Description Join Life Care Home Health Family! Serving Texas, Florida, Nevada, and Georgia, we provide skilled nursing, therapy, homecare, hospice, palliative care, and private duty services. Why Work With Us? - Nestmed AI Scribe: Less charting, more caring! - Competitive pay, 401k, health & life insurance - Flexible schedules & career growth opportunities - Continuing education & recognition programs - Supportive, family-like team culture Make a difference in patients’ lives while enjoying work-life balance. Apply today and grow with us! Position Summary The Billing Resolution Specialist is responsible for monitoring, resolving, and coordinating follow-up on delayed, denied, or rejected insurance claims billed by a third-party billing company. This role serves as the internal owner of claim resolution, ensuring timely corrections, rebilling, and payment while working closely with clinical, intake, and billing partners. Key Responsibilities - Monitor A/R aging and identified claim issues related to eligibility, authorizations, Oasis, coding, documentation or timely filing. - Partner with clinical, intake, authorization and QA teams to obtain required corrections, including Oasis updates, eligibility verification, authorization and payer corrections when applicable. - Act as an internal liaison with the third-party billing company to ensure timely actions are taken to resolve delays. - Push back when rebill timelines are missed; root causes are not documented; denials repeat without correction - Escalate recurring issues and high-risk claims to Director of RCM and leadership - Support revenue cycle improvement initiatives and assignments as needed - Oversee adding of payers to the EMR; communicate payer specific requirements to appropriate teams - Assist with processing approved write-offs and AR collections adjustments as needed. - Assist as needed with patient invoicing Requirements Qualifications - 3+ years home health billing, A/R, or claims follow-up experience - Strong knowledge of Medicare Home Health billing (NOA, PDGM) - Familiarity with payer denials and timely filing requirements - Experience working with third-party billing vendors preferred - Working knowledge of EMR ( HCHB, Wellsky/Kinnser/Consolo) - Strong attention to detail and follow-through Skills - Well informed on compliance and payer requirements - Claims analysis and problem resolution - Vendor and cross-functional coordination - Strong organizational and communication skills Work Environment - Office, remote, or hybrid setting depending on agency policy - Standard business hours with flexibility based on workload

Role Description Migelino revolutioniert als moderner Schweizer Online-Akustiker den Zugang zu erstklassiger Hörgeräteversorgung. Wir stehen für Transparenz und faire Konditionen bei medizinischen Hilfsmitteln des täglichen Bedarfs. Um den steigenden Bedürfnissen unserer Kunden gerecht zu werden, kombinieren wir technologische Innovation mit fachlicher Expertise. Ihre Hauptaufgabe ist die individuelle Kundenbetreuung im Bereich Hörgeräte. Sie sind u.a. verantwortlich für: - Einstellung und (Remote-)Anpassung von Hörgeräten über unsere Telemedizin-Plattform - Betreuung unserer Kunden, primär per (Video-)Telefonie - Durchführungen von Services und kleineren Reparaturen an Hörgeräten - Verkauf des gesamten Hörgerätesortimentes Qualifications - Abgeschlossene Ausbildung als Hörgeräte-Akustiker - Kommunikative und kundenorientierte Persönlichkeit - Interesse an zufriedenen Kunden - Selbstständig und bereit Neues zu lernen - Vertraut mit digitaler Technologie Benefits - Arbeiten können Sie von zu Hause aus oder in Ihrer Lokalität - Attraktive Entschädigung, die auch erfolgsbasiert vereinbart werden kann

