Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives through high-quality PHP (Partial Hospitalization Program) and IOP (Intensive Outpatient Program) services. As a newly launched organization, we are on a mission to redefine the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of those we serve. At Guidelight Health, we are building a team of passionate, forward-thinking professionals who are eager to be part of this exciting journey to reshape mental health care. Join us in making a lasting impact! Description: Title: RCM Specialist Reports to: Director of Revenue Cycle Management / Revenue Cycle Manager Department/Location: Remote FLSA Status: Exempt Travel Requirement: None Summary: The RCM Specialist, reporting to the Senior Director of RCM, will be responsible for all aspects of the claim cycle from verification of benefits, patient financial counseling, utilization review follow-up, front end billing, claim data integrity, and AR follow up. Responsibilities: - Verification of Benefits - Verify insurance eligibility and benefits prior to admission. Including deductible, co-insurance, copay, treatment restrictions, premium paid through dates, coordination of benefits completion, and in or out of network status. - Financial Counseling - Walk through insurance benefits with patients prior to admission. Go over and have them complete all applicable financial forms. Collect patient cost share. - Utilization Review Follow Up - Run a daily report on pending authorizations, call the insurance care managers to obtain the authorization details and input into KIPU EMR for visibility to RCM and clinical team members. Coordinate with therapists on any auth issues or other information needed by the insurance company. - Front End Billing / Charge Entry / Claim Data Integrity - Run the daily billing census report to identify and partner with appropriate team members to remove billing errors within the EMR. As we grow, front end billing / charge entry may be expected as a job duty. - AR Follow Up - Follow up on outstanding claims within insurance and patient AR until the outstanding claim has been resolved. Expectations are to resolve claims prior to timely filing, summarize claim issues, and work claims until resolution. - Compliance and Regulations - Stay informed on federal, state, and local billing regulations, as well as payer-specific requirements. - Ensure adherence to compliance standards such as HIPAA and Medicare/Medicaid requirements. - Report any compliance concerns or irregularities to the appropriate team or leadership. - Customer Service - Act as a liaison between patients, payers, and internal teams to address billing inquiries and resolve issues. - Provide exceptional service by explaining insurance benefits, payment responsibilities, and account balances to patients and families. - Data Management - Maintain accurate and up-to-date records in the revenue cycle management system and electronic health record (EHR). - Collaboration - Work closely with the Revenue Cycle Management team to identify areas for improvement and streamline processes. - Collaborate with IT and other departments to ensure technology solutions effectively support revenue cycle operations. Core Competencies: - Accountability: Demonstrates an understanding of the link between one's own job responsibilities and overall organizational goals and needs. - Analytical Thinking: Demonstrates the ability to deconstruct information into smaller categories to draw conclusions. - Result Oriented: Demonstrates knowledge in partnering with your supervisor for setting and achieving challenging goals. Qualifications: - 2+ years of full-time professional experience in a healthcare setting. - Minimum 2 years of direct experience in revenue cycle management. - Experience in behavioral health preferred. - Proficiency with Microsoft Office and video conferencing technologies. - Strong interpersonal skills when working with corporate partners in other departments for overarching company goals. - Clear communication skills - Flexible personality and able to overcome challenges and setbacks. - Alignment with our company values of respect, relationships, empowerment, and excellence. Pay Range $50,000—$55,000 USD Benefits & Perks At Guidelight, we value a work-life integration culture. This approach allows our teammates to focus on what matters most to them, while also caring for our clients and fellow teammates. We have found that this promotes a sustainable and successful culture, and we offer the following benefits to our teammates to demonstrate this commitment to each other.  As a Guidelight teammate, working 32+ hours per week, you’ll enjoy a comprehensive benefits package, including: - Health & Wellness: Medical, dental, vision, HealthJoy unlimited therapy, UHC wellness program, HSA/FSA options, and pet insurance. - Time Off: Responsible PTO covering vacation, sick leave, and select federal holidays. - 401(k): With company match. - Professional Development: $1,500 tuition reimbursement for ongoing education or CEUs, and opportunities for cross-licensure when applicable.

