Role Description Prepare and disseminate criteria to be used in obtaining free prescription medications for patients. - Communicate with pharmaceutical companies to obtain approvals. - Process paperwork and maintain computerized patient/program records. - Reconcile Medicaid and third-party insurance payments. Qualifications - Pharmacy Tech credentialed from the Florida Board of Pharmacy preferred. - High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required. - Pharmacy experience required with basic knowledge of Medications. - Community health & SDOH background Preferred. Benefits - Paid time off (PTO) - Various health insurance options & wellness plans - Retirement benefits including employer match plans - Long-term & short-term disability - Employee assistance programs (EAP) - Parental leave & adoption assistance - Tuition reimbursement - Ways to give back to your community Company Description Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

• Ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. • Act as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department). • Research CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner. • Respond to Hospital ministry inquiries regarding Chargemaster issues and train Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. • Use available department CDM tools and resources to ensure chargemaster compliance. • Coordinate the daily CDM maintenance workflow between the PSJH System and the Ministries and monitor the alignment of the individual ministries to the PSJH System's standard CDM. • Review clinical department charges to ensure Chargemaster and coding compliance. • Coordinate with Hospital ministry, IS, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces.

Role Description The Itemization Review Coordinator is responsible for maintaining a consistent workflow by distributing claims to Quality Control and Itemization Review Nurses. This is a remote position. - Monitor incoming and existing claims and distribute to staff based on priority and due date - Maintain and update departmental spreadsheets and attendance calendar per supervisor request - Ensure an even and fair distribution of claims to staff - Notify staff of priority claim assignments - Notify supervisor(s) of claims requiring/receiving extensions - Notify supervisor(s)/management of backlog files, late files, low census, and waiting list - Update SharePoint website as required - Assist supervisor(s)/management to identify potential issues in a proactive manner - Maintain/update/assist with all New Hire documentation/packets - Maintain supplies for department - Assist Education Nurse(s) with updating syllabus and creating training manuals - Maintain HIPAA compliance in all aspects of communication - Additional duties as assigned Qualifications - Ability to maintain accuracy during data entry - Proficient in Microsoft Office Suite, Outlook, Excel and Word - Detail oriented - Exceptional organizational skills - Ability to work independently in a fast-paced production environment - Effective written and verbal communication skills - Ability to type at least 60 wpm Requirements - High School Diploma or equivalent experience required - 6 months to 1 year office experience Benefits - A comprehensive benefits package is available for full-time regular employees and includes: - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401K - ROTH 401K - Paid time off Company Description CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

Role Description As an Underwriter, you'll play a key role in evaluating insurance risks and making coverage decisions that help protect our policyholders. Using your knowledge of insurance principles and underwriting practices, you'll review information and data to determine whether to approve, decline, or modify coverage within your authority level. In this role, you'll build strong relationships with agents and policyholders by delivering exceptional customer service and serving as a trusted resource on our products and coverage options. You'll provide guidance on underwriting requirements, answer questions, and help stakeholders navigate the insurance process with confidence. Success in this position requires balancing customer needs with sound underwriting decisions while contributing to the overall mission and goals of TWIA/TFPA. Essential Functions - Review and process new applications, renewals, endorsements, cancellations, and inspections to determine eligibility and insurability of applicant and property. Communicate underwriting actions to the agents. (Scheduled time approximately 65%) - Serve as contact for agents (via phone/email) and assist with coverage, rating, eligibility inquiries, and process policy transactions as appropriate. Explain coverage decisions and policy information to agents and policyholders/stakeholders. (Scheduled time approximately 25%) - Assist Enterprise with additional duties as needed, training, and project work (Approximately 10%) Qualifications - Skilled communicator: Demonstrates ability to consistently deliver accurate, clear, and concise messages orally and/or in writing to effectively inform an audience; able to be an effective active listener, to get to the root of stakeholder needs without requiring lengthy explanations. - Customer focus: Identifies customer requirements correctly, determines specific customer needs, and acts proactively to ensure value-added solutions that exceed customer expectations. - Interpersonal skills: Considers and responds appropriately to the needs and feelings of others with respect, fairness, and consistency allowing for effective interactions with all stakeholders. - Adaptability and flexibility: Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure, and adjusts plans to meet changing needs. - Job knowledge: Strong knowledge of insurance rules and regulations and basic underwriting principles for acceptability or rejection of risk; knowledge of building and construction terminology and techniques, and construction rating classifications to determine property and liability exposures on inspection issues. - Initiative: Effectively work independently. Completes tasks and assignments independently with minimal direction and assumes responsibilities when specific directions are lacking. - Critical thinking and analytical abilities: Approaches a situation or problem by defining the problem or issue; determining its significance; collecting data; making inferences about the meaning of the data; and using logic and intuition to arrive at conclusions or decisions; evaluates and applies information provided on applications to underwriting guidelines and coverages. - Problem solving: Gathers relevant data from several sources, arrives at effective solutions to issues, and foresees problems before they arise. - Time management: Prioritization skills to ensure timely responses to stakeholders. - Computer skills: Proficiency with operating systems, email, word processing, and similar computer applications. Requirements - Bachelor’s degree or equivalent work experience. - Three (3) years of underwriting experience in the insurance industry. Preferred Education and Experience - Associate in General Insurance (AINS) designation. - Chartered Property Casualty Underwriter designation (CPCU), or demonstrated progress toward achieving the designation. - Bilingual abilities; English, and Spanish or Asian languages (such as Mandarin or Vietnamese). Physical Requirements - This position requires the ability to sit, hear, converse over the telephone, and key frequently on a computer for long periods of time. - This position may require some limited overnight travel to complete training programs, activities, and meetings. Benefits - Comprehensive medical, dental, vision, group life, AD&D, and dependent life insurance coverage. - Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) with a generous annual HSA employer contribution. - A 401(k) retirement plan with employer matching contributions up to 6%, in addition to a pension plan that begins vesting at 5 years of employment. - Active support for professional growth, including ongoing training and professional development opportunities sponsored by TWIA, support to obtain professional certifications, and a tuition reimbursement program. - Generous paid time off, including vacation, sick leave, paid holidays, and personal days. - Flexible scheduling to support work-life balance.