Become a part of our caring community and help us put health first The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. As a Referrals Coordinator 2, you will handle some inbound calls, perform data entry into the medical management system, assigning an appropriate provider, reviewing for benefits, and/or medical necessity as required or pending to a nurse or supervisor who can complete or request additional information. Role Responsibilities - You will recognize a sensitive diagnosis and/or referral requiring Case Management and pend to appropriate point of contact for review. - You will understand TRICARE benefits/limitations and Humana Military referral processes, MOUs with MTFs, and referral and UM policies. - You will answer questions or contacts MTFs and/or civilian providers to obtain additional information that may be required to complete referral etc. - You will assign appropriate ICD10 code to referral as well as appropriate CPT Code. Use your skills to make an impact Required Qualifications - Our Department of Defense Contract requires U.S. citizenship for this position - Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services) - HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico. - 2 years of customer service experience AND/OR administrative/data entry experience - 2 years of healthcare experience with Intermediate working knowledge using medical terminology, CPT and ICD codes - Expertise with MS Office products (Outlook, Word, PowerPoint, Excel) and ability to easily navigate multiple computer applications - The ability and willingness to work an 8-hour shift between the hours of 8 a.m. to 5 p.m. Eastern Standard Time (EST) and some potential overtime (Based on business need) Preferred Qualifications - Veteran or Military Spouse - Individuals with an understanding of TRICARE benefits/limitations, Humana Military referral processes, MOUs with MTFs, and referral and UM policies. - College degree - Experience in a Managed Care setting - Advanced experience with medical terminology and ICD10 codes Additional Information Training: - Performed virtually, with length of training depending on progression of trainee - 1 - 2 months Work at Home/Remote Requirements To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $39,000 - $49,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Role Overview We are seeking a Administrative Assistant to support growing law firms with billing management and client communications. This role is essential in ensuring accurate, timely billing and maintaining professional client relationships. This is an excellent opportunity for a detail-oriented professional with hands-on legal billing experience who thrives in a fast-paced, virtual environment. People from any U.S. state/city are welcome to apply. Key Responsibilities - Billing Management: Manage and process billing cycles using Clio Manage, including time entries, invoices, and payment processing. - Accuracy & Tracking: Track billable hours and ensure data integrity across multiple legal matters. - Coordination: Act as a liaison between attorneys and clients regarding billing updates, inquiries, and reconciliations. - Collections: Proactively follow up on outstanding invoices and manage past-due payments. - Documentation: Maintain organized billing records and detailed logs of client communications. - Administrative Support: Assist with document management, scheduling, and professional correspondence via email and client portals. Required Qualifications - Education: Bachelor’s degree (Completed). - Technical Expertise: Direct, hands-on experience with Clio Manage (billing, timekeeping, or client management functions). - Industry Experience: Prior experience working within a law firm or legal services environment. - Remote Proficiency: Experience as a Remote Assistant or in a virtual professional role. - Communication: Excellent written and verbal English communication skills. - Reliability: A dedicated remote workspace with a reliable high-speed internet connection. Preferred Qualifications - Bilingual Skills: Proficiency in Spanish (written and verbal) is a plus but not required. - Multi-Attorney Support: Experience supporting multiple attorneys or departments simultaneously. - Industry Knowledge: Deep understanding of legal billing procedures and terminology. Why Join Equivity? - Comprehensive Benefits: Medical, dental, vision, sick leave, employee discounts, EAP, and expense reimbursements. - 100% Remote: Enjoy a flexible and autonomous work environment. - Professional Growth: Opportunity to partner with high-level professional clients across the United States. About Equivity Equivity provides high-level virtual assistance to clients across the U.S., specializing in administrative, marketing, and paralegal services. We partner with professionals and firms across diverse industries to deliver expert remote support.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Administrative Clinical Support Specialist I performs a range of administrative tasks, resolves problems and may coordinate administrative support activities that require knowledge of program operations, policies, and processes. The position will be responsible for the transferring of clinical data, conducting pre-review screening of prior authorization requests, completing discharge documentation, and ensuring administrative supports are in place to meet required departmental deadlines in accordance with contractual, federal and accreditation standards. This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings may be required. Responsibilities & Duties - Program Operations - Triage, process, and gather clinical information to build prior authorization requests that are received via email/fax into our electronic health record platform. - Support the UM department in ensuring notification to members and providers occur within required time frames. - Adhere to all HIPAA and organizational privacy and security policies to ensure confidentiality, integrity and protection of patient health information (PHI). - Utilize NC TRACKs to accurately verify member eligibility in support of clinical and administrative workflows. - Support high priority, time sensitive and daily procedural tasks such as pre-screening prior authorization requests, completing