlook) to document solution designs and communicate decisions effectively.</li><li>Exposure to AI-enabled capabilities within Salesforce, with an understanding of data governance, integrity, and business impact considerations.</li><li>Industry experience in manufacturing or industrial equipment environments is preferred.</li></ul>Travel Requirements<ul><li style="list-style-type:none"><ul style="margin-top:0in"><li>0% ~ 10% travel domestically required</li></ul></li></ul>

EEO Statement:
ProDriven Global Brands is committed to fostering, cultivating, and preserving a culture of diversity, equity and inclusion. ProDriven Global Brands is an equal opportunity employer and prohibits discrimination and harassment of any kind. All qualified applicants to ProDriven Global Brands are considered for employment without regard to age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status or any other protected characteristic.  ProDriven Global Brands will not tolerate discrimination or harassment of any kind based on these characteristics. #LI-Hybrid#LI-RR1

ProDriven Global Brands

Salesforce Architect

Application Builders

Application Programming Interface (API)

Architectural Analysis

Architectural Services

Artificial Intelligence (AI)

Best Practices

Business Administration

Business Analysis

Coding Standards

Computer Science

Consulting

Continuous Improvement

Customer Experience

Data Modeling

DevOps

Documentation Standards

Ecosystems

Global Branding

Information Technology & Information Systems

Information/Data Security (InfoSec)

Interoperability

Manufacturing

Microsoft Outlook

Microsoft PowerPoint

Microsoft Windows Azure

Microsoft Word

Order Processing

Problem Solving Skills

Process Flow

Process Flow Diagram (PFD)

Product/Service Launch

Project Tracking

Requirements Management

Requirements Validation/Verification

Sales

Salesforce.com

System Integration (SI)

Technical Delivery

Technical/Engineering Design

Track Customer Issues

Willing to Travel

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Home Health Biller PRNWindsor Home Health

Nurse Practitioner (Per Diem)ComplexCare Solutions

NP Hospice Nurse PractitionerAmedisys, Inc.

Salesforce ArchitectProDriven Global Brands

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