Department: 37403 Wake Forest Baptist Medical Center - Surgery: Orthopedics Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: M-F, 8a-5p Pay Range $20.80 - $31.20 Join our team as a Care Coordinator Auth Scheduling Specialist, where you’ll play a vital role in ensuring patients receive timely, well-coordinated care. In this position, you’ll partner closely with patients, providers, and insurance plans to manage referrals, obtain authorizations, and schedule essential services. If you’re detail-oriented, compassionate, and thrive in a fast-paced healthcare environment, this role offers a chance to make a meaningful impact every day. Essential Functions - Complete and process patient referrals, coordinating between referring and receiving practices or departments. - Prepare and communicate financial estimates for patients as needed. - Secure all required authorizations to ensure timely patient care. - Guide patients toward providers within their insurance network. - Review benefits and educate patients on insurance coverage and financial responsibility. - Schedule surgical procedures, diagnostic testing, and other clinical services with internal and external providers. - Review daily schedules to ensure accuracy, proper time allocation, and efficient workflow. - Follow up on all referrals to prevent care gaps and support seamless patient experiences. Education, Experience & Certification Requirements - High School Diploma or GED required. - Prior computer experience required. - Strong understanding of insurance coverage (FSC/Coverage/Plan types) and medical necessity guidelines preferred. - Experience with electronic medical records or medical record software preferred. - Customer service experience required. Shift Details - Monday-Friday, 8:00 a.m. - 5:00 p.m. - Remote - Must reside within 75 miles of Winston Salem, NC Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

About the Role We are looking for a stellar Member Support Specialist who will support our Brightline members with signing up, scheduling, billing and any other administrative help they need. You will be joining a small, but mighty team at the cusp of an exciting growth phase, and be integral in helping us provide great support to every member who accesses our services. Key responsibilities of this role include: - Conducting first phone calls with new members to assess fit for Brightline services - Scheduling appointments for members - Ensuring member paperwork has been completed - Supporting Providers with a variety of administrative tasks - Answering all admin-related questions between sessions - Conducting eligibility checks, filing claims, and collecting member payment - Keeping our internal software tool for the Member Support team ultra-organized - Identifying ways to delight our members, ease the workday for our clinical team, and overall improve our operational processes as we scale - Providing support to Brightline members in both English and Spanish - Ability to work the 12 pm - 9 pm PST shift This position is 100% remote. The target range for this position is $40,000 - $63,000. Individual pay may vary from the target range and is determined by a number of factors including certifications, experience, location, internal pay equity, and other relevant business considerations. About You You will thrive at Brightline if you have: - A passion for our mission to redefine behavioral health for children and their families. - A desire to create a one-of-a-kind member experience and a background in providing excellent customer service. - Ability to effectively communicate with Spanish-speaking members and provide support in both English and Spanish. - The drive to be part of building something new - to work hard, to be your best self and to change the lives of our families. - Comfort with a wide variety of technology including email, EHR, scheduling tools and more. Most of our systems are designed with you in mind, so you’ll thrive if you can learn them quickly and provide feedback on how to make them better. - Excellent communication skills (written and verbal) and organization skills. - Ability to revel in the details and commitment to following through on all tasks, simple and complex. - Previous experience managing a medical office and/or familiarity with insurance billing are a bonus. Total Rewards - Comprehensive Insurance: Medical, Dental, Vision, Life - Time Off: Holidays, PTO, Sick Days, Parental Leave - Stipends/Reimbursements: Learning and Development, Health & Wellness, Home Office - Financial Wellness: 401k - Community & Perks: Remote First Workforce, Collaborative culture This position is 100% remote. The target range for this position is $21-29/hour. Individual pay may vary from the target range and is determined by a number of factors including certifications, experience, location, internal pay equity, and other relevant business considerations. Our Commitment to Building a Diverse, Equitable, and Inclusive Workforce At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation that we build our mission upon. We are compelled to build a future where all families can access inclusive, high-quality care. We are committed to creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive. We are committed to systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems. We are committed to ensuring that every employee, candidate, client, and family we serve is valued and respected. About Brightline Brightline is on a mission to build a bright future for every child, bringing extraordinary behavioral health care to children and families. We’re in the middle of a behavioral health crisis that we can’t ignore—especially not when it comes to our children. 1 in every 5 children has a behavioral health condition, yet up to 80% still get little or no help. Far too many families face insurmountable barriers when their child really needs help, and parents are too often left feeling alone and without the support they need. We can do so much better. That’s why we’re here! Brightline is convening a team of leading clinicians, technologists, business leaders, and creative thinkers to completely transform what behavioral health care looks like. Together, we’re building exceptional technology and real-world care to bring a warm, supportive, and goal-oriented experience to families. And we’re all here to help children and families thrive.