• Deploy and configure infrastructure and virtualization solutions in customer environments • Execute on-site and remote implementations across enterprise data centers and COLO facilities • Perform system installation, migration, integration, and troubleshooting activities • Collaborate with customer IT teams to ensure successful deployment and handoff • Support infrastructure upgrades, virtualization deployments, and workload migrations • Document implementation outcomes and provide technical knowledge transfer

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Division of Managed Care (DMC) is looking for a highly motivated individual to join our team as a Maternal Child Health (MCH) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator. Under the leadership of the MCH EPSDT Program Manager, this position provides oversight of the EPSDT, women’s preventive health, family planning, and maternity care services within AHCCCS’s statewide managed care and fee for-service programs. This role ensures services that support pregnant and postpartum members; infants and children are delivered in compliance with state and federal requirements. This position is responsible for quality improvement activities, validating deliverables, identifying gaps and recommending strategies to improve performance. - Oversight and monitoring of EPSDT, women’s preventive health, family planning, and maternity care programs to ensure state and federal requirements are met. - Participate in operational reviews, administrative reviews, technical assistance, and focused studies/reviews to ensure compliance with contractual and policy requirements for all lines of business. Follow-up on written reports, corrective action plans and other compliance actions as appropriate. - Represent the MCH EPSDT Unit in the development and revision of contracts, amendments and policy. This position may participate in work groups, steering teams, and scoring teams as needed and requested by the agency. - Provide education and technical assistance to internal and external stakeholders, including Contractor's and FFS providers, as appropriate regarding covered services, and contractual or policy requirements, accurately and consistently to improve compliance with AHCCCS requirements and improve EPSDT and maternal child health services to AHCCCS members. Includes identification, research and resolution of issues as needed. - Collaborate with other AHCCCS units and state and local health and social service agencies, including ADHS, DES/DDD, DCS, Head Start, Vaccines for Children (VFC), childhood lead prevention program etc. as well as community and private health care providers. - Coordinate and complete tracking, evaluation, and responses to Contractor deliverables such as annual program plans and member materials, to assure MCH EPSDT components are thoroughly addressed and align with policies. - Lead special projects and reviews to ensure completion within the designated timelines and alignment with current recommendations. Provide ongoing updates to Management. Qualifications - Minimum: Possession of a current license to practice as a registered nurse in the State of Arizona and three (3) years of relevant healthcare experience. - Preferred: At least one year of experience working in Medicaid, managed care, case management, or health plan administration. Requirements - Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions. - Travel may be required for State business. Employees who drive on state business must complete any required driver training. - All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits - 10 paid holidays per year - Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees) - Paid Parental Leave - Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. - Other Leaves - Bereavement, civic duty, and military. - A top-ranked retirement program with lifetime pension benefits - A robust and affordable insurance plan, including medical, dental, life, and disability insurance - Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications) - RideShare and Public Transit Subsidy - A variety of learning and career development opportunities

This is a remote position. We are looking for energetic individuals who have an interest in providing our clients' customers with excellent customer service support from your secure home office. We aim to delight every customer every day. As a Customer Care Representative, you’ll play a key role in helping customers achieve their goals—whether it’s finding the perfect product, resolving an issue, or ensuring a smooth order process. You’ll use your empathy, resourcefulness, and problem-solving skills to deliver exceptional service that leaves a lasting impression. If you thrive on making customers successful and are motivated to turn challenges into wins, we’d love to hear from you. XACT@Home is only available in AL, FL, GA, ME, MD, MS, NC, PA, VA, TX currently. Please check back later for availability in your state. What You’ll Do: ● Be a trusted resource for customers, assisting them via phone, email, and live chat with product selection, order questions, and everything in between ● Use active listening and genuine curiosity to understand