Title: Call Center Representative Location: Edmonds, Washington, United States Department: Call Center Job Description: Where You’ll Work Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include: - Health/dental/vision - FSA and HSA spending accounts - 2 retirement plans - Paid vacation and sick time - Adoption assistance - Wellness program Just as Virginia Mason is dedicated to improving the lives of our patients and our community, we are equally dedicated to your professional and personal success. With a wide range of perks that includes a comprehensive compensation and benefits package, and the opportunity to live in one of the most livable cities in the nation, you will find that an opportunity with Team Medicine is one worth taking. Job Summary and Responsibilities This position has the option to work remote after a 4-week minimum onsite training at the Edmonds Call Center in Edmonds, WA. The Call Center hours are Monday - Saturday 7:00am - 6:00pm and candidates must be available during these hours. Please Note: One application is sufficient, we ask that you do not apply to multiple of the Call Center Representative jobs. As our Patient Services Representative, you will help our patients and their families by providing essential operational support and scheduling services, so they can easily access the care they need with a seamless and positive experience. Every day you will represent VMMC during initial phone contact, answering incoming requests and assisting patients based on their individual needs. You will be expected to schedule, cancel, and reschedule patient appointments by assessing callers' specific needs through probing questions, while maintaining patient confidentiality and simultaneously providing each caller with extraordinary and efficient customer service. You will also communicate efficiently and effectively, both written and verbally, with the clinical care team on behalf of the patient. To be successful in this role, you must demonstrate a high level of customer service consistent with VMMC's mission, goals, and service standards, and possess exceptional communication and organizational skills. "We deliver inspired people to do meaningful work." Job Requirements - 6 months of office and/or call center, customer service or healthcare experience - Familiarity with medical terminology and proficient in Microsoft Office products - Previous call center or health care or customer service experience preferred - Proven excellent customer service, communication, verbal and written skills with an emphasis on organization and attention to detail - Ability to problem solve and multi-task; keep confidences; knowledge of scheduling parameters, insurance concepts and patient registration software - Knowledge of VMMC system and providers is necessary to efficiently schedule appointments and answer questions - Ability to meet and exceed service components of this position; knowledge of how to handle calls that are emergent in nature - Proven computer skills (accessing and navigation of websites with the ability to copy and paste information and basic keyboarding) - Demonstrated basic telephone skills (transfer, conference, placing a patient on hold) - Excel in a team based environment with a positive attitude; comfortable with ambiguity and the ability to be flexible We are an equal opportunity/affirmative action employer.

Role Description The Referral and Authorization Specialist II is responsible for ensuring patients have been authorized for specialty services and office visits; obtaining and issuing referrals for ancillary or consult visits; obtaining approval for all services needed. Acts as a liaison between the patient, provider/referring provider, primary care provider, and other parties involved in the plan of care. - Schedules and coordinates diagnostic testing and understands and communicates required preparation for diagnostic tests/procedures. - May act as escalation point for authorization denials. - May additionally coordinate operating/procedure rooms, equipment, anesthesia, pre-op and imaging, authorizations and physician schedules for surgery. - Resolves pre-certification, registration and case-related concerns prior to a patient's appointment, interacting with patients, insurance carriers, and various internal departments. - Completes the referral process for a patient's specialty referral needs, including checking insurance coverage, sending approval and receiving confirmation, scheduling appointments, and notifying patients of progress. - Completes full registration in Cerner Revenue Cycle when registering new patients, ensuring all patient information is updated/current. - Verifies insurance eligibility and benefits as appropriate for proposed services and procedures. - Uses Cerner EMR systems according to policy & procedures, including patient registration, scheduling appointments, template oversight (as applicable), printing forms and schedules, and posting payments and charge reconciliation. - Reports any systems issues timely, while effectively utilizing downtime procedures as needed. - Ensures co-pays are collected via cash, check, or credit card transactions, and prepares deposits/batches according to DHMG YRMG policies. - Assists with connection center phone lines on an as-needed basis, displaying courtesy & professionalism at all times. Qualifications - High School Graduate or GED - Minimum of two (2) years experience in a medical office or other healthcare environment - Basic Computer skills, Excel, Outlook, Windows based programs - Basic Computer Hardware skills, setting up minimal workstations Requirements - Experience with Cerner Powerchart and Revenue Cycle EMR Applications (Preferred) - Previous experience with referral processing and authorizations (Preferred) - Certified Medical Assistant AAMA (Preferred) - Certified Clinical Medical Assistant (Preferred) - Bi-lingual (Preferred)

