Trabajos medicare en Atlanta, Georgia - Page 2Crear alertas

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Bills and collects on Medicaid/Medicare accounts in a timely and accurate manner. Knowledge Skills And Abilities/License Or Certification Required • One (1) year experience in billing, OR Associate's Degree in Business.

The reimbursement coordinator of collections is responsible for collecting and managing account payments. This position is responsible for submitting claims and following up with insurance companies for payment fulfillment. This position is eligible for 100% remote but the employee must reside in a state where Enhabit currently operates. AK, AL, AR, AZ, CO, CT, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WY. • Complete billing tasks daily; ensure minimal write off of reimbursement dollars., • Monitor and maintain assigned accounts., • Collect all the necessary information to prepare insurance claims., • Submit clean claims timely and appropriately to various insurance companies; complete submissions electronically or by paper according to payor guidelines., • Research, correct, and resubmit rejected and denied claims., • Prepare appeals to denied claims., • Must have a high school diploma or equivalent., • Two years of previous experience with home health, hospice, or Medicare billing and collections is strongly preferred., • Must have demonstrated competency with computers, including advanced typing skills., • Must be well organized and detail oriented with a desire and ability to maintain excellent records., • Comprehensive insurance plans - medical, dental, and vision, • Generous paid time off Up to 30 paid days off per year, • 401k retirement savings plan with match, • Basic life insurance at no cost to eligible employees, • Employee scholarship program Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

Soleo Health is seeking a Billing Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion billing experience required. The Position: The Billing Specialist will primarily be responsible for insurance and self-pay billing, excluding Medicare. This role is also responsible for submitting electronic and paper claims. Follows up with clearing house vendors on accepted and working rejections. Responsibilities include: • Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer/ Institutional Payers)., • Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules., • Creates and submits secondary electronic pharmacy and medical claims in a timely manner., • Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing., • Monitors billing requirements pursuant to contracts with third party payers or government programs., • Answer insurance/billing questions from branch staff and help educate., • Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims., • Perform routine revenue review of claims billed within the current month., • Answering incoming calls and triage if necessary., • Create claim batches and process them via electronic submission., • Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections, and resubmit., • Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers., • Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues., • Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc., • Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely, • Effectively utilize time and resources to meet performance goals., • Provides exceptional Customer service to internal and external customers., • Ensures compliance with federal, state, and local governments, third party contracts, and company policies., • Clearly communicate any billing related issues to all appropriate parties including: Intake, collections, RBL, and manager., • Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information., • 2 years or more of home infusion billing required, • High School Diploma or equivalent, • Knowledge of HCPC coding and medical terminology, • Experience providing customer service to internal and external customers, • Must be computer literate, • Must be dependable. Excellent phone and email communication skills. Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: • Improve patients' lives every day, • Be passionate in everything you do, • Encourage unlimited ideas and creative thinking, • Make decisions as if you own the company, • Do the right thing Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: billing representative, accounts receivable, collections, claims, medical coding and billing

The Associate Director, Encounter Data Management ensures data integrity for all aspects of encounter submission errors. The Associate Director, Encounter Data Management develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. The

We're looking for licensed, ambitious, and customer-focused Medicare Agents to join our growing team. Streamlined sales process so you can focus on building relationships and closing deals. Ongoing member support less hassle, more sales.

Experience in the insurance sector is a plus. Up-to-date knowledge of Medicare Supplement and Ancillary insurance Standards.

Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documentation, and fax requests Evaluate clinical information and apply professional clinical judgment for decision-making Conduct provider outreach t

Clinical Pharmacist Advisor – Medicare (Remote, Contract to hire) Job Type: Contract to hire Pay Rate: $53/hour Location: Fully Remote (U. Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documenta

Req: 48903 -Graphics Designer 12 Months Contract Role - Hybrid Role with once a week (i. Wednesday) - Virtual Interview Skilled Graphic Designer in creating effective solutions with strong command of layout, typography, iconography, and information architecture with extensive experience in Medicare

Job Description Lead with compassion. Manage with purpose. Who are we? Caring for Atlanta for over 75 years, Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. We pride ourselves in helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. We offer not just a job, but we also offer purpose, impact, and the chance to care deeply for people in the comfort of their homes. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We look to not only achieve, but to also maintain exemplary patient and employee satisfaction levels. VNHS is dedicated to continuing our investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. We aim to be an organization where healthcare professionals not only prefer to work, but where they are able to grow as professionals. For more information on our organization, please visit us here. Salary: $74,821 - $112,232 Every day we strive to display our four core values: • Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees., • Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate., • Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us with each of us contributing toward a shared purpose., • Care – We will provide compassionate person-centered care while respecting individual physical, emotional, and spiritual needs Job Overview Visiting Nurse Health System is hiring a Physical Therapist who brings not just clinical skill, but warmth, empathy, and a calming presence to every patient interaction. This role is more than just a job, it’s a chance to walk alongside our patients during some of life’s most meaningful moments. Whether it's recovery, daily care, or end-of-life comfort we look for our employees to represent Visiting Nurse's values of Respect and Integrity, Excellence, Stewardship, and Care in all aspects of their work. We're seeking a Physical Therapist who believes physical therapy is their calling in life and understands the importance of patient care. At Visiting Nurse, we strive to ensure every patient is treated with dignity, comfort, and care. What You’ll Do: • Perform initial physical therapy assessments for home health patients, • Develop and revise individualized treatment plans and discharge plans, • Coordinate with interdisciplinary team members to create individualized care plans, • Deliver compassionate, skilled therapy, including preventative and rehabilitative techniques in the home setting, • Educate patients, families, and caregivers on care techniques and recovery to ensure comfort and understanding, • Document patient progress, physician orders, therapy outcomes, and maintain accurate records in compliance with regulations, • Supervise PTAs and HHAs, including conducting supervisory visits, • Comply with Medicare, Medicaid, and insurance regulations, • Drive to patient homes and work independently in the field, • Provide emotional support to patients and loved ones during challenging times Location: • Southwest Atlanta You’re perfect for the position if you have: • Doctorate from an accredited Physical Therapy program, • Current GA Physical Therapy license, • CPR certification and valid driver's license required, • Reliable transportation and automobile insurance, • Experience with Medicare/Medicaid regulations and compliance in home health, • Strong documentation and assessment skills (e.g., OASIS, care plans, discharge planning), • Ability to educate patients, families, and interdisciplinary team members, • Competency in managing rehabilitative therapy services and patient care protocols Why Work for Visiting Nurse Health System? • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and Paid Holidays, • 403b with Company Match Join us in our mission to provide excellent care, comfort, and dignity to our patients! Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100. #INDP2

