Redefining healthcare around you.
Biller/Scheduler
Location
United States
Posted
59 days ago
Salary
$19 - $31 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Biller/Scheduler
Carle Health
Role Description Coordinates scheduling of HVI, diagnostic procedures and CV surgery with the providers, anesthesia services, and ancillary services. This person is responsible for entering and updating data, as well as monitoring, verifying, confirming, and distributing final schedules. Responsible for billing patient accordingly for items used during procedures. Qualifications - Certifications: - Education: - Work Experience: Healthcare Requirements - Proactively identify potential problems with cases that are missing information and discrepancies in type of procedure, surgeon, and times. - Coordinates scheduling of procedure suites with the provider, anesthesia services, and ancillary services. - Validates EPIC and Lawson supplies needed or case scheduled. - Assists with case stats. - Validates, in EPIC and Spacetrax, the supplies used from the patient record and bills the patient accordingly. - Assisting in other areas as needed. - Responsible for entering and updating data, as well as monitoring, verifying, and confirming with OR schedulers. Benefits - The compensation range for this position is $19.16 per hour - $31.04 per hour. - Carle Health offers a comprehensive benefits package for team members and providers. Company Description Find it here. Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. - Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. - We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. - We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. - Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. - We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
Related Guides
Related Categories
Related Job Pages
More Bilingual Jobs
Anticipated End Date: 2026-05-08 Position Title: Nurse Practitioner 100% Virtual, CareBridge Job Description: CareBridge Advance Practice Provider, Nurse Practitioner Sign on Bonus: $5,000 Seeking Nurse Practitioners licensed in Kansas AND must have an active RN Compact license. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Carebridge Health is a proud member of the Elevance Health family of companies within our Carelon business. Carebridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home care and community-based services. Location: Kansas, Missouri Work Shift: Monday – Friday, 8:00 am to 5:00 pm CST and rotating on-call The Advance Practice Provider, Nurse Practitioner is responsible for collaborating with company physicians, the patient’s other physicians and providers, and their family members to develop complex plans of care in accordance with the patient’s health status and overall goals and values. Provides clinical and non-clinical support to patients. How you will make an impact Primary duties may include but are not limited to: - Provides primary and urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. - Develops and implements clinical plans of care for adult patients facing chronic and complex conditions (e.g., co-morbid medical and mental health diagnoses, limited personal resources, chronic medical conditions.). - Gathers history and physical exam and diagnostics as needed, and then develops and implements treatment plans given the patient’s goals of care and current conditions. - Identifies and closes gaps in care. - Meets the patient’s and family’s physical and psychosocial needs with support and input from the company’s inter-disciplinary team. - Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention. - Maintains contact with other clinical team members, patients’ other physicians and patients’ other medical providers to coordinate optimal care and resources for the patient and his or her family in a timely basis and consistent with state regulations and company health standards and policy. - Maintains patient medical records and medical documentation consistent with state regulations and company standards and policy. - Participates in continuing education as required by state and certifying body. - Prescribes medication as permitted by state prescribing authority. Minimum Requirements: - Requires an MS in Nursing. - Requires an active, national NP certification. - Requires valid, current, active and unrestricted Family or Adult Nurse Practitioner (NP) license in the state of Kansas - Requires valid, current, active, RN Compact license. - Requires 2+ years of experience in managing complex care cases. - Experience working with Electronic Medical Records (EMR). Preferred Skills, Capabilities and Experiences: - Possession of DEA registration or eligibility preferred. - Active Medicaid number in the state of Kansas is highly preferred. - Experience in managing complex care cases for developmental disabilities and chronically ill patients strongly preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified - Other Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Care Management Coordinator
Cleveland ClinicYour source for health news, tips and information from one of the nation’s top hospitals.
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Care Management Coordinator Location Cleveland Facility Remote Location Department Care Management Nursing Institute-Nursing Institute Job Code 000108 Shift Days Schedule 8:00am-4:30pm Job Summary Job Details *This role is remote to Florida residents only* Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Care Management Coordinator, you will support the organization and team through monitoring compliance with assigned responsibilities as well as completing daily and weekly tasks and coordinating with patient financial services. Your work will help ensure timely discharges to post-acute facilities and discharge coordination. This role will allow you to expand your knowledge of insurance authorizations as well as potentially move into a supervisor opportunity. Come take this opportunity to work for Cleveland Clinic with a dynamic team of like-minded professionals. This is a regular PRN position, with caregivers working days between 8:00 a.m. -- 4:30 p.m. with weekend requirements. A caregiver who excels in this role will: - Facilitate efficient Care Management services. - Monitor compliance with assigned responsibilities, complete daily/weekly tasks and coordinate with patient financial services. - Conduct InterQual initial and continued stay reviews, initial and continued stay clinical authorization and 7- and 10-day LOS clinical and financial justifications. - Ensure coverage for 24/7 on-call process and weekend coverage. - Conduct daily analysis of reports on observation status reviews, daily comparison of anticipated discharges to actual discharges by IM team and attending physician and weekly analysis of assigned tasks of each case manager to ensure completion of Allscripts/ECIN documentation necessary for clinical LOC justification and payer reimbursement. - Distribute results of reports on the efficiency and completion of Care Management activities with staff for staff input, follow-up and feedback. - Ensure InterQual and Allscripts/ECIN reports are distributed to each staff member for action to address identified issues. - Provide daily/weekly reports to the Director of Clinical Process and Risk Management regarding actions taken to assure full compliance with staff performance expectations. - Coordinate authorizations, initial and concurrent clinical reviews, submission of data to payers and status of Kepro data entry with all assigned case managers. - Ensure that both Care Management and Patient Financial Staff have documented authorizations in both Allscripts/ECIN and Invision to ensure Hospital payment for care provided. - Ensure unit/department is staffed to provide adequate coverage appropriate to meet service needs. - Maintain departmental files to assure competency with all assigned tasks and compliance with applicable regulations and standards. - Ensure compliance with CMS/Medicare regulations. - Conduct daily assessments of patient caseloads and assign/reassign staff as needed to ensure patient needs are met. - Provide staff training as needed on the access and use of all IT programs including Invision, Allscripts/ECIN, Epic and KEPRO. - Maintain departmental files to ensure competency with all assigned tasks and compliance with applicable regulations and standards. - Maintain confidentiality and ensure compliance with CMS/Medicare regulations. - Document, circulate and maintain minutes of staff meetings. - Complete bi-weekly payroll and payroll variance reports as required. Minimum qualifications for the ideal future caregiver include: - Knowledge of financial and utilization review software, including ECIN, InterQual and Kepro - Two years of hospital care management experience Physical Requirements: - Requires frequent walking from department to department: require sitting at a work-station or desk. - Requires standing. - Work may include occasional publishing and/or pulling, lifting and carrying objects weighing up to 20 pounds such as files, documents and computer printouts. - Work requires finger dexterity and eye/hand coordination to operate a computer keyboard at a moderate skill level. Personal Protective Equipment: - Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster. Cleveland Clinic is pleased to be an equal employment opportunity employer.
