Role Description This is a work from home position for Customer Service Representatives who can speak fluently in Spanish and in English. CSR's must be located in Virginia, Maryland, Pennsylvania, or DC. CSR's provide outstanding customer service related to Veteran care through the Community Care Network (CCN) in a fast-paced contact center. - Responds to inbound calls and chat messages from Spanish-speaking callers regarding authorizations for medical and behavioral health care, provider status and availability, or claims payment and status. - Accurately assesses caller requests, answers caller inquiries and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. - May make outbound calls to schedule appointments based on Veteran or VA request. - Resolves administrative eligibility discrepancies through account research and review. Qualifications - Fluent in Spanish - Must be eligible to work in the United States - High School diploma or GED - One year of experience in a customer service role with performance metrics - Experience using Microsoft Office products and the Internet Requirements - Healthcare industry experience to include knowledge of health services and claims - Contact center experience to include call center chat messaging - Military experience focusing on service delivery Key Responsibilities - Manages multiple tasks lists in accordance with directed timelines. - Meets call volume, chat volume, schedule adherence, quality, Veteran appointment, and other production standards. - Initiates and receives phone calls, chat messages and emails from VA medical center staff, and providers to answer claims, eligibility, benefit, and program questions. - Facilitates appointment scheduling of Veterans through outbound solicitation to providers in select markets. - Records preferences and tracks Veteran questions thoroughly in the TriWest’s Customer Relationship Management systems and Portal, as well as VA’s HSRM systems. - Consistently displays professional and courteous service skills to internal and external customers. - Accurately resolves VA and provider inquiries with a focus on first call resolution. - Protects the privacy of health information of patients when using or disclosing Protected Health Information (PHI). - Takes appropriate measures to comply with HIPAA regulations to protect privacy of customers' health information. - Documents all communications involving Veteran and provider contacts. - Uses critical thinking in problem solving and follows established processes to assure quality program compliance. - Consistently meets department productivity and performance metrics to include regular and consistent attendance. - Participates in cross training, employee development and flexible assignments to ensure business needs are met. Competencies - Technical Skills: Proficient data entry skills; Ability to meet daily call and chat requirements. - Team Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. - Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented. - Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions. - High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow. - Empathy / Customer Service: Customer-focused behavior; Helping approach, including listening skills, patience, respect, and empathy for another's position. - Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. - Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. - Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; Adapt to different styles; Listen critically; Collaborate. - Commitment to Task: Ability to conform to established policies and procedures; exhibit high motivation. Benefits - Life Insurance - Long-Term and Short-Term Disability - Health Insurance - Dental Insurance - Vision Insurance - 401(k) with up to 4% match Working Conditions - Ability to work 12:30-21:00 Monday-Friday - Ability to work overtime, if needed - Works remotely (from home) in a quiet distraction-free space - Extensive computer work with prolonged sitting and wearing of headset

Role Description Orlando Health HouseCalls offers primary care services directly in patient homes, ensuring they receive the medical attention they need without having to leave their residence. This Medicare-covered service is designed for patients who are temporarily or permanently homebound due to illness, recent surgery, or other physical or mental limitations. Patients who are homebound due to illness or recent surgery, those without a primary care physician, and visitors from out-of-town can all benefit from HouseCalls. Services provided include: - Management of chronic diseases such as diabetes, hypertension, high cholesterol, and heart failure - Prescription orders - Evaluation for home health services - In-home medical lab draws - Continued rehabilitation - Health and nutrition counseling - Hospice coordination Delivered by advanced registered nurse practitioners, HouseCalls ensures high-quality, compassionate care in the comfort of their own home. This service allows patients to receive necessary medical care without the need to travel, enhancing their overall health and well-being. Responsibilities - Assesses the physical and psychosocial status of patients by means of interview, health history, physical examination, diagnostic studies and recognizes deviations from the normal. - Develops a diagnosis and works collaboratively with the interdisciplinary team to formulate and implement the treatment plan. - Surgically close wounds, incision and drainage, debridement, dressing (the surgeon must remain in the immediate area). - Scrub with collaborating surgeon in operating room. - Performs complex diagnostic and therapeutic procedures, as credentialed. - Diagnoses medical and surgical problems and prescribes necessary treatment and services for quality patient care. - Implements appropriate management based on laboratory results, physical assessment, routine diagnostic and follow-up studies, therapeutic measures, admission, and discharge care in accordance with evidence-based medicine. - Identifies, analyzes, and resolves patient care issues to foster significant improvement in patient care and outcomes. - Dictates and documents in an accurate and timely manner. - Performs patient education and maintains provision of preventive health services. - Conducts or participates in multidisciplinary rounds. - Participates in the department on call rotation and/or weekend/holiday rounding as required. - Prescribes medication. - Participates in quality initiatives to ensure consistent attainment of key quality indicators. - Supports IRB approved clinical research/trials through a variety of activities including but not limited to: ordering diagnostic tests, prescreening patients, recording laboratory and diagnostic results, administering therapeutic interventions per trial protocols and documenting outcomes per hospital and trial protocols. - Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. - Maintains compliance with all Orlando Health policies and procedures. - Acts as a role model and resource person for staff. - Assists in teaching students, residents and interns in complex techniques and procedures. - Participates in review and revision of policies and procedures. - Establishes relationships with professional and other health-related groups within the community. - Demonstrates effective verbal and written communication with diverse populations, including physicians, employees, patients, and families. Qualifications - MN or MSN or DNP or PhD or DNS degree in nursing required. - ARNP license in the state of Florida. - After July 1, 2006, licensure applicants are required to have national advanced certification from an approved nursing specialty board. - Maintains current BLS certification. - Minimum of two (2) years Nurse Practitioner experience. - Home health care RN or NP experience preferred. - PAs and New Grads may not be considered for this role.

