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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 DescriptionPinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are seeking a detail-oriented Provider Enrollment Specialist to join our team. This role is critical in ensuring our healthcare professionals meet all necessary licensing, certification, and regulatory requirements. As a Provider Enrollment Specialist, you will be responsible for managing the credentialing and re-credentialing process for all of our physicians and mid-level healthcare providers. You will maintain accurate records, verify professional credentials, and ensure compliance with industry regulations and accreditation standards. If you are a meticulous and organized professional with a passion for healthcare compliance, we want to hear from you! Apply now to join us in ensuring the highest standards of wound care excellence! Key Responsibilities: • Maintain accurate and up-to-date provider files, ensuring compliance with all credentialing requirements, • Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations, • Assist new providers with applications for National Provider Identifier (NPI), Medicare, and Medicaid numbers.Monitor and update provider CAQH profiles in accordance with CMS and Managed Care Organization guidelines, • Manage termination of payer enrollments for providers leaving the organization, • Provide updated demographic information and supporting documents to external stakeholders, including commercial payers and billing entities, • Collaborate with the Director of Operations to ensure timely credentialing and re-credentialing of all providers., • Track and ensure the renewal of state DEA licenses, board certifications, and malpractice insurance, • Identify and resolve potential onboarding issues, offering solutions to streamline the credentialing process, • Maintain records of all managed care contracts and ensure portal logins remain active.Ensure compliance with relevant accrediting and regulatory agencies, • Monitor trends and recommend improvements to credentialing workflows Requirements • High school diploma or equivalent; credentialing certificate preferred, • Minimum of 5 years experience in physician credentialing, revenue cycle management, or related field, • Knowledge of credentialing standards and healthcare regulations, • Proficiency in credentialing software and Microsoft Office Suite, • Strong attention to detail, organizational, and problem-solving skills, • Excellent written and verbal communication skills, • Ability to work independently and manage multiple tasks efficiently 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 Billing specialists for a busy medical billing practice in South Florida with a minimum of 3-5 years of medical billing experience are required. Must be knowledgeable with Medicare, Private Insurance, Workers Comp, as well as surgical billing, DME, and Network billing. Also must have basic business skills including EMR software and Microsoft Office Responsibilities include charge entry, obtaining authorizations and referrals, insurance verification, customer service, and claim management until resolution. Must be able to work independently and with a billing team and physicians. Multi-tasking and excellent organizational skills are required.

Job DescriptionBenefits/Perks • Competitive Compensation, • Great Work Environment Responsibilities • Assist clients with processing insurance claims through both portal for private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and booking appointments., • Maintains the highest level of confidentiality, • Must know Availity and insurance portal, • Knowledge in coding properly theQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail, • Bilingual a must

Job Description Patient Advocate Specialist 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 on-site 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 to 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.

Job Description KEY WEST 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 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 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

Job Description 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.