Job Description Job Summary: The Home Health Intake Coordinator is responsible for managing the intake process for home health patients, ensuring timely and accurate collection of referral information, verification of insurance eligibility, coordination of authorizations, and smooth transition into care. This position serves as a key liaison between referral sources, clinical staff, patients, and insurance providers to support the efficient delivery of home health services. Key Responsibilities: • Receive and process home health referrals from hospitals, physicians, discharge planners, patients, and families., • Collect and verify complete patient demographics, insurance information, medical history, and physician orders., • Confirm eligibility and benefits for Medicare, Georgia Medicaid, and private insurance using appropriate verification systems (HETS, GAMMIS, clearinghouses)., • Obtain prior authorizations when required by Medicare Advantage or private insurance plans., • Coordinate with clinical and administrative staff to schedule timely admissions and start-of-care visits., • Ensure all required documentation (physician orders, plans of care, face-to-face documentation) is complete and compliant with regulatory standards., • Communicate regularly with referral sources and update them on patient intake status., • Maintain accurate records in the Electronic Health Record (EHR) system., • Support billing and authorization staff by providing required intake and insurance documentation., • High School Diploma or equivalent required; Associate’s Degree preferred., • Minimum of 2 years of experience in home health, medical intake, or healthcare administrative support., • Strong knowledge of Medicare, Medicaid, and private insurance verification processes., • Familiarity with Georgia Medicaid (GAMMIS) and Medicare portals (HETS, MAC, etc.)., • Experience with Electronic Health Records (EHR) systems preferred., • Excellent organizational, communication, and multitasking skills., • Ability to work efficiently in a fast-paced environment., • Prior experience as a home health intake coordinator is highly desirable., • Knowledge of home health billing processes and CMS regulations., • Competitive salary based on experience, • Health, dental, and vision insurance, • Paid time off and holidays, • Retirement plan options, • Professional development opportunities

Job Description Position: Medical Practice Manager with potential growth to Director of Operations Location: Atlanta, GA (with Florida expansion oversight) Reports to: Owner/Managing Director Compensation: $60,000 - $80,000 Company Overview: Senior Healthcare Services is dedicated to improving the lives of seniors and providing exceptional geriatric podiatry and optometry services across Georgia in Long Term Care facilities. There is an active planned expansion of services into Florida. We're a growth-oriented practice committed to operational excellence and exceptional patient care. Position Summary: We need an experienced healthcare operations leader who can lead and expand our group practice. Experience in podiatry and optometry, as well as the Long Term Care industry, highly preferred. This is not a traditional practice manager role - we need someone who can own revenue cycle management, drive operational efficiency, and execute our Florida expansion while maintaining quality patient care. You'll have full operational authority and direct impact on practice profitability. Core Responsibilities: Revenue Cycle Management (40% of role) • Own the complete revenue cycle from charge capture through collections, • Manage relationship with billing company/staff and hold them accountable to metrics, • Reduce days in A/R to industry standard (target: 35 days or below), • Implement and manage Patient A/R collections program, • Achieve 95%+ net collection rate on commercial insurance, 85%+ on Medicare, • Conduct monthly denial analysis and implement corrective actions, • Audit charge capture to ensure we're billing for all services rendered, • Review and optimize payer contracts; lead renegotiation efforts, • Implement pre-authorization processes to reduce denialsDaily Operations Management (30% of role), • Oversee administrative staff and communications with Providers and Facilities, • Optimize provider schedules to maximize productivity and patient access, • Manage patient flow to minimize wait times and maximize satisfaction, • Implement systems for quality improvement and patient safety, • Handle patient complaints and service recovery, provide in-service visits at facilities, • Manage vendor relationships and office supplies/equipment, • Ensure compliance with OSHA, HIPAA, CMS, and state regulationsFinancial Operations (15% of role), • Partner with admin staff to ensure accurate coding and billing, • Monitor key metrics: revenue per provider, overhead ratio, staffing costs, • Manage accounts payable and cash flow in coordination with CFO consultant, • Prepare monthly operational reports for ownership, • Identify cost savings opportunities without compromising care qualityGrowth & Expansion (15% of role), • Lead Florida expansion execution: marketing, credentialing, licensing, location setup, • Coordinate provider recruitment and onboarding, • Develop operational playbooks for new locations, • Build scalable systems that support multi-location growth, • Market analysis and payer landscape research for new marketsRequired Qualifications: Must-haves: • 5+ years healthcare practice management experience, • 3+ years revenue cycle management experience in physician practices, • Proven track record improving collections and reducing A/R days, • Deep understanding of medical billing, coding, and payer contracts, • Experience with podiatry, optometry, or specialty practice (preferred), • Multi-location practice experience or expansion project involvement, • Strong leadership and staff management skills, • Proficiency with practice management software and EHR systems, • Strong Software Expertise in EHR systems, data management, Emerging Tech/AI, and Google WorkspaceStrongly preferred:, • Certified Medical Practice Executive (CMPE) or similar certification, • Experience with Georgia and Florida credentialing/licensing, • Background in practice turnarounds or operational improvements, • Data-driven decision maker with strong analytical skills, • Experience negotiating payer contracts