POSITION SUMMARY: The Precertification Nurse (Precert Nurse) will be assigned specific departments/services for which they will handle all precertification needs. EDUCATION & EXPERIENCE: - Graduate certificate from an accredited school of nursing, LPN or RN program, required - Current MS state license, required QUALIFICATIONS: - Ability to maintain strict confidentiality and handle sensitive information with discretion - Ability to maintain composure when confronted with fast-paced and stressful situations/timelines - Ability and desire to learn new technologies - Must be timely and dependable - Must be able to multi-task, work independently and be very detail oriented - Must have excellent written and oral communication skills - Must be able to complete documentation accurately - Must be able to follow existing workflows WORK SCHEDULE: Monday - Friday, 8:00AM - 5:00PM Remote Work Possible

Hi, we're Oscar Medical Group. We're hiring a Lead Physician to join our Virtual Health Assessment team. At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system. About the role: You will be a part of a program that outreaches and virtually engages Oscar Health Insurance members to perform preventative care screenings via a risk assessment visit. Additionally, you will be responsible for supervising a team of APPs (NPs and PAs) delivering care to patients. You will report into the Director, Virtual Health Assessment Work Location: This is a remote position, open to candidates who reside in: Arizona; Arkansas; California; Colorado; District of Columbia; Florida; Georgia; Illinois; Massachusetts; Michigan; Nevada; New Hampshire; New Jersey; New York; North Carolina; Ohio; Pennsylvania; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $210,560 - $276,360 per year. You are also eligible for employee benefits, annual vacation grant of up to 18 days per year, and annual performance bonuses. Responsibilities: - Perform preventative care screenings, complete medication reconciliation, diagnose medical conditions and provide health coaching, referrals and treatment when clinically appropriate, virtually via phone & video. - Outreach members who are more chronically ill based on historical and suspected health information. - Engage members who have a lower probability of seeing their PCP. - Identify areas in the member's medical journey that can be improved by increasing their access to care with a licensed provider. - Provide supervision to a group of APPs (NPs and PAs) who are delivering care in a virtual environment and provide professional & clinical growth - Clinical escalation point for the care delivery team as needed - Support development of clinical guidelines, continuous improvement of care model, and participate in collaborative projects with Operations and Product team members as a clinical leader. - Other duties as assigned - Compliance with all applicable laws and regulations Requirements: - MD or DO from an ACGME accredited medical school - Board Certified in IM or FM - Must be licensed in TN and FL (full license, not telehealth) - Willing to work with our licensing vendor to apply for additional state licenses, if necessary - 5+ years of outpatient primary care experience - 1+ year of telehealth experience - 1+ year experience in supervising teams, including other clinical staff - Regulatory supervision experience of Nurse Practitioners (NP) and Physician Assistants (PA) - Experience with value based care documentation standards Bonus points: - Spanish language fluency - Licensed in MO, AL, MS - Strong understanding of risk adjustment methodologies, including HCC coding principles - Familiarity with HEDIS measures, including their role in quality improvement and performance measurement - Experience being metric driven in a practice setting as it relates to population health management and/or, quality benchmarks, and productivity This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.