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The Stars Improvement, Clinical Professional (RN) is responsible for the development, implementation and management oversight of the Primary Care Organization’s Stars Program in the South Florida market. The Stars Improvement, Clinical Professional (RN) works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Quality RN Professional collaborates with market leadership, and quality improvement team to develop and implement programs designed to improve patient outcomes. Work is performed within the associate’s primary center location and in collaboration with existing Quality Improvement Coordinators and Professionals and in close partnership with market and center teams. Patient interaction is required for this role and is completed both telephonically and through in-person visits for activities such as patient education, point-of-care testing and screenings as needed (including Retinavue eye exams, HgA1c draws, etc). The Quality RN Professional represents the scope of provider relationships across the following areas: • Quality/clinical management and population health, • HEDIS and Stars performance, • Operational improvements, • Data sharing and connectivity, • Documentation and coding, • Additional areas related to provider performance, member experience, provider experience and operational excellence Required Qualifications • Licensed Registered Nurse (RN) without restriction in applicable state, • 5+ years of clinical nursing experience, which can be a combination of LPN and RN experience, • Bilingual; English and Spanish required Preferred Qualification • Strong knowledge of HEDIS/Stars/CMS, • Bachelor’s Degree in Nursing, • 3+ years of managed care experience, • 3+ years of case management experience, • Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement, • Excellent presentation and communication skills, both oral and written, • Strong relationship building skills as this is a provider-facing role, • Strong attention to detail with a focus on process and quality, • Comprehensive knowledge of Microsoft Office applications Additional Information • Hours for the role: Monday-Friday 8am-5pm local time zone, • This role is based within the provider office with occasional rotation through other centers within the assigned territory. TB Statement This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Driving Statement This role is part of CenterWell’s driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job Description As outlined below, provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs. WHAT YOU’LL BE DOING • Work in a fully remote environment and virtually engage with company and team in your daily work., • Subject Matter Expert (SME) on entire scope of Medicare Advantage STAR measures, services, customers and quality initiatives under various commercial and governmental payers., • Conduct proactive patient outreach initiatives to identify and address quality gaps, engaging with patients to educate them on preventive care measures, schedule necessary screenings or appointments, and facilitate adherence to treatment plans and medications, thereby contributing to improved health outcomes and closing quality gaps, • Collect quality data using various methods of data sourcing-EMR, claims, provider / patient outreach., • Manage daily work using multiple systems and applications-EMR systems, payer portals, vendor platforms, Guidehealth applications, Microsoft 365 for Excel, Word and PowerPoint, Microsoft Outlook and Teams for messaging and meetings., • Work with patient lists, gap lists, sourced health data and medical records in your daily work., • Leverage all quality related resources to ensure accuracy and completeness of work-measure/project instructions, NCQA/HEDIS® specifications, coding documents, quick reference guides., • Prioritize daily work to meet various quality reporting deadlines and requirements., • Communicate quality performances, barriers and improvement strategies both internally and with customers., • Follow all established policies and procedures for various QI workflows to ensure overall success., • Collaborate w/ customers, payers, co-workers to accomplish daily work., • Participate in all departmental and payer sponsored webinars/trainings/support calls throughout the year., • Communicate professionally and develop positive relationships with co-workers, customers, providers and providers’ support staff. Qualifications WHAT YOU'LL NEED TO HAVE • Associate degree or greater in related field, • Minimum 1-3 years of experience in healthcare setting; time spent working/charting/data abstraction via EMR system/s, knowledge of medical terminology, quality measures, medical billing/coding., • Minimum 2 years’ experience in Medicare Advantage Quality data abstraction and patient outreach, • Tech savvy in managing the technical side of this position-working with health data, working in excel and PowerPoint, navigating multiple systems and applications., • Highly skilled in verbal and written communications., • Strong attention to detail, organized and ability to meet hard deadlines., • Certified/licensed professional-CMA, LPN, • Knowledge or experience in quality improvement initiatives and data submissions required by various health insurance payers., • Extensive experience with quality database entries and reporting., • Experience in interpreting and reporting quality information, as well as training staff., • Proficiency in Electronic Medical Record (EMR) software and cloud platformS Additional Information The base pay range for this role is between $28-$30 per hour paid bi-weekly ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us. All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 50 mbps download, 10 mbps upload. Please consult with your internet provider or run a speed test here to confirm your internet connection meets these requirements.

Job Description About us: Solis Health Plans is a new kind of Medicare Advantage company. We provide solutions that are transparent, connected, and effective for both our members and providers. Solis was created with a desire to offer a more personalized experience throughout every stage of the healthcare journey. Our team consists of experts who take pride in delivering quality service. We foster a culture of collaboration and support, where success is shared, and every employee is valued. To learn more about us, please visit our website at ! Position is fully onsite Mon-Friday, Bilingual in ENGLISH & SPANISH is required Location: 9250 NW 36th St, Miami, FL 33178. Bilingual in English & Spanish or Creole is required Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match! Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 10,000 members in the last year! Join our winning Solis Team! Position Summary: This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records. contribute to a positive, patient-centered care experience. This role is essential to improving quality performance, supporting HEDIS and Stars initiatives, and enhancing overall member satisfaction. Essential Functions and Duties: · Provide excellent customer service by addressing patients and client needs promptly and courteously. · Phone calls to patients for scheduling or education on HEDIS Measures. · Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff. · Review medical records for data collection, data entry, and quality monitoring including health plan form submission and chart collection activities that close gaps in care. · Partner with the leadership team, the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice. · Communicate scheduling challenges or trends that may negatively impact quality outcomes. · Track and trend barriers/challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices. · Activities may include data collection, data entry, quality monitoring, health plan form submission and chart collection activities. · Assists with local IRR audits. · Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures. · Support chart chase process by requesting records from provider's offices as needed. · Maintains education/knowledge base of HEDIS/STARs. · Performs all other related duties as assigned. Required qualifications: · High school diploma or equivalent is required. · 2+ years’ experience working for a Health Plan in reviewing medical records for data collection, data entry, abstraction, overreads and chart collection activities that close gaps in care. OR · 2+ years of experience working with HEDIS/STAR measures. · 2 or more years of HEDIS experience working in a physician, provider, and/or medical office. · Two (2) or more years of experience proficiency in using electronic medical record (EMR) systems and other healthcare management software. Required. · Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook). Required. · ICD 9/10 and CPT coding experience. Required. · Excellent verbal communication skills with a customer-focused approach. Preferred qualifications: · 2+ years of college, in pursuance of a Bachelor's or Associate's degree in Health Care. · Licensed Vocational/Registered Nurse, Certified Professional Coder, or Foreign Medical Graduate (FMG/IMG). Required Languages: Bilingual English & Spanish or Creole. What set us apart: Join Solis Health Plans as a HEDIS/Stars Coordinator and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference.

Job DescriptionAre you passionate about making a difference in patients' lives through compassionate care and technical expertise? We are seeking a dedicated and skilled Allied Healthcare Professional's to join our dynamic healthcare team. If you're driven by a commitment to patient well-being and are ready to work in a fast-paced, rewarding environment, we invite you to apply and become a valued member of our healthcare team Position: Technicians and Technologist needed Various Schedules: AM & PM Shifts What You'll Do: In this role, you will provide essential support in patient diagnosis, treatment, and rehabilitation, collaborating closely with physicians, nurses, and other healthcare professionals. Whether you specialize in diagnostic imaging, laboratory work, rehabilitation, or patient care, your contributions will play a crucial role in delivering exceptional healthcare services. Each specialty within allied health requires different certifications and specific technical skills but overall focuses on supporting medical teams in diagnosis, treatment, rehabilitation, or administrative tasks. Why Join Us: • Professional Growth: Expand your nursing proficiency and knowledge while experiencing a range of cases and scenarios that enrich your career journey., • Adventurous Opportunities: As a Travel Registered Nurse, you will have the chance to explore diverse locations across the United States. Expand your professional horizons while enjoying the adventure of new environments. Assisting in diagnosis: * • Operating equipment like X-rays, MRIs, or ultrasound machines (radiology technicians, sonographers)., • Laboratory work: Performing blood tests, urine tests, or other lab work (lab technicians)., • Physical therapy: Assisting in the development and execution of physical therapy treatments (physical therapy assistants). Direct patient care: * • Assisting with patient mobility, bathing, feeding, or monitoring vital signs (patient care technicians, certified nursing assistants)., • Education and counseling: Providing patient education on treatments, conditions, and medications (health educators, dietitians)., • Rehabilitation support: Assisting patients in rehabilitative activities to improve mobility and function (occupational therapy assistants). Maintaining patient records: * • Ensuring that accurate medical documentation is up to date (medical record technicians)., • Scheduling and coordination: Arranging appointments, tests, or procedures for patients (medical office assistants). Billing and coding: * • Handling insurance claims and medical billing using appropriate coding systems (medical billers and coders)., • Operating specialized equipment: Such as in radiology, sonography, respiratory therapy, or anesthesiology. Sterilizing instruments: * • Ensuring that all medical instruments and environments are sterile (surgical technologists). Respiratory therapists: * • Provide breathing treatments and manage ventilators. Pharmacy technicians: * • Assist pharmacists in dispensing medications and providing information to patients. Requirements Authorized to work in the US without sponsorship This is NOT a Virtual/Remote position. Confirm you are willing to travel, if not already a local, to Texas, Louisiana, Tennessee or Arkansas Must have Certification applicable to the Medical Technician Specilaity English Equal Opportunity Employer Hire Energy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Requisition #cm0gvsmvy2f1l0pnqys2tkgkl

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: • Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment., • Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators., • Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials., • Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding., • Meet and maintain Memorial Healthcare System (MHS) coding quality and productivity standards. Submit daily productivity report to manager by defined deadline., • Attends educational meetings and seminars to maintain certification and continuing education requirements., • Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements., • Performs all other duties as requested. Education and Certification Requirements: High School Diploma or Equivalent (Required) Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA) Required Work Experience: Three (3) years inpatient coding experience in a hospital setting Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required

Job Description Language Requirement: Bilingual (Creole and English) Job Summary: The Medicare Performance Manager is responsible for overseeing and optimizing the performance of Medicare-related services for our three locations for all of the healthcare plans we service. This role involves daily interaction with staff and collaboration with healthcare providers to ensure compliance with best practices, improve patient outcomes, and enhance service delivery. Key Responsibilities: Daily Tasks: • Review daily hospital census, including Emergency Room (ER) visits and inpatient stays., • Contact patients to schedule follow-up visits within 7 days of ER and inpatient stays. Weekly Tasks: • Analyze Medication Adherence Reports to ensure patients are following prescribed regimens., • Review all referrals to ensure they are directed to approved providers., • Reconcile specialist referrals with consultation reports, ensuring proper documentation is scanned into patient charts. Monthly Tasks: • Call new patients to welcome them to the center, schedule their initial appointments, and request previous medical records. Ensure patients sign medical record release forms and request records from prior Primary Care Providers (PCPs)., • Conduct monthly meetings with department heads to gather statistics related to:, • HEDIS (Healthcare Effectiveness Data and Information Set) metrics., • Billing and coding performance., • Medical Risk Adjustment (MRA) assessments., • Review monthly claims submitted by health plans/MSOs and make necessary corrections., • Evaluate RX Cost Saving Reports and implement required medication switches to optimize cost-effectiveness., • Reconcile ten patient charts monthly and present outcomes to stakeholders during the monthly meeting. Qualifications: • Fluency in both Creole and English is required., • Experience in healthcare management, preferably in Medicare services., • Strong organizational and communication skills., • Ability to work collaboratively with multidisciplinary teams., • Proficient in data analysis and reporting., • Knowledge of HEDIS metrics and compliance standards.

Job DescriptionBenefits/Perks • Competitive Compensation, • Great Work Environment, • Retirement Plan, • Health Insurance, • Dental Insurance, • Vision InsuranceJob SummaryWe are seeking a Medical Office Manager to join our team! In this role, you will oversee the daily operations of our medical office, including staff supervision, appointment scheduling, and surgical coordination. You will work closely with other team members to ensure efficient office flow and full compliance with state and federal regulations. Responsibilities will also include managing accounts payable and receivable. The ideal candidate will have excellent communication and interpersonal skills, proven management experience, and a strong understanding of healthcare regulations and compliance requirements applicable to medical offices. Responsibilities: • Supervise front and back office staff and oversee daily operations and office flow, • Coordinate patient appointments and surgical scheduling, • Ensure compliance with HIPAA, OSHA, and other healthcare regulations, • Manage office finances including accounts payable/receivable, • Assist with credentialing and insurance verification processes, • Maintain office supplies and vendor relationships, • Address patient concerns and escalate as appropriate, • Support physician and clinical staff needs Qualifications: • Minimum of 3–5 years of experience managing a medical office (orthopedic or specialty experience a plus), • Bachelor's degree in Healthcare Administration, Business, or a related field preferred, • Strong knowledge of medical billing, coding (CPT/ICD-10), and insurance processes, • Proficiency in EMR/EHR systems and Microsoft Office Suite, • Excellent leadership, communication, and problem-solving skills, • Ability to multitask and adapt in a fast-paced environment, • Bilingual (English/Spanish) a plus, • Strong familiarity with regulations

Job Description As a Medical Assistant/Allergy Tech your responsibilities typically involve a combination of administrative and clinical tasks. Here's a detailed job description: Administrative Duties: • Medication Prior Authorization Management: Obtain authorizations for medications and assist patients with insurance-related inquiries., • Medical Records Management: Maintain organized and up-to-date medical records, including filing, scanning, and retrieving documents as needed., • Billing and Coding: Assist with billing processes, including coding procedures and services accurately to ensure proper reimbursement., • Supply Management: Monitor inventory levels of medical and office supplies, restock as needed, and coordinate supply orders with the administrative team., • Communication: Facilitate communication between patients, physicians, and other healthcare providers, both in person and over the phone., • Additional Duties: Any additional tasks/duties as assigned to you by providers or management. Clinical Duties: • Patient Preparation: Escort patients to examination rooms, obtain vital signs (blood pressure, pulse, temperature, weight, etc.), enter medical and medication history, and prepare patients for procedures or examinations., • Allergy Testing: Perform allergy skin testing, including prick tests and intradermal tests, and interpret results under the supervision of a physician., • Immunotherapy Administration: Administer allergy immunotherapy injections according to physician orders, following established protocols and safety guidelines., • Patient Education: Educate patients about allergy triggers, avoidance strategies, medication usage, and the purpose of allergy testing and immunotherapy., • Documentation: Document patient assessments, procedures performed, and treatment plans accurately in EMRs, ensuring compliance with regulatory standards and clinic protocols., • Safety and Infection Control: Adhere to infection control protocols, maintain cleanliness and sterilization of equipment, and promote a safe environment for patients and staff., • Additional Duties: Any additional tasks/duties as assigned to you by providers or management. Qualifications: • Education: High school diploma or equivalent. Completion of a medical assistant program or certification as an allergy technician may be required or preferred., • Certification: Certification as a Medical Assistant (CMA) or Registered Medical Assistant (RMA) is required. Additional certification as an Allergy Technician (CMAA) or Certified Clinical Allergy Specialist (CCAS) is desirable., • Experience: Prior experience in a medical office setting, especially in ENT or allergy clinics, is advantageous., • Skills: Strong communication and interpersonal skills, attention to detail, ability to multitask, proficiency in EMR systems, and knowledge of medical terminology and allergy testing techniques., • Licensure: MA License Preferred AAP/EEO Statement In order to provide equal employment and advancement opportunities to all individuals, employment decisions at will be based on qualifications and job-related abilities. We do not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, disability, ancestry, sexual orientation, marital status, gender identity or any other characteristic protected by law. We will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in undue hardship.