discharge documentation, responding and supporting providers, and related non-clinical activities according to policies, procedures and regulatory compliance guidelines. - Administrative Support Activities - Complete data entry (intake function) for prior authorization requests submitted by means other than electronic provider portal (E.g., Email, fax, phone). - Transfer of clinical information to facilitate Peer Review of prior authorization requests via the delegated vendor portal. - Gather clinical information to facilitate peer-to-peer review and re-review processes. - Respond to providers inquiries related to the status of a prior authorization request and UM operational procedures. Response time must be consistent with contractual and accreditation standards detailed in Policy and Procedures. - Reference and adhere to all applicable agency policies, operational procedures, desk procedures, and best practices to ensure compliance with regulatory requirements and contractual obligations through the accurate execution of job responsibilities. Qualifications - High School diploma and four (4) years of related administrative experience to include a minimum of two (2) years performing administrative support functions, preferably within a clinical, health information, or healthcare administrative setting. Requirements - Demonstrates consistent compliance in handling, accessing, transmitting, and storing sensitive clinical data and reports potential privacy or security concerns in accordance with established procedures. - Demonstrate strong technical aptitude and efficiencies in navigating multiple platforms/portals to support daily operations. - Knowledge of office management, including the ability to organize workflow and coordinate activities among department staff. - Ability to do calculation, summarize, compile and tabulate numerical material. - Ability to maintain work standards of programs activities and ability to analyze and correct errors. - Ability to maintain an effective working relationship with other employees and the public. - Proficiency with databases and the ability to navigate through SharePoint. - Knowledge of NC Tracks & Alliance Medical Records electronic system. - Ability to collaborate with multi-departmental and multi-unit teams. - Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required. Benefits - Medical, Dental, Vision, Life, Long and Short Term Disability. - Generous retirement savings plan. - Flexible work schedules including hybrid/remote options. - Paid time off including vacation, sick leave, holiday, management leave. - Dress flexibility. Salary Range $20.32 - $25.91/Hourly. Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description JSSA is looking for a part-time weekend on call Scheduling Coordinator to support our Homecare department with scheduling Certified Nursing Assistants and/or Certified Medical Technicians to care for clients in the Montgomery County area. The schedule for this position is every other Friday from 5pm through Sunday at 8:30am. - Updates schedules in the system. - Prepares client information materials for caregivers, including schedule, address, client preferences, etc. - Notifies nurses of change in client status, care updates for caregivers, any and all injuries to clients (even outside care hours). - Handles new business referrals including entering relevant data, scheduling assessment, creating billing policy, etc. - Assists in coordinating services provided to clients, including scheduled hours, Uber services, agency services (social work, hospice, care management, medication management). - Controls and monitors schedule changes in a timely fashion. - Maintain updates in external databases as needed. - Quality control checks clock-in/out for caregivers to include time and location. - Ensure caregiver tasks are completed in a timely fashion. - Works with on-call company to handle all staffing needs outside of office hours. Will use agency cell phone for On Call. - Assists in relaying messages to field staff, office staff, JSSA staff, and community liaisons. - Performs other duties as assigned by the Supervisor or Executive Director. - Maintains current client roster with necessary and accurate information. - Projects a concerned, professional attitude toward departmental personnel and external customers. - Works to develop a positive rapport with all staff members and community resources affiliated with home health care services. Qualifications - High school diploma - 2 years’ experience as a scheduling coordinator in Homecare or Home Health field. - Ability to manage routine office files, logbooks, and field staff schedules. - Computer literate with a high degree of proficiency in office automation programs. - Must possess positive, enthusiastic attitude, good people skills, and professional appearance. - Ability to work independently without constant supervision. Requirements - $150 Flat Rate for on-call coverage Friday through Monday and $25.00 an hour for any engaged/worked hours. - 403(b) retirement savings plan with match - Remote work schedule. - Many opportunities for personal and professional development - and much more... Company Description The Jewish Social Service Agency (JSSA) has been helping people across the Washington metropolitan area meet emotional, social, and physical challenges for more than 120 years. A nonsectarian provider, we serve people of all religious backgrounds, races and ethnicities, helping the youngest child to the most fragile senior, from individuals to entire families. JSSA provides services and support to nearly 31,000 individuals a year through our wide range of counseling, educational, specialized employment, in-home support, hospice and nursing care, and social services. We are a growing Agency and strive to be an Employer of Choice. As such we offer a competitive salary and benefits package, a healthy work-life balance, collaborative team environment and many opportunities for personal growth and professional development. We pride ourselves on our mission to be the first place for the Jewish community, as well as the community at large, to turn for clinical and social services of the highest quality that sustain and nurture all who seek assistance. We are an Equal Opportunity Employer. AA/M/F/D