Job Description Licensed Practical Nurse: Home Health Southwest Atlanta, Grant Park, Fulton County Visiting Nurse Health System (Visiting Nurse) is seeking a Licensed Practical Nurse (LPN) to join our Home Health team who’s not only a skilled nurse – but also a calm, compassionate, and empathetic presence caring for our patients. This role is not just about nursing; it's about being a significant part of our patient’s care, representing Visiting Nurse's values of Respect and Integrity, Excellence, Stewardship, and Care. We're seeking an LPN who believes nursing is a calling in their life, understands the importance of patient care, and ensures every patient is treated with dignity, comfort, and care. We are seeking an individual willing to work Monday through Friday across Fulton County, Southwest Atlanta, and Grant Park. This is a non-exempt position. Our corporate office is located in Dunwoody, GA 30346, however this position is headquartered out of our Marietta office. Who is Visiting Nurse Health System... Serving the Atlanta Area for over 75 years, Visiting Nurse is a leading provider of home healthcare, long-term care at home, hospice, and palliative care services, helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. To achieve patient and employee satisfaction scores and clinical outcomes within the top 10 percent of all home healthcare providers in the U.S. To continue to invest in our strong community partnerships, coordinated care solutions, top-performing workforce, and innovative technologies to improve affordability throughout the healthcare continuum. To be a financially strong organization where healthcare professionals prefer to work. For more information about Visiting Nurse, please visit vnhs.org. In this position... • Provide nursing care, emotional support, patient and family education regarding disease process, self-care techniques, prevention strategies, clinical nursing observations, and documentation for Home Health patients., • Provides nursing services as ordered by the physician and under the direction of the RN., • Reports subjective and objective patient findings to the RN., • Under the direction of the RN, obtains physician’s orders and ensures orders exist for each visit made,, • Provides necessary skills to report changes appropriately; documents pertinent information and care rendered to the patient to ensure continuity of care., • LPN Graduate from an accredited school of nursing or program, • Completion of an IV training program or certification in IV therapy, • Experienced in advanced wound therapies, • Current license by the Georgia State Board of Nursing., • Minimum of one - two (1-2) years’ experience in a Medicare-certified home health agency is preferred., • Minimum of two (2) years as an LPN, • Current valid Driver’s License, proof of auto insurance, and a reliable vehicle Benefits: • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and 9 Holidays #INDNUR1

Job Description Licensed Practical Nurse: Home Health - South Fulton, GA Visiting Nurse Health System (Visiting Nurse) is seeking a Licensed Practical Nurse (LPN) to join our Home Health team. We are looking for a skilled nurse who is also a calm, compassionate, and empathetic presence, caring for our patients. This role is not just about nursing; it's about being a significant part of our patients’ care, representing Visiting Nurse's values of Respect and Integrity, Excellence, Stewardship, and Care. We're seeking an LPN who believes nursing is a calling in their life, understands the importance of patient care, and ensures every patient is treated with dignity, comfort, and care. We are seeking two (2) individuals willing to work Monday through Friday across Decatur, GA. This is a non-exempt position. Our corporate office is located in Dunwoody, GA 30346; however, this position is headquartered out of our Hartsfield office, near the airport. Who is Visiting Nurse Health System... Serving the Atlanta Area for over 75 years, Visiting Nurse is a leading provider of home healthcare, long-term care at home, hospice, and palliative care services, helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. To achieve patient and employee satisfaction scores and clinical outcomes within the top 10 percent of all home healthcare providers in the U.S. To continue to invest in our strong community partnerships, coordinated care solutions, top-performing workforce, and innovative technologies to improve affordability throughout the healthcare continuum. To be a financially strong organization where healthcare professionals prefer to work. For more information about Visiting Nurse, please visit vnhs.org. In this position... • Provide nursing care, emotional support, patient and family education regarding disease process, self-care techniques, prevention strategies, clinical nursing observations, and documentation for Home Health patients., • Provides nursing services as ordered by the physician and under the direction of the RN., • Reports subjective and objective patient findings to the RN., • Under the direction of the RN, obtains the physician’s orders and ensures orders exist for each visit made., • Provides necessary skills to report changes appropriately; documents pertinent information and care rendered to the patient to ensure continuity of care., • LPN Graduate from an accredited school of nursing or program, • Completion of an IV training program or certification in IV therapy, • Experienced in advanced wound therapies, • Current license by the Georgia State Board of Nursing., • Minimum of one to two (1-2) years’ experience in a Medicare-certified home health agency is preferred., • Minimum of two (2) years as an LPN Benefits: • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and 9 Holidays

