Role Description Como Ayudante/Junior de contabilidad bilingüe, tendrás la oportunidad de unirte al equipo de Contabilidad y procesos administrativos, dónde estarás apoyando a realizar contabilidades y procesos de empresas Americanas a través de Forvis Mazars en USA. Qualifications - Licenciatura en Contabilidad o Contaduría - Nivel de inglés, intermedio – avanzado (conversacional) Requirements - Registro de pólizas contables en varios sistemas contables - Conciliaciones bancarias - Limpieza de cuentas - Generación de reportes - Manejo de plataformas bancarias - Desarrollarse en un ambiente multicultural - Responsabilidad de cumplimiento de actividades a distancia Benefits - Incorporación inmediata en una firma multinacional, con posición consolidada en el mercado de auditoría, impuestos y consultoría - Oportunidad de obtener exposición internacional como parte del desarrollo profesional - Remuneración y paquete de compensación competitiva - Plan de formación continuo que te permitirá alcanzar los más altos niveles de excelencia técnica y liderazgo para construir carreras personalizadas y gratificantes - Entorno laboral solidario, promoviendo una cultura permanente de retroalimentación

Role Description We are looking for a highly detailed, collaborative, and Bilingual Medical Biller & Eligibility Specialist to join a growing billing department. This role bridges the gap between front-end operations and back-end revenue cycle management, ensuring administrative accuracy before the patient even sees the provider. You must possess a deep understanding of U.S. medical insurance workflows, eligibility functions, and specific payer rules. Operating as a core liaison, you will work closely with our front desk and communications teams to secure clean claims, prevent denials, and provide a seamless onboarding experience for our patients. Key Responsibilities: - Insurance Verification & Eligibility Support - Real-Time Verifications: Execute comprehensive insurance eligibility and benefit verifications for upcoming orthopedic appointments across major commercial, government (Medicare/Medicaid), and workers' compensation payers. - Front-End Collaboration: Assist the front desk and communications departments with front-end insurance processes, helping to troubleshoot active/inactive coverage issues prior to patient check-in. - Patient Cost Estimation: Identify deductibles, copays, and co-insurance requirements, accurately updating records so the front-desk team can collect correct point-of-service payments. - Referral & Prior Authorization Management - Referral Acquisition: Proactively track, request, and obtain required insurance referrals from primary care physicians (PCPs) and insurance portals. - Payer Rules Adherence: Stay up-to-date on shifting payer requirements to ensure all orthopedic imaging, injections, or specialist visits meet strict medical necessity guidelines. - Data Integration: Document and meticulously attach verified referrals and authorization codes within the ModMed EMR system to guarantee smooth billing continuity. - Bilingual Patient & Internal Communications - Language Support: Utilize fluent English and Spanish to assist the billing and communications teams when addressing complex insurance questions from patients. - Workflow Continuity: Document patient communication notes clearly within the system to maintain transparency across clinical and financial departments. Qualifications - Minimum 2–3+ years of dedicated U.S. healthcare experience specializing in insurance verification, referrals, or medical billing. - Linguistic Fluency: Native or professional bilingual fluency in both English and Spanish (written and verbal). - Workflow Competency: Thorough, foundational knowledge of U.S. insurance structures, coordination of benefits (COB), and orthopedic billing workflows. - Technical Setup: Secure home office infrastructure with high-speed internet, a secondary monitor (preferred), and a noise-canceling headset. Preferred Qualifications - EMR Mastery: Hands-on, administrative experience utilizing Modernizing Medicine (ModMed / EMA) software. - Specialty Knowledge: Prior experience working specifically within an Orthopaedics, Physical Therapy, or Sports Medicine outpatient clinic.

Role Description The member services agent is responsible for providing effective customer service for all internal and external customers by using excellent, in-depth knowledge of company products and programs as well as communicating effectively with team members within the customer service department. - Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. - Confer with customers by telephone to provide information about Rx claims processing. - Keep detailed records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken. - Follow-up to ensure that appropriate changes were made to resolve customers' problems. - Refer unresolved customer grievances to designated departments for further investigation. - Review Rx insurance policy terms to determine whether a claim is covered for employer group. - Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments. - Resolve customers' service or billing complaints. - Obtain and examine all relevant information to assess validity of complaints and to determine possible causes. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Qualifications - High School or equivalent. - Customer service experience. - Computer experience. Requirements - Interacting with Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information. - Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. - Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources. - Communicating with Persons Outside Organization — Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. - Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. - Resolving Conflicts and Negotiating with Others — Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others. - Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job. - Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work. - Performing Administrative Activities — Performing day-to-day administrative tasks such as maintaining information files and processing paperwork. - Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems. - Customer and Client Focus. - Problem Solving and Analysis. - Time Management. - Communication Proficiency. - Teamwork Orientation. - Technical Capacity. - Multitasking. Benefits - Medical, Dental, Vision Insurance. - Disability and Life Insurance. - Employee Assistance Program. - Remote Work Options. - Generous Paid-Time Off. - Annual Reviews and Developmental Plans. - Retirement Plan with Company Match Immediately 100% Vested. Position Type and Expected Hours of Work This is a full-time, hourly position. Days and hours of work vary on shift assigned. The Call Center core hours of operation are Monday – Friday 6a – 10p, Saturday 6a – 8p, and Sunday 6a - 8p. Travel Minimal travel expected for this position to Natchitoches, Louisiana for training and development.

Role Description We are seeking a motivated and detail-oriented LVN/LPN to join our Chronic Care Management team. In this role, you will play a critical role in patient care by: - Conducting comprehensive assessment calls. - Developing and educating patients on care plans. - Performing Behavioral Health Integration (BHI) assessments. - Assisting patients with medical device troubleshooting. Qualifications - Active LPN/LVN Compact License required. - Passionate about patient care, possessing the ability to relate with empathy and compassion. - Strong communication and organizational skills. - Proficient with computers, EMRs, and telehealth tools. - Preferred: At least 1 year of nursing experience (RPM, telehealth, or chronic care experience is a plus). Requirements - Minimum fiber internet speed of 50 Mbps download / 10 Mbps upload. - Hardwired internet connection required. - Speed test submission required during the offer process. - Private, HIPAA-compliant workspace. Benefits - Competitive base pay: $24-$26/hr. - Shift Differentials: - Evening Differential: +$1.50/hour for hours worked after 7:00 PM ET. - Late-Night Differential: +$2.00/hour for hours worked after 10:00 PM ET. - Weekend Differential: +$1.50/hour for all hours worked Saturday and Sunday. - Additional Compensation: - Sign-On Bonus: $1,500 paid after 120 days of continuous employment, contingent upon active employment and satisfactory performance at time of payout. - Monthly Bonus Potential: Up to $1,500. - 5% Bilingual Pay Allowance. - 11 Paid Company Holidays annually. - Paid Time Off (PTO). - Medical, Dental, Vision, and supplemental insurance options. - 401(k) Plan with 3.5% Company Match. - Company-provided equipment.