Title: Denials Management Registered Nurse (RN) Location: Indianapolis, IN 46256 Work Type: Remote, Full Time Job ID: 2602608 Job Description: Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Make a Difference The primary role of the Denial Management Registered Nurse is to research, analyze, document and appeal third party payer denials involving medical necessity or clinical issues. The Denial Management RN will work from home after orientation completion, and is required to maintain productivity requirements set by leadership. Exceptional skills and qualifications - 5 years of clinical experience required. - 1-3 years Case management preferred. - 1-3 years experience with Third party payer (Medicare) preferred. - Previous Denials experience highly preferred. - Knowledge of Epic operating system preferred. - A working knowledge of the following: Utilization Management and Review, Clinical and Patient Financial Documentation Systems, Level of Care review, criteria Payer Appeals guidelines, Regulatory guidelines, Transitional Care (Required). License and Education - Graduate of National League for Nursing or Commission on Collegiate Nursing Education accredited school of nursing. Associates or Bachelor of Science in Nursing is required. - Licensed as a Registered Nurse by the Indiana Professional Licensing Agency required. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

Title: Call Center Representative Location: Minneapolis United States Job Description: Interested candidates are encouraged to apply online as soon as possible-this is an exciting time to join Premier Disability Services! About Premier Disability Premier Disability Services, LLC is a full-service social security disability advocacy firm. We assist individuals in successfully obtaining their Social Security Disability benefits. Each month, our office is contacted by thousands of Americans needing assistance with their disability claim to assist over 100,000 individuals in filing their applications successfully. Join our team! Premier Disability Services is looking for Call Center Representatives to join our growing Brooklyn Park, MN-based team! This is an entry-level role that will allow you to learn best practices and become familiar with effective communications with lawyer clients. Premier Disability Services, LLC, Center Representatives have the opportunity for long-term advancement - all while changing people's lives for the better. About this Role In this role, you will provide high-quality phone support to attorney clients. You'll follow an established process to gather information, document responses, and follow up with potential new clients on a regular basis. Compensation: The range is $16.00 - $20.00 per hour, with the opportunity to earn up to $500 a month in bonuses based on your performance. Hiring States: Minnesota, Georgia, Iowa, Texas, South Dakota, Kansas Onsite: Brooklyn Park, MN - Pay starts at $20.00 per hour Remote hiring areas: Pay starts at $16.00 per hour Terms: Full-Time. This is an hourly, non-exempt position. Hours of Operation: Monday through Friday 8:00am - 6:00pm CST Responsibilities: - Make outbound calls to clients who are requesting our services - Answer incoming calls from potential clients - Providing accurate information to clients regarding their case - Convey the benefits of the Premier Disability services - Gather information, document responses, and keep a detailed record of all customer interactions in our CRM database Requirements: - Excellent oral and interpersonal communication skills - Professional phone manners and a friendly attitude - Active listening skills and problem-solving skills - Ability to handle client objections and de-escalate challenging situations - Ability to retain information and learn new systems quickly - Ability to navigate and multitask across multiple systems and using Customer Relationship Management software (CRM) in a proficient manner - Strong computer knowledge and excellent typing skills at least 50 WPM What we offer: - Medical, Dental and Vision insurance. - PTO and paid holidays! - Cafeteria onsite and a subsidized lunch program. - Opportunities to grow within the company! In addition to our awesome culture, we offer a comprehensive benefits package designed to support the health and well-being of you and your family. Our benefits include health insurance options such as medical, dental, and vision coverage, flexible spending accounts (FSA) for medical and dependent care, short-term and long-term disability insurance, and life and AD&D insurance. We also provide a 401(k) retirement savings plan with a company match, paid time off (PTO), paid holidays, commuter benefits as well as access to our Employee Assistance Program (EAP) and well-being coaching services. In addition, employees can take advantage of voluntary benefits such as home, auto and pet insurance, and discounted legal and financial services. For more details, feel free to inquire during the interview process. Internet Brands, headquartered in El Segundo, Calif, is a fully integrated online media and software services company focused on four high-value vertical categories: Health, Automotive, Legal, and Home/Travel. The company's properties and platforms include the WebMD, Medscape, and Henry Schein ONE networks, which are the global leaders in their markets; Nolo, Avvo, and Martindale, which form the largest consumer information provider in the legal market; and CarsDirect, Fodor's Travel, and many others which are leaders in their key vertical markets. Internet Brands' award-winning consumer websites lead their categories and serve more than 250 million monthly visitors, while a full range of web presence offerings has established deep, long-term relationships with SMB and enterprise clients. The company's powerful, proprietary operating platform provides the flexibility and scalability to fuel the company's continued growth. Internet Brands is a portfolio company of KKR and Warburg Pincus. Internet Brands and its wholly-owned affiliates are an equal opportunity employer.