Job Description CARE MANAGER, MSW – Fulton County Visiting Nurse Health System (Visiting Nurse) is hiring for a dynamic with a high EQ Care Manager, MSW, for our Members in Fulton County. We seek a Social Worker, MSW, who provides case management activities necessary to meet the needs of clients assigned to the consolidated care team. This position is responsible for the development of individualized care management plans; implementation of the care plan through brokering and coordinating services; and the monitoring and evaluation of all clinical outcomes to ensure that services are provided in a professional, comprehensive, and cost-effective manner. Who is Visiting Nurse Health System... Serving the Atlanta Area for over 77 years, Visiting Nurse is a leading provider of home healthcare, long-term care at home, hospice, and palliative care services, helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. To achieve patient and employee satisfaction scores and clinical outcomes within the top 10 percent of all home healthcare providers in the U.S. To continue to invest in our strong community partnerships, coordinated care solutions, top-performing workforce, and innovative technologies to improve affordability throughout the healthcare continuum. To be a financially strong organization where healthcare professionals prefer to work. For more information about Visiting Nurse, please visit vnhs.org. In this position you will perform... Coordination of Services: • Arranges both CCSP and non-CCSP community-based services in collaboration with the RN care coordinator, the client and family members., • Coordinates Medicaid application team to assure that the CCSP is accessible to functionally impaired Medicaid eligible persons., • Arranges emergency services as applicable., • Coordinates with the lead agency or DHR as needed to assure that all components of CCSP are responsive to the needs of the client., • Develops appropriate care plans in consultation with the client, client’s family, and service providers., • Implements the care plan and brokers the CCSP services., • Complies with standards of promptness set forth by DHR policy regarding specific activities: Completes assessments within 5 days of referral. Follows up on direct services ordered within 10 days. Reviews care plan within the first 60 days of LOC date., • Documents all care management activity and service-related information., • Ensures that documentation is consistent with the format required by depart cognitive standards (i.e., progress notes reflect care plans.), • Maintains confidential case records on all CCSP clients., • Demonstrates the ability to follow through in a thorough and timely manner on tasks assigned by management team and requests made by patients/families, referral sources, and community., • Limits amount and frequency of service to assure that costs do not exceed the limitations established by the Division of Aging Services and the Department of Community Health., • Requests redetermination of the client’s level of care prior to its expirations., • Demonstrates knowledge and understanding of CCSP manual, Medicare and Medicaid regulations, physicians’ orders and the standards of care., • Maintains current knowledge of community resources to ensure that the care plan is realistic and to coordinate and/or arrange services to clients., • Monitors service delivery to individual clients. Follows-up on each direct service to determine if it is being provided as appropriate and is effectively meeting the clients needs., • Maintains current knowledge about the service standards for each CCSP service., • Actively participates in interdisciplinary conferences to coordinate care, problem-solve, and exchange views and information. Documents case conference activities and follow up., • Complies with standards of promptness set forth by DCH and VNHS policy regarding specific activities., • Master’s degree in Social Work, Sociology, Psychology, or a related field, • Two years of experience in case management in a health care field, • Two years of experience with Medicare, Medicaid and other Funding Source, • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and 9 Holidays, • Full-time

Job Description Job Title: Patient Care Coordinator Supervisory Responsibilities: None Position Summary: Employee reports directly to the Director of Quality Assurance. The Primary duty of the Patient Care coordinator is to connect patients with medical resources and support systems and to facilitate interaction and communication with healthcare staff and providers. The Patient Care Coordinator may be required to attend Administrative meetings. The Care Coordinator serves as the bridge between the Patient Care Plan and support of patients’ lifestyle needs. Description of Responsibilities: • Educates patients on the importance of a medical home and the difference between Primary Care and care under the PCMH model., • Provides between-visit patient outreach to assigned/referred patients with 2 or more chronic illnesses who show a consistent pattern of out-of-range values for our inclusionary criteria/targeted measures., • Assists service departments (nursing staff, Nurse Manager/Director, Provider) toward improving patient visit consistency, partnership, and health outcomes., • Supports medical home processes (i.e., treatment team and huddle meetings, as needed)., • May be required to oversee and evaluate the performance of other staff., • Links assigned patients with appropriate resources and referrals., • Supports insurance payors, as assigned, with measure improvement efforts - external portal measure validation and re-scheduling to close SMC patient care gaps., • Maintains personal knowledge base of available resources, both in-house and within local communities., • Assists with the preparation of administrative reports., • Provide updates of patient progress to be placed in the EHR., • Provide system-based educational material, prevention handouts and assist with distribution of literature for chronic disease states such as Hypertension, Diabetes, Obesity, Depression, Pediatric Asthma (Asthma Action plans), and HIV linkage to Care., • Assist patients in completing computer-based surveys regarding level of understanding of their chronic disease state., • Support measure improvement activities through our Accountable Care Organization (ACO, Medicare effort) and Independent Practice Association (IPA, Medicaid effort)., • Support patient forum events. 1.Excellent oral and written communication skills. 2. Ability to maintain confidentiality of information to include protected health Information. • Ability to work with patients in a compassionate, non-judgmental manner., • Ability to work and act independently., • Effective knowledge and use of computers and multiple programs for daily work and projects., • Understanding of the potential business impact of social media. Must have a High School Diploma and at least two (2) years of experience working in community outreach, community resource development or casework participation. Basic knowledge of computer applications is essential. Carries out independent fieldwork, maintains records, and participates in cooperative efforts with numerous agencies and programs. Bilingual a plus. Certified Medical Assistants (CMA) are preferred. Typical Physical Demands: Requires some standing/walking/sitting. Requires travel from one site to another. Use of telephone required. Typical Working Conditions: Eight (8) hour workday. Some contact with patients and staff