Nicklaus Children's Hospital is hiring a BC/BE Fellowship-trained Pediatric Emergency Medicine Physician to serve as Associate Medical Director of Quality for the following community-based Emergency Department's: 1. Nicklaus Children's Health System - Main Emergency Dept., 2. Baptist Health South Florida, 3. Homestead Hospital’s Pediatric Emergency Department, 4. Mastroianni Family Pediatric Emergency Department at Jupiter Medical Center This person will collaborate with the Medical Director, Pediatric ED, and Director of Community Initiatives to focus on managing quality performance and improvement activities in the Emergency Department. This person will also support administrative call, serving as one of primary points of contact for the department, provider concerns, and reviewing end-of-shift nurse reports to address patient/provider care delivery issues. This is a hybrid clinical/quality role that will require work between all community emergency departments, although the employee can be primarily based out of one of the locations. Academic Affiliation This position includes appointment to the Faculty of FIU Herbert Wertheim College of Medicine. Opportunities for clinical and translational research abound. Job Specific Duties Include: • Assist with resolution of care delivery issues and patient grievances within designated program and campus., • Assist in the development and revision of clinical policies, procedures, and care protocols to optimize outcomes as they pertain to quality management of the Emergency Department., • Ensure compliance with medical staff bylaws and other accreditation standards and regulations (American College of Surgeons for Trauma and all relevant regulatory agencies as applicable)., • Review data to identify opportunities to improve overall quality of care delivered in the ED., • Identify and assist in creating effective PI /Quality initiatives which qualify for ABP MOC Part 4 Activity., • Ensure effective communication between program physicians, APPs, and other team members., • Identifies and participates in ongoing education for/by physicians and staff., • Share Administrative on-call responsibilities with other Emergency Department Directors to provide support to attendees, troubleshoot flow and at-capacity issues, and provide crisis management., • Participate in medical staff, hospital committees, performance improvement, or other committees as assigned., • Participate and see patients as part of Medical Group’s TeleHealth program., • Consistently treat Medical Group employees, colleagues, patients and their families, and others who accompany patients to office and hospital visits in a professional and respectful manner., • Participate in and cooperate with the peer review, Quality Improvement and Quality Management programs and procedures of Medical Group and assist in the development and achievement of clinical quality indicators and outcomes., • Comply with all rules, regulations, and policies established by Medical Group, the Occupational Safety & Health Administration, all federal, state, and local agencies, and other accreditation organizations Comply with all Medicare, Medicaid, and other third-party payor reimbursement rules and OIG compliance standards. Participate in any Ethics Training Programs and Compliance Training Programs established by Medical Group and Hospital., • Assist Medical Group in the investigation, documentation, and resolution of any issue arising out of Medical Group’s dealings with peer review and all regulatory agencies having jurisdiction relating to the Practice Site., • Maintain a minimum performance of 85% or higher adherence to evidence-based guidelines for process as established by the National Center for Quality Assurance (NCQA) that apply to the Physician’s practice for ambulatory and inpatient practice. Maintain 90% or higher to those Hospital Quality Alliance metrics for hospitalized patients that apply to the Physician’s practice., • Provide teaching services to the Hospital’s residents and fellows in accordance with the requirements of the Hospital’s medical education program and the Accreditation Council for Graduate Medical Education (“ACGME”)., • Accompany representatives of Medical Group’s parent, NCHS, and NCHS affiliates to events to discuss issues relating to NCHS or NCHS affiliates’ operations., • Achieve the annual Press Ganey physician-related patient satisfaction target as provided by the Hospital., • Adhere to standard Computerized Physician Order Entry (“CPOE”) processes and will input a minimum of 95% of Physician’s orders for inpatients through the CPOE system provided by the Hospital and adhere to a 95% compliance with medical record coding accuracy., • Complete medical records pursuant to the requirements of the Hospital’s Medical Staff Bylaws and Medical Group guidelines. Completes NCHS quarterly curriculum., • Participate in community events and educational lectures to other physicians. Application review begins immediately and will continue until the position is filled. All inquiries and applications will remain confidential. Competitive compensation and a robust benefits package are included. Qualified candidates may apply online or contact: Joyce Berger, Physician Recruiter or 786-501-6189

Our client is looking for an experienced and highly technical professional to support the deployment, management, and optimization of connected medical technologies within a clinical environment. This role is essential for ensuring seamless integration between medical devices and clinical systems, driving both patient safety and operational efficiency. You’ll serve as the go-to expert for systems integration across various diagnostic, monitoring, and therapeutic platforms, playing a critical role in technology sustainment and support. Key Responsibilities • Act as the technical subject matter expert for a wide range of integrated medical systems and devices., • Manage the full lifecycle of clinical technology: from assessment, selection, and implementation to monitoring, troubleshooting, and decommissioning., • Oversee the installation and sustainment of device software, firmware, interfaces, databases, and network configurations., • Work collaboratively with clinical teams, IT, and third-party vendors to resolve system issues, address downtimes, and ensure performance continuity., • Maintain detailed records and system inventories, including architecture diagrams and integration points, for auditing and planning purposes., • Provide support for incident response, feature enhancement requests, and manufacturer-initiated actions such as recalls or updates., • Lead or participate in multiple ongoing projects involving clinical technologies, coordinating across diverse internal and external stakeholders., • Stay informed of healthcare technology best practices, safety standards, and regulatory changes related to connected medical systems., • Participate in an on-call rotation to address critical system issues after hours or during weekends/holidays. Technical Scope You will work with and support the following types of systems and interfaces: • Patient monitoring platforms, • Infusion and vital sign monitoring devices, • EEG and perfusion systems, • OR integration and video routing solutions, • Cardiology ultrasound and imaging systems, • Nurse call and environmental alert systems, • Interactive bedside terminals and patient engagement software, • Digital dental and gastrointestinal systems, • DICOM-based imaging nodes and PACS, • HL7 messaging engines and healthcare data exchange brokers, • Electronic health record (EHR) systems (e.g., Cerner), • Maintenance and asset tracking platforms (CMMS) Required Qualifications • Bachelor’s degree in Biomedical Engineering, Information Systems, or a related technical field — OR 5+ years of relevant hands-on experience., • Minimum of 4 years' experience working with integrated clinical systems or medical device administration., • Solid experience designing and supporting healthcare technology interfaces, especially using HL7., • Working knowledge of SQL Server database management and structured query language., • Proven experience supporting enterprise-grade clinical applications and systems. Preferred Skills & Attributes • Certifications in healthcare technology management (e.g., CHTM, CBET) or IT (e.g., CompTIA, Cisco) are advantageous., • Familiarity with data standards like HL7, DICOM, XML, and relevant coding/scripting (Java, SQL)., • Strong understanding of networking concepts (LAN/WAN, TCP/IP, VLANs, VPNs) and system security in a clinical setting., • Experience with common operating systems (Windows, Linux, macOS) in a healthcare IT context., • Demonstrated success in leading or managing multiple technical projects in a clinical or hospital environment., • Excellent organizational, time management, and communication skills — able to lead meetings, document work thoroughly, and explain complex systems to non-technical users. What We Offer • A collaborative and mission-driven environment, • Opportunities to work with cutting-edge medical and clinical technology, • Ongoing support for professional development and continuing education, • A chance to make a meaningful impact on patient care through technology

Position Title: Director of Clinical Operations – Physician Practice Management Location: [Confidential – Regional Health Network] Job Type: Full-Time | On-Site / Hybrid Eligible Position Overview Our client is seeking an experienced healthcare operations leader to oversee the strategic, administrative, and financial performance of a growing portfolio of physician practices, including primary care, adolescent medicine, and specialty clinics. This individual will drive operational excellence across multiple sites, align practice performance with system-wide goals, and act as a key liaison between physicians, executive leadership, and ancillary departments. This role requires a hands-on, solutions-focused leader who thrives in dynamic environments and has a proven track record of optimizing clinical workflows, improving financial outcomes, and leading multidisciplinary teams. Key Responsibilities • Lead the implementation of key operational strategies across multiple medical practices to support access to care, growth, and clinical excellence., • Oversee day-to-day operations, financial performance (including P&L oversight), and resource allocation for assigned physician groups and outpatient programs., • Identify and implement improvements in practice workflows, data use, and operational systems to enhance efficiency, quality, and patient experience., • Serve as the principal administrative contact for physicians and department leaders; provide operational leadership while supporting clinical and financial objectives., • Develop and manage reporting dashboards and performance metrics across departments; track progress toward goals and identify opportunities for course correction., • Facilitate strategic partnerships between physician teams and hospital service lines to ensure coordinated, patient-centered care., • Monitor and improve billing operations, documentation practices, coding accuracy, and revenue cycle processes in collaboration with finance and compliance teams., • Guide performance management for clinical and administrative staff, including productivity tracking, performance evaluations, and ongoing training initiatives., • Lead cross-functional initiatives focused on value-based care, cost containment, and quality improvement across all assigned clinical programs., • Ensure that contractual agreements, third-party relationships, and referral sources are aligned with long-term strategic goals and optimized for financial performance., • Develop contingency plans and lead responses to operational challenges, staffing issues, or external regulatory changes. Qualifications & Skills Minimum Requirements: • Bachelor’s degree in Healthcare Administration, Business, Public Health, or a related field, • 3–5 years of progressive healthcare operations experience, • Direct supervisory and team leadership experience in a clinical setting, • Demonstrated experience working in diverse and community-focused healthcare environments Preferred Qualifications: • Master’s degree (MBA, MHA, MPH, or related) strongly preferred, • Familiarity with key practice operations concepts: RVUs, payer contracting, physician compensation models, billing workflows, and compliance requirements, • Strong analytical skills and financial acumen, including experience managing budgets and operational KPIs, • Effective communicator, capable of building trust and alignment across clinical and administrative teams, • Knowledge of ambulatory care operations, regulatory requirements, and quality improvement initiatives, • Ability to assess and solve complex operational challenges using data, evidence-based practices, and strategic thinking, • Skilled in leading multidisciplinary initiatives and working collaboratively with senior leadership Please note: This job posting is just a preview of the full scope of the position. A comprehensive job description is shared by a member of our team

Job Summary The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes. Essential Job Functions • Manage internal and external customer communications to maximize collections and reimbursements., • Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes., • Maintain fee schedule uploads in financial and practice operating systems., • Review and resolve escalations on denied and unpaid claims., • Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted., • Monitor accounts receivable and expedite the recovery of outstanding payments., • Prepare regular reports on refunds, under/over payments., • Stay updated on changes in healthcare regulations and coding guidelines. *NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position. Other Essential Tasks/Responsibilities/Abilities • Must be consistent with Femwell’s core values., • Excellent verbal and written communication skills., • Professional and tactful interpersonal skills with the ability to interact with a variety of personalities., • Excellent organizational skills and attention to detail., • Excellent time management skills with proven ability to meet deadlines and work under pressure., • Ability to manage and prioritize multiple projects and tasks efficiently., • Must demonstrate commitment to high professional ethical standards and a diverse workplace., • Must have excellent listening skills., • Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures., • Must maintain compliance with all personnel policies and procedures., • Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members., • Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position. Education, Experience, Skills, and Requirements • Bachelor's degree preferred., • Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management., • Strong knowledge of healthcare regulations and insurance processes., • Knowledgeable in change control., • Proficiency with healthcare billing software and electronic health records (EHR)., • Knowledge of HIPAA Security preferred., • Hybrid rotation schedule and/or onsite as needed., • Medical coding (ICD-10, CPT, HCPCS), • Claims management (X12), • Revenue cycle management, • Denials management, • Insurance verification, • Data analysis, • Compliance knowledge, • Comprehensive understanding of provider reimbursement methodologies, • Billing software proficiency

