Job Purpose The Provider Enrollment Associate is responsible for credentialing/enrolling new and established health care providers and maintenance of required information. Duties and Responsibilities - Communicates with providers to explain process and sign applications - Collects, updates, maintains necessary provider information and documentation and verifies the information where possible - Establishes and maintains data entry in CAQH - Prepares provider enrollment applications for all initial applications and re-credentialing in a timely and complete manner - Verifies provider and group information with insurance companies (addresses, contracted plans, provider ID numbers, etc.) - Coordinates information for enrollment and termination of all providers - Handles enrollment with Medicare, Medicaid, commercial insurances - Contributes to the departmental process and procedures with a collaborative approach - Works department client WQ’s and smart feeds where applicable - Maintains provider enrollment mailbox and completes actions and follow up - Performs other duties as requested - Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards - Understand and comply with Information Security and HIPAA policies and procedures at all times - Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications - High School graduate or equivalent required - Minimum two years of provider enrollment experience - Knowledge of Microsoft Office Suite, Outlook, Excel, CAQH - Billing knowledge and experience preferred - Excellent verbal and written communication skills - Strong interpersonal skills, ability to communicate well at all levels of the organization - Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses - High level of integrity and dependability with a strong sense of urgency and results oriented  - Excellent written and verbal communication skills required - Gracious and welcoming personality for customer service interaction Working Conditions - Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. - Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. - Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. - Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Family Counseling Associates of Massachusetts, part of the Optum family of businesses, is seeking a Licensed Clinical Therapist to join our team in Andover, Massachusetts. As a member of the Optum Behavioral Care team, you’ll be an integral part of our vision to make healthcare better for everyone. As a Licensed Clinical Therapist, you will treat a wide variety of mental health conditions that reflect the needs of our diverse patient population. We offer a variety of solutions that meet the unique needs of our workforce and the patients they serve. From clinical operations such as credentialing to business operations such as contracting, we provide organizational support that allows our providers to focus on what matters – providing care. Primary Responsibilities: - Screen and assess patients for common mental health and substance abuse disorders - Provide treatment for mental health conditions using various approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence-based methods - Systematically track treatment response and monitor patients for changes in clinical symptoms and treatment side effects or complications - Maintain accurate and up-to-date electronic medical records and clinical documentation, ensuring compliance with all regulatory requirements - Participate in our patient growth strategy by providing a profile for online directories and other marketing efforts We are committed to your well-being and growth, offering a comprehensive package of perks and benefits with varying eligibility based on role, including: - Competitive hourly pay & uncapped productivity incentives - Flexible work models & paid time off when you need it - Health and well-being benefits like health insurance, 401k matching, and other family support and wellness resources - Professional development with continuing education (CE) reimbursement and dedicated learning time to advance your career You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Master’s degree in psychology, social work, or a related counseling field - Clear, active and unrestricted license LICSW, LMHC, LMFT, in the state of Massachusetts Preferred Qualifications: - 2+ years of professional experience post master’s degree providing behavioral health services - Experience providing direct psychotherapy services to individuals and families - Experience working with computers for professional communication and medical documentation - Excel, Outlook, Athena RMS (or other EHRs) - Ability to work both independently and collaboratively with equal effectiveness Explore opportunities at Optum Behavioral Care. We’re revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together. Pay Range: $69,100 - $103,800 annual total cash target pay Annual total cash compensation for this role assumes full time employment and generally follows the range above, includes earnings from hourly pay (25.00/hr) and incentive pay and is based on several factors including but not limited to local labor markets and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