Role Description The Bilingual Facilities Services Coordinator (English/French) provides customer service and front line support to BGIS clients with respect to the maintenance and operations of their buildings. Specific responsibilities include, but are not limited to: - Handling inbound service requests received via telephone, email, and web interface. - Initiating work orders to support timely fulfillment and resolution of client requests. The Operations Centre is a critical environment within BGIS, responsible for receiving and dispatching facilities service requests for its clients – 24/7/365. Currently, the Operations Centre provides facilities management support to over 40 clients across different industries and handles over 900,000 service requests a year. The work environment is fast-paced and client-service focused. Key Duties & Responsibilities - Learns client account details, the service request/work order management systems, the telephony system, and BGIS Operations Centre policies, processes, and operating procedures. - Fills basic client requests including creating and dispatching work orders to appropriate internal and external service providers and relaying appropriate information to front line Facility Managers. - Assesses and accurately assigns level of priority to facilitate timely fulfillment of service requests. - Learns techniques for troubleshooting service issues, communicating with internal technicians and Facility Managers, external service providers, landlords, and other relevant parties. - Provides customer service support in either English and French OR English and Spanish. - Participates in program initiatives undertaken by the Operations Centre. - Maintains confidentiality of client account information and other confidential information and conducts work in a professional manner. - May be required to demonstrate Operations Centre capabilities to potential and/or existing clients and to prospective hires by having such people y-chord into live calls. - May be required to provide training to new Team Members. - Other duties as assigned. Work Hour Availability Requirements - 7/24/365 environment requiring open availability; rotating shifts between 6:00am and 11:00pm EST. - Weekends and holiday work availability on a rotational basis. - May be required to work overtime. Qualifications - High school completion plus a specialized technical or business course. Requirements - One year or less of job-related experience. Knowledge and Skills - Demonstrates language proficiency (both verbal and written) in English and Spanish, including proper grammar, spelling, and punctuation. - Clear and effective communication skills in all languages. - Basic understanding of the facilities/property management industry and knowledge of facility operations and maintenance is an asset. - Strong customer service orientation and demonstrated customer service skills. - Demonstrated ability to learn new processes, tools, and other relevant information quickly, with proven ability to apply learning to the job. - Ability to effectively multitask while working in a fast-paced, multi-client environment. - Demonstrated ability to gather information, accurately assess issues, and assign level of priority; effective probing and problem-solving skills. - Demonstrated organizational skills. - Ability to sustain concentration over a prolonged period of time and pay attention to details. - Demonstrated computer proficiency including solid keyboarding skills. - Demonstrated personal leadership attributes incorporating a commitment to ongoing development and continuous learning. Licenses and/or Professional Accreditation - None required. Benefits - We believe that diversity and inclusion is a key business driver. - We are committed to maintaining a barrier-free recruitment process. - We recognize that promoting diversity is an essential component of our continuing pursuit for organizational success.

Bilingual Patient Account Representative Location: Remote Job Description: Pay Range: $16.00 - $19.00 per hour| Schedule: Mon-Fri 8am-5pm/ 9am-6pm/ 10am-7pm (All Eastern Standard Times) Work Where Excellence is Recognized At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers—and an unbeatable work culture for our team. We seek high-performing individuals willing to join our sharp, committed, and enthusiastic team. Here, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day. Your Role: Essential, Rewarding, Impactful As a member of our Early Out Department, the Bilingual Patient Account Representative is responsible for resolution and collection of outstanding patient account balances for healthcare providers while maintaining superior customer service and professionalism. We take pride is helping healthcare consumers resolve their accounts with the providers we serve. What You'll Do: - Service each interaction with the quality and integrity standards of Receivable Solutions and our healthcare provider clients. - Maintains acceptable levels of productivity. - Understands and effectively utilizes assigned client software systems. - Makes and receives consecutive calls in a call center environment. - Documents all activity, maintains / organizes unit, and responds to all communication and/ or verbal inquiries from all relevant parties. - Handles inbound and outbound telephone calls to patients with the goal of collecting payments in full or arranging a payment plan, while resolving all patient questions or concerns within the acceptable standards of assigned creditor clients. - Models’ appropriate behavior in the handling of difficult interactions or accounts. - Operates within the guidelines of the Fair Debt Collection Practices Act (FDCPA), Health Insurance Portability and Accountability Act (HIPAA), and any other applicable Federal, state, and local laws and company policies and procedures. - Adheres to applicable policies, hospital/physician billing/departmental practices, and 3rd party requirements. - Performs other related duties as assigned. What We're Looking For: - Excellent verbal and written communication skills. - Ability to handle and maintain confidential information. - Strong work ethic - Bilingual (Spanish & English Speaking) - Ability to communicate effectively with patients in Spanish. - High School Diploma or GED required. - 1+ years of call center experience - 1+ years of experience with accounts receivable, healthcare billing and collections, preferred. Why You'll Love RSi: - Competitive pay with ample opportunities for professional growth. - Fully remote position with a stable Monday–Friday schedule. - Collaborative, performance-driven environment with expert leadership. - Mission-driven work supporting essential healthcare services. - Recognition as a nationally respected leader in healthcare revenue management. Physical Requirements: - Prolonged periods sitting at a desk and working on a computer. - Must be able to lift up to 15 pounds at times.