Role Description We are looking for a Junior Profile Moderation Specialist to join our team. Your main tasks will be: - Preparation of graphic content on the website (resizing, color correction, retouching) - Content quality control on websites (viewing, content moderation) - Communication with partners through Bitrix (in chat) - Viewing and monitoring correspondence within the company - Ensuring the process of moderating user profiles on the Core products - Preparing regulations, monitoring changes in products that affect user moderation processes - Maintaining reports on the quantity and quality of the incoming user flow for the products Qualifications - Computer skills: GSuit/Excel/PC literacy - Ability to detect AI-generated content - English: B1-B2 - Nice to Have: Adobe Photoshop: basic knowledge of photo processing (resizing, color correction, retouching), Photoshop shortcuts - Nice to Have: Work experience in the fields of design or graphics - Nice to Have: Knowledge of Spanish and/or Chinese Benefits - REMOTE OPPORTUNITY to work full-time - Vacation: 28 calendar days per year - 7 wellness days per year (time off) that can be used to deal with household issues, to lie down and recover without taking sick leave - Bonuses up to $5000 for recommending successful applicants for positions in the company - 50% payment for professional training, international conferences, and meetings - Corporate discount for English lessons - Health benefits: Up to $1,000 gross per year for health insurance or doctor's fees for yourself and close relatives (spouse, children) - Workplace organization: Equipped workplace and necessary equipment provided in offices or co-working locations; reimbursement of workplace costs up to $1000 gross once every 3 years - Internal gamified gratitude system: receive bonuses from colleagues and exchange them for merchandise, team building activities, massage certificates, etc. Company Description Social Discovery Group (SDG) is one of the world's largest groups of social discovery companies, uniting millions of users on dozens of products. SDG solves the problem of loneliness, isolation, and disconnection - transforming virtual intimacy into the new normal. SDG products redefine the way people interact and connect with each other. Our portfolio includes social entertainment platforms designed to connect people online across different cultures in different parts of the world. This includes globally recognized brands such as DateMyAge, Dating.com, EuroDate, Dil Mil and Cupid Media. SDG has a presence in more than 150 countries. We bring together a team of like-minded people and IT professionals specializing in the creation and development of globally impactful social discovery products. Our international team of 1000+ professionals and digital nomads works all over the world. We're proud to be a two-time “Great Place to Work” winner (USA & Japan, 2024–2025) and a Top-5 Company for Work-From-Anywhere Jobs (FlexJobs, 2025).

About Our Company: At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups. We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard. A 2025 Great Place to Work® In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S. Location: Remote Summary Description: The Prior Authorization Specialist supports the Patient Access department in various functions, including insurance verification and coordinating prior authorization requests for medical services. This role is critical in facilitating timely patient access to healthcare by managing prior authorization processes. This position involves contacting payers for benefit information, checking authorization requirements, collecting required documentation, submitting requests to payers, and tracking authorization status. Daily Responsibilities: - Contacting payers for eligibility and benefit information to include authorization requirements - Obtain clinicals necessary to process authorization from specified EMR if required - Obtain prior authorizations and pre-certifications - Submit complete and accurate authorization requests - Follow up and resolve pending authorization requests - Maintain documentation of authorization activity - Stay current on payer prior authorization requirements Skills and Education: - High School Diploma or GED - Must be able to work from 8am - 5pm Central - 2 years of experience working in a physician's office, pharmacy, or healthcare facility - Experience with prior authorizations for Physical Therapy, Occupational Therapy, Chronic Pain Management, or Sports Medicine strongly preferred - 5 years of experience in prior authorizations, clinical interpretation, and medical terminology preferred - 5 years of experience in a clinical setting preferred - Experience with TPAs (Availity, Carelon, Evicore, UHC) preferred - Strong computer literacy, including Microsoft Office Suite and EMR/EHR systems - Ability to read, interpret, and apply medical terminology and clinical documentation - Ability to multitask and work effectively in a high-volume, fast-paced, and deadline-driven environment - Strong communication skills with the ability to interact with insurance companies via phone, fax, and electronic portals - Strong organizational skills and attention to detail - Ability to maintain confidentiality and follow HIPAA regulations - Problem-solving ability to investigate denials and determine next steps - Comfort navigating payer websites and electronic authorization systems Company Benefits and Perks: Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization. - Access to a 401(k) Retirement Savings Plan. - Comprehensive Medical, Dental, and Vision Coverage. - Paid Time Off. - Paid Holidays. - Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services. If you are a dedicated and experienced Prior Authorization Specialist ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.