RN Health Care Facility Surveyor - All States - Remote (#1131) - Medical, Dental, and Vision insurance - Flexible Spending Account - Paid Time Off, Retirement Savings - Commuter Benefits program - Visa Sponsorship opportunities CMS’s Long-Term Care Basic Training and SMQT certification are required Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide Responsibilities of the RN Health Care Facility Surveyor: The position is 100% remote with up to 75% travel. The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Surveyors travel to healthcare facilities nationally conducting surveys to assess compliance with requirements and regulations guiding the quality of care for residents/customers of the facilities. The responsibility of the Surveyor is to apply approved survey protocols for conducting on-site surveys. Specific activities include the following: - Conduct on-site surveys of Medicare-Medicaid certified health care facilities to determine compliance with Federal regulations. - Surveys require preparations such as off-site preparation, tour of the facility, observation of care, record review, interviews of staff and families, etc. Determine if care, treatment, and services are consistent with Federal requirements. - Evaluate many aspects of the healthcare facility system from the quality of care to the consumers’ rights and physical plant. - Communicate the non-compliance issues with key personnel throughout the site review and during the exit conference to assure an understanding of the deficiencies cited. - Determine if a plan of correction is acceptable. - Conduct follow-up visits and monitoring surveys to ascertain if facilities’ plans of correction to resolve the deficient practice have been implemented. - Training: Assist with facility and bureau training. Participate in work groups as needed

Role Description As a Patient Concierge, you will be the initial contact for patients and others via multiple lines of communication, including phone, SMS, email, and more. The Patient Concierge is a personal guide for our patients as they receive care at OnePeak Medical. This role helps patients understand scheduling, patient forms, insurance and cost as well as all the services OnePeak Medical has to offer. Your role is pivotal in maintaining high patient satisfaction through the delivery of exceptional customer service. - Provide outstanding customer service, offering a warm and positive welcome to patients and via phone. - Adhere to all OnePeak Medical policies and procedures as outlined in the Employee Handbook, including maintaining the confidentiality of restricted areas, key-less entry codes, and computer system passwords. - Manage a multi-line telephone system, routing calls, addressing general inquiries, and scheduling patient appointments. - Register patients and update their demographic and insurance information, as well as the patient portal. - Always verify the accuracy of patient information during appointment scheduling, informing patients of any required documentation changes. - Ensure completion of all required forms, consents and documents prior to appointments. - Verify eligibility and benefits. - Offer products and services based on individual customer needs. - Utilize problem-solving and conflict-resolution skills when addressing patient complaints, directing them to appropriate leadership when necessary. - Attend department and clinical meetings as scheduled. - Complete end-of-day responsibilities. - Fulfill any additional responsibilities as required to support OnePeak Medical. Qualifications - Demonstrate OnePeak values (Teamwork, Informed, Respect, Balance, Excellence). - Hold oneself accountable for achieving measurable, high-quality, timely, and cost-effective results. - Exhibit excellent customer service and teamwork skills, fostering a welcoming and positive atmosphere. - Effectively communicate with patients, staff, and providers. - Display confidence and skill knowledge. - Excellent written and verbal communication skills. - Proactive problem solving skills are essential. - A compassionate and understanding nature is critical to understand and address the needs and concerns of patients. - Possess good judgment, making timely and sound decisions. - Embrace an attitude of continuous improvement. - Demonstrate strong interpersonal skills and professionalism. - Excel in listening, with a willingness to accept constructive feedback. - Maintain strict adherence to patient confidentiality standards as outlined by HIPAA. - Manage time effectively, with the ability to multitask, prioritize, and organize workloads. - High attention to detail and organization. Requirements - High school diploma or equivalent – required. - 6 months of customer service experience – required. - 6 months of front desk reception or scheduling experience in a medical office – strongly preferred. - Prior PM/EHR experience – strongly preferred. - Proficiency in Microsoft Office Suite – strongly preferred. - Computer/Tech Savvy – strongly preferred. - Knowledge and experience with medical billing and insurance payors, including Medicare, Medicaid, Private Insurance, and Managed Care Programs – strongly preferred. Benefits - Medical, Dental, Vision, and Life Insurance. - 401(k) Retirement Plan with Company Match. - Voluntary LTD, FSA, Accident, Critical Illness. - Paid Time Off and Paid Holidays. - Employee and Family Discounts. - Paid Parental Leave.