Job Description Job Summary The Resupply Coordinator plays a vital role in ensuring the continuous and efficient delivery of medical supplies to patients while maintaining optimal inventory levels and compliance with healthcare regulations. This position combines elements of patient care coordination, inventory management, and logistics oversight. The Resupply Coordinator is responsible for managing recurring patient orders, verifying insurance eligibility, coordinating with suppliers, and ensuring timely and accurate fulfillment of monthly supply refills. By maintaining organized processes, proactive communication, and adherence to company standards, this role supports both patient satisfaction and operational efficiency within Unified Care Services. Key Responsibilities 1. Order & Supply Management • Monitor inventory levels and initiate resupply orders to maintain optimal stock for patient needs., • Process and manage recurring monthly refill orders for DME supplies., • Verify insurance eligibility and authorization prior to processing shipments., • Ensure all items are linked to the correct Patient Account Record (PAR) and Certificate of Medical Necessity (CMN)., • Review daily generated resupply orders for accuracy, completeness, and compliance., • Notify patients, caregivers, and providers of any back orders, expired prescriptions, or documentation issues., • Coordinate with suppliers and logistics teams to schedule and track deliveries. 2. Patient Communication & Service • Contact patients monthly to confirm resupply needs, verify product usage, and document changes in condition or order requirements., • Educate patients and caregivers on product use, shipment timelines, and documentation requirements., • Provide high-quality, compassionate customer service in all interactions, ensuring HIPAA compliance., • Address and resolve inquiries promptly or escalate to appropriate departments when necessary. 3. Collaboration & Documentation • Work closely with case managers, physicians, the authorization team, and internal departments to ensure seamless order processing and patient care., • Maintain accurate records of communications, orders, and patient updates in Brightree or designated systems., • Collaborate with the billing and authorization departments to ensure documentation aligns with payer requirements., • Request new authorizations and log CMNs when order adjustments occur., • Update patient templates and records when order modifications or renewals are made. 4. Compliance & Reporting • Adhere to Medicare, Medicaid, and private insurance guidelines for DME medical supply orders., • Ensure all resupply and procurement activities comply with company policies and regulatory requirements., • Maintain documentation accurately to support audits and billing compliance., • Prepare reports on supply activity, order trends, and resupply performance for management review. 5. Process Improvement & Efficiency • Identify and resolve supply chain disruptions or order delays promptly., • Assist in refining resupply workflows to improve turnaround times and patient satisfaction. Minimum Requirements: • High school diploma or equivalent required; associate or bachelor’s degree preferred., • Minimum of 2 years’ experience in DME, healthcare administration, inventory management, or supply chain coordination., • Proficiency with Brightree software or similar order/inventory management systems., • Strong understanding of Medicare, Medicaid, and private insurance guidelines., • Excellent verbal, written, and phone communication skills., • Exceptional organization, attention to detail, and ability to multitask in a fast-paced environment., • Ability to work independently with accuracy and professionalism., • Commitment to confidentiality and HIPAA compliance. Preferred: • Experience with ERP systems such as SAP, Oracle, or other healthcare management software., • Knowledge of supply chain best practices, procurement, and lean inventory techniques., • Certification in Supply Chain or Healthcare Administration (e.g., CPIM, CSCP) is a plus., • Bilingual communication skills are preferred. Physical Requirements • Prolonged periods sitting at a desk and working on a computer.

Job DescriptionJOB TITLE: Senior Accountant, Corporate EMPLOYER: A-CAP Services LLC DEPARTMENT: Finance - Corporate REPORTS TO: Corporate Controller LOCATION: Onsite in Miami, FL (Hybrid) ABOUT THE COMPANY A-CAP is a rapidly growing organization that owns and operates multiple insurance companies and ancillary insurance businesses and has over $10 billion of total invested assets. This opening is with the holding company, which primarily performs asset management, actuarial, accounting, and other oversight functions on behalf of A-CAP’s insurers and third-party clients. This group also provides strategic and operational support to A-CAP’s portfolio companies/subsidiaries, proactively formulates new investment strategies, oversees external financing and acquisition activities, and provides modeling support for insurer liabilities and capital. On the insurance product side, A-CAP’s primary lines of business are traditional fixed and equity-indexed annuities, with additional business in whole life insurance, Medicare supplement, and hospital indemnity products. A-CAP insurers originate over $2 billion of new premium annually. ABOUT THE ROLE This position is responsible for the monthly and quarterly preparation and reconciliation of financial statement schedules related to the organization. This position will be responsible for drafting and recording transaction journal entries; reconciling and reviewing general ledger accounts; review of intercompany transactions and billing; monthly and quarterly reconciliations; as well as other financial accounting functions. This position reports to the Controller. WHAT YOU WILL DO: • Coordinate with investment operating team to draft journal entries and maintain records of financial transactions., • Maintain and reconcile general ledger accounts., • Maintain and produce reporting for management from general ledger system., • Review of bank reconciliations., • Assist in the preparation of quarterly accruals., • Assist in the compilation of financial information for the annual GAAP consolidated statements., • Prepare and submit wires via external banking site., • Perform other duties as assigned.WHAT YOU WILL NEED:, • Bachelor’s degree in accounting or finance required., • 3-5 years of experience in financial accounting and reporting., • Advanced computer knowledge including, but not limited to, MS office products., • Strong Excel skills required., • Strong technical financial accounting background., • Experience in the financial services/insurance space a plus., • Strong analytical skills and the ability to pay attention to details., • Ability to maintain the highest level of confidentiality with all information received., • Ability to work independently to carry out assignments., • Ability and desire to think critically and problem solve.SALARY: Our salary ranges are determined by role, level, and location. For individuals hired to work in Miami, FL, the current salary range for this role is $55,000.00 - $90,000.00 annually. BENEFITS: A-CAP works hard to create a positive and supportive environment. That's why we offer great benefits to safeguard the health and well-being of our employees. Our comprehensive benefits package includes: • Competitive compensation programs, • Employer-sponsored medical, dental, and vision insurance, • Paid Life & AD&D Insurance (for employees and families), • Paid Disability Insurance (STD + LTD), • Paid Parental Leave, • Paid Vacation and Sick Leave, • Paid Holidays, • Voluntary Supplemental Insurance, • Safe Harbor 401(k) plan with employer match, • And other benefits and perks! POSITION TYPE AND EXPECTED HOURS OF WORK This is a full-time position. Days and hours of work are Monday through Friday, 9:00 a.m. to 6:00 p.m., 40 hours weekly, or as otherwise arranged with the manager of the department. US work authorization is required. Who We Are: EEO Statement A-CAP is an Equal Opportunity Employer and does not discriminate in recruiting, hiring, promotion or any other personnel action based on the basis of race, ethnicity, national origin, color, sex, gender, gender identity or expression, sexual orientation, religion, age, disability, veteran status, or any other basis covered by appropriate law. We comply with the laws and regulations set forth in the Know Your Rights poster. All employment is decided on the basis of qualifications, merit, and business need. To request an accommodation, contact and we will make every effort to respond to your request within 48 business hours to work towards a positive solution. Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It should not be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Powered by JazzHR DyJtxQ1k44