Responsibilities Evening Intake Clinician RN - PRN(Remote) About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Virginia Beach Psychiatric Center (VBPC) is a 100-bed freestanding psychiatric hospital located near the beautiful resort area of Virginia Beach, Virginia; a short 10-minute drive to the ocean front. VBPC offers acute psychiatric and substance abuse services for adults 18 years and older. The hospital is accessible 24 hours a day for admissions, and includes mental health assessments and an excellent referral network. Treatment programs and specialty services at VBPC include substance abuse, dual diagnosis and partial hospitalization. VBPC currently has a PRN Assessment and Referral Clinician position available. The candidate must be able to work evenings, weekends and holidays. The candidate selected will be responsible for the following: Provides telephonic or face-to-face mental health crisis triage, assessment, intervention and disposition at Assessment and Referral Centers or "on-site" at general hospital emergency room, therapist's or physician's office. Answers the telephone crisis line and obtains all pertinent demographic, clinical, marketing and third party information to determine the appropriateness of face-to-face telephonic assessment and clinical disposition of the caller; seeks supervision when caller requests information/data unfamiliar to counselor. Provides clinically appropriate resolution to those calls evaluated as information only. Provides clinically appropriate telephonic disposition to those clients whose calls are evaluated as routine; referring to outpatient care as appropriate. Schedules face-to-face clinical assessments within twenty-four (24) hours if the call is evaluated as urgent or emergent. Refers calls not appropriate for care within the UHS systems matrix to other clinically appropriate providers and/or community resources. Qualifications The following are the job requirements for the Clinician position: Requires Master's degree in psychology, counseling, social work, or a degree and licensure as a Registered Nurse and one or more years of direct or related mental health counseling experience; prefer mental health crisis counseling experience. Must possess knowledge of current psychiatric diagnoses and treatment terminology; completed biopsychosocial patient assessments, including conducting formal mental status evaluation and patient medical history; community resources; third party payers, including managed care companies to develop and clinically appropriate crisis intervention and disposition plan; basic typing and computer literacy. Shift Details:PRN. Mandatory weekends required. UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including, but not limited to, UHS of Delaware, Inc. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails from search firms. All resumes submitted by search firms to any employee at UHS via email, internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.
Role Description We are seeking a skilled and compassionate Registered Dietitian to join our Chronic Care Management team. This is a remote, work-from-home role designed to provide ongoing support and dietary counseling to patients using weight management medications. The ideal candidate will excel in remote patient engagement, leveraging data from monitoring systems to guide dietary changes, and willing to conduct virtual coaching sessions with patients. Key Responsibilities - Remote Patient Monitoring: Track and interpret patient scale readings and other relevant health data. - Virtual Coaching: Conduct coaching sessions with patients, providing personalized dietary education and support. - Customized Diet Planning: Develop tailored meal plans based on patient goals, preferences, and progress, especially for those on medications like Ozempic. - Patient Education: Educate patients on healthy eating habits, nutrition, and lifestyle modifications to support weight loss and chronic care management. - Collaboration: Work closely with healthcare providers, including physicians and pharmacists, to ensure a coordinated approach to patient care. - Documentation: Maintain detailed records of patient interactions, progress notes, and dietary plans. Qualifications - Active Registered Dietitian (RD) license - must hold South Carolina license - Experience in chronic care management, weight loss, or related fields - Excellent communication skills, with the ability to engage patients remotely - Tech-savvy with experience using remote monitoring platforms and/or EMR systems - Ability to work full-time hours (8:00am - 5:00pm EST) and manage a virtual caseload independently - System: We require you to have an i5 or newer Windows processor, and to have Windows Pro (not Windows Home). This can be a laptop or desktop. - Must live/work full time in the US - you can work from anywhere within the US but not outside. Benefits - Competitive salary starting at $27/hr, plus quarterly bonuses and a tech stipend. - Tools and resources to provide high-quality remote patient care. - Great benefits, with a company paid life insurance policy. - 9 paid holidays per year - PTO that increases with tenure (11 days in first year, 16 in second year) - Flexible, work-from-home position with a supportive team environment. Physical Demand Includes but is not limited to vision, hearing, repetitive motion, typing, sedentary, and extended viewing of a work environment computer screen. Reasonable accommodation may be made, with advanced notice, to enable individuals with disabilities to perform the essential functions and expectations of the position without compromising patient care.