Ready to lead with impact? TeamHealth is seeking a dynamic and dedicated medical director to launch and lead our brand-new OB/Gyn hospitalist program at HCA Florida Mercy Hospital in Miami, Florida. We're offering competitive compensation plus a limited-time $30k sign-on bonus when you commit to 6 to 8 shifts per month and start on or before March 1, 2026. In this pivotal role, you'll oversee a skilled team of OBGYN physicians and drive excellence in women's healthcare for the community. As medical director, you'll partner with seasoned clinical and operational leaders who bring extensive experience in building and supporting successful OB/Gyn hospitalist programs. With comprehensive leadership onboarding and training, this is the perfect opportunity to grow and succeed. You'll also have access to a strong support system, robust development resources, and a national network of OBGYN professionals to help you thrive. Ready to take the next step in your leadership journey? Apply today or contact us to learn more about this rewarding opportunity in Miami, Florida. California Applicant Privacy Act: Position Highlights: • Earn a $30k sign-on bonus (limited time offer) when you commit to 6 to 8 shifts per month and start on or before March 1, 2026, • Competitive compensation plus medical director stipend, • Enjoy true work-life balance and schedule flexibility; work 6 to 8, 24-hour, in-house shifts per month, • Access CME, and opportunity to lead the onsite team drills and simulation training for continued growth, • Responsibilities include labor and delivery management, coverage for unassigned OB patients, and in-house support for general OB and emergent GYN, • 24/7 in-house anesthesia and Level 3 NICU support, • Upgraded L&D and postpartum units, • New 25-bed NICU with private spaces and ocean views, • No billing or coding responsibilities, • Clinical leadership support and a collaborative team environment, • Access to TeamHealth's national network of OB/GYN hospitalists, • Employee status with a full benefits package including well-being resources, and CME allowance, • Professional liability insurance including tail coverage

Job Description About Prevail Legal A well-funded startup founded in San Francisco, our workforce includes a diverse collection of individuals located across the country. Our first-of-its-kind platform combines secure video conferencing with a collection of intuitive tools developed for conducting remote, in-person, and hybrid legal proceedings. By maintaining a dynamic work environment where employees collaborate and grow, we aim to modernize and transform the processes involved in court reporting, testimony management, trial preparation, use of video evidence, and more. Join us in disrupting the legal industry and beyond while working alongside our talented team! About the Position: We are seeking proactive and experienced individuals who are passionate about full-stack development. As a Senior Full Stack Developer, you will be instrumental in building end-to-end solutions, co-writing technical documentation for new features, and working with both object-oriented and functional programming paradigms. This role involves significant collaboration in a remote environment. To be successful in this role, you must have a strong understanding of git/source control and familiarity with Gen-AI tools and their practical applications in development workflows. This position is fully remote and reports to the Chief Technology Officer.Required Qualifications: • Minimum 3-5 years of Ruby on Rails experience, • Minimum 7+ Coding experience, • Familiarity with Gen-AI tools and their practical applications in development workflows, • Ability to build end-to-end solutions with minimum coupling, • Strong understanding of git/source control, • Comfortable working with and understanding both object-oriented and functional programming paradigms, • Ability to co-write technical documentation with AI/familiarity, • Experience working with DockerPreferred Knowledge:, • Experience working with WebRTC, • Experience writing performant JavaScript preferably Stimulus, Hotwire, or Importmaps, • Experience with asset optimization techniques, • 2+ years Postgres, • Working knowledge of AWS and KubernetesIdeal Candidate:, • Passion for programming, • Experience spearheading projects from start to finish, • Has a quiet and clean place to work from home, • Strong work ethic, + experience with small-size teams, • Strong communication and positive attitude, • Experience mentoring junior developers, • Experience working in a remote environmentBenefits:, • Comprehensive medical, dental, vision, and 401(k) plans, • PTO, including vacation and company holidays, • Generous continuing education allowance, • Employee stock option plan, • Remote-first workplace

Job Description Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: • Promotes, develops, and fosters the mission, vision, and values of National Health Transport Inc., • Provides the highest level of customer service to a wide variety of internal and external customers, • Manage and maintain National Health Transport Inc. billing processes., • File complaints with the appropriate payer or their governing authority., • Identify and separate denials by code and payer, • Follow through with payers correspondence in a timely manner., • Review account status routinely as required for each payer type; minimum of 20 days., • Identify recurring denials and make necessary system changes to resolve them., • Assist customers with their account information., • File supplement or secondary insurance upon request of the patient., • Work with Respond Billing software to ensure the most efficient billing process., • Directs patient complaints to the Billing Operations Supervisor for completion and filing., • Manages workload in an ethical manner and within the intent of federal, state, and local laws and in alignment within National Health Transports Billing Protocols and Procedures., • High School Graduate/GED, • Medical coding training and experience, • Familiar with Medicare/Medicaid laws and billing, • Certified Ambulance Coder helpful Required Shifts/Schedule: Hours must be flexible to meet the demands of the office, but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote. Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein. Powered by JazzHR J9LV7lLZPg

Job DescriptionSalary: Senior Art Director Creative + AI Expertise What's The Deal? Fast-paced boutique advertising agency in the vibrant Midtown District of sunny Miami, Florida, is looking for a Senior Art Director with a passion for design and a strong interest in AI innovation. At WMX, we believe creativity and technology go hand in hand. If youre excited about leading bold design work while exploring how AI can enhance the creative process, this is the opportunity for you. Job Description: The Senior Art Director must have a strong foundation in branding, visual design, and user experience. Youll lead projects that span digital and print, bringing ideas to life with originality and precision. What makes this role special is the opportunity to integrate AI tools into the workflow. From concept generation and prototyping to production and optimization, youll help shape how WMX blends human creativity with AI to deliver powerful, innovative work. Responsibilities: • Lead and refine user-centered design processes across projects., • Partner with the marketing team, project managers, and Creative Director to deliver impactful campaigns., • Maintain and evolve client brand guidelines, incorporating AI tools for scalability and efficiency., • Direct deliverables across multiple projects, ensuring work is on time, on budget, and on-brand., • Experiment with and adopt AI-powered tools to streamline research, spark creativity, and improve workflow., • Mentor and coach designers, encouraging a culture that embraces innovation while maintaining craft and quality., • Keep up with design and AI trends, proactively suggesting new approaches to elevate our creative work. Requirements: • 5+ years of experience in UX/UI, visual design, or art direction., • Hands-on experience with AI creative tools (MidJourney, DALLE, Adobe Firefly, Runway, or similar)., • Expert level proficiency with Adobe CC (Photoshop, Illustrator, Animate, and InDesign) Adobe, and Google Web Designer a plus, • Skilled with HTML, CSS, PHP & JavaScript a plus, • HTML coding and development for Email using responsive design and email coding best practices, • High proficiency with WordPress and WooCommerce, • A powerful portfolio of creative work that demonstrates originality, innovation, problem-solving, and personal expression, ideally including AI-enhanced work., • Expert-level proficiency with Adobe CC (Photoshop, Illustrator, and InDesign), • Proficiency in Adobe XD, Animate, or Google Web Designer a plus, • A compelling design portfolio with examples of UI/UX, Visual Design, Branding, Presentation Decks, Graphic Design, Print, and information visualization, ideally including AI-enhanced work., • Experience across digital channels, • Demonstrated ability to manage multiple projects simultaneously, set priorities, utilize resources, identify and address problems, meet deadlines, and stay within budget, • Highly motivated and a high level of initiative; ability to work independently, in support of the agencys creative goals and the clients business objectives, • Exceptional at your craft and a critical project owner, • A fascination with innovation and technology, • Bachelors degree in Graphic and/or Web Design, or equivalent professional experience, • Hospitality and Travel experience a big plus Who are we exactly? WMX, founded in 1999 and based in Miami, Florida, is a full-service marketing agency. Our list of clients includes hotel chains, airlines, cruise lines, and rental car companies, to name a few. Yes, if it wasnt obvious on that list, we really like travel; its what we love to do and one of our strengths. Today, were excited to take creativity further by blending design expertise with the possibilities of AI. WMX offers all employees a generous benefits package. Medical, vision, dental, short-term disability, long-term disability, and basic life insurance monthly premiums are 100% paid for employee-only coverage. Family plans for children and spouses are available at competitive pricing. Benefits also include 15 PTO days annually, which increase each year, a 401k, paid holidays, Summer Fridays, and an amazing company culture. Job Type: Full-time FLSA Classification: Exempt Salary commensurate with experience Hybrid position: Combination of office-based and work from home. Only Local Miami / South Florida Candidates should apply. --- NO RECRUITERS PLEASE. --- Please take a look at our company culture on our Instagram account:

Job Description Position Title: Collector – Third-Party Payor Denials & Collections Reports To: Revenue Cycle Manager / Director of Operations Location: [Insert Location / Hybrid – occasional work-from-home] Employment Type: Temporary (with potential for Full-Time, Permanent Placement) Position Summary We are seeking an experienced Collector to join our team on a temporary basis, with the opportunity to transition into a full-time permanent position based on performance and business needs. This role focuses on third-party payor denials and collections, requiring expertise in contract interpretation, billing codes, and compliance with state and local regulations. The ideal candidate will be highly organized, detail-oriented, professional, and possess excellent work ethics. They should demonstrate a collaborative team spirit and have a solid understanding of medical terminology. This position also offers occasional flexibility to work from home. Please note: All offers of employment are contingent upon the successful completion of a background check and drug testing. Key Responsibilities • Review, analyze, and resolve third-party payor denials and underpayments to maximize reimbursement., • Interpret payer contracts and guidelines apply to appeal inappropriate denials., • The ideal candidate must have the ability to work closely with Registered Nurses (RNs) and collaborate on denial cases, providing recommendations and developing plans of action to resolve issues effectively. “Leverage knowledge in contract interpretation and (CPT, ICD-10, HCPCS, DRG) to validate claims and support appeals., • Draft and submit appeal letters with appropriate documentation in compliance with payor standards., • Ensure compliance with state and local billing regulations in all collection activities., • Collaborate with billing, coding, and case management staff to identify denial trends and improve processes., • Maintain accurate and timely documentation of collection activities in billing systems., • Support A/R management efforts, including aging analysis and denial tracking., • Stay updated on payer policy changes, regulatory updates, and industry best practices., • Promote teamwork and professional collaboration within the revenue cycle department.Company DescriptionExcel HealthCare Receivable Management & Consulting Corp. (“Excel”) is a specialized healthcare consulting firm dedicated to helping hospitals, physician groups, and healthcare systems optimize their revenue cycle operations. With proven expertise in Accounts Receivable reviews, denials management, appeals, and collections, we partner with providers to reduce revenue leakage, improve cash flow, and strengthen compliance with payer regulations. At Excel, we pride ourselves on integrity, transparency, and measurable results. Our approach combines deep industry knowledge, attention to detail, and hands-on consulting to ensure clients receive the highest level of support. We work closely with providers and clinical teams, including RNs and case management, to resolve denials, recommend corrective action, and implement sustainable revenue cycle improvements. As we continue to expand, we are seeking passionate professionals who share our commitment to excellence, teamwork, and making a meaningful impact in healthcare finance.Excel HealthCare Receivable Management & Consulting Corp. (“Excel”) is a specialized healthcare consulting firm dedicated to helping hospitals, physician groups, and healthcare systems optimize their revenue cycle operations. With proven expertise in Accounts Receivable reviews, denials management, appeals, and collections, we partner with providers to reduce revenue leakage, improve cash flow, and strengthen compliance with payer regulations.\r\n\r\nAt Excel, we pride ourselves on integrity, transparency, and measurable results. Our approach combines deep industry knowledge, attention to detail, and hands-on consulting to ensure clients receive the highest level of support. We work closely with providers and clinical teams, including RNs and case management, to resolve denials, recommend corrective action, and implement sustainable revenue cycle improvements.\r\n\r\nAs we continue to expand, we are seeking passionate professionals who share our commitment to excellence, teamwork, and making a meaningful impact in healthcare finance.

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Dental insurance We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters mostpatient care. We're seeking a highly motivated and experienced Assistant Manager of Revenue Cycle Management (RCM) to join our leadership team and help us continue delivering exceptional results to our clients across the country. Job Overview As the Assistant Manager of Revenue Cycle Management, you will lead the end-to-end billing operations, optimize workflow efficiency, and oversee a high-performing RCM team. You'll be responsible for managing key functions such as claims submission, payment posting, denial management, and A/R follow-up across multiple specialties and client accounts. Key Responsibilities • Oversee and manage the full revenue cycle process, from patient registration through final payment., • Develop and implement policies, procedures, and performance metrics to ensure efficient and accurate billing processes., • Lead, mentor, and evaluate the performance of the RCM team., • Monitor KPIs including DSO, denial rates, and collection percentages, and proactively address areas of concern., • Collaborate with internal departments and external clients to troubleshoot complex billing issues., • Stay current on healthcare regulations, payer policies, and industry best practices., • Drive continuous improvement through data analysis, automation opportunities, and workflow redesign. Qualifications • Certified Coder (preferred) Bachelors degree in Healthcare Administration, Business, or related field (Masters preferred)., • 5+ years of progressive experience in medical billing and revenue cycle management., • Proven leadership experience in a dynamic, high-volume billing environment., • Strong knowledge of commercial and government payer guidelines, CPT/ICD-10 coding, and compliance requirements., • Excellent analytical, communication, and problem-solving skills., • Experience with medical billing software (e.g., Kareo, eClinicalWorks, Greenway-Intergy, Athenahealth, or similar platforms)., • Ability to thrive in a fast-paced, client-focused environment. Why Join Us? • Competitive salary, • Opportunities for growth and professional development, • Supportive and collaborative company culture, • Impactful work that makes a real difference for healthcare providers and patients Ready to lead the charge in revenue optimization and operational excellence? Apply today and help us redefine the future of medical billing.