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 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 WEST KENDALL 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 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 Job Title: Medical Billing & Coding Specialist Company: Pinnacle Wound Management Employment Type: Full-Time Location: This is an on-site location in Miami, FL 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 POSITION PURPOSE: This is a limited technical position in the collection and preparation of specimens for laboratory testing and performance of approved waive Tests. Duties performed follow standardized lab practices and procedures under the supervision of a Licensed Medical Technologist or the Lab Supervisor. Also, duties will include revenue collection including cash handing, 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: Graduate from a standard high school or GED equivalent. Appropriate clinical lab techniques in an accredited training institution. Six (6) months phlebotomy experience preferred. Certified Lab Assistant or Certified Phlebotomist. ICD 9 Coding experience preferred. Experience in Patient Financial Services. Knowledge of Medicaid / Medicare, Kid Care, other Health Insurance, sliding fee scale and financial setup preferred. Licensure / Certification: Applicable and/or available License as Laboratory Technician, Certified Laboratory Assistant, Phlebotomist, Medical Assistant or Certified Nursing Assistant from the State of Florida. CPR certification. Skills / Ability: Basic computer knowledge, phlebotomy skills, and knowledge of cashiering functions. Ability to relate to diverse ethnic population. Must have clerical skills, ability to type 20 – 30 wpm. Ability to demonstrate effective oral and written communication skills. Bi-lingual preferred. POSITION RESPONSIBILITIES (THIS IS A NON-EXEMPT POSITION) Performs blood drawing and processing duties or occasionally reference as part of a team collects blood from infants and adults by micro and macro techniques for complete counts or component. Must have the skills needed to obtain blood from difficult veins using both the syringe and vacutainer. Instructs patients in the proper preparation and collection of timed specimen. Prepares blood samples for a large volume of routine chemistry tests, including listing of specimens, examining samples, to see if blood is ready for testing, checking the condition of serums and placing blood in tubes for processing. Performs waive lab procedures, e.g. pregnancy test and urine dipstick. Post laboratory billing and payments into Intergy computer. Accurately identifies the assigned lab based on HMO contract. Order and stock supplies and issues supplies, as needed to the other units and centers. Sorts and files correspondence, lab reports or other documentation as applicable. Answers telephone, relay messages to staff, and distributes memorandums. Monitors all lab request and documents receipt of results as applicable. Assist the providers in locating results. Maintains work log and appointment schedules for laboratory services. Dispenses medical appliances to patients as directed, and give proper specimen collection instructions. Where applicable participate in appropriate Continuing Education, In-service Training, Performance Improvement Activities and/or maintain current licensure and/or certification. Keeping alert of emergency needs of patients waiting for services. Attend departmental and institutional meetings as required. Maintains laboratory work areas clean and orderly. Demonstrates a respectful manner towards patients, physicians and co-workers. Greets patients in a courteous manner, responds to patients with empathy and positive interpersonal skills. Responsible for knowing and adhering to Departmental and Institutional Policies and Procedures. Maintains a cooperative working relationship with all members of the Laboratory Department. Assist with orientation of new personnel and phlebotomy training reviews for existing personnel. Maintain current CPR certification. Understands and participates in the principles of the Quality Management Program. PFSS POSITION DUTIES: Register or update client, in Intergy as per guidelines by Community Health of South Florida. Researches files for previous enrollment in CHI computer system before creating a new medical record number. Registers patients requiring laboratory tests on the computer to include generating a route slip, collects fees for such test and generates receipts. Checks for valid patient fee classification, Medicare, Medicaid other funded programs and sliding fee scale. Performs financial screening on active clients who have requested services from Community Health of South Florida, Inc. Performs cashier duties: pre-collection, A/R and enters data into computer for payment received. Attempt collection of past due debts as clients request services from CHI. Check-out clients upon receiving Laboratory services and issue walk-away bill. Post procedures, collect additional funds when checking out clients after receiving services. Review and balance daily batches for posting locations, allocating correct procedure, accounts posted to zero insurance, etc. Submit daily batches to assigned supervisor or designee. Submit cash and copies of daily batches to the Supervisor for deposit. Complete statistical data and submit daily. Verifies, Medicare, Medicaid and all other insurance carriers. Performs daily balance closing and ensures that all procedures and payments are posted accurately. Use appropriate and correct telephone etiquette at all times. Completes & Post all B&E (billing and encounter) forms within the same day of service. Presents a clean, neat appearance according to CHI guidelines. Reports to work on time and ready to work with minimal absenteeism. Adheres to Confidentiality Policies and Procedures / HIPAA Regulations. Performs a minimum of 80% of work assignments. Performs other duties as assigned.

