Title: Bed Control Specialist - Part Time Evenings Location: Dothan, AL United States - Job Identification152490 - Job CategoryAllied Health - Job SchedulePart time - Job ShiftEvening - On-site Job Description: Job Summary The Bed Control Specialist is responsible for coordinating and managing the flow of patients through the facility by assigning patients to appropriate beds based on clinical needs, bed availability, and hospital policies. This role ensures efficient patient flow, effective communication among departments, and optimal bed utilization to support high-quality patient care. The Bed Control Specialist collaborates closely with nursing, clinical staff, and support departments to maintain real-time updates on bed availability and patient movements. Essential Functions - Assigns patient beds based on clinical needs, bed availability, and hospital policies, ensuring compliance with established protocols. - Coordinates patient admissions, discharges, and intra-hospital transfers to optimize bed utilization and maintain efficient patient flow. - Monitors real-time bed availability using hospital bed management systems and provides accurate updates on census and occupancy status. - Collaborates with nursing leadership, the admissions department, and physicians to prioritize bed assignments during high census periods or emergencies. - Communicates with clinical and support departments, such as housekeeping and patient transport, to ensure timely bed preparation and readiness. - Facilitates patient transfers to specialized care units (e.g., ICU, telemetry, maternity) based on clinical criteria and physician orders. - Maintains accurate and timely documentation of bed assignments and patient movements in the hospital's electronic health record (EHR) system. - Supports compliance with infection control policies by coordinating isolation or special room needs for patients. - Identifies and resolves bed availability issues promptly, coordinating with the House Supervisor and nursing leadership to address capacity challenges. - Performs other duties as assigned. - Maintains regular and reliable attendance. - Complies with all policies and standards. Qualifications - Associate Degree in Healthcare Administration or related field preferred - 1-3 years of experience in a hospital or healthcare setting required - 2-4 years of experience in hospital bed management, patient admissions, or related healthcare setting preferred Knowledge, Skills and Abilities - Strong understanding of hospital operations and bed management practices. - Proficiency in using hospital electronic health record (EHR) and bed management systems. - Excellent communication and interpersonal skills to coordinate with multidisciplinary teams. - Strong organizational and problem-solving abilities to manage complex patient flow scenarios. - Ability to work effectively in high-pressure situations and prioritize tasks. - Knowledge of infection control policies and patient placement requirements.

Description and Requirements The Team You Will Join Join the nation's largest non-medical carrier of group insurance, where your work will impact over 55,000 customers and cover more than 50 million employees and family members. As part of MetLife's Group Benefits team, you'll deliver innovative benefits solutions - life, disability, dental, vision, and voluntary benefits - tailored to today's employers and workforces. Collaborate with customers, brokers, and partners to expand our offerings and reimagine digital experiences. Join us and be part of an organization committed to supporting customers when they need us most. The Opportunity Location: Virtual within commutable distance to Tampa FL, Aurora IL, St Louis MO, and Oriskany NY offices (with travel to office monthly) Provides billing administration and solutions to MetLife Regional and National Account group customers for Property & Casualty Payroll Deduct and Direct Billing methods. Responsible for the overall customer billing experience and delivering service excellence. Key Responsibilities - Builds and maintains strong relationships with group customers and internal partners. Serves as key contact to internal partners on issues, working effectively with internal and external contacts in problem resolution. Resolves and responds directly to group customers regarding billing inquiries and issues. Participates in escalation calls as billing expert with Customer, Broker, Sales, and Service as situation warrants. - Conducts proactive outreach to group customers regarding payment discrepancies, misdirected payments, cash received without backup, missing remits, missing payments, and overpayments. Offers situation specific alternatives and solutions to assist customers. - Educates customers on the billing and remittance processes and provides ongoing guidance and support during implementation and welcome call, as well as throughout the entire customer relationship to make billing administration easy for our customers and internal partners. - Performs functions critical to the accuracy of billing for assigned group customers including daily review and analysis of error reports; suspense management; billing vs remit discrepancies; billing master schedule updates; final bill hold review and release; eligibility updates and identification and resolution of D&U. Additional functions may be needed based on specific product(s) assigned - Proactively monitors billing transmission and payment processes for assigned block to prevent billing issues and avoid escalations. May require working with customers and partners to change data protocols or processes. - Completes group level reconciliations and payment history review. Determines appropriate cash allocation and provides direction to the Remittance Department for proper premium application. Make decisions regarding refunds, write-offs, and reinstatements. Required Qualifications - 2+ years business experience - Demonstrates excellent customer service and relationship building skills with the ability to communicate clearly both verbally and in writing, internally and externally. - Ability to handle high pressure situations (internal and external) with tact. - Solid math problem solving skills - Strong attention to detail and analytical thinking skills - Advanced knowledge of Excel - Ability to multi-task and strong organizational skills with ability to work independently and in a team environment - Ability to readily adapt to change, meet deadlines, effective time management and prioritization skills Preferred Qualifications - Bachelor's degree in a related field. - Working knowledge of multiple billing/administrative systems (UIS, CBS, and CDF) to perform billing functions. - Working knowledge of eligibility and enrollment processes in addition to customer payroll schedules and pay dates The expected salary range for this position is $50,000 - $65,000 . This role may also be eligible for annual short-term incentive compensation and stock-based long-term incentives. All incentives and benefits are subject to the applicable plan terms. Benefits We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance and much more! About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us! MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.