Job Description Job Title: Medical Billing & Coding Specialist Company: Pinnacle Wound Management Employment Type: Full-Time Location: This is an on-site location in Gainesville, GA About Us: At Pinnacle Wound Management, we are dedicated to improving the lives of patients through high-quality wound care delivered by expert physicians, nurse practitioners, and physician assistants. As a growing leader in this specialized healthcare field, we’re looking for a detail-oriented and proactive Medical Billing & Coding Specialist to join our administrative team and ensure accurate, timely, and compliant billing operations. Position Overview: The Medical Billing and Coding Specialist will be responsible for reviewing clinical documentation, assigning appropriate diagnostic and procedural codes, and submitting claims to insurance companies. This role plays a vital part in our revenue cycle and overall patient experience. Key Responsibilities: * Review and accurately code medical procedures, diagnoses, and treatments using ICD-10, CPT, and HCPCS codes * Prepare and submit clean claims to insurance companies both electronically and by paper * Follow up on unpaid or rejected claims and resolve billing issues * Ensure compliance with HIPAA and other federal regulations * Collaborate with clinical staff to clarify documentation and improve coding accuracy * Maintain up-to-date knowledge of billing regulations and payer guidelines Qualifications: * Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required * 2+ years of medical billing and coding experience (specialty experience a plus) * Strong knowledge of insurance guidelines, including Medicare and Medicaid * Proficiency with electronic medical records (EMR) and billing software * Excellent attention to detail and organizational skills * Ability to handle confidential information with discretion Why Join Us? * Opportunity to be part of a mission-driven team making a direct impact on patient care. * Supportive and collaborative work environment. * Competitive salary and benefits package.

Job Description Clinical Data Abstractor - Oncology - Part Time United States Join Our Team as a Clinical Data Abstractor at Carta Healthcare! Company: Carta Healthcare Inc. Position: Flexible Schedule Clinical Data Abstractor Location: 100% Remote (Non-Benefit Position) Are you experienced in clinical data abstraction? Carta Healthcare Inc. is seeking talented individuals to join our growing team as Part-Time Clinical Data Abstractors! Position Overview: Join our team at Carta Healthcare, where we offer opportunities for experienced clinical data abstractors. We offer a flexible work schedule that allows for a balanced work-life experience. About Us: At Carta Healthcare, we are revolutionizing the way healthcare data is managed and used with innovative software solutions. Position Overview: As a Part-Time Clinical Data Abstractor, you will be responsible for abstracting and coding patient information from medical records to meet the requirements of various target registries. What We're Looking For: • Current Oncology Data Specialist (ODS) certification, • Minimum of 3 years of recent clinical data abstraction experience in a hospital setting (or equivalent), • Proficiency with EMR systems and multiple cancer registry software applications, • Familiarity with reporting requirements for ACS CoC, NPCR and SEER, • Maintain a 98% or higher IRR score, • Previous remote work experience preferred, • Available for a minimum of 60 abstraction hours monthlyWhy Join Us?, • Flexible part-time hours non-benefit -W2 employee, • Hourly rate $34-$38, • 100% remote, • Laptop provided for Carta abstraction In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. All applicants are required to reside within the continental United States. Carta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other. As such, we are an Equal Opportunity Employer. #LI-Remote #BI-Remote

Job Description • Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries., • Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of stay. Recommends appropriate payments of dispute of billing, as necessary., • Provides second review of bills on which providers question the appropriateness of payments authorized., • Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary., • Trains and assists claims staff on quality health care cost containment and utilization reviews.Company DescriptionLeading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down. We are building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through our experience in the healthcare industry, the company aims to improve healthcare outcomes, achieve cost savings and serve as a single point of contact to move into value-based care.Leading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down.\r\n\r\nWe are building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through our experience in the healthcare industry, the company aims to improve healthcare outcomes, achieve cost savings and serve as a single point of contact to move into value-based care.

Job Description Medical Biller with Experience in Electronic Claims Medical Billing & Payment Posting of Claims, Process Collection for Denial of Claims, Knowledge of CPT and ICD-10 coding. for an Orthotics and Prosthetics Company Preferred, Bilingual is important. Company DescriptionWe are an O & P Medical Company, we service patients for orthotic and prosthetic needs, We have been servicing miami dade since 1974We are an O & P Medical Company, we service patients for orthotic and prosthetic needs, We have been servicing miami dade since 1974

Job Description Overview Plans, develops, and administers health information system for health care facility consistent with facility policies and procedures and standards of accrediting and regulatory agencies by performing the following duties personally or through subordinate supervisors. Essential Duties and Responsibilities: • Directs activities of staff related to reviewing medical case histories; coding diseases and treatment procedures; filing, withdrawing, issuing, and maintaining case files; and interpreting and editing patient files and forms., • Creates digital copies and stores the records electronically and accurately., • Answers inquiries relating to information contained in patients' charts., • Responds to subpoenas for medical or clinical records., • Safeguards patient records, ensuring it is HIPPA compliant., • Perform other duties as assigned by supervisor.Required Skills/Abilities:, • Excellent verbal and written communication skills., • Excellent customer service skills., • Excellent organizational skills and attention to detail., • Proficient with Microsoft Office Suite or related software.Education and Experience:, • High School diploma or equivalent required., • Medical records or related medical office experience: Minimum 1 year (Required), • EMR systems: Minimum 1 year (Required)Physical Requirements:, • Prolonged periods of sitting at a desk and working on a computer., • Must be able to lift up to 10 pounds at times.Starting Pay: $17.00 - $19.00 per hour (negotiable based on experience) Benefits: • Health insurance, • Dental insurance, • Vision insurance, • Life insurance, • Disability insurance, • 401(k), • Employee assistance program, • Flexible spending account, • Paid time off, • Paid holidaysSchedule:, • 8 hour shift, • Day shift, • Monday to Friday Work Location: In person Palm Medical Centers is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time. Powered by JazzHR FkZfafWL3v

Job Description Location: On-Site 4 days per week at our Menlo Park, CA or Princeton, NJ office About Summit: Ivonescimab, known as SMT112, is a novel, potential first-in-class investigational bispecific antibody combining the effects of immunotherapy via a blockade of PD-1 with the anti-angiogenesis effects associated with blocking VEGF into a single molecule. Ivonescimab displays unique cooperative binding to each of its intended targets with multifold higher affinity when in the presence of both PD-1 and VEGF. Summit has begun its clinical development of ivonescimab in non-small cell lung cancer (NSCLC), with three active Phase III trials: • HARMONi is a Phase III clinical trial which intends to evaluate ivonescimab combined with chemotherapy compared to placebo plus chemotherapy in patients with EGFR-mutated, locally advanced, or metastatic non-squamous NSCLC who have progressed after treatment with a 3rd generation EGFR TKI (e.g., osimertinib)., • HARMONi-3 is a Phase III clinical trial which is designed to evaluate ivonescimab combined with chemotherapy compared to pembrolizumab combined with chemotherapy in patients with first-line metastatic NSCLC. Overview of Role: We are looking for an experienced Associate Director, Clinical Data Management that will contribute to and support the company's research and development efforts to create high value therapeutics to address unmet medical needs.?The Associate Director, Clinical Data Management independently leads the data management components of a clinical trial ranging from small early phase to large global and late phase programs. This role will direct the planning, implementation and overall direction of executing/achieving clinical trial data management activities including CRF/eCRF design, database development, validation programming, data review, discrepancy management, and database lock. Additionally, the position will manage data management staff, Contract Research Organizations (CROs) and service providers' activities in overseeing the data management process life cycle in coordination with internal Biostatistics, Clinical, and Regulatory teams to ensure the accurate, efficient, and complete data collection for clinical trials. Role and Responsibilities: • Provide expertise and contribute to the strategy and development of the Clinical Data Management Portfolios to ensure data quality in support of clinical study data milestones and deliverables, • Lead and support establishment of systems and processes to help ensure clinical data security, integrity, and long-term goals of the business function, in alignment with company priorities, • Leads the data management of overall drug development process with early and late phase clinical trials in large or complex development program(s), • Provides technical expertise to develop and implement clinical data standards, data management plans, data transfer agreements, and data flow processes to ensure timely and quality data delivery for analysis purpose, • Oversees the process to identify, evaluate and select CROs, vendors and technology for CDM activities, • Leads, designs and/or oversees eCRF design, eCRF specifications, eCRF completion guidelines, annotated CRFs, User Acceptance Testing, query logic, edit checks, data query resolution, SAE reconciliation between clinical and pharmacovigilance databases, vendor data reconciliation & cleaning, data migration and database closeout for clinical trials, • Represents Data Management and promotes productive collaboration with other functions (e.g., Clinical Operations, Clinical Development, Biostatistics, Statistical Programming, Translational Science, Project Management, Regulatory, QA, and IT) to ensure proper alignment around data management activities & deliverables, operational excellence, compliance with regulations, policies, procedures, and clinical objectives, • Supports cross functional teams and studies to handle data management questions, troubleshoot, help resolve issues and mitigate risks. Initiates continuous efforts in reviewing and identifying best practices among study teams and enforcing standardization among teams and studies, • Works with the Director of Clinical Data Science (CDS) to enhance efficiency, optimize costs, and drive excellence, • Works with the Director of Clinical Data Science to establish CDM processes and procedures including SOPs to ensure highest data quality/integrity/security and regulatory. compliance with FDA regulations, GCP, ICH guidelines and Good Clinical DM Practices., • Leads clinical data management activities during regulatory audits, ensuring compliance with industry standards and regulations, and providing expert input throughout the audit process, • Works with the Head of Statistical Programming & CDS to manage departmental budget and execute resource planning across multiple projects, • Works with the Director of Clinical Data Science to provide oversight and guidance, as well as establish key performance metrics with CROs to ensure the highest data quality/integrity and regulatory compliance, • Accommodate ad hoc data requests between clinical team members, scientists, and vendors to support data cleaning, data entry requirements and exploratory data review if needed, • Uses scientific and drug development knowledge to anticipate and mitigate data management-related challenges during clinical trial execution, • Reviews and contributes to clinical protocols and amendments, study manuals, and other study conduct related clinical documents; review clinical data according to these documents, • Bachelor’s degree in Life Sciences, Computer Science, or relevant field of study; or equivalent practical experience, • A minimum of 10+ years of Clinical Data Management experience (oncology experience highly desirable) in biotechnology or pharmaceutical industry with excellent understanding of late phase clinical drug development processes required, • Experience with various data collection and Electronic Data Capture (EDC) systems and understanding of the MedDRA and WHODRUG coding processes, • Strong track record of line management and supervisory experience of CDM staff, shown leadership skills to lead and inspire CDM staff including consultants, • Excellent interpersonal, communication, and leadership skills, • Consistent, detail oriented, communicative, dedicated to do a job well done, • CRO and vendor oversight experience preferred Summit does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact Summit’s Talent Acquisition team at to obtain prior written authorization before referring any candidates to Summit.

Job Description Our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of. With over 11,000 at-risk members, we provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve. Every day, we deliver on our promise to bring value based, quality healthcare to our patients. Overview The Certified Outpatient Medical Risk Adjustment Professional Coder is responsible for reviewing encounter notes and other supporting documentation and assigning diagnosis codes and procedure codes to create claims. Also, responsible for assigning appropriate level II codes to quality measures for HEDIS reporting. Follows official coding guidelines and insurance regulations. It is critical for the Certified Outpatient Medical Risk Adjustment Professional Coder to have knowledge of Medicare Risk Adjustment Methodology, HEDIS, CMS coding guidelines, and coding/documentation and billing standards and regulations. THIS POSITION MAY REQUIRE TRAVEL TO OTHER LOCAL MEDICAL CENTERS. Duties & Responsibilities • Conducts workflows in Coding and Quality processes, medical record completion and department projects for accuracy in medical record documentation as needed., • Ensures proper code selection for compliance with ICD-10-CM Official Guidelines for Coding and Reporting., • Educates physicians on proper documentation and compliance., • Reviews medical record to include consultations (inpatient and outpatient) and hospital discharge summaries to ensure continuity of care and continued coding for accurate risk adjustment., • Performs pre-post audits to ensure medical record completeness, consistency, and compliance., • Works collaboratively with medical and supporting staff to follow-up on documentation needs to support the diagnosis and quality measures based on patient age and chronic conditions., • Uses only pre-approved source documents as validation for recommendations on documentation that meets the technical specifications in support of a measure., • Develops and maintains professional skills and knowledge through training programs including education sessions for ICD-10-CM and CPT codes., • Demonstrates a thorough understanding of Coding Guidelines., • Demonstrates understanding of company policies which impact Coding functions and takes ownership for compliance for own area of responsibility., • Collaborates with Supervisor as necessary to clarify and verify information. Reports opportunities identified in concurrent and retrospective clinical documentation to support quality, regulatory compliance, and effective coding., • Participates in department meetings. Consistently demonstrates awareness and willingness to fulfill Service Excellence Commitments., • Works collaboratively with team members, other departments, and clinical staff consistent with the Mission and Vision of the company., • Willingly performs similar or related tasks as assigned., • Assists in teaching any office staff and/or providers in proper documentation and coding guidelines as necessary., • Reports any issues to Quality, Compliance and Operations as necessary., • Accurately enters all identified and validated procedures codes in claims into the practice’s EMR., • Assists in all RAPS submission projects as they occur if needed., • High school diploma or equivalent required., • Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) through AAPC or AHIMA., • 2 years of experience as Certified Professional Coder at minimum., • Proficient in assigning ICD-10-CM codes according to provider documentation level to comply with federal regulations and insurance requirements., • Computer skills, Word, Excel, HER., • Excellent verbal and written communication skills., • Excellent customer service skills., • Excellent organizational skills and attention to detail., • Ability to effectively present information in one-on-one situations to providers, office staff, insurance companies, and other employees., • To perform this job successfully, an individual must have knowledge of Microsoft Word, Excel, Internet software, Email software, and insurance web sites. The employee must have close vision ability. While performing the duties of this job the employee is regularly required to sit, use hands and arms, talk, and hear. Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 10 pounds at times. Benefits: • 401(k), • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • 8 hour shift, • Day shift Palm Medical Centers is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time. Powered by JazzHR VzwszUnnyB

