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ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus .
CBO Specialist II - Remote
Location
United States
Posted
71 days ago
Salary
$32.2K - $58.4K / year
Seniority
Mid Level
No structured requirement data.
Job Description
CBO Specialist II - Remote
ProMedica
Location: Remote - OhioDepartment: PPG CBOWeekly Hours: 40Status: Full timeShift: Days (United States of America) Job Summary: As the Central Business Office (CBO) Specialist II, you will facilitate accurate provider credentialing, coding, billing, posting and collection for ProMedica Physicians and other supported entities. You will serve as a liaison between providers/office staff and hospitals or payor plans. You will maintain provider information in credentialing software and review and assign coding for professional services. In this role, you will perform a variety of registration, billing, follow-up and collection functions for all payors, including self-pay. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive. REQUIRED QUALIFICATIONS - High school diploma or equivalent. - Experience reading hospital/Physician medical records - Detailed understanding of CPT & ICD-9 (10) coding - Detailed understanding of Professional charging processes - Experience completing hospital and payor credentialing forms - 3 years experience in Professional/Physician credentialing, registration, billing, customer service or collection with at least 2 years experience specific to credentialing and/or billing office work Salary Range: $32,240 - $58,448 This is a remote position; however, employment is limited to residents of certain U.S. states due to legal, tax, and regulatory requirements. At this time, we cannot offer employment to individuals residing in California, Colorado, Hawaii, Massachusetts, New Jersey, New York, Oregon, Pennsylvania, Washington, or U.S. territories. Eligibility is based on applicant’s primary residence at time of hire. We offer a competitive benefits package with coverage effective day one of employment which includes medical, dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts. The above list of accountabilities is intended to describe the general nature and level of work performed by the positions; it should not be considered exhaustive. ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus. Benefits: We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It’s what makes us one of the best places to work, and helps our employees live and work to their fullest potential. Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org Equal Opportunity Employer/Drug-Free Workplace
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Funding Specialist Lead - South Region
National Seating & MobilityNo matter your mobility and accessibility needs, NSM is here to provide you with 360-degree Complete Mobility Solutions.
Statement of the Position: Coordinates with the Division Funding Director, Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier (RTS), and other office support personnel to ensure all operational procedures are completed in accordance with company policy and within expected time frames. Responsible for the thorough review of orders to ensure accuracy and providing education to Funding Specialists when errors are identified. Company Description: At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client’s lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client’s needs. Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability, and tuition reimbursement. Duties and Responsibilities / Essential Functions: 1. Develops and maintains working knowledge of current durable medical equipment and policies and procedures held by National Seating & Mobility as well as all applicable insurance guidelines regarding eligibility for coverage and reimbursement. 2. Ensures compliance with National Seating & Mobility policies and procedures. 3. Manages transaction cycle time (TCT) from Coding and Pricing Complete to Documentation Complete, making certain that all necessary steps are taken in the appropriate order ensuring timeliness of process and quality of funding approval. 4. Supports the Funding Specialist position due to PTO, LOA, FMLA, open positions and any other need as identified by the Division Funding Director, Funding Manager or Funding Supervisor. a. Communicates regularly and professionally with Referral sources, Physicians, Therapists, RTSs, and Clients to secure documentation as required by payer. b. Meets quality documentation follow-up attempt frequency and quality per policy following the escalation process. When necessary, attempts are to be made more often and as directed by the Funding Manager or Funding Supervisor. c. Requests, gathers, and reviews documentation for funding package and deferrals, including but not limited to: proper prescriptions, Letters of Medical Necessity (LMN), RTS evaluation information, price lists, forms (AOB, ABN, rent or purchase letter). d. Thorough review of all documentation received ensuring payer guidelines are met must be completed prior to satisfying the document in the work order. When documentation is not complete or accurate, immediate contact with the Referral source, Physician, Therapist, RTS, and/or Client to discuss and educate is required. e. Gathers and verifies insurance coverage information and communicates benefits and coverage information to client. f. Maintains communication with client throughout the process when applicable, including notifying them of and collecting financial responsibility or guiding them through the hardship process, where allowed. g. Responsible for relationship management and funding related communication with Referral sources, Physicians, Therapists, RTSs, Clients and other internal and external customers. h. Follows the document collection Escalation Policy and communicates with all necessary parties per the guidelines. i. Communicates changes and escalations in the process and collects needed information from branch personnel, Referral sources, Physicians, Therapists, RTSs, and Clients. j. Coordinates with other funding areas and responsible for completing all tasks that need a Funding Action Required. This includes, but is not limited to, all communication with Referral sources, Physicians, Therapists, RTSs, and Clients. k. Investigates and requests update of payer documentation requirements in the UPD. l. Ability to investigate issues and solve problems and concerns regarding any aspect of the Funding process. m. Completes other Funding tasks, as needed, including Coding and Pricing, Submissions, Authorization collection, PPQA and Delivery Verifications 5. Provides direction, instructions, and guidance to staff to achieve goals based on management direction. 6. Ability to quickly learn and adapt to new assignments. Assists in documenting any best practices with clinicians for properly documentation procurement and identifies and coordinates any training opportunities, opportunities for improvements and UPD discrepancies or updates. 7. 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Strong leadership skills. • Strong Team Player. • Strong organizational skills and attention to detail. • Customer service driven. • Excellent computer and technology skills including good knowledge of Microsoft Office applications, Outlook and Power Point; Experience with Excel to include spreadsheets and formulas and outlook email is required. • Ability to be a strong role model for high performance and productivity. • Ability to manage and develop others remotely. • Ability to read, analyze and interpret general business reports, technical procedures, work instructions, and governmental regulations. • Ability to write reports, business correspondence, and develop training materials. • Ability to effectively present information and respond to questions from a variety of staff. • Basic understanding of and willingness to learn and adopt professional and industry standards.