Job DescriptionPinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are seeking a detail-oriented Healthcare Credentialing Specialist to join our team. This role is critical in ensuring our healthcare professionals meet all necessary licensing, certification, and regulatory requirements. As a Healthcare Credentialing Specialist, you will be responsible for managing the credentialing and re-credentialing process for all of our physicians and mid-level healthcare providers. You will maintain accurate records, verify professional credentials, and ensure compliance with industry regulations and accreditation standards. If you are a meticulous and organized professional with a passion for healthcare compliance, we want to hear from you! Apply now to join us in ensuring the highest standards of wound care excellence! Key Responsibilities: • Maintain accurate and up-to-date provider files, ensuring compliance with all credentialing requirements, • Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations, • Assist new providers with applications for National Provider Identifier (NPI), Medicare, and Medicaid numbers.Monitor and update provider CAQH profiles in accordance with CMS and Managed Care Organization guidelines, • Manage termination of payer enrollments for providers leaving the organization, • Provide updated demographic information and supporting documents to external stakeholders, including commercial payers and billing entities, • Collaborate with the Director of Operations to ensure timely credentialing and re-credentialing of all providers., • Track and ensure the renewal of state DEA licenses, board certifications, and malpractice insurance, • Identify and resolve potential onboarding issues, offering solutions to streamline the credentialing process, • Maintain records of all managed care contracts and ensure portal logins remain active.Ensure compliance with relevant accrediting and regulatory agencies, • Monitor trends and recommend improvements to credentialing workflows Requirements • High school diploma or equivalent; credentialing certificate preferred, • Minimum of 5 years experience in physician credentialing, revenue cycle management, or related field, • Knowledge of credentialing standards and healthcare regulations, • Proficiency in credentialing software and Microsoft Office Suite, • Strong attention to detail, organizational, and problem-solving skills, • Excellent written and verbal communication skills, • Ability to work independently and manage multiple tasks efficiently 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 seeking a Provider Services Advocate to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Provider Services Advocate plays a critical role in supporting healthcare providers by serving as a liaison between providers and the health care organization. This position ensures that providers receive timely assistance with inquiries, claims, and service issues, ultimately enhancing provider satisfaction and operational efficiency. The advocate will analyze provider concerns, coordinate with internal departments, and facilitate resolutions to complex problems. By maintaining strong relationships and clear communication channels, the role contributes to the seamless delivery of healthcare services. The ultimate goal is to foster a collaborative environment that supports providers in delivering high-quality patient care. Minimum Qualifications: • High school diploma or equivalent, • Experience in call center environment, • Knowledge of automated systems (technical adeptness) required., • Associate’s or Bachelor’s degree in healthcare administration or related field preferred., • Experience working with Medicaid, Medicare, or commercial insurance providers., • Experience processing UB04 and CMS 1500 claims, • Familiarity with healthcare regulatory requirements and compliance standards., • Certification in healthcare customer service or provider relations., • Serve as the primary point of contact for healthcare providers seeking assistance with claims, billing, credentialing, and service-related inquiries., • Investigate and resolve provider issues by collaborating with internal teams such as claims processing, credentialing, and customer service., • Maintain accurate records of provider interactions, issues, and resolutions to ensure accountability and continuous improvement., • Communicate policy updates, procedural changes, and relevant information to providers to keep them informed and compliant., • Identify trends in provider concerns and recommend process improvements to enhance provider experience and operational workflows.