Job Description What is the role? MerusCase offers a versatile, easy-to-use, cloud-based practice management solution for law firms. We are looking for a Software Engineer to join our MerusCase team. We are looking for PHP engineers who are interested in modernizing our tech stack to the latest serverless backend technologies along with React UI components. In this role, you will: • Develop new software product features and enhancements using SOLID design principles, • Produce clean, efficient, and maintainable code based on specifications, • Collaborate and partner with cross-functional teams such as Product Management and Customer Success to understand their needs and to come up with the best outcome, • Troubleshoot systems and customer issues and help in resolving those by identifying short-term and long-term solutions, • Increase the coverage of unit testing and automate the manual tasks whenever possible, • Actively participate in code reviews and create technical documentation, • Champion and demonstrate the best practices in day-to-day activities, • Lead various technical projects to elevate current products to the next level to handle the upcoming growth, • Support and develop software engineers by providing advice, coaching, and educational opportunities, • 3+ years' experience developing SaaS and/or eCommerce web applications, • BS in Computer Science or equivalent, • Proficiency with modern multi-paradigm languages; knowledge of PHP (preferred), Ruby, Java, Python, etc., • Demonstrable experience with ES6 and Typescript, • Knowledge of modern browser-based UI development with frameworks such as React and/or Angular, • Experience of any cloud environment (AWS preferred), • Experience in a relational database management system (MySQL preferred) and data modeling, • Self-motivated and passionate about learning, • Solid written and verbal communication skills, • Growth mindset, desire to learn and adopt new technologies, • Excellent analytical and problem-solving skills, • Competitive salary, • Paid vacation + sick and parental leave, • Remote working flexibility, • Company culture that encourages work / life balance, • 100% paid PPO medical, dental, and vision insurance, 401k matching, equity grants

Job DescriptionTTF is recruiting for DRG Auditors who have worked in Inpatient Revenue Integrity to work remotely for a company based out of the Southwest. We are seeking individuals with experience in CDI with either CCDS, CCS, or RHIT certifications. This is a full-time, direct-hire role, where you can work anywhere in the United States. The starting salary is $46-$52/hour and comes with full benefits. Qualified candidates must have: • CCDS, CCS, RHIT certifications, • Five years acute care coding experience TTF is a healthcare search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields. The TTF Coding and HIM Division partners with healthcare organizations nationwide to match top talent in the Coding and HIM industry with organizations that want to hire the best talent. We place Remote Coders, Coding Managers, Coding Directors, and ICD10 Certified Trainers on a contract and direct-hire basis. Our goal is to offer outstanding opportunities to talented coders and coding professionals with RHIT, RHIA, CCS, CPC, and other coding certifications. #IND1

Job Description SUMMARY: Contribute to the company success by completing follow ups and collection for multi-specialty pediatric patient services. We’re looking for a dedicated individual to deliver outstanding customer service to our guarantors by addressing inquiries related to medical bills and ensuring a positive experience. In this role, you will work closely with our medical billing and coding teams, playing a key part in our revenue cycle management process. Your focus will be on providing accurate, timely responses to guarantor statements ensuring a positive experience DUTIES AND RESPONSIBILITIES: • Medical insurance A/R follow up, work on denials and appeal claims with insurance carriers., • Identify medical coding and billing errors from EOB’s and work with appropriate team to correct them., • Monitor insurance claims and contact insurance companies to ensure timely reimbursement., • Greet callers in a professional manner., • Respond to emails promptly and professionally., • Provide detailed information regarding medical bills., • Review claims within Athena and rebill claims as necessary., • Maintain patient accounts by obtaining, recording, and updating personal and financial information., • Verify healthcare insurance information., • Process payments and establish payment plans., • Contribute to team efforts by achieving department goals and metrics., • Review and manage self-pay AR worklist within Athena., • Address and resolve customer complaints, concerns, and inquiries in a timely manner., • Build effective relationships with customers, educate them about Kidz Medical Services, health insurance plans, and benefits such as deductibles, co-insurance, and copays., • Maintain patient care confidentiality., • Perform other related duties as assigned by management, • QUALIFICATIONS:, • High school diploma or equivalent., • Minimum of 1 year of related experience., • Excellent customer service, verbal, and written communication skills., • Exceptional organizational skills, with the ability to manage priorities and workflow., • Proficiency in understanding and following written and verbal instructions., • Bilingual., • Acute attention to detail and adaptability to changing priorities. Our team members enjoy a competitive compensation package. Benefits include: • Medical, dental, vision, life, and disability insurance, • 401(k) and profit sharing, • PTO and paid holidays, • Full-time position located in our business office in Coral Gables/South Miami., • Flexible schedule around the core hours 8:00 – 4:00 Monday – Thursday and Friday 8:00 - 2:00, • Paid Parking ABOUT US: KIDZ Medical Services (KIDZ) is a private, physician-owned and university affiliated medical group specialized in providing pediatric, neonatal and obstetrical healthcare. KIDZ is proud and privileged to have served the South Florida community since 1988, in partnership with the leading health systems in our region. KIDZ is committed to providing high quality, cost-effective, and compassionate medical care using evidence-based tools, a proficient level of training and education, clinical research, and state-of-the-art medical technology. Our team provides services throughout the continuum of care, both in hospital and office-based settings across 15+ pediatric subspecialties. Please visit our website at for more information on our services.

Job DescriptionJoin Our Team as a Clinical Data Abstractor at Carta Healthcare! Company: Carta Healthcare Inc. Position: Flexible Schedule Clinical Data Abstractor Location: 100% Remote (Non-Benefit Position) Are you experienced in clinical data abstraction? Carta Healthcare Inc. is seeking talented individuals to join our growing team as Part-Time Clinical Data Abstractors! Join our team at Carta Healthcare, where we offer opportunities for experienced clinical data abstractors. We offer a flexible work schedule that allows for a balanced work-life experience. About Us: At Carta Healthcare, we are revolutionizing the way healthcare data is managed and used with innovative software solutions. Position Overview: As a Part-Time Clinical Data Abstractor, you will be responsible for abstracting and coding patient information from medical records to meet the requirements of various target registries. What We're Looking For: • Minimum of 1 year of recent clinical data abstraction experience, • Proficiency with EMR systems, • Maintain a 98% or higher IRR score, • Previous remote work experience preferred, • Available for a minimum of 60 abstraction hours monthlyWhy Join Us?, • Flexible part-time hours non-benefit - W2 employee, • Hourly rate $28-$32, • 100% remote Carta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other. As such, we are an Equal Opportunity Employer. #LI-Remote #BI-Remote

Job Description Fast paced Medical Billing company looking for experienced Medical Billing and Insurance Collector ( >2 years). Must have knowledge of medical appeal guidelines, including Medicare. Need to be proficient with ICD-10 and coding guidelines. Good benefits such as; paid vacation, paid holidays, 401K, health benefits . Job Type: Full-time Experience: • Electronic claim filing, • Posting payments (EOB's and ERA's, • Work Rejections, • Work Denials, • Insurance Portal Follow Up, • A/R follow up and collections on outstanding AR (Insurance Aging)

Job DescriptionDescription: Description TRAX USA Corp is seeking a highly motivated Java Developer. The Java Developer role includes creating user information solutions by developing, implementing, and maintaining Java based components and interfaces. This position requires a person who can independently design, develop, and implement solutions as per the use case descriptions and design specifications. Responsibilities: • Consults with the supervisor, systems analysts, other programmers, and end users to gather information about program intent, functions, features, data requirements, input requirements, output requirements, internal and external checks and controls, hardware and operating system environment, and interfaces with other systems., • Designs or writes program specifications based on consultations with supervisor, systems analysts, other programmers, and end users., • Converts designs and specifications into computer code., • Compiles code into programs and corrects errors detected in compile process., • Creates test transactions and runs tests to find errors and confirms program meets specifications., • Analyzes code to find causes of errors and revises programs., • Designs and codes layouts for onscreen user interfaces, printed outputs, and interfaces with other systems., • Review user and technical documentation written by others to confirm consistency with program operations., • Provides technical assistance by responding to inquiries regarding errors, problems, or questions with programs., • Revises program for corrections, enhancements, or system environment changes., • Coordinates with other programmers about program revisions., • Modifies and maintains software programs written by others, • Understand and analyze details provided in the use case, • Understand and analyze process flow diagrams (business process workflow), • Estimate effort for technical analysis, design and development, • Develop software using J2EE design patterns with emphasis on reusability, • Must adhere to coding standards and design specifications, • Analyze and resolve technical issues independently, • Conduct peer code reviews, and perform unit testing using JSF 2.xRequirements: Requirements: • Hands on experience in developing Java applications, • Experience using JSF 2.x is mandatory, • Strong, in-depth software development experience using Java, • Skills: Java, J2EE, JSF 2.x, EJB 3.x, JPA (Hibernate), Prime Faces 5.x, Eclipse 4.x, Glassfish 4.x, Oracle 12c, • Strong understanding of Oracle RDBMS, Data models, SQL, • Experience in writing SQL statements, • Ability to estimate development effort and timely delivery of assigned work, • Ability to be proactive, self-motivated, detail-oriented, and creative, • Health Insurance (Medical, Dental and Vision), • Paid time off, • Eight national paid holidays, • Flexible spending account, • Parking fees are paid by the company, • 401k

Job DescriptionMedical Coder – Wound Care (Long-Term Care) About Us Pinnacle Wound Management is a physician-led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long-term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities. Key Responsibilities * Accurately review and code wound care services performed in long-term care and post-acute settings, ensuring compliance with ICD-10, CPT, HCPCS, and payer requirements * Code independently without reliance on a provider superbill, using clinical notes and documentation as the source of truth * Release daily coding batches to support timely revenue cycle processing * Code red-label (cellular tissue) products and ensure proper documentation of lot numbers and graft application details * Assist and work closely with the billing team to correct coding errors and resolve claim rejections/denials * Generate detailed coding reports and batch logs for submission to the Director of Operations * Collaborate with the billing and operations teams to reconcile coding discrepancies and ensure compliance * Monitor payer and CMS updates impacting wound care coding, documentation, and compliance * Maintain coding accuracy, productivity standards, and adherence to compliance regulations Qualifications * Certification strongly preferred: CPC (Certified Professional Coder), CCS, or equivalent * Minimum 2 years of experience in medical coding; wound care or long-term care experience highly preferred * Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines * Ability to code directly from clinical notes/documentation without superbill support * Experience coding cellular tissue/red-label products a plus * Proficient in generating coding reports, logs, and error correction documentation * Detail-oriented with excellent organizational skills and ability to manage coding batches daily * Comfortable working independently with minimal supervision What We Offer * Competitive compensation package * Opportunity to specialize in wound care and advanced procedures in the long-term care space * Supportive team environment focused on compliance and patient-centered outcomes

Job DescriptionRevenue Cycle Manager – Credentialing & Coding Pinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are looking for a Revenue Cycle Manager who thrives in a fast-paced healthcare environment. This role is essential in ensuring our providers are credentialed, compliant, and accurately coded for billing. If you are detail-oriented, coding-savvy, and passionate about compliance, we want to hear from you! What You’ll Do * Manage the credentialing and re-credentialing process for physicians and mid-level providers. * Maintain and update provider profiles across portals: CAQH, PECOS, NPPES, Availity, Navinet, PaySpan, CMS, and Managed Care Organizations. * Oversee payer enrollments, terminations, and demographic updates. * Track renewals for DEA licenses, board certifications, and malpractice insurance. * Review provider notes and assign accurate billing codes without relying on a superbill. * Monitor compliance with CMS, Medicare, Medicaid, and commercial payer requirements. * Identify workflow improvements to streamline credentialing and coding. What We’re Looking For * 3+ years of credentialing and revenue cycle experience in healthcare. * Medical coding experience required; coding certification preferred (CPC, CCS, or equivalent). * Ability to read provider notes and accurately code encounters independently. * Strong knowledge of Medicare, Medicaid, and commercial payer processes. * Familiarity with credentialing systems (CAQH, PECOS, NPPES, etc.). * Exceptional organizational skills and attention to detail. * Ability to prioritize multiple tasks and meet deadlines. Why Join Pinnacle? * Competitive compensation + benefits package. * Growth opportunities in a rapidly expanding healthcare organization. * Collaborative, mission-driven team environment. * Help shape compliance and coding processes that directly impact patient care. Benefits • 401k, • 401k matching, • Competitive pay, • Medical, dental, and vision insurance, • Paid time off, • Free parking, • No nights, no weekends, • Monday - Friday, 8 hour shift

