UNKNOWN

ADAPTED_NOW

Other Skills or RequirementsBasic medical terminology, typing 55 wpm, and computer entry and data entry retrieval, billing of medical services and cash application, Must be compliant of all insurance carrier, Medicare, and Medicaid guidelines to insure appropriate claim processing. Skilled to Care for Certain Age-Related Patient Groups (incumbents will be skilled in the care of the following patient groups)Does not apply.

<ul id="pfm_form"><li><div><strong>JOB SUMMARY AND SPECIFICATIONS</strong></div><ul><li style="list-style-type:none"><div><strong>JOB SUMMARY</strong></div><ul><li style="list-style-type:none"><div><div>Perform follow up on unpaid claims to resolve claim rejections and delays in payment. Submit payer disputes to resolve claim denials. Assist customers with account balance related inquiries. Posting of patient and insurance payments in an accurate and timely manner as needed.</div></div></li></ul></li><li style="list-style-type:none"><div><strong>MINIMUM QUALIFICATIONS</strong></div><ul><li style="list-style-type:upper-alpha"><div>Professional & Technical Skills</div><ul><li style="list-style-type:none"><div>Course in ICD9 and /or CPT4 coding helpful but not necessary.</div></li></ul></li><li style="list-style-type:upper-alpha"><div>Education</div><ul><li style="list-style-type:none"><div>High School diploma or GED</div></li></ul></li><li style="list-style-type:upper-alpha"><div>Other Skills or Requirements</div><ul><li style="list-style-type:none"><div>Basic medical terminology, typing 55 wpm, and computer entry and data entry retrieval, billing of medical services and cash application, Must be compliant of all insurance carrier, Medicare, and Medicaid guidelines to insure appropriate claim processing. Must be a self-starter and able to work without supervision. Basic understanding of ICD-9 & CPT4 coding</div></li></ul></li><li style="list-style-type:upper-alpha"><div>License(s) or Certification(s)</div><ul><li style="list-style-type:none"><div>N/A</div></li></ul></li><li style="list-style-type:upper-alpha"><div>Skilled to Care for Certain Age-Related Patient Groups (incumbents will be skilled in the care of the following patient groups)</div><ul><li style="list-style-type:none"><div>Does not apply</div></li></ul></li></ul></li></ul></li></ul>

Major Hospital

Medical Billing Specialist

Cash Applications

Claims Processing

Current Procedural Terminology (CPT)

Customer Support/Service

Data Entry

Data Recovery

Healthcare

High School Diploma

ICD-9

Insurance

Medicaid

Medical Billing

Medical Terminology

Medicare

Time Management

Typing

OTHER

FEED

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. 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.

YEAR

Overview:
<p style="margin:0px;text-align:center"><strong>Nurse Practitioner Per Diem</strong></p><p style="margin:0px;text-align:center"><strong>This position covers all zip codes in:  Rush County, Indiana</strong></p><p style="margin:0in 0in 0.0001pt;text-align:center"> </p><p style="margin:0px"><strong>ComplexCare Solutions (CCS)</strong> 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.</p><p style="margin:0px"> </p><p style="margin:0px">CCS, on behalf of <strong>SME Medical Delaware, P.A.,</strong> 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.</p><p style="margin:0in;margin-bottom:0.0001pt"> </p><div class="x_x_elementToProof"><p style="margin-bottom:0in"><strong><u>Compensation:</u></strong><u></u></p><ul><li style="margin:0in"><strong>Pay Range: $2,400.00 - $10,000.00 per month (Potential income)</strong> 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><p style="margin:0px"><strong>Benefit:</strong></p><p style="margin:0px">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.</p>

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 asa 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 independantly conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making soundclinical 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><p style="margin:0px">This company utilizes E-Verify.</p><p style="margin:0px"> </p><p style="margin:0px"><em>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.</em></p>

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

Communication Skills

Computer Skills

Computer Systems

Content Management Systems (CMS)

Corporate Policies

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 Effectiveness Data and Information Set (HEDIS)

Hepatitis B

Home Care

Hospital

ICD-10

Maintain Compliance

Medical Conditions

Medical Record System

Medical Records

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

If you’re passionate about oral health, enjoy building relationships with patients, and want to be part of a friendly, collaborative workplace, we’d love to connect with you!** $5,000 SIGN-ON BONUS! Our office is equipped with modern technology designed to make your day smoother and your patients’ experiences more comfortable.

Overview:
<p style="margin:0px"><img height="55" src="https://columbusdentalsolutions.com/wp-content/themes/practice/dist/images/header-logo.png" width="357"/></p><p style="margin:0px"> </p><div class="x_elementToProof"><strong>Join Our Team at Dental Solutions of Columbus!</strong></div><div class="x_elementToProof"> </div><div class="x_elementToProof">We’re excited to welcome a compassionate and skilled Dental Hygienist to our growing team! At Dental Solutions of Columbus, we pride ourselves on creating a supportive, positive environment where both our patients <em>and</em> team members feel valued.</div><div class="x_elementToProof"> </div><div class="x_elementToProof">Our office is equipped with modern technology designed to make your day smoother and your patients’ experiences more comfortable. We truly believe great care starts with a great team—and that includes you.</div><div class="x_elementToProof"> </div><div class="x_elementToProof">If you’re passionate about oral health, enjoy building relationships with patients, and want to be part of a friendly, collaborative workplace, we’d love to connect with you!</div><div class="x_elementToProof"> </div><div class="x_elementToProof"><strong>** $5,000 SIGN-ON BONUS! **</strong></div><div class="x_elementToProof"> </div><div class="x_elementToProof"><strong>Position Details:</strong></div><div class="x_elementToProof"><strong>Job Type: </strong>Full-time</div><div class="x_elementToProof"> </div><div class="x_elementToProof"><strong>Schedule</strong></div><ul><li>Monday–Thursday, 8:00 AM – 4:00 PM</li><li>No nights</li><li>No weekends<br/><em>(Enjoy a consistent schedule and long weekends!)</em></li></ul><div class="x_elementToProof"><strong>What We Offer</strong></div><ul><li>Medical, dental, vision, and life insurance</li><li>6 weeks of paid vacation</li><li>401(k)</li><li>Employee discounts</li><li>A welcoming, team-oriented work environment</li></ul><div class="x_elementToProof"><strong>What You’ll Do</strong></div><ul><li>Provide thorough, gentle dental cleanings</li><li>Educate patients on oral health and preventive care</li><li>Take dental x-rays</li><li>Maintain accurate patient records and charting</li><li>Administer local anesthetics (under dentist supervision)</li><li>Ensure proper sterilization of instruments and equipment</li><li>Work closely with a supportive team to keep the day running smoothly</li></ul><div class="x_elementToProof"><strong>What We’re Looking For</strong></div><ul><li>Active Dental Hygienist license</li><li>Knowledge of HIPAA and medical coding</li><li>Experience with CareStack is a plus (but not required)</li><li>Strong clinical and patient assessment skills</li><li>A team player with a caring, patient-first mindset</li></ul><div class="x_elementToProof"><strong>Location Requirement</strong></div><ul><li>Must be able to relocate to or commute to:<br/>Columbus, IN 47201</li></ul><div class="x_elementToProof">If you’re looking for a place where your work truly makes a difference—and where you’ll be appreciated every day—we’d love to meet you.</div><p style="margin:0px"> </p><p style="margin:0px">INDHRDH02</p>

Dental Solutions of Columbus

Dental Hygienist

Anesthesiology

Clinical Competency

Dental Hygiene

Dentistry

Life Insurance

Medical Coding

Patient Care

Patient Education

Preventive Medicine

Radiography

Record Keeping

Sterilization

Team Player

Vision Plan

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Medical Billing SpecialistMajor Hospital

Nurse Practitioner (Per Diem)ComplexCare Solutions

Dental HygienistDental Solutions of Columbus

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