At Starkey Retail, we are setting a new standard for excellence in hearing healthcare through our commitment to the Patient Journey philosophy. This philosophy is driven by the unique needs of our patients and our dedication to guiding them in choosing the best hearing solutions to enhance their lifestyle and overall well-being. This role is an employment opportunity with Northland Hearing Centers, Inc. (referred to as “Starkey Retail”), a wholly owned subsidiary of Starkey Laboratories, Inc. All Starkey Retail positions are covered under Northland Hearing Centers, Inc.’s benefit and compensation programs. The Hearing Instrument Specialist Trainee will be trained in all aspects of hearing aid fittings, service/repairs, and sales, including product knowledge, testing, diagnosis of hearing loss, fittings and sales of hearing products and accessories, patient counseling, and aural rehabilitation. They will also be trained and prepared to meet and provide services to patients remotely through Starkey's TeleHear program. HIS Trainees must complete the requisite for a dispensing license and practice within applicable state law prior to obtaining said licensure. Stakey will sponsor, train and fund the process and fees of obtaining said license. The training program will include the apprentice working with their assigned sponsor. Trainees will receive additional training via job shadowing of other practitioners, which may include travel to other locations. Study materials and testing fees, and travel arrangements will be paid by Starkey. Approach and Deployment - Provide Patient Journey Experience through counseling and instruction. - Complete requirements for state temporary license. - Learn to conduct patient diagnostics. - Train with licensed specialists to complete practicum hours. This may include travel to other regions to work with a variety of experienced specialists. - Learn to conduct comprehensive hearing evaluations to identify type and degree of hearing loss - Learn to make appropriate recommendations based on hearing test results - Become proficient in troubling shooting, repairing and servicing all types of hearing instruments and accessories. - Attend the Patient Journey Protocol class and observe other specialists in their practice of the Patient Journey. - Train with a Specialist or Audiologist on difficult fittings. - Learn the Starkey product line and programming of hearing instruments. 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Position Overview: Reporting to the Client Operations Manager, the Revenue Cycle Specialist - Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. This position is responsible to resolve outstanding surgical claims resulting in maximum reimbursement. Responsibilities: - Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement. - Manage daily work queue to prioritize high dollar claim balances. - Review & work incoming insurance and patient correspondence including refund requests. - Send appeals when appropriate or provide the requested medical documentation. - Ability to review medical documentation to justify medical necessity. - Review patient balances to ensure accuracy and follow up with patients to obtain payments. - Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances. - Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents. - Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD’s) for claim resolution. - Negotiate payment amounts for procedures with Third Party Administrators for out of network providers. - Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
Senior Meeting Specialist - REMOTE (EST/CST/MST)
Teva PharmaceuticalsFounded in 1901, Teva Pharmaceuticals develops and produces medicine that improves health for people worldwide. Committed to being a global industry leader with a portfolio of 3,50
We Are Teva We’re Teva, a leading innovative biopharmaceutical company, enabled by a world-class generics business. Whether it’s innovating in the fields of neuroscience and immunology or delivering high-quality medicine worldwide, we’re dedicated to addressing patients’ needs now and in the future. Here, you will be part of a high-performing, inclusive culture that values fresh thinking and collaboration. You'll have the room to grow, the flexibility to balance life with work, and the opportunity to better health worldwide, together. Our Team, Your Impact The Senior Meeting Specialist leads the planning and execution of high-impact meetings across Teva Pharmaceuticals. This role ensures logistical excellence, regulatory compliance, and budget accountability while managing external vendors and supporting internal stakeholders. The Specialist also contributes to process improvement, training, and flagship events such as the National Field Meeting and President’s Club. How You’ll Spend Your Day All areas of responsibility listed below are essential to the satisfactory performance of this position by any incumbents with reasonable accommodation if necessary. Any non-essential functions are assumed to be included in other related duties or assignments. Meeting Planning & Execution • Lead end-to-end planning and execution of national and regional meetings, ensuring alignment with business objectives and compliance standards. • Collaborate with internal stakeholders to define meeting goals, agendas, and logistics. • Ensure timely shipping and arrival of all meeting materials. • Review and approve