Title: Medical Claims Billing Specialist (Georgia) Location: Remote United States Job Description: Under the direction of the Manager of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for ensuring the accurate and timely processing of all assigned claims. This role includes promptly addressing daily correspondence from physician practices, reviewing and appealing insurance claim denials and following up on aged claims. The AR Manager will take the steps necessary to resolve all claim issues or questions that escalate to the RCM team to include Salesforce case management. Primary Job Duties: - Management of the accounts receivable (AR) including analysis of the aged AR, looking for root - cause issues; suggesting billed rules/edits when appropriate to stop errors from occurring - Denial management - investigate denial sources, resolve and appeal denials which may include - contacting payer representatives - Make independent decisions regarding claim adjustments, resubmission, appeals, and other - claim resolution techniques - Collaborate with internal teams (Performance, Operations, Sales) as well as, care center staff - when appropriate - Support large care center go lives when applicable, which may include overnight travel - Work closely with our Revenue Optimization team to support efforts to ensure reimbursement is in - line with payer contract agreements. Perform denial analysis utilizing the Trizetto platform. - Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality - Drive toward achievement of department's daily and monthly Key Performance Indicators (KPIs) - Other duties as assigned - High School Graduate - 3+ years experience in a medical billing office or equivalent claims experience - Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims - Advanced Microsoft Excel skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) preferred - Experience with athenaHeath and/or athenaOne preferred - Experience with Georgia payers and portals preferred - Must comply with HIPAA rules and regulations The hourly range for this role is $24/hr to $26.45/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

Care Center Customer Service & Billing Specialist Location: Remote, USA, United States Employees can work remotely Full-time Department: Customer/Member Experience Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description Must be available to work any 8 hour shift between the hours of 8am-6pm EST, remotely. The Sr. Care Center Support Billing Specialist supports our growing physician network. This person will assist customers with all questions around billing/claims resolution,via current email technology platforms and incoming calls. The role operates within a customer service oriented high-volume call center environment. Primary Job Duties - Responding to high volume inquiries via email/phone - Assist with triaging case volumes - Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance - Critically analyze a situation and escalate issues to the appropriate internal team; meticulously following up to ensure that the customer is served in a timely fashion - Identify issues that occur on a repeated basis and provide feedback to management - Act as a subject matter expert for all current and updated resources, ensuring to communicate updates to fellow team members and ensuring understanding - Provide support in team chat with questions from team members - Remain flexible to take on other duties as assigned Qualifications - High School Diploma preferred, advance certification a plus - Familiar with healthcare billing and claim resolution preferred - Experience with AthenaNet, Salesforce a plus - 2+ years of full time experience in a call center customer service environment - Familiarity using software such as Salesforce, Word, Excel, Web Browsers and cloud-based web applications - Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely The hourly range for this role is $21/hr to $23/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.