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 DescriptionSummaryThe Billing coordinator will review patient medical records and assign codes to diagnoses and procedures performed so the facility can bill insurance and other third-party payers (such as Medicare or Medicaid) as well as the patient.Duties and ResponsibilitiesDetermine patient invoice by capturing services noted in patient chart; clarifying services with physicians.Identify responsible party by examining patient record.Issue invoice by entering service data; calculating charges; mailing invoices.Resolve billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.Review and evaluation tool for accuracy and adherence of medical encounters to accepted national industry standards, plan benefits and authorization guidelines.Maintain patient and invoice files by entering and adjusting data.Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends.Assist with credentialing process for onboarding physician(s).Following up with insurances to ensure physician(s) added to the group contract.Maintain physician credentialing files.Assist with data entry as needed.Assist with patient billing inquiry.Preform other duties as needed.QualificationsEducation/Experience:Must have High School diploma or equivalent.Certified in Medical Billing and CodingExperience with Medicaid and Medicare preferred.MS Office programs experience (Word, Excel, PowerPoint, etc.)At least one year of experience in billing and codingSkills:Experience reporting research results and Analyzing Information Experience using HEDIS measurements Data Entry SkillsThoroughness and attention to detailUse relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines and standard accepted practices.Ability to work with individuals within and outside the organization, in professional and courteous manner.Demonstrated ability to successfully plan, organize and manage projects. Understand written sentences and paragraphs in work related documents.Organized and able to manage competing priorities.Resourcefulness in problem solving. Actively look for ways to help people.Strong written and verbal communications skills.Strong organizational and interpersonal skills.Excellent customer service skills.Must be highly flexible; able to accommodate changing needs of the department.Knowledge of computerized data management system, statistics principles and the ability to quickly develop in proficiency to meet the demands of the position.Bilingual skills preferred (English/Spanish or English/Creole).