Job Description WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong. Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER • Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from., • Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed. This IT Project Manager, Administrative and Revenue Cycle applications plays a pivotal role in ensuring the seamless integration of newly acquired healthcare facilities into the HSA Corporate health system's technology infrastructure. This individual oversees end-to-end IT project execution related to M&A activities, including due diligence, systems assessment, infrastructure alignment, and EMR/EHR onboarding. Working closely with leadership from IT, Revenue Cycle operations, compliance, and vendor partners, the Project Manager ensures timely, secure, and cost-effective technology transitions that align with organizational goals and regulatory requirements. The successful candidate will collaborate closely with the Administrative and Revenue Cycle IT Applications team to support system implementation initiatives across key operational workflows. Focus areas will include, but are not limited to: • User configuration and access provisioning, • Patient scheduling and registration workflows, • Health Information Management (HIM) and medical coding, • Case Management processes While the initial and primary focus of this role with be on large scale hospital acquisitions, this position is part of a dynamic and dynamic Project Management Office and, over time, may be assigned to lead or support other IT projects based on organizational needs, workload, and project volume. PRIMARY RESPONSIBILITIES • Develop and manage comprehensive project plans for IT systems integration, ensuring alignment with acquisition timelines and organizational objectives., • Develop and maintain detailed project plans, including schedules, milestones, resource allocation, risks, and mitigation strategies., • Track project performance, identify variances, and implement corrective actions as needed to ensure timely and on-budget delivery., • Work within a matrixed environment and large-scale implementation Program structure to iteratively deliver projects to meet the overarching goals of the organization and Corporate IT department., • Coordinating user access requirements during hospital ownership transitions, • Coordinating the implementation and integration of Hospital and Ambulatory front office applications including, but not limited to, MEDITECH, Formsfast, Experian, etc., • Coordinating the implementation and integration of Hospital and Ambulatory back office applications including, but not limited to, MEDITECH, FinThrive, RevSpring, Craneware, etc., • Collaborate with cross-functional teams, including IT, Revenue Cycle leadership, legal, compliance, and facility operations to ensure seamless transitions., • Manage vendor relationships related to transitional services, systems migration, and new technology deployments., • Ensure all IT activities comply with regulatory standards, such as HIPAA, and adhere to organizational cybersecurity protocols., • Track and report on project milestones, budgets, and resource utilization, providing regular updates to senior leadership., • Manage change control, testing coordination, go-live planning, and post-implementation support activities., • Coordinate change management and end-user training efforts, supporting smooth adoption of new systems, workflows, and overall operational readiness., • Document and standardize acquisition-related IT processes to streamline future integration efforts., • Provide project management support for additional IT or Administrative/Revenue Cycle projects as needed, based on organizational priorities and PMO resource planning. EXPERIENCE/EDUCATION REQUIREMENTS • Bachelor's degree in Healthcare Administration, Information Systems, or related field (Master's degree preferred)., • Minimum of 5 year of project management experience in a healthcare setting with a focus on Administrative and/or Revenue Cycle applications., • Hands-on experience with MEDITECH EHR is required, particularly in integration or optimization roles., • Previous experience managing large-scale, cross-functional projects in Administrative and/or Revenue Cycle environments. SKILLS/REQUIREMENTS • Proficient in healthcare IT standards including HL7, HIPAA, and security/privacy requirements., • Excellent project planning, coordination, and risk management skills., • Strong communication and stakeholder engagement abilities. Capable of working with Executives, IT staff, and vendors., • Ability to balance multiple priorities, navigate complex healthcare environments, and lead cross-functional teams., • Experience using project management tools (e.g. Microsoft Project, Smartsheet, Jira)., • PMP or similar project management certification preferred., • Ability to work independently, proactively resolve issues, and drive initiatives to completion.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Dental insurance, • Health insurance, • Paid time off, • Training & development Key Responsibilities: • Prepare and submit accurate claims and encounters to HMO plans in a timely manner., • Review encounters for accuracy and completeness before submission., • Verify patient and provider information, ensuring alignment with health plan requirements., • Resolve claim rejections or denials by researching and correcting errors promptly., • Maintain detailed records of submitted claims, payments, and outstanding balances., • Communicate with HMO plans regarding billing inquiries, discrepancies, or follow-ups., • Collaborate with internal teams to ensure documentation and coding compliance., • Monitor billing cycles to meet deadlines and avoid delays in payment., • Provide regular reports on encounter submissions, claim status, and collection progress., • Stay up to date on billing regulations, HMO plan policies, and industry best practices. Qualifications: • High school diploma or equivalent (Associates or Bachelors degree preferred)., • Minimum 2 years of medical billing experience, preferably with HMO plans., • Strong knowledge of medical coding, claims submission, and encounter processes., • Proficient in medical billing software and MS Office (Excel, Word, Outlook)., • Excellent attention to detail and accuracy., • Strong organizational and time management skills., • Ability to work independently and as part of a team., • Effective communication skills, both written and verbal.

Job Description Engineering Manager, Corporate Security (CorpSec) Full-time | Remote (US) Compensation: $230,850 + 15% bonus About the Role We’re seeking a hands-on engineering leader to drive endpoint and corporate security at scale. In this role, you’ll lead a team focused on securing user endpoints, enterprise applications, and network communications—balancing risk reduction with a seamless user experience. You’ll collaborate closely with corporate engineering teams to integrate security into core systems, design scalable solutions, and deliver a secure ecosystem that supports company growth. As an engineering manager, you’ll set the strategic vision, mentor your team, and stay close to the technology when needed—whether reviewing code, writing technical docs, or leading incidents. Tech stack: macOS, Chromebook, Golang, Python, Docker, AWS, GCP What You’ll Do • Design and implement security solutions for macOS, Chromebook, and mobile endpoints, • Oversee secure configurations, compliance, threat detection, and user enablement, • Integrate endpoint, SaaS, and data security into corporate engineering initiatives, • Mentor, guide, and scale a high-performing security engineering team, • Lead hiring and build team culture aligned with company values What We’re Looking For • 7+ years of combined software and security engineering experience, • 5+ years of securing endpoints (macOS, Chromebook) and SaaS applications at scale, • 5+ years of engineering management experience, • Strong coding background and commitment to high-quality engineering practices, • Execution-focused mindset with ability to balance long-term vision and short-term results, • Hands-on ability to code, triage incidents, and contribute to technical decisions Nice to Have • Experience with zero trust network solutions (e.g., Cloudflare, Zscaler), • Background in securing mobile endpoints (iOS, Android), • Experience with Golang, Docker, AWS, or GCP Benefits • Competitive salary, bonus, and quarterly-vesting RSUs, • Medical, dental, and vision insurance with generous contributions, • 401(k) with company match, • HSA with company contributions, • Disability, life insurance, and wellness stipends, • Fertility counseling and benefits, • Volunteer time off and generous leave policies, • Option to receive pay in digital currency

Job Description Position Summary The TMS Product Manager is responsible for maintaining and communicating the vision of what should be built to the development team. The candidate will define and prioritize deliverables in the team’s backlog through authorship of themes and epics, and through guiding the development team to an understanding of how we want to evolve the product. CNW’s TMS is built by a third party and is highly customized for our specific needs. There are also adjacent applications and apps that are fully designed by CNW. Essential Duties and Responsibilities * Summarize the organization’s needs and goals in clear and concise themes and epics. * Divide the overall project goals into prioritized deliverables for sequential and focused progress. * Resolve ambiguous business priority conflicts. * Maintain integrity and guide the evolution of themes and epics. * Prioritize user stories for sequential and focused team progress, clarifying the definition of “done” for each user story. * Adjust project priorities according to evolving business and project conditions. * Include technical debt reduction in all priority considerations. * Collect and respond to customer and stakeholder feedback, appropriately adjusting future scope, timing and priority of deliverables. * Adjust scope, priority and timing of deliverables in collaboration with the development team, product line management and other stakeholders. * Validate that working software is “done” according to the adopted definition of done. * Ensure new code conforms to established coding standards, design specification and performance goals. * Guide the team to a clear definition of deliverable business value for each sprint and quarter. * Work closely with the product management team to maintain alignment of the team’s deliverables with broader company strategic goals. * Ensure transparency, alignment and understanding of team focus and direction among all stakeholders. * Ensure the team and stakeholders maintain focus on quality over quantity. * Prioritize defect investigation and correction according to business conditions. * Promote transparency to the team regarding current business and product investments. * Bring knowledge of TMS systems to the organization. Education and Experience * Bachelor’s degree in Information Systems Management, Supply Chain Management, or a relevant area of study * 3 or more years of experience in a related field or position * Ability to effectively troubleshoot technical issues, analyze complex problems, and formulate alternative approaches * Effective English written and verbal communication skills; ability to prepare and deliver oral presentations * Ability to present business process flows and technical applications * Comfortable working on multiple projects and task simultaneously, excellent attention to detail * Strong critical thinking and problem-solving skills. * Experience with Logistics operations and commonly used integration types and formats preferred The above statements are intended to describe the general nature of work being performed. They are not to be construed as an exhaustive list of all responsibilities, duties and skills required. Core Competencies and Values * Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. * Demonstrates ability to comply with CNW’s Core Competencies: Accountability & Responsibility, Collaboration & Teamwork, Communication, Customer Focus, Problem Solving & Decision Making. Benefits CNW offers its employees a generous Employee Benefits Package including: * Competitive Wages. * Fully paid medical insurance for you and your family. * We provide a 401k Plan with a generous contribution. * Discretionary bonuses. * And, much more! All benefits offered are subject to eligibility requirements, terms, and provisions set forth in the respective policies and plan documents, which you may request from Human Resources. CNW is committed to providing equal employment opportunities to all employees and applicants. CNW does not tolerate discrimination against job applicants or employees because of race, color, creed, sex, religion, age, national origin, disability, marital status, genetic predisposition or carrier status, sexual orientation, and military status or any other protected class recognized under federal, state, or local law. This commitment extends to all aspects of the company's employment practices including, but not limited to, recruiting, hiring, promoting, transferring, compensation, benefits, training, leaves of absence, termination, and other terms and conditions of employment.

Job Description Summary: The center administrator oversees the patient flow and the daily operations of the medical center. This role is responsible for the effective administration of the center and its employees. Duties and Responsibilities: • Provide direct supervision to medical staff, front desk staff, environmental staff and other staff as assigned including hiring, terminating, conducting performance reviews, recommendation of salary increases, review and approval of employee’s timecards and approving personal time off (PTO) requests on a bi-weekly basis., • Responsible for exercising independent judgment and discretion about matters of significant impact to the operations., • Handle confidential information including patient information in an ethical and professional manner., • Establish work schedules and assignments for staff according to workload, space and equipment availability., • Approve and submit pending invoices to our accounting department in a timely manner., • Ensure that all staff members answer telephone calls in a timely and polite manner; demonstrate exceptional customer service; and communicate with customers in a courteous, professional, cooperative and mature manner., • Oversee and maintain a safe environment for employees, patients and visitors., • Administer HIPAA and OSHA training., • Work closely with physicians to ensure patient satisfaction., • Work with billing department to assure proper coding as per physician diagnosis., • Supervise the completion of HEDIS/5-Star measures., • Accomplish employment objectives by recruiting, selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures., • Maintain office supply inventory by checking stock to determine inventory level., • Maintain sufficient medical supplies for the proper treatment of patients., • Ensure that all employees conduct themselves in according to the policies established by the company. Administers disciplinary action according to company policy and submits documentation to the Department of HR., • Ensure compliance with all company policies., • Ensure that all HIPAA standards are in compliance., • Maintain medical center to AHCA standards., • Perform duties in honest and ethical manner., • Open and follow up any outstanding IT or Facilities service tickets, • Perform other duties as assigned. QualificationsEducation/Experience: • High school diploma or equivalent., • At least two (2) years of medical office or administrative experience., • Prior supervisory experience preferred., • MS Office programs experience., • Must have CPR certification from the American Heart Association. Training and certification can be provided upon hire. Skills: • Use relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards., • Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems., • Ability to work with individuals within and outside the organization, in professional and courteous manner., • Understand written sentences and paragraphs in work related documents., • Strong ability to use independent judgment and initiative., • Organized and able to manage competing priorities., • Resourcefulness in problem solving., • Strong written and verbal communications skills

Job DescriptionCompany: Harmony United Psychiatric Care Job Title: Psychiatric Office Assistant Internship/Outpatient Clinic (Certification Program) Program Duration: 3 to 6 months (600 hours total) Schedule: Flexible, minimum 20 hrs/week with 10 hrs/day (Full office day) Location: Coral Gables About Us Harmony United Psychiatric Care is part of Harmony United Healthcare LLC. We are a network of outpatient mental health clinics. We provide comprehensive, full-service outpatient mental health services in Florida through in-person and virtual visits through a secure online telehealth platform. Our services include Psychiatric/Psychological Evaluations, Medication Management, Psychotherapy & Counseling, and Neuropsychological Testing Services. Our team of mental health professionals includes psychiatrists, clinical psychologists/neuropsychologists, board-certified psychiatric nurse practitioners, certified physician assistants, and licensed therapists. We care for adults, adolescents, and children aged five and above. Each patient is treated with compassion and respect at Harmony United Psychiatric Care. We strive to provide the best treatment possible through individualized care for patients' needs. About the Program The Psychiatric Office Assistant Internship Program is designed for individuals seeking to transition into healthcare careers or entry-level candidates without prior medical experience. This hands-on program offers foundational exposure to medical office operations, particularly within behavioral and mental health settings. Participants will gain practical skills, industry knowledge, and mentorship, enhancing their resumes and employability in the healthcare field. After successfully completing the program, you will receive a Certificate of Completion stating the hours served and skills learned, which can be included in your resume as an experience. Voluntary, Unpaid Internship Program This internship is a voluntary and unpaid position. Participants will not receive financial compensation or wages for their time during the internship. However, they will gain valuable, hands-on experience and training in a professional mental health care environment. There are no fees charged by Harmony United Psychiatric Care for this internship program. All training and mentorship are provided at no cost to the intern. Eligibility Criteria • Individuals aged 18 or above, • Must be a High School graduate, • No prior healthcare or office experience required, • Able to commit a consistent schedule, • Must pass a basic screening ( e.g. background check), • Week 1 – Orientation and HIPAA/confidentiality training, • Week 2 to 4 – Front desk observation and shadowing, • Professional phone etiquette and patient scheduling, • Electronic Health Record (EHR) basics using MEDENT, • Patient check-in/check-out procedures, • Managing patient flow and waiting area, • Professionalism, discretion, and confidentiality in healthcare, • Appointment scheduling and front desk duties including faxing, copying and filing, • Basics of psychiatric services offered, • General medical terminology, • Introduction to insurance billing and coding, • HIPAA compliance and patient privacy, • Assigned supervisor, • Weekly feedback and progress check-ins, • Real-time guidance and corrections, • Structured training checklist to track learning milestones, • Certificate of completion detailing hours and skills acquired, • Reference letter for employment or further education Drug-free policy: Harmony United Psychiatric Care enforces a comprehensive drug-free workplace policy to ensure the safety and security of our employees and visitors. We prohibit the use of illegal drugs and the unauthorized use of controlled substances on company premises or during work hours. To ensure compliance, we conduct pre-joining drug screening and random drug testing. Violations of this policy will lead to disciplinary action, including termination of internship. By applying for an internship with us, candidates acknowledge their understanding of these terms and willingness to abide by our drug policy. Powered by JazzHR qqMuOZF3Ui