customers’ needs and challenges, and then recommend solutions that exceed expectations ● Approach customer interactions with a "How can I make this easy for the customer?" mindset, removing the burden of extra work from the customer and inspiring confidence ● Communicate clearly with other departments to ensure timely order processing and delivery ● Meet established performance metrics and continually set goals for professional growth ● Maintain accurate and detailed records of customer interactions to keep things streamlined and efficient ● Identify opportunities to enhance the customer experience through thoughtful upselling, cross-selling, or problem-solving ● Stay informed on product offerings, promotions, and industry trends so you can offer the best guidance to our customers ● Contribute to projects and other tasks as needed to support company growth Who You Are: ● Someone who truly gets excited about making customers happy through understanding and solving their problems ● A problem-solver who is motivated to find solutions and create positive outcomes ● A great communicator who can connect, empathize, and build trust with customers ● A great listener who can connect with customers and understand their needs ● Organized and detail-oriented, ensuring every customer’s request is handled effectively ● Energetic, adaptable, and excited to learn and grow in a fast-paced environment What You Bring: ● High school diploma or equivalent; some college coursework is a plus ● Prior customer service experience is ideal, but we’re happy to train the right candidate ● Strong communication, interpersonal, and decision-making skills ● A proactive, positive attitude with a focus on solutions and customer satisfaction ● Ability to multitask and prioritize in a fast-paced environment ● Comfort with technology: experience with Google Workspace and CRM systems is a bonus ● Ability to type at a minimum 40 WPM Why Join Us? At XACT you’ll have the chance to directly impact customers’ success and be part of a team that values collaboration, growth, and great service. You’ll help customers feel confident in their choices—and help them look like the hero of their organization. Requirements Physical Requirements: ● Ability to remain in a stationary position for prolonged periods while working at a computer ● Ability to communicate effectively with customers over the phone and via email or live chat ● Must be able to perform repetitive tasks, such as typing, with attention to detail Technical Requirements: • Be able to type 40 words per minute or greater; • High-speed DSL or cable connection, rated at least 10 MB download speed and 2 MB upload speed. • Dedicated home office space, which is free from distraction, and with a door that can be closed and locked. We will ask you to provide a picture of this space. Your workspace must be a dedicated working environment that is used exclusively by you. • A personal desktop computer running a licensed version of Windows 11 Pro, with 8 GB of RAM. Laptops are not eligible for the work-at-home agent program. • Must have Remote Desktop Connection (RDC) installed. • A 19″ flat panel monitor (minimum), multiple displays recommended and preferred. • A webcam, for training, compliance, and collaboration purposes. • A wired network connection (wireless is not permitted). • An approved-brand USB headset for VOIP • A modern mobile phone (iOS or Android) that can be used for multi-factor authentication purposes. Must have iOS 15 or greater, or Android OS 11 or greater. Apple or Samsung brand preferred. Apple or Samsung brand preferred. ​ Benefits Everyone needs time to relax and enjoy life — and at XACT, we’re firm believers in work-life balance. Our paid time off (PTO) program allows team members to earn time they can use to unwind and enjoy life outside of work. Although we’re open 24 hours a day, we believe in flexible scheduling that integrates work into your life — not the other way around. Set schedules, split shifts, and on-demand shift availability are just a few of the options we offer. Full-time team members are eligible to join our company group plan through United Healthcare, once eligibility requirements are met. Smile confidently! XACT offers dental insurance through Sun Life to eligible team members. With both low- and high-benefit plan options, you’ll find one that fits your needs and makes you grin. We see you, too! We proudly offer VSP vision insurance to eligible team members. With strong coverage and savings on glasses and contacts, it's easy to see the value. In addition to standard insurance options, we also provide supplemental products through Allstate — including accident, disability, and other coverage choices. Relax — it’s expected. We’re happy to provide safe, comfortable working environments designed with your well-being in mind. Our call centers feature employee lounges, quiet spaces, and cozy places to work. We’re just one big family here, so pull up a seat and join in. As a team member — not an independent contractor — you can count on us for support. Whether you’re working in our contact centers or from your home office, we’ll equip you with the tools, technology, and 24×7 support you need to succeed.