Job Description Intake Coordinator Childers, Schlueter & Smith, LLC, a prestigious Atlanta-based law firm, is in search of a dynamic new member for its team, primarily serving as an Intake Coordinator for the firm. This full-time in-office position offers an outstanding opportunity to work in a collegial and professional environment on important and impactful cases in the areas of medical malpractice, products liability, premises liability, and major motor vehicle/trucking collisions. This position involves close interaction with clients, medical providers and other firms/companies. Our goal is to make a meaningful impact in the lives of those who have been catastrophically injured by the negligence of others. Job Summary: The Intake Coordinator is the first line of communication with new clients. They work closely with attorneys and paralegals to coordinate obtaining the required information needed to move the case forward. Must be able to multi-task, prioritize, demonstrate attention to detail, and have excellent time management and organizational skills in a high-volume environment. Duties/Responsibilities: • Makes initial phone contact with the client, verifies information, send out welcome letters and any additional documents required., • Process all mass tort and product liability cases, including new cases., • Search for liens (hospital, Medicaid/care, child support, etc.), • Effectively manage case load, e-mails, etc., • Answer phones on an overflow or substitute basis as needed, call clients, provide timely updates., • Records invoices (Date stamp all invoices, enter into Filevine with provider’s names and amounts, put invoices in alphabetical order and then give to accountant for processing., • Prepare cut loose letters as requested/needed including certified mail, regular mail, etc.)., • Manage all Medicare and Medicaid requests to include sending out Proofs of Rep to clients., • Send out correspondence letters for attorneys as needed., • Work closely with attorneys and paralegals to ensure the proper information is obtained to move the case forward., • Excellent verbal and written communication skills., • Excellent interpersonal and customer service skills., • Excellent organizational skills and attention to detail., • Confidentiality., • Excellent time management skills with a proven ability to meet deadlines., • Proficient with Microsoft Office Suite, Adobe and other software., • High School diploma or GED, • College degree is a plus, • Minimum of 2 years related experience Our personal injury, dangerous drug and wrongful death lawyers are devoted to helping victims nationwide receive justice and compensation for their losses. Our lawyers have the skill, expertise and experience needed to successfully represent those harmed in many different types of personal injury cases. We have the privilege of making sure injured victims receive the justice and compensation they deserve.Childers, Schlueter & Smith L.L.C. is a preeminent law firm practicing nationally that is driven by years of experience and exceptional results. To date, we have recovered more than $750 million in verdicts and settlements for our clients.\r\n\r\nOur personal injury, dangerous drug and wrongful death lawyers are devoted to helping victims nationwide receive justice and compensation for their losses. Our lawyers have the skill, expertise and experience needed to successfully represent those harmed in many different types of personal injury cases. We have the privilege of making sure injured victims receive the justice and compensation they deserve.

Job Description The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life. A Territory Manager is responsible for securing new business and managing a sales area independently, often remotely from Kestra main offices. This position contacts and consults with a variety of clients in a mixture of clinical settings. In addition to direct sales responsibilities for a given territory, the Territory Manager provides training, on-going product service and support, and assistance in the reimbursement process. ESSENTIAL DUTIES • Responsible for the sales and ongoing support of Kestra products, • Consistently meet or exceed quarterly and annual sales targets as well as performance-based objectives, • Grow and develop trusted partner relationships with key accounts and stakeholders within the territory in a professional and ethical manner, • Prepare quarterly Business Plans and present to Regional Sales Leadership, • Ensure responsible and appropriate use of budgeted expenses by adhering to Kestra policies and procedures, • Attend key exhibits and conventions, as required, • Coordinate patient interaction with Clinical Advisors and Customer Care team, • Provide key feedback and information in a timely manner to appropriate internal stakeholders, • Work closely with leadership across the Sales and Marketing Teams to successfully implement market strategies, • Manage sales cycle from introduction to product delivery, • Build long-term partnerships from sales calls, • Manage pipeline of customers, • Proactively maintain positive client relationships, • Respond to client issues and complaints, • Maintain records and sales data, • Adhere to Pledge of Confidentiality o Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient’s case. COMPETENCIES • Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement., • Integrity: Commitment, accountability, and dedication to the highest ethical standards., • Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service., • Action/Results: High energy, decisive planning, timely execution., • Innovation: Generation of new ideas from original thinking., • Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind., • Emotional Intelligence: Recognizes, understands, manages one’s own emotions and is able to influence others. A critical skill for pressure situations. Requirements Education/Experience Required: • 5+ years of successful medical device sales experience, • 3+ years of outside sales experience, • Bachelor’s degree from an accredited four-year college or university in Business, Sales, Marketing, or a related field, or an equivalent combination of education and professional experience, • Must reside in the assigned territory, • Ability to drive an automobile with a valid driver’s license and acceptable completion of a motor vehicle report (MVR), • Demonstrated strong business acumen, • Excellent written and verbal communication skills, • Familiarity of MS Office, including MS Teams, • Post offer, must be able to achieve credentialing for hospital system entry including, but not limited to: • Documentation of vaccination and immunization status, • Completion of background check, • Completion of drug screening testing, • Review and agree to hospital policies and procedures • Experience in calling Cardiologists, Electrophysiologists, Interventional Cardiologists, or Cath Lab highly preferred, • Demonstrated understanding of Durable Medical Equipment (DME) process flow, • Knowledge of the cardiac care landscape and customer decision-making processes, • Internal candidates who do not have the required experience may still be considered if they have demonstrated consistent performance aligned with sales expectations and have served in a sales support role. SUPERVISORY RESPONSIBILITIES: • None WORK ENVIRONMENT: • Fast paced field role, • Noise volume typical of being in the field or clinical setting, • Extended hours when needed, based on business needs, • Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment post-offer. PHYSICAL DEMANDS: • Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage, • Frequent stationary position, often standing or sitting for prolonged periods of time, • Frequent computer use, • Frequent phone and other business machine use, • Ability to lift up to 40 pounds unassisted, at times from in and out of vehicle TRAVEL: • Frequent domestic travel by car and/or air required, up to 90% OTHER DUTIES: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the Team Member. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. Benefits Kestra offers a very competitive benefit package including Medical, Dental, 401K with Match, etc. Pay equity is an important part of Kestra’s Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity. Each role is benchmarked based on the job description provided If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted. Compensation: An annual salary of $100,000, in addition to a bonus and uncapped commission, commensurate with experience and location. Kestra Medical Technologies is an equal opportunity employer. Kestra Medical Technologies does not discriminate on the basis of race, color, religion, national origin, veteran status, age, sexual orientation, gender identity and/or expression, marital status, disability, physical or mental status or any other characteristic protected by law. We are unable to sponsor or take over sponsorship of employment visas at this time. Applicants must be eligible to work for any employer in the U.S. Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment.