Job Description POSITION PURPOSE: The purpose of the Patient Financial Services Specialist II is to ensure that the batches and daily registration have been processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from data processing and supervising closing by staff. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: High School Diploma or GED Equivalent. Some College Credits Preferred, Five years’ experience in Health Care. Knowledge of Medicaid / Medicare insurance, collections and setup. Must know how to post B&E’s. Licensure / Certification: Maintain current CPR certification from the American Heart Association Skills / Ability: Ability to work as a team leader and independently. Must have clerical skills, ability to type 35 WPM and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. POSITION RESPONSIBILITIES (THIS IS A EXEMPT POSITION) Complete statistical data and submit daily. Plans, supervises and coordinates the work of Patient Financial Services Specialist staff and supporting clerical staff in various Departments. Assist with training of new employees and work related problems. Answers inquiries of staff as questions arise in connection with obtaining needed information. Spot check work in progress to ensure prompt work flow to and from Data Processing. Ensures that decisions are in accordance with CHI Policies. Make credit decisions regarding admission deposit in problem situations. Discuss with patient the status of their accounts and make payment arrangements. Verifies Medicare, Medicaid and all other insurance carriers when needed. Coordinates and directs balance of daily closing and ensures that all procedures and payments are posted accurately by staff. Performs cashier duties, collects patient funds for services and enters data into computer for payment received. Performs voids, deletions, corrections on payments, B&E’s and batches. Performs billing audits to ensure compliance by the PFSS. Provides instruction regarding posting in computer correctly. Verifies batches of PFSS. Provides updates and training of cashier functions. Provides reports to the Director of Finance or appropriate staff. Use appropriate and correct telephone etiquette at all times. Participates in Continuing Educational In-service and Performance Improvement Activities. Report of PFSS errors. Report of Medical Coding errors. Ensures that all B&E (billing and encounter) forms are posted by the PFSS within the same of service. Ensure batches are scanned into the Imaging system on time and accurately. Allocation of Personnel to cover staff shortages. Reports to work on time and ready to work with minimal absenteeism. Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. Performs other duties as assigned, including variable shifts if needed.

Job Description The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims. This position is available in either Cooper City or Miami. Essential Responsibilities: • Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers., • Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. Documents authorization reference numbers in EMR and/or other systems., • Updates and maintains EMR and/or other systems based on documentation provided by physician/clinic for creation of medical claim and/or posting of self-pay charges to patient accounts. Prepares electronic claim files for submission., • Monitors accepted/denied claims and updates claims as required for resubmission., • Compares transaction reports with daily schedules to ensure timely billing of all services provided each month., • Resolves and prepares paperwork for any credit balances and prepares statements for collection of outstanding patient balances., • Performs daily charge capture functions as outlined by each Clinic in a timely and appropriate manner. This includes but not limited to the actual data entry of charges per patient into the EMR platform, eIVF., • Ensures charge reconciliation to the schedule for all patients seen daily., • Ensures appropriateness of charges based upon services rendered and works in conjunction with Clinic leadership, RCM Leadership, and Coding Team to ensure such accuracy., • High School Diploma or equivalent required, Associate’s preferred., • 1 - 2 years of medical billing experience required in a women's clinic/physician practice setting., • 1-2 years of medical billing experience related to a lab and ASC setting also preferred., • Versed in CPT code sets and requirements including but not limited to modifiers, CPT bundling/unbundling, proper diagnosis assignment, Evaluation and Management Codes, Lab Codes, and ASC HCPC code sets. ???? Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee-only healthcare coverage option is also available. ????️‍????️‍????️‍???? Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family. ???? Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most. ???? Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose! ???? Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years. ???? Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being. ???? Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck. ???? Rewards for Connections: Earn extra money with our Employee Referral Program—your network is invaluable! ???? Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development. ???? Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness. ???? Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them. ???? Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs. Familiar with medical billing platforms utilized in clinic and physician practice settings.

Job DescriptionAbout Kandji Kandji is the Apple device management and security platform that empowers secure and productive global work. With Kandji, Apple devices transform themselves into enterprise-ready endpoints, with all the right apps, settings, and security systems in place. Through advanced automation and thoughtful experiences, we’re bringing much-needed harmony to the way IT, InfoSec, and Apple device users work today and tomorrow. Some of the smartest money in tech has partnered with Kandji to realize our vision, including Tiger Global, Felicis, Greycroft, First Round Capital, and Okta Ventures. In July 2024, Kandji raised $100 million in capital from General Catalyst, bringing Kandji’s valuation to $850 Million. Since Kandji’s Series C in 2021, the company has seen a 600%+ increase in annual recurring revenue, and its customer base has grown nearly 4X across 40+ industries. Notable customers include Allbirds, Canva, and Notion, and the company has partnerships with such industry giants as ServiceNow, AWS, and Okta. Kandji was also named to Forbes’ Next Billion Dollar Startup List 2023 and recognized as a top venture-backed startup with the potential to reach unicorn status. The Opportunity As a Senior Backend Software Engineer at Kandji, you will design and build the core services that power our web application, while maintaining security and scalability. You will work alongside our macOS and Infrastructure engineers to bring world class products to market. We are looking for a software engineer with experience building large-scale, mission-critical enterprise software in an object-oriented language.How You'll Make a Difference Day to Day: • Participate in scrum meetings, develop in an agile environment, • Contribute well-written and well-documented code to further drive us to our goal of a super clean code base, • Contribute to features end-to-end by developing backend services and/or frontend components, • Work with an extraordinary cross-functional team to deliver beautiful UIs to our users, • Develop intuitive, robust, and scalable software designed for high-volume use, • Triage issues and implement appropriate fixes, • Become an authority on the application, • Drive consistency through collaboration with product design and the development of component design system standardsWe’d love to hear from you if you have, • 5+ years of professional engineering experience, • Exceptional proficiency in Python or Java, • Experience with Amazon Web Services, Google Cloud Platform, etc., • Authoritative understanding of data structures, algorithms, and software design, • Data-driven, analytical, hypothesis/validation mindset, • Ability to identify problems/opportunities, break them down into critical parts, and design solution options, • Experience working in a fast-paced startup environment, • Experience with CI/CD platforms in writing and maintaining pipelines, • Experience with RESTful API and/or gRPC, • Experience with microservice architecture, • Experience with unit and integration testing, • Experience with message queues (Kafka, RabbitMQ or SQS), • Experience with Docker and container orchestration platforms such as Kubernetes or ECS, • Fluency with SQL and experience with relational databases such as Postgres or MySQL, • Experience with code reviews, offering and receiving constructive feedback to maintain and elevate coding standards, • Required to work on-site 5x a week in our Miami office (Coral Gables).Nice to haves, but NOT required, • Understanding of data structures, algorithms, and software design, • Experience with Unix platform and scripting

Job DescriptionFull-time, non-exempt Miami, Florida Hybrid About VUMI® VUMI® (VIP Universal Medical Insurance Group) is an international health insurance company committed to providing premier medical insurance products and VIP healthcare services to individuals and corporations worldwide. With operational offices in Panama, Ecuador, Colombia, and across the globe, we offer unique benefits and extensive global coverage. Privately owned and backed by over 35 years of experience in the healthcare industry, VUMI® employs a diverse team of 500+ professionals and is part of a leading international healthcare group. Join a top team of healthcare professionals driving innovation and excellence at one of the leading IPMI (International Private Medical Insurance) organizations in the industry. About You You are a knowledgeable and driven insurance professional with a strong understanding of claims handling procedures and insurance principles. With hands-on experience in the areas you lead, you bring a proactive, solutions-oriented mindset and a passion for continuous improvement. You excel at guiding and supporting team members, resolving complex claims, and maintaining high standards of accuracy and compliance. You're a confident communicator—able to handle escalations with professionalism—and you foster strong working relationships across teams. Bilingual in Spanish and/or Portuguese, you're comfortable navigating multicultural environments and thrive in dynamic, fast-paced settings. Your background in insurance or healthcare, along with your skills in process improvement, billing systems, and performance analysis, makes you a valuable contributor to operational excellence. If you’re someone who leads by example, embraces challenges, and is committed to delivering exceptional service, we’d love to meet you. POSITION SUMMARY The Claims Team Lead is responsible for providing guidance and support to a team of claims adjudicators and coordinators, helping ensure the accurate and timely processing of insurance claims. This role involves leading by example, resolving complex cases, supporting team development, and serving as a point of escalation—all while ensuring compliance with company policies and regulatory standards. The Team Lead plays a key role in promoting collaboration, efficiency, and service excellence within the claims team. ESSENTIAL FUNCTIONS Essential Duties and Responsibilities * Assign claims to team members based on workload and assignment of responsibility (AORs). * Monitor individual claim progress and key performance metrics. * Provide coaching, constructive feedback, and development opportunities to team members. * Support resolution of performance issues and team conflicts. * Review escalated claims for accuracy, completeness, and compliance with company policies and procedures. * Investigate and resolve complex claims requiring in-depth analysis. * Identify and escalate potentially fraudulent claims in accordance with protocols. * Contribute to the implementation of strategies that improve claims processing efficiency and accuracy. * Monitor and report on customer satisfaction related to claims handling. * Generate performance reports, including metrics such as claim volume, productivity, and turnaround times. * Analyze performance data to identify trends, gaps, and areas for continuous improvement. * Share performance insights and recommendations with management. * Address and resolve escalated customer inquiries or complaints related to claims. * Foster and maintain positive relationships with internal departments and external stakeholders. MINIMUM QUALIFICATIONS & SKILLS * High school diploma or equivalent required * In-depth understanding of insurance principles and claims handling procedures * Demonstrated expertise in assigned claims areas with a track record of success * Strong leadership skills with the ability to motivate and guide team members * Excellent analytical and problem-solving capabilities * Clear and effective communication skills, both verbal and written * Strong interpersonal skills with the ability to collaborate across teams * Proficiency in industry-related systems, tools, and technology * Knowledge of medical coding (preferred) * Ability to thrive in a fast-paced environment and meet tight deadlines PRFERED QAULIFICATIONS * Experience in the insurance and/or healthcare industry * Bilingual in Spanish and/or Portuguese * Proven experience in process improvement and change management to drive operational efficiency * Advanced knowledge of accounts receivable practices and billing systems BENEFITS At VUMI®, the well-being of our employees is our top priority. We offer a robust benefits package that includes: * Medical, Dental, and Vision Insurance * 401(k) Retirement Plan * Life Insurance * Short-Term Disability (STD) Coverage * Long-Term Disability (LTD) Coverage * Paid Time Off (PTO) * Paid Holidays * Hybrid Work Model (combination of remote and in-office work) * Wellness Programs, including free access to our building gym * A vibrant, engaging work environment that values and supports our employees’ growth, well-being, and success WORKING CONDITIONS The following job-related working conditions are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. WORK ENVIRONMENT The role primarily operates in an in-door, climate-controlled office setting working in close proximity to others. Noise level in the work environment is low to moderate. Light level provides adequate brightness for reading, computer work, and other tasks without causing glare or strain. PHYSICAL DEMANDS The job primarily involves sedentary work with prolonged periods sitting at a desk. While performing the duties of this job, employees may occasionally be expected to: • exert up to 10 pounds of force and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects., • operate standard office equipment such as copiers, computers, telephones, printers, etc. TRAVEL Minimal to no travel required SAFETY HAZARD OF THE JOB Minimal Hazards including potential ergonomic risks from prolonged sitting or repetitive motions. EEO STATEMENT VUMI Group is an equal opportunity employer. We celebrate diversity and are committed to an inclusive environment for all employees. NOTE This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. The requirements listed in this job description are the minimum levels of knowledge, skills, or abilities necessary. This job positing does not create an employment contract, implied or otherwise, other than an “at will” relationship.

Job Description Position Title: Care Coordinator (Bilingual Spanish) Location: Miami, FL Description: **This position is based out of Broward County At Claremedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the Claremedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At Claremedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to Claremedica. ESSENTIAL FUNCTIONS A Care Coordinator coordinates patient care from admission to discharge, ensuring efficient utilization of resources and delivering high-quality healthcare services. Collaborate with providers and stakeholders to optimize care experience and outcomes. DUTIES AND RESPONSIBILITIES Act as the primary point of contact for high utilization patients, addressing their medical concerns and questions. • Communicate with hospitals, attending physicians, PCPs, and Insurance Carriers' Nurse Reviewers to track daily admissions and discharges., • Coordinate medical care follow-up for patients discharged from inpatient facilities., • Assist PCPs in placing patients in skilled nursing facilities., • Coordinate all aspects of patient care, including appointments, tests, treatments, and follow-up care., • Facilitate referrals to specialists or other healthcare facilities as needed for continuity of care., • Advocate for the patient's needs and preferences to ensure a smooth medical journey., • Identify and access community resources, social services, and support programs to assist high utilizer patients., • Educate patients about available resources and provide guidance on accessing them., • Regularly analyze utilization data and patient outcomes to identify trends and areas for improvement., • Maintain accurate and up-to-date patient records and documentation of all interactions and interventions. SUPERVISORY RESPONSIBILITIES • This position does not have supervisory responsibilities. WORKING CONDITIONS General office working conditions. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust your focus. Manual dexterity is required to use desktop computers and peripherals. WORK ENVIRONMENT The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of his job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. TRAVEL Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected. SAFETY HAZARD OF THE JOB Minimal Hazards QUALIFICATIONS/REQUIREMENTS • Utilization management and/or transition of care and/or quality improvement experience preferred.[AL1], • Knowledge of computer programs., • Familiarity with Availity system., • Ability to operate a computer and basic office equipment., • Knowledge of ICD coding and HEDIS measures., • Knowledge of HMO and medical terminology., • Maintain effective working relationships., • Strong organization, oral/written communication skills., • Own transportation between facilities required. PIe56588704ac9-25405-38653530