Overview: At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over 38 years of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most. Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you. Why Powerback? • Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members., • Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members., • Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field., • Continuing Education: Keep growing with free CEUs through Medbridge., • H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role. 1. Assist with managing a team of therapists and assistants (including Powerback Rehabilitation staff and contract labor), 2. Provide direct patient care (up to 50% of the day or more depending on location), 3. Assist the Director of Rehab with monitoring the standard of clinical services delivered to ensure adherence to evidence-based care delivery standards and regulatory compliance, 4. Assist therapy staff in identifying and removing barriers to treatment and providing clinical education to meet the needs of the patient, 5. Cover duties of Director of Rehab in her/his absence Qualifications: * Bachelor's degree in a rehabilitation discipline (Physical Therapy, Occupational Therapy or Speech Language Pathology) required; Master's degree preferred* Licensed and/or eligible for licensure as required in the state of practice* Minimum of 3 years' direct patient care experience and 1 year management experience in a rehabilitation setting preferred* Thorough knowledge of Medicare and third party billing required* Must have good verbal and written communication skills* Must possess the ability to make independent decisions and problem solve appropriately* Must possess the ability to positively interact with personnel, patients, residents, family members, visitors, government agencies/personnel and general public* Must possess the ability to effectively manage/motivate staff.

Job Description HMO Coordinator – Job Description Position Summary The HMO Coordinator is responsible for managing all aspects of patient insurance authorization, eligibility verification, and communication with Health Maintenance Organizations (HMOs). This role ensures timely approvals, accurate documentation, and effective coordination between clinical teams, payers, and administrative departments to support smooth patient care and reimbursement processes. Primary Responsibilities Authorization & Eligibility • Verify patient insurance coverage, benefits, and plan details prior to admission, during hospitalization, and at discharge., • Obtain and track initial and concurrent authorizations for inpatient, outpatient, and ancillary services., • Submit clinical documentation to HMOs and payers to support medical necessity., • Serve as the primary liaison between the facility and HMO representatives., • Communicate insurance requirements and updates to case managers, nurses, physicians, admissions, and billing teams., • Notify clinical and administrative staff of authorization statuses, limitations, or changes in coverage., • Document all insurance communications, authorization numbers, and payer follow-up in the EMR system., • Maintain accurate logs of insurance activities for audit and compliance purposes., • Ensure compliance with state and federal regulations, payer guidelines, and facility policies., • Inform leadership of any coverage or authorization issues that may affect reimbursement., • Monitor trends in payer behavior and assist in resolving recurring authorization barriers. Education & Experience • High school diploma or GED required; associate or bachelor’s degree preferred., • Minimum 1–2 years of experience in healthcare authorizations, case management support, insurance verification, or revenue cycle., • Strong knowledge of insurance authorization processes, medical terminology, and healthcare reimbursement., • Excellent communication skills for interacting with payers, clinical staff, and patients., • Ability to multitask, prioritize, and work in a fast-paced hospital or healthcare environment., • Proficiency with EMR systems, insurance portals, Microsoft Office (Word, Excel), and authorization software., • Ability to maintain confidentiality and comply with HIPAA regulations., • Strong customer service orientation and professionalism., • Ability to work independently and as part of an interdisciplinary team.

Job DescriptionJob Title: Physical Therapist Location: Miami FL 33177 Shift 40 hrs/week 8x5 8 am to 5 pm Duration: 13 weeks Minimum Guarantee hours: 32 hrs/week Scope: The responsibility of this position includes the day to day therapeutic intervention of appropriate individuals in the rehab environment in accordance with the policies and procedures as established by the facility, Medicare, private insurance, and Client. Duties and Responsibilities: • Responsible for the maintenance and accuracy of records in regard to patient care for all patients on personal case load., • Responsible for the correct reporting of billing information to the Director of Physical Therapy in regard to all patients on personal case load., • Provide direct patient care as prescribed, including evaluation and treatment planning., • Assist and assess transfers, gait and balance as required by functional mobility of patient level of assistance from minimum to maximum., • Manual manipulation, including pushing and/or pulling of patient body parts and limbs., • Responsible for the reporting and interpretation of treatment results., • Participate in development and presentation of in-services for the facility as requested., • Supervise support personnel in immediate work areas as appropriate., • Perform clinical functions: screens, evaluations, development of treatment plans, and delivery of treatment in accordance with facility, Medicare and Client’s policies and procedures., • Participate in meetings regarding patient care as appropriate., • Assist when appropriate with any community education and public relations activities of the facility., • Provide education to patient’s family as well as staff on the specific treatment plan as well as therapy goals for the patient., • Responsible for the coordination and cooperation with other staff members in carrying out the treatment plan as established., • Other duties as assigned. Qualifications: • A minimum of a Bachelors degree in Physical Therapy., • Current certification with the American Physical Therapy Association., • Licensed by the State in the designated geographic area in his/her respective therapy profession., • Demonstrates the ability to perform the following tasks without posing a threat to the health or safety of him/herself or others and without risk to self, co-workers, caregivers, or patient: lift, turn, move position and transport the patient into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc., • Sedentary tasks related to job – approximately 10%, • Physical tasks as listed – approximately 90%, • Demonstrates the ability to perform a minimal assist transfer. Minimal assist transfers are defined for purpose of this document as the ability to lift and control 50 pounds. #TB_HC #ZR Company DescriptionFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CAFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA

Under the direction of the Directors or designee, the Billing Specialist ensures all Commercial / Managed Care, Medicare and Medicaid claims are reviewed for claim edits, claim submission, and timely follow up, as assigned.Review all Manager holds in Athena and resolve the challenges so that the cla

Job Description Florida Physician Group FPG Corp Offices Job Summary Under the direction of the Directors or designee, the Billing Specialist ensures all Commercial / Managed Care, Medicare and Medicaid claims are reviewed for claim edits, claim submission, and timely follow up, as assigned. Duties and Responsibilities: • Review all Manager holds in Athena and resolve the challenges so that the claims are resubmitted clean and are paid in less than 35 days, • Reporting to the Directors and Practice Managers any challenges with consistent issues with staff members quality of work and the need for training or corrective action steps, • Monitor through Athena reporting and provider documentation split shared and incident 2 billing guidelines, • Submit claims to carriers with the appropriate remarks and/or attachments during claims resolution, • Run insurance eligibility and correct claim before submission, as needed, • Pull supporting documents for annual regulatory audits, as needed, • Ensure credit balances are reviewed and resolved timely, • Assist in the charge posting and holds resolution process in all practices, when needed, • Provide education to team when needed and necessary, • Other billing assignments, within skillsets and abilities, • Any other duties as assigned, • Travel to Broward and Dade practices for training Education Certified coder Certificate or Degree High School graduate or equivalent Experience Minimum 2-years Commercial / Managed Care / Medicare / Medicaid billing experience in an acute Physician Practice setting billing for Medicare part B fee's Working knowledge of Common Procedural Terminology (CPT), HCPCS and ICD10 Code Working knowledge of Federal, State, and Commercial billing guidelines Language: Bilingual English/Spanish is preferred Must be able to pass Background and Drug Test screenings.

Job Description Florida Physician Group FPG Corp Offices Job Summary Under the direction of the Directors or designee, the Billing Specialist ensures all Commercial / Managed Care, Medicare and Medicaid claims are reviewed for claim edits, claim submission, and timely follow up, as assigned. Duties and Responsibilities: • Review all Manager holds in Athena and resolve the challenges so that the claims are resubmitted clean and are paid in less than 35 days, • Reporting to the Directors and Practice Managers any challenges with consistent issues with staff members quality of work and the need for training or corrective action steps, • Monitor through Athena reporting and provider documentation split shared and incident 2 billing guidelines, • Submit claims to carriers with the appropriate remarks and/or attachments during claims resolution, • Run insurance eligibility and correct claim before submission, as needed, • Pull supporting documents for annual regulatory audits, as needed, • Ensure credit balances are reviewed and resolved timely, • Assist in the charge posting and holds resolution process in all practices, when needed, • Provide education to team when needed and necessary, • Other billing assignments, within skillsets and abilities, • Any other duties as assigned, • Travel to Broward and Dade practices for training Education Certified coder Certificate or Degree High School graduate or equivalent Experience Minimum 2-years Commercial / Managed Care / Medicare / Medicaid billing experience in an acute Physician Practice setting billing for Medicare part B fee's Working knowledge of Common Procedural Terminology (CPT), HCPCS and ICD10 Code Working knowledge of Federal, State, and Commercial billing guidelines Language: Bilingual English/Spanish is preferred Must be able to pass Background and Drug Test screenings.