Title: Patient Access Advocaten - Senior Location: Remote – New Mexico (Santa Fe, NM) Employment: Full-time Work Type: Hybrid Schedule: Monday–Friday (Weekday Schedule) Salary: $19.25–$28.62 per hour Job Description: Location Address: Remote Office: Santa Fe, NM 87501 Compensation Pay Range: Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Access Advocate-Senior. The Senior Patient Access Advocate provides all services needed to resolve the financial clearance of patient accounts of government and commercial accounts prior to billing. Performs all financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics, quality assurance of registration data, benefit analysis, financial counseling, and pre and post service collections. Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Weekday Schedule Monday-Friday (United States of America) Responsibilities: Customer Service and Caring Practices: - Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools. - Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times and de-escalation processes. - Ability to manage conflict and appropriately request the help of a supervisor when needed. - Implement PROMISE and CARES behaviors in every encounter. - Educates patients for whom they speak regarding insurance benefits. - Ensures accounts are cleared for billing to alleviate patient concerns over hospital financial matters Encounter Components - Performs the patient registration process. Manage the accurate collection of patient data which includes but is not limited to; - Obtain/confirm and enter demographic and other financial and clinical information necessary for final clearance of scheduled and Urgent/Emergent patient accounts. - Review Urgent/Emergent admission accounts for notification, financial clearance and authorization post discharge. - Obtain missing insurance information which can include policy number, group number, date of birth, and insurance phone number if information is missing from account. - Verify insurance for eligibility and benefits using online electronic verification system or by contacting payer directly. - Review and process work queues related to Patient Access to ensure claims are submitted timely and accurately, per department guidelines. - Quality review of accounts falling within the work queues to ensure the insurance information contains accurate policy ID#s, Group Name and Numbers, Subscriber information, Authorization numbers, as well as correct payer and Coordination of benefits prior to billing. - Obtain retro authorization for accounts in which the authorization was pending or not received prior to discharge - Maintain a strong knowledge of Medicare (CMS) guidelines as it relates to admissions and outpatient services. Ensuring we are in compliance with admissions forms, benefit entitlement verification, and billing requirements - Quality check accounts relative to MSPs and other Compliance regulations. Report out inaccuracies to leadership as appropriate. Qualifications: - High school diploma/GED - Internal Candidates: 5 years experience in healthcare setting with 2 years of Patient Access and/or billing plus strong customer service background. - Previously passed Patient Access Advocate II, III and Specialist Advancement tests. - CHAA, CHAM or other industry equivalent certification preferred - Expert knowledge of insurance and financial processing of accounts; - Expert knowledge of medical terminology and billing codes (DRG, ICD-10, CPT, HCPCS); - Proficient in EPIC ADT system; include scheduling, registration, contract requirements, financial guidelines, coordination of services and billing process. - Proficient in Microsoft Office Products. - Candidates must be at least 18 years of age at the time of hire All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

Role Description The Exercise Coach - Fort Worth is looking for a detail-oriented Data Entry Clerk to join our growing team! In this role, you'll play a key part in keeping our operations running smoothly by ensuring accurate and organized data management. If you thrive in a structured environment and take pride in precision, we'd love to hear from you! Responsibilities - Input, update, and maintain accurate data across internal systems and databases - Review and verify data for errors, inconsistencies, or missing information - Organize and manage digital and physical records for easy retrieval - Generate basic reports and summaries as requested by management - Communicate with team members to clarify data discrepancies or incomplete entries - Maintain confidentiality of sensitive client and business information - Support general administrative and clerical tasks as needed Requirements - High school diploma or equivalent required - Proven experience in data entry, administrative support, or a related role - Strong typing speed and accuracy with keen attention to detail - Proficiency in Microsoft Office Suite (Excel, Word) or similar software - Ability to manage time effectively and meet deadlines in a fast-paced environment - Strong organizational skills and ability to handle multiple tasks simultaneously - Dependable, self-motivated, and a collaborative team player Benefits - 401(k) - Flexible schedule - Training & development Company Description The Exercise Coach - Fort Worth is a premier fitness studio dedicated to delivering personalized, science-backed workout experiences to our clients. Our members love us for our results-driven approach and supportive coaching environment. We foster a positive, energetic workplace where every team member contributes to helping people live healthier, stronger lives.

Title: Data Specialist - Hybrid Work Environment Location: lansing United States Job Description: A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated Data Specialist to join our team. The position analyzes data processes and the needs of users and stakeholders; develops project plans; and designs, implements, and manages data quality, data reporting, and governance solutions. The position requires the person to: - Work with project stakeholders to identify business requirements and expected outcomes. - Create, evaluate, and summarize data assets in a form acceptable for use within the Company or outside the Company, including use by government bureaus, agencies, and others. - Evaluate and complete regulatory data requests in an accurate and timely manner. - Understand data sources and the data lineage of various computer systems in the Company. - Build, maintain, and document code used to transform, aggregate, and analyze data. - Create and enhance data extracts and analyses to support data reporting functions and inquiries. - Evaluate the reliability of sources of data, investigate data integrity, identify data problems, and provide technical expertise for ensuring data quality, while promoting understanding within the Division. - Assist with training and mentoring of other associates. - Contribute to and promote the peer review process, verify work completed by others, and develop other quality control measures Desired Skills & Experience - Bachelor's degree in mathematics, statistics, actuarial science, data science, or related field is required. Course work with databases or in a programming language is required. - Successful completion of actuarial exams or other Company approved courses is preferred. These requirements may be waived or changed, at Company discretion, based on prior education and/or experience. - Ability to apply mathematical, statistical, and programming concepts and procedures to analyze and solve complex insurance processes. - Demonstrate strong analytical reasoning, problem solving, technical writing, and collaboration and presentation skills. - Exhibit high level of initiative, motivation, organization, and leadership. - Ability to lead projects and coordinate among diverse stakeholders. - Ability to mentor by sharing knowledge and challenging others to grow their skill sets. - Ability to work effectively with others at all levels. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. - Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI

• Accurately input, update, and maintain data within internal systems • Review and validate information to ensure accuracy and completeness • Identify and correct errors, duplicates, or missing data • Maintain structured and up-to-date digital records and files • Produce spreadsheets and reports as required • Adhere to internal processes relating to data handling and confidentiality • Liaise with colleagues to resolve discrepancies or missing information • Conduct regular quality checks to maintain data integrity