Job Description Patient Advocate Miami, FL ChasmTeam is partnering with a growing national company, to build a team that provides real benefits to patients! We are seeking hard working, self starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent the organization as the onsite contact at the hospital., • Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners., • High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management., • Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification., • Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field., • Training in motivational interviewing, trauma-informed care, or medical billing/coding., • Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy., • Three-Five years’ experience in patient-facing roles within a healthcare setting. Technical Skills-Preferred • Proficiency with CRM or case management systems., • Knowledge of Medicaid/Medicare eligibility and benefits coordination., • Ability to interpret medical billing and insurance documents., • Active listening and empathetic communication., • De-escalation tactics for emotionally distressed patients., • Cultural awareness and sensitivity in communication., • Mission-Driven Advocacy – Consistently puts patient needs first., • Ego Resilience – Thrives amid adversity and changing demands., • Empathy – Provides compassionate support while ensuring professionalism., • Urgency – Balances speed and sensitivity in patient interactions., • Detail Orientation – Ensures accuracy and completeness in documentation., • Cultural Competence – Demonstrates respect and understanding of diverse experiences., • Adaptability – Successfully operates in evolving policy and procedural environments. Why Join Us? As a Patient Advocate, you’ll make a real difference—helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insurance and more. Salary: $50,000+/year based on experience plus $4,000+/year bonus potential

Job Description MARATHON HEALTH CENTER POSITION PURPOSE: The purpose of the Patient Financial Services Specialist is to ensure that the Billing and Encounter Forms are processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from Data Processing. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: A minimum of High School Diploma or GED Equivalent. ICD 9 Coding experience preferred. Experience with Patient Services. Must have knowledge of Medicaid / Medicare Insurance, collection and setup. Licensure / Certification: Maintain current CPR certification from the American Heart Association. Skills / Ability: Ability to work as a team member. Must have clerical skills, ability to type 20 - 30 wpm and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. POSITION RESPONSIBILITIES (THIS IS A NON-EXEMPT POSITION) Register new client on Intergy as per guidelines issued by Community Health of So. Florida. Researches files for previous enrollment in CHI computer system before creating a new medical record number. Re-new or update existing clients profiles as per guidelines issued by Community Health of South Florida. Performs financial screening on active clients who have requested services from Community Health of South Florida, Inc. Attempt collection o Completes assigned task in a timely manner.f past due debts as clients request services from CHI. Check-in clients for needed medical services. Check-out clients upon receiving medical services. Process of patient payments. Review and balance out daily batches. Submit daily journal to assigned supervisor. Submit cash and copies of daily batches to the Accounting Department for deposit. Complete statistical data and submit daily. Reviews Quality Care Guidelines/Patient Reminder print-out to identify overdue items e.g. Advance Directives, Learning Needs Assessment, Depression Screening, etc. Identifies patients who have not executed an Advance Directive and provide them with the Advance Directive form to read. Identifies patients who need a Learning Needs Assessment and gives them the form to complete. Identifies patients due for Depression Screening and provide them with a PHQ-9 form in the appropriate language to complete. Gives all new patients a New Patient History form to complete before Nursing Staff calls the patient. Attaches a completed new patient lab request form to the encounter form of every new patient. Consistently informs patients that their Provider wants them to read or complete the appropriate forms or education material while waiting to see the Provider. Verifies Medicare, Medicaid and all other insurance carriers. Performs daily balance closing and ensures that all procedures and payments are posted accurately. Performs cashier duties, collect patient funds for services and enters data into computer for payment received. Train new employees on all functions of Patient Services (i.e. registration, cashiering, posting of B&E’s and Payments). Use appropriate and correct telephone etiquette at all times. Participates in Continuing Educational In-services and Performance Improvement Activities. Reports to work on time and ready to work with minimal absenteeism. Completes & Post all B&E (billing and encounter) forms within the same of service. Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. Performs other duties as assigned, including variable shifts if needed. WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Job Description Come grow with us! Medrina has been voted one of the fastest growing companies and 92% of our employees feel we are a Great Place To Work! This is a remote full-time position offering a starting annual salary of $115,000 plus up to 10% annual bonus, and a monthly $100 internet and cell phone allowance. Spanish language fluency is required. Although this is a remote role, candidates must reside between Palm Beach and Miami, FL area and will travel to local locations in this area a few times per month. This is a great opportunity for a bi-lingual Director of Nursing to join our team for this remote role utilizing their skills and advancing their career with clinical operations! This role comes with a robust benefits package including immediate/day one health/dental/vision insurance, company funded life insurance, and 15 days of vacation, 7 paid holidays and 5 sick days and more. As well as eligibility for 401(k) with a company match after 6 months of service. Job Summary: The Director of Clinical Operations will be a part of our national team of operations leaders and oversee clinical operations for a specified region and participates in the development, planning, and operations for a multi-physician practice to fulfill programmatic directions and goals as well as traveling to conduct Provider introductions, customer relationship building meetings, and training. This role ensures a smooth on-boarding credentialing, training, and start of new Providers and their implementation into Skilled Nursing Facilities and other healthcare settings. The Director of Clinical Operations supervises each individual account to ensure success for all parties as well as collaborating with the client building’s administrative teams to ensure consistent, efficient, and compliant operational performance. This role also collaborates to ensure continual efficient and compliant operational performance of the Providers and buildings. You will be called upon to directly interface with our customers. This will include Physicians, Physician Extenders, Skilled Nursing Facility department heads, and other healthcare setting leaders. The Director will be asked to participate in analyzing operational and clinical performance both for client facilities and medical providers. This is a remote role, but travel is expected locally to meet facility leaders, and conduct provider introductions, onboarding and training. The Director of Clinical Operations reports to the Senior Vice President of Clinical Operations. Essential Duties and Responsibilities: • Medrina Programs Implementation:, • In collaboration with Business Development, clinical leadership and other teams, implements existing operations processes, workflows, best practices and protocols for the new client buildings., • Oversees the operational integration of various and/or new Medrina programs into Skilled Nursing Facilities (SNFs) and other healthcare settings., • Coordinates administrative functions and assists in planning and supporting the program development as well as monitors programs and assists in developing strategies for adaptation to market changes., • Assists in data collection for preparation of reporting related to and forecasting., • Ensures efficient and compliant operational performance of the department and programs. Strives to streamline operations and effectively apply new concepts and techniques for positive outcomes. Identifies and implements technology to improve operations., • Collaborates and has consistent communication with multiple departments within the organization., • Participates in monitoring and evaluating a program’s inception and performance and routinely monitors performance for volumes, referrals, and trends., • Establishes and maintains a working relationship with physician staff with respect to their compliance and performance related to billing, coding, and regulatory agency standards., • Assists in initiatives that will develop relationships with ACO/MCOs in needed markets under the direction of the Vice President of Clinical Operations and Chief Medical Officer., • Assists in implementing new programs, protocols, and methods to track quality metrics and will make adjustments as needed., • Other responsibilities as assigned. 2. Facility Relations and Performance: • Establishes and maintains a strong working relationship with key personnel in partnering Skilled Nursing Facilities to ensure program growth and ensure the program is making positive impact on the Skilled Nursing Facility., • Serves as the point of contact between SNFs, healthcare facilities, and medical providers to ensure smooth implementation of Medrina programs., • Serves as a point of contact between Skilled Nursing Facilities’ clinical staff and the physicians to ensure quality and satisfaction., • Maintains strong relationships with key administrative and clinical personnel in partnering facilities to ensure continuous program growth and success., • Works directly with facility administrative and clinical leadership, and providers to monitor the success of Medrina programs and improve patient outcomes., • Monitors facilities performance ensuring that Medrina protocols are followed, and quality standards are met., • Collaborates with Medrina Business Development and Recruitment teams in ensuring smooth operations related transitions. 3. Provider Relations and Performance: • In collaboration with Human Resources, monitors and ensures providers complete mandatory state and federal new hire and annual training., • Monitors providers’ performance ensuring that Medrina protocols are followed, and quality standards are met., • Alerts and collaborates with clinical leadership and clinical training teams to improve providers’ (Physicians’ and Advance Practice Providers) performance, if necessary., • Addresses insufficient provider performance in collaboration with clinical and operational leadership and Human Resources teams in accordance with company performance management policies., • Approves providers schedule changes and time off requests utilizing company systems., • Reviews and approves appropriate employee expense reports and ensures staff follow the correct procedures for continuing education and other expenses., • Prepares and conducts providers annual performance reviews utilizing company system incorporating facility feedback, clinical and operations leadership and feedback, • Reviews and ensure Physicians’ and APPs’ supervision and practice state requirements compliance and facilitates revisions with Credentialing and Legal teams. 4. Operational Performance and Compliance Leadership: • Maintains compliance with all regulatory and accrediting institutions and monitor program components relative to criteria determined by regulatory agencies and also internally by the organization (i.e, billing, credentialing, training, facility visits requirement & etc). Ensures compliance with Medicare and other regulatory requirements, including reporting and documentation standards., • Coordinates activities related to growth objectives, data planning, developing goals and objectives, and desired outcomes of programs and serves as a liaison with Administration in planning, developing, implementing, and evaluating operational and clinical performance., • Keep abreast of all billing, coding, and compliance related issues as they apply to the practice and assist in staff education in regard to these changes., • Reviews and approves requests for release of information to agencies and members of the public as required by law., • Coordinates and acts as project manager with planning and supporting program development as well as monitors programs, provides progress updates, and assists in developing strategies for adaptation to market changes., • Participates in initiatives that will develop relationships with ACO/MCOs in needed markets under the direction of the Senior Vice President of Clinical Operations and Chief Clinical and Medical Officers., • Leads efforts to streamline the operations and implement technological improvements where appropriate to improve operational efficiency., • Fosters a culture of continuous improvement, collaboration, and innovation within the team. 5. Quality and Metrics Tracking: • Assists in data collection for preparation of reporting related to and forecasting., • Assists in developing and maintaining objectives and policies and procedures to ensure the efficient operation of the department., • Regularly reviews program data and trends to identify areas for improvement in clinical performance and operational processes., • Spanish language fluency., • Cannot be excluded from participation in any state or federal programs such as Medicare or Medicaid., • Must have 2 years of leadership and administration experience preferably in the Skilled Nursing Facility or Hospital Rehabilitation healthcare setting (such as Director of Nursing)., • Minimum of 5 years of experience and understanding of care coordination and Medicare as well as with Medicare and Medicaid billing and reimbursement policies and proven record of leading team(s) to operational success., • Proficiency with HIPAA and PHI compliant practices., • Proficient in healthcare management software (EMR, HMR) and Microsoft Office Suite (Excel, Word, Outlook), • Must be a detail-oriented, organized decision maker with the ability to work both independently and within a team structure., • Must be able to analyze situations and make appropriate decisions based on information provided., • Must be able to prioritize tasks to determine which should be given priority at a specific time., • Must be able to accept responsibility with a task and ensure completion from start to end., • Practice excellent verbal and written communication skills in remote setting and present in a professional manner to various stakeholders., • Must be a self-starter who is disciplined, detail-oriented, organized, and able to prioritize tasks in a fast-paced environment., • This is a remote, work from home position which handles sensitive, confidential, and financial information. Work must be performed in a secure setting., • Must have the ability to join virtual online meetings as required both with video and voicework environment, requiring reliable internet and telephone service., • Travel for on-site visits and company meetings., • Ability to sit, stand, and walk for extended periods. Frequently required to talk or hear

Job Description TAVERNIER HEALTH CENTER POSITION PURPOSE: The purpose of the Patient Financial Services Specialist is to ensure that the Billing and Encounter Forms are processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from Data Processing. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: A minimum of High School Diploma or GED Equivalent. ICD 9 Coding experience preferred. Experience with Patient Services. Must have knowledge of Medicaid / Medicare Insurance, collection and setup. Licensure / Certification: Maintain current CPR certification from the American Heart Association. Skills / Ability: Ability to work as a team member. Must have clerical skills, ability to type 20 - 30 wpm and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. POSITION RESPONSIBILITIES (THIS IS A NON-EXEMPT POSITION) Register new client on Intergy as per guidelines issued by Community Health of So. Florida. Researches files for previous enrollment in CHI computer system before creating a new medical record number. Re-new or update existing clients profiles as per guidelines issued by Community Health of South Florida. Performs financial screening on active clients who have requested services from Community Health of South Florida, Inc. Attempt collection o Completes assigned task in a timely manner.f past due debts as clients request services from CHI. Check-in clients for needed medical services. Check-out clients upon receiving medical services. Process of patient payments. Review and balance out daily batches. Submit daily journal to assigned supervisor. Submit cash and copies of daily batches to the Accounting Department for deposit. Complete statistical data and submit daily. Reviews Quality Care Guidelines/Patient Reminder print-out to identify overdue items e.g. Advance Directives, Learning Needs Assessment, Depression Screening, etc. Identifies patients who have not executed an Advance Directive and provide them with the Advance Directive form to read. Identifies patients who need a Learning Needs Assessment and gives them the form to complete. Identifies patients due for Depression Screening and provide them with a PHQ-9 form in the appropriate language to complete. Gives all new patients a New Patient History form to complete before Nursing Staff calls the patient. Attaches a completed new patient lab request form to the encounter form of every new patient. Consistently informs patients that their Provider wants them to read or complete the appropriate forms or education material while waiting to see the Provider. Verifies Medicare, Medicaid and all other insurance carriers. Performs daily balance closing and ensures that all procedures and payments are posted accurately. Performs cashier duties, collect patient funds for services and enters data into computer for payment received. Train new employees on all functions of Patient Services (i.e. registration, cashiering, posting of B&E’s and Payments). Use appropriate and correct telephone etiquette at all times. Participates in Continuing Educational In-services and Performance Improvement Activities. Reports to work on time and ready to work with minimal absenteeism. Completes & Post all B&E (billing and encounter) forms within the same of service. Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. Performs other duties as assigned, including variable shifts if needed. WE ARE AN EQUAL OPPORTUNITY EMPLOYER