invoices, manage reimbursement issues, and maintain accurate documentation. Vendor Management • Manage relationships with external vendors including hotels, transportation, and production companies. • Negotiate contracts and ensure service delivery meets Teva’s quality and compliance standards. • Set clear objectives and expectations for vendors using structured project plans. Systems & Tools • Utilize CVENT and other meeting management tools to streamline planning, registration, and reporting. • Troubleshoot system issues and recommend enhancements to improve efficiency. • Maintain regulatory records and ensure audit readiness. Training & Process Improvement • Support onboarding and training of new associates in meeting planning best practices. • Identify and implement process improvements to enhance department efficiency and stakeholder satisfaction. Your Skills and Experience Any equivalent combination of education, training and/or experience that fulfills the requirements of the position will be considered. Education/Certification/Experience: • Bachelor’s degree required; CMP or HMCC certification preferred • Minimum of 3 years in meeting planning and facilitation, preferably in pharmaceutical or other similarly regulated industry • Experience with meeting management systems, i.e. CVENT required • Strong knowledge of hotel and vendor contract negotiations • Experience with hybrid and virtual meeting formats Skills/Knowledge/Abilities: • Highly detail oriented with the ability to plan and prioritize workloads for multiple projects and departmental needs • Strong time management and organizational skills • Advance skills in MS Office suite of products (Excel, PowerPoint, Outlook) • Knowledge of AMA, ACCME, and FDA regulations associated with promotion and industry supported scientific educational activities TRAVEL REQUIREMENTS • Up to 30% travel throughout the US and occasionally internationally, which may include weekend and overnight trips How We’ll Take Care of You At Teva, better health starts from within, and that includes you. From day one, you’ll be supported with benefits designed to help you thrive in and out of work. This includes generous annual leave, reward plans, flexible working schedules (dependent on role), access to tailored health support, and meaningful ways to give back to the community. When it comes to your career, you’ll be encouraged to explore, evolve, and shape your path. Twist, our one-stop shop for career development platform, gives you access to a wide range of possibilities, from learning programs and short-term projects to opportunities for internal growth. Here, you’ll be part of a culture that empowers you to reach your goals and prioritize your wellbeing every step of the way. We offer a competitive benefits package, including: • Comprehensive Health Insurance: Medical, Dental, Vision, and Prescription coverage starting on the first day of employment, providing the employee enrolls. • Retirement Savings: 401(k) with employer match, up to 6% and an annual 3.75% Defined Contribution to the 401k plan. • Time Off: Paid Time Off including vacation, sick/safe time, caretaker time and holidays. • Life and Disability Protection: Company paid Life and Disability insurance. Additional benefits include, but are not limited to, Employee Assistance Program, Employee Stock Purchase Plan, Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life Style Spending Account, Volunteer Time Off, Paid Parental Leave, if eligible , Family Building Benefits, Virtual Physical Therapy, Accident, Critical Illness and Hospital Indemnity Insurances, Identity Theft Protection, Legal Plan, Voluntary Life Insurance and Long Term Disability and more. Compensation Data The annual starting salary for this position is between $82,640-$108,645 annually. Factors which may affect starting salary within this range and level of role may include geography/market, skills, education, experience and other qualifications of the successful candidate. Already Working @TEVA? Make sure to apply through our internal career site on Twist—your one-stop shop for career development Teva’s Equal Employment Opportunity Commitment Teva Pharmaceuticals is committed to equal opportunity in employment. It is Teva's policy that equal employment opportunity be provided without regard to age, race, creed, color, religion, sex, disability, pregnancy, medical condition, genetic information, marital status, sexual orientation, gender identity or expression, ancestry, national or ethnic origin, citizenship status, military status or status as a disabled or protected veteran, or any legally recognized status entitled to protection under applicable federal, state, or local laws. Please advise us of any accommodations needed to support you throughout the recruitment and selection process. All accommodation information provided will be treated as confidential and used only for the purpose of providing an accessible candidate experience. Request a reasonable accommodation by sending an email to disabilityassistance@tevapharm.com with the nature of your request and your contact information. Only inquiries concerning a request for a reasonable accommodation will be responded to from this email address. Important notice to Employment Agencies - Please Read Carefully Teva Pharmaceuticals USA does not accept unsolicited assistance from agencies for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.