Job Description Join Our Team and Keep Moving Forward with Breg! At Breg, we are dedicated to advancing orthopedic solutions that enhance the lives of patients and support healthcare professionals. As a leader in the orthopedic industry, we provide innovative products, consulting, technology, and services that help people move forward with confidence. We are currently seeking a Field Service Representative in Northeast Atlanta to join our team. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you. Who You Are You are a forward-thinking professional who values collaboration, innovation, and making a meaningful difference. You bring expertise in your ability to demonstrate ownership and accountability; the ability to plan, execute, control and deliver; communicate effectively both written and verbal. What You’ll Do As a Field Service Representative, you will: • Performs the delivery and set up of ancillary equipment., • Performs the measuring and fitting of orthopedic products; fits/instructs patients in other ancillary DME products., • Provides inventory management services to customers, including ordering and returning product as needed. Provides delivery estimation dates and ongoing communication., • Prepares, gathers and submits paperwork for insurance billing purposes ensuring accuracy and timeliness of receipt. Treats Protected Health Information (PHI) with the strictest confidentiality in accordance with HIPAA standards., • Ensures highest standard of patient care is provided to all patients, including adequate follow-up with patients and physicians, where required., • Evaluates orthotic device on patient and makes adjustments to assure fit, function, and quality of work., • Utilizes Breg Vision and Breg Claims System as applicable to support daily operations., • Prepares daily, weekly and monthly reports for management review. Analyses reports and data for trends and patterns. Suggests areas for improvement including processes and procedures., • Minimum high school diploma or equivalent required. Bachelor’s degree in kinesiology or sports medicine, or applicable trade certificate is strongly preferred., • Some experience desired, but not required. Applicable experience typically includes patient care, customer service, inventory, benefits, insurance billing or other related service oriented work., • Computer proficient to include web browser/internet search, MS Outlook, Word and Excel capabilities. Technical competence includes the ability to learn new software and systems., • Must have a valid driver's license and safe driving record., • May be required to have a personal vehicle that meets company standards., • Breg’s Medicare accreditation status requires its employees in close physical contact with patients (Direct Care) to maintain certain immunizations, health screenings and related trainings, criminal and motor vehicle records, and valid automobile insurance., • Work schedule may include variable start/end times outside of the company’s standard business hours of 8:00 a.m. – 5:00 p.m. On-call hours may be required which may include nights and weekends. At Breg, we invest in our people and culture. We offer: • Comprehensive Benefits: Medical, dental, vision, disability, and life insurance, effective the first of the month after hire., • Work-Life Balance: Paid Time Off (PTO) and company-paid holidays., • Growth & Development: Opportunities for professional advancement within a company that values your contributions., • Commitment to Diversity & Inclusion: Breg is proud to be an Equal Employment Opportunity employer, fostering a diverse and inclusive workplace. Salary Range: $18.00-$25.00/hr. Actual compensation is determined by factors such as experience, skills, and business needs. This range reflects the minimum and maximum target range for new hire base salary/pay across all US locations. Actual pay is based on many factors unique to each candidate, including but not limited to geographical location, work experience, skill set, relevant trainings and certifications, and business needs. The base pay range is subject to change and may be modified in the future. This role may also be eligible for a variable comp plan with an annual target at plan of $2,000, paid out on a quarterly basis. Ready to Move Forward? If you’re ready to be part of a company that is redefining orthopedic care, apply today at . Breg is an Equal Employment Opportunity Employer and dedicated to a diverse work force and Drug Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply. Applicants must be currently authorized to work in the United States on a full-time basis. The Company will not sponsor applicants for work visas for this position. #LI-KB1

Job DescriptionDescription: Position: Surgical Technician/Sterile Processing Technician Reports To: ASC Manager General Definition of Job Function: To ensure regulatory standards for sterilization and instrumentation are implemented. • Perform the following duties on a daily basis or as needed:, • Demonstrate awareness of patients’ concerns and a willingness to address them., • Avoid and prevent casual discussion of patients’ surgery among employees., • Ensure patients’ safety and comfort., • Observe pertinent changes in symptoms of patients’ condition and take appropriate action; report to physician., • Document all pertinent messages or communication with patient in patients’ chart., • Perform pre- and postoperative teachings with patients., • Send tissue specimens to the pathology lab and file report., • Follow-up on pathology reports making sure a copy is in the patient chart., • Assist the Administrator in preparation of pre-operative charts as needed., • Pull supplies for surgical procedures., • Review preoperative charts to ensure all lab studies and necessary paperwork are available for surgery., • Be prepared for all cases at the scheduled surgery times., • Maintain sterile field during surgical procedures., • Clean and restock Operating Rooms and Recovery Rooms., • Check sterilized equipment for outdating., • Clean autoclave and change vibraclean solution weekly., • Clean surgical instruments and wrap for sterilization., • Sterilize instrument packs per protocol., • Scrub and/or assist in surgery., • Assist with updating of printed material., • Answer phones, take messages (pull corresponding patient chart as needed),and transfer calls when appropriate., • Pull required paperwork for pre-operative appointments., • Check charts for completeness and close out., • Initiate communication to the Administrator in areas that require feedback, follow-up, or need to be addressed., • Ensure quality assurance standards are maintained in the office. Medical Assistant skills obtained through applicable job experience and/or appropriate education; strong sense of professionalism; ability to organize work according to priorities; maturity and tact in dealing with patients, clients, and co-workers; ability to maintain a helpful and positive regard for the patient and family. Our mission is to deliver the highest quality patient care in our state-of-the-art outpatient surgical facility. Our ASC is licensed and inspected regularly by the State of Georgia (license number 060-414). The surgery center has met and exceeded the requirements for accreditation by The Joint Commission and has received their prestigious Gold Seal for complying with the highest national standards for safety and quality of care. The surgery center also has “Deemed Status” the Centers for Medicare and Medicaid Services.

Job DescriptionHealthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries. Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity. #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Licensed Practical Nurse: Home Health Ellenwood, Lithonia Visiting Nurse Health System (Visiting Nurse) is seeking a Licensed Practical Nurse (LPN) to join our Home Health team who’s not only a skilled nurse – but also a calm, compassionate, and empathetic presence caring for our patients. This role is not just about nursing; it's about being a significant part of our patient’s care, representing Visiting Nurse's values of Respect and Integrity, Excellence, Stewardship, and Care. We're seeking an LPN who believes nursing is a calling in their life, understands the importance of patient care, and ensures every patient is treated with dignity, comfort, and care. We are seeking an individual willing to work Monday through Friday across Ellenwood & Lithonia. This is a non-exempt position. This position is headquartered out of our corporate office at Ravina in Dunwoody, GA. Who is Visiting Nurse Health System... Serving the Atlanta Area for over 77 years, Visiting Nurse is a leading provider of home healthcare, long-term care at home, hospice, and palliative care services, helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. To achieve patient and employee satisfaction scores and clinical outcomes within the top 10 percent of all home healthcare providers in the U.S. To continue to invest in our strong community partnerships, coordinated care solutions, top-performing workforce, and innovative technologies to improve affordability throughout the healthcare continuum. To be a financially strong organization where healthcare professionals prefer to work. For more information about Visiting Nurse, please visit vnhs.org. In this position... • Provide nursing care, emotional support, patient and family education regarding disease process, self-care techniques, prevention strategies, clinical nursing observations, and documentation for Home Health patients., • Provides nursing services as ordered by the physician and under the direction of the RN., • Reports subjective and objective patient findings to the RN., • Under the direction of the RN, obtains physician’s orders and ensures orders exist for each visit made,, • Provides necessary skills to report changes appropriately; documents pertinent information and care rendered to the patient to ensure continuity of care., • LPN Graduate from an accredited school of nursing or program, • Completion of an IV training program or certification in IV therapy, • Experienced in advanced wound therapies, • Current license by the Georgia State Board of Nursing., • Minimum of one - two (1-2) years’ experience in a Medicare-certified home health agency is preferred., • Minimum of two (2) years as an LPN, • Current valid Driver’s License, proof of auto insurance, and a reliable vehicle Salary Range: $61,634.56-$92,451.84 Benefits: • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and 9 Holidays

Job Description About the job Company Description Our Settlement Consulting is the largest settlement planning firm in the U.S., providing innovative solutions that improve settlement outcomes for claimants and streamline processes for plaintiff attorneys. With a national network of experts and strategic partnerships, We are committed to delivering exceptional service. We tailor strategies to each client's unique circumstances, ensuring long-term financial stability while adhering to regulatory guidelines. Our growth-oriented culture is driven by collaboration, training, and continuous improvement to support our clients and their legal teams. Our comprehensive services include structured settlements, attorney fee deferral strategies, market-based structured settlements, qualified settlement fund administration, wealth management and trust services. Role Description Summary This is a full-time, in-office, role for a Qualified Settlement Fund (QSF) Manager. We are hiring for our Atlanta or Houston office only. The responsibilities of the QSF Manager include establishing new trust accounts, managing trust accounts, overseeing fund disbursements, ensuring compliance with IRS guidelines, and providing investment management strategies tailored to client needs. The QSF Manager will work closely with attorneys, claimants, and other stakeholders, providing expert financial guidance. Ensuring accurate reporting, addressing inquiries, and identifying opportunities to improve internal processes/efficiencies are key components of this role. Key Responsibilities: Fund Administration * Complete and transmit Statement of Work and Services Agreement to plaintiff counsel. * Establish and administer QSFs in compliance with Treasury Regulation § 1.468B, including drafting and filing required court orders and governing documents. * Manage fund accounts, investments, and cash flows from settlement receipt through final distribution. * Maintain detailed records of all fund activity, transactions, and client communications. Tax & Regulatory Compliance * Assist accounting department to prepare all required tax returns, including IRS Form 1120-SF (U.S. Income Tax Return for Settlement Funds). * Obtain and maintain the fund's Employer Identification Number (EIN). * Issue Forms W-9, 1099, and other required tax reporting documents to attorneys, claimants and the IRS. * Monitor legislative and regulatory changes affecting QSF administration and implement necessary procedural updates. Claims Administration * Develop and implement claims review and verification processes in coordination with settlement counsel. * Evaluate and process claimant submissions, resolve disputes, and apply allocation formulas or court-approved distribution plans. * Communicate with claimants, attorneys, and lien holders throughout the distribution process. Financial Management * Ensure fund assets are invested prudently in accordance with applicable law, court orders, and the fund's investment policy. * Prepare periodic trust statements and reports for the court, counsel, and stakeholders. Stakeholder & Court Relations * Prepare and file required accountings, status reports, and final distribution reports with the court. * Coordinate with plaintiff and defense counsel, structured settlement consultants, and bankers. * Respond to court inquiries. Required Qualifications * Bachelor's degree in Finance, Accounting, Legal Studies; J.D., CPA, or CFP preferred. * 5+ years of experience in trust administration, settlement administration, banking, or legal finance. * Working knowledge of IRC § 468B and settlement Regulation § 1.468B governing QSFs. * Transaction oriented professional. * Strong attention to details with a focus on compliance and adherence to regulatory guidelines * Demonstrated experience with tax compliance, fiduciary duties, and financial reporting. * Proficiency Microsoft Office Suite. Preferred Qualifications * Experience with mass tort, class action, or large-scale individual settlement administration. * Familiarity with Medicare Secondary Payer (MSP) compliance and lien resolution. * CSSC (Certified Structured Settlement Consultant) or CTFA (Certified Trust and Fiduciary Advisor) designation. * Prior experience working with courts, escrow accounts, or structured settlement arrangements. * Experience with banking software and tools. Core Competencies * High ethical standards and fiduciary integrity * Meticulous attention to detail and organizational discipline * Strong analytical and problem-solving skills * Clear written and verbal communication with legal and non-legal stakeholders * Ability to manage multiple funds and competing deadlines simultaneously . Company DescriptionW3Global was established in 2006 in Fremont, CA with a vision: simplify the recruiting process and develop an industry-disrupting platform to connect candidates with clients. Our cutting-edge Applicant Tracking System enables us to find the right person for the right job, creating value for job seekers and employers. While W3Global initially focused on IT staffing, we have expanded the business to serve many other industries, including accounting and finance, legal, engineering, human resources, government and more. We’re proud of the investments we’ve made in our team, having grown from four to 1000 employees and evolving into one of the leading recruitment and staffing solution providers in the industry. Our recruiters and account managers are passionate about connecting qualified professionals with the right positions in small, medium, and large companies. Our Services W3Global understands the natural ups and downs of an organization’s staffing needs. We are continuously adapting to industry and economic changes to find the right candidates. We specialize in placing permanent, direct, contract, and temporary positions for companies of any size. Our recruiting services include sourcing, recruiting, screening, interview management, salary negotiations, training, and onboarding. We are committed to helping organizations redefine their recruitment process by delivering our SaaS-based proprietary application tracking system software. Our Expertise W3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs. As a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.W3Global was established in 2006 in Fremont, CA with a vision: simplify the recruiting process and develop an industry-disrupting platform to connect candidates with clients. Our cutting-edge Applicant Tracking System enables us to find the right person for the right job, creating value for job seekers and employers. While W3Global initially focused on IT staffing, we have expanded the business to serve many other industries, including accounting and finance, legal, engineering, human resources, government and more.\r\n\r\nWe’re proud of the investments we’ve made in our team, having grown from four to 1000 employees and evolving into one of the leading recruitment and staffing solution providers in the industry. Our recruiters and account managers are passionate about connecting qualified professionals with the right positions in small, medium, and large companies.\r\n\r\nOur Services\r\nW3Global understands the natural ups and downs of an organization’s staffing needs. We are continuously adapting to industry and economic changes to find the right candidates.\r\n\r\nWe specialize in placing permanent, direct, contract, and temporary positions for companies of any size. Our recruiting services include sourcing, recruiting, screening, interview management, salary negotiations, training, and onboarding.\r\n\r\nWe are committed to helping organizations redefine their recruitment process by delivering our SaaS-based proprietary application tracking system software.\r\n\r\nOur Expertise\r\nW3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs.\r\n\r\nAs a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.

Job DescriptionDescription: Soleo Health is seