OTHER

FEED

UNKNOWN

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:
<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:  Saint Louis City, Missouri</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 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><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

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

Home Care

Hospital

ICD-10

Maintain Compliance

Medicaid

Medical Conditions

Medical Record System

Medical Records

Medicare

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

Time Management

Treatment Plan

[AW]-iCims

FULL_TIME

Handle inbound and outbound calls with patients and insurance carriers to resolve billing inquiries, verify eligibility and benefits, and check claim status. In this role, you’ll be part of a team responsible for charge submission, claim follow-up, appeals, and denial resolution while safeguarding patient and employee confidentiality.

HOUR

<p><b>Description</b></p><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><b>Job Title: </b>Revenue Cycle Specialist I </div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><b>Location: </b>San Diego   </div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><b>Job Type:</b> Full Time, Non-Exempt </div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><strong>Schedule: </strong>Monday - Friday </div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><b>Salary Range: </b>$25.00 - $29.91 - $33.25 (Based on experience) </div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><b> </b></div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><strong>About Us & Job Summary   </strong></div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><div>Metis Practice Solutions is a professional management services organization that values caring, collaboration, and commitment to the independent medical practices in the San Diego community.  </div><div>We’re looking for a detail-oriented Revenue Cycle Specialist to be a critical part of our Revenue Cycle team. In this role, you’ll be part of a team responsible for charge submission, claim follow-up, appeals, and denial resolution while safeguarding patient and employee confidentiality.  </div></div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline">  </div><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><strong>What You’ll Do: </strong></div><ul><li style="line-height:normal;vertical-align:baseline;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Manage patient accounts receivable, including payment arrangements, collections, and follow-up on delinquent accounts</li><li style="line-height:normal;vertical-align:baseline;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Handle inbound and outbound calls with patients and insurance carriers to resolve billing inquiries, verify eligibility and benefits, and check claim status</li><li style="line-height:normal;vertical-align:baseline;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Work denials and appeals proactively, researching and resolving discrepancies to maximize reimbursement</li><li style="line-height:normal;vertical-align:baseline;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Review and verify patient statements for accuracy prior to distribution</li><li style="line-height:normal;vertical-align:baseline;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Serve as a liaison between patients, clients, and health plans — providing clear, compassionate billing support</li><li style="line-height:normal;vertical-align:baseline;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Maintain strict compliance with HIPAA regulations and all federal, state, and local requirements</li><li style="line-height:normal;vertical-align:baseline;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Follow established policies and procedures, and flag compliance concerns appropriately</li><li style="line-height:normal;vertical-align:baseline;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Identify and act on opportunities to add value within the billing department</li></ul><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><strong>What You Bring </strong><br/><strong>Required:</strong></div><ul><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">High school diploma or equivalent</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">3–5 years of medical billing experience</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">1–3 years of customer service experience</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Experience with patient collections</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Proficiency with Electronic Practice Management (EPM) and Electronic Medical Records (EMR) systems (EPIC)</li><li>Working knowledge of Microsoft Office <br/><strong>Preferred: </strong></li><li style="font-family:sans-serif , 'arial' , 'helvetica'">Medical insurance billing certificate </li><li style="font-family:sans-serif , 'arial' , 'helvetica'">Knowledge of CPT, ICD, and HCPCS coding </li><li style="font-family:sans-serif , 'arial' , 'helvetica'">Familiarity with HMO/PPO, Medicare, Medicaid, and other payer guidelines</li></ul><div style="margin-bottom:0in;line-height:normal;vertical-align:baseline"><strong>Skills & Competencies:</strong></div><ul><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Strong grasp of medical terminology and insurance billing processes</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Excellent written and verbal communication skills</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Patience and professionalism when working with patients and insurers</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Ability to multitask, prioritize, and stay organized under pressure</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Comfortable with 10-key and basic math calculations</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">High level of discretion and commitment to patient confidentiality</li><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Collaborative team player who can also work independently </li></ul><div style="margin-bottom:0in;line-height:normal"><b>What We Offer:</b> </div><ul><li style="line-height:normal;font-family:sans-serif , 'arial' , 'helvetica';font-size:11pt">Comprehensive benefits including Medical, Dental, Vision, Short-Term and Long-Term Disability, and 401K.</li></ul><div style="margin-bottom:0in;line-height:normal"><b>Join Our Quest: </b>Ready to make a difference every day? We're calling on heroes like you to revolutionize patient care. Let's make healthcare history together!      </div><div style="margin-bottom:0in;line-height:normal"></div><div style="line-height:normal"><i>Metis Practice Solutions is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, marital status, status as a protected veteran, or status as a qualified individual with disability. </i> </div>

Sharp Community Medical Group

Revenue Cycle Specialist I / San Diego / Full Time (JR618)

10-key (Tenkey) Numeric Keypad

Accounts Receivable Management

Billing

Credit and Collections

Detail Oriented

Electronic Medical Records

Epic Systems

Establish Priorities

Federal Laws and Regulations

Health Insurance

Health Maintenance Organization (HMO)

Healthcare Common Procedure Coding System (HCPCS)

High School Diploma

Insurance Certifications

International Classification of Diseases (ICD)

Mathematics

Medical Billing

Medical Terminology

Microsoft Office

Organizational Skills

Past Due Accounts

Patient Care Denials

Patient Confidentiality

Policy Development

Preferred Provider Organization (PPO)

Presentation/Verbal Skills

Procedure Development

Professional Services

Regulatory Compliance

Reimbursement

State Laws and Regulations

Team Player

Writing Skills

Jobvite Talemetry Organic Easy Apply

The Medical Billing Office Assistant position will mainly entail a high volume of calling and faxing physician offices to request medical records and follow up to ensure the necessary information has been obtained. In addition, significant communication with outer offices and patients via phone is required.

<p>Orthotic and Prosthetic Lab Inc. has been in business for over 35 years and specializes in the custom fabrication of braces and prosthetic limbs. We are privately owned and currently have four locations in the Saint Louis Metropolitan area. This position will be located at our Webster Groves Office. *Please note, this is NOT a remote position. </p><p>The Medical Billing Office Assistant position will mainly entail a high volume of calling and faxing physician offices to request medical records and follow up to ensure the necessary information has been obtained. In addition, significant communication with outer offices and patients via phone is required. Additional various office tasks are included as warranted as time goes one. </p><p>This position requires multi-tasking and a VERY close attention to detail. In addition, phone etiquette and professionalism are a must. Previous healthcare facility experience is a plus. </p><p>*Serious inquiries only. </p><p>Wage compensation will be aligned with work experience. Salary: From $15.00 per hour. </p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental Insurance</li><li>Disability Insurance</li><li>Health Insurance</li><li>Life Insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Schedule: </p><ul><li>Monday to Friday</li></ul><p>Experience:</p><ul><li>Healthcare/Medical Office experience is preferred but not required. </li></ul><p> </p><p>Powered by JazzHR</p>

Orthotic and Prosthetic Lab, Inc.

Medical Billing Office Assistant

Call Volume

Dental Insurance

Fax Machines

Medical Assistance

Medical Office

Medical Office Administration

Orthotics

Prosthetics

partner JazzHR

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Nurse Practitioner (Per Diem)ComplexCare Solutions

Revenue Cycle Specialist I / San Diego / Full Time (JR618)Sharp Community Medical Group

Medical Billing Office AssistantOrthotic and Prosthetic Lab, Inc.

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