Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Accountable to obtain prior authorization for medications. Complete benefit investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies, departments, and patients. Act as subject matter expert for patient medication assistance foundations, free drug and drug replacement programs for uninsured, under-insured, indigent population. Maintains updated knowledge of pharmacy reimbursement methodologies. Job Duties: · Completes prior authorization and documents referrals for all medications reviewed using appropriate third-party payer criteria. · Conducts research and follow-up activities within established timeframes. Maintains knowledge of criteria changes of third-party payor authorization requirements. · Communicates with care team to provide details on authorization status. · Maintains knowledge of all available patient assistance programs and eligibility requirements. · Identifies available appropriate medication assistance programs upon discussing with patient the affordability of the prescribed treatment. · Ensures accurate completion necessary signatures of appropriate paperwork for enrollment in assistance program(s). ·Tracks fund award end dates and exhaustion, re-apply as necessary to avoid lapse in therapies. · Communicates with care team to provide details on status of assistance applications. · Educate providers and patients on specialty services and how this improves overall patient care. Grow the specialty pharmacy’s patient population. · Floats from areas of low workload to areas of heavy workload as needed to provide optional patient services. · Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years). Position Details: Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 6 years-Relevant experience* (Required) Certification(s) and License(s): Skills: Communication, Computer Literacy, Customer Service, Healthcare Industry, Medical Terminology, Workplace Organization OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. - KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. - EXCELLENCE: We treasure colleagues who humbly strive for excellence. - LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. - INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. - SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Location: Work from home (Pennsylvania) Shift: Rotation (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Utilizing department software, the Diet Assistant transcribes patient diet orders in a manner that facilitates accurate delivery of nourishment from tray line to patient. In tandem with clinical nutrition staff, ensures that patients’ specialized dietary needs are met. Job Duties: - Enters nourishment specifications, allergies, food dislikes and other specialized information in the progress notes of each patient's diet history maintenance file. - Checks the accuracy of the Substitution list, generated by the Information system, and makes decisions regarding the accuracy thereof. - Calculates fluid restrictions and other specialized meal patterns according to procedure and specialized meal plans. - Processes patient tray tickets, before each meal, to ensure all tray tickets are correct according to the patient's diet prescription and that all patients receive a tray, as ordered. - Receives information via EPIC, fax, ADT, phone and diet list regarding new admissions, transfers, expirations and diet changes. - Updates patient's menu and tray ticket, as needed. - Prints tray tickets, tally reports, nourishment labels and other required reports on the diet office printers. - Accepts credit card payments and tracks meals for reporting. - Initiates downtime and emergency procedures when required and helps to direct staff at the site to ensure patients are fed when resources may be limited. - Occasional travel to campus for training purposes is required. - Participation in training and onboarding. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details: Occasional travel to campus for training purposes is required. Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 1 year-Related work experience (Preferred) Certification(s) and License(s): Skills: Communication OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. - KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. - EXCELLENCE: We treasure colleagues who humbly strive for excellence. - LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. - INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. - SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. What you will do - Enter new patient, insurance, and discharge information - Send out bills, post Medicaid and Medicare remittances, enter diagnoses as received from client, and post ancillary billing services - Follow-up on unpaid claims to ensure proper financial reimbursement from insurance companies - Interact with client and facility staff with professionalism in all facets of customer service - Obtain, update, and track insurance authorizations for patients - Prioritize and adjust workload based on the urgency and importance of issues - Escalate growing balances and/or unresolved time sensitive issues - Ensure facilities are operating according to procedure and compliance - Maintain timely communication with directors, administrators, and staff regarding potential issues at the facilities - Participate in team meetings, committees, and/or conference calls - Other responsibilities may include training new billers What it takes to join the family - Experience working with nursing home facilities and HMO billing - Experience with NCS, MatrixCare and/or PCC a plus - Strong written and verbal skills with the ability to adjust the message to fit the audience - Possess strong organizational and time management skills - Ability to analyze and synthesize information to understand issues and identify options - Engage with a wide base of clients across the organization - Collaborate with interdepartmental team members to complete projects Why Assembly? - Be part of something special! We are growing both organically and through acquisitions. - Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way! - Ongoing training and development programs - An environment that values transparency - Virtual and in-person events to connect with your team. - Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office. This is a full time, non-exempt position reporting to the SNF Billing Supervisor. Salary Range $25—$30 USD Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more. All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.

Role Description We’re looking for an Orthopedic & Spine Revenue Cycle Specialist to join our growing team at HELM! You’ll be working with our client in the Orthopedic industry in a remote capacity. In this role, you will take ownership of the revenue cycle for a growing orthopedic and spine practice. You will manage: - Claims submission - Denials resolution - Collections follow-ups - Authorizations - AR performance tracking This is not a basic billing position — the ideal candidate understands spine coding, works denials aggressively, monitors collections performance, and communicates clearly about revenue trends and challenges. You will play a direct role in protecting and improving cash flow for the practice. Responsibilities: - Manage full-cycle billing for orthopedic and spine services. - Submit accurate claims and ensure proper CPT and ICD-10 coding. - Monitor and actively manage Accounts Receivable (A/R). - Follow up on unpaid claims and aging balances. - Analyze denied claims, identify root causes, and submit timely appeals. - Handle authorizations as part of the revenue workflow. - Communicate directly with insurance carriers to resolve discrepancies. - Track collections performance and provide updates on revenue status. - Maintain accurate billing documentation and reporting. - Collaborate with leadership to improve revenue cycle processes. Qualifications - Proven experience in orthopedic billing (required). - Spine coding experience (required). - Strong knowledge of CPT and ICD-10 coding. - Experience managing denials, appeals, and collections. - Full revenue cycle management experience. - Billing certification (CPC or equivalent) preferred. - Experience using Modernizing Medicine (ModMed) preferred. - Strong written and spoken English. - Highly organized, proactive, and accountable. - Able to work independently without hand-holding. - Available to work Eastern Time (EST) hours within 8 AM – 5 PM. - Reliable home office setup with strong internet connection. Requirements - Location: Remote - Weekly Hours: 40 hours per week - Schedule: 8:00 AM – 4:00 PM or 9:00 AM – 5:00 PM EST - Pay Range: $1,100 – $1,400 per month (depending on experience) - Equipment: BYO devices Company Description Helm is a staffing agency that connects A-Players with meaningful opportunities and strives for growth. We focus on placing high-performing professionals who take ownership, think critically, and contribute to long-term success. If you're ready to make an impact in healthcare operations, we’d love to hear from you. Does the following describe you? - Superb written and spoken English (we assess skills unassisted by AI tools). - Entrepreneurial, attentive to others, curious, and hungry for growth. If so, let’s talk! You can learn more about Helm here , or from our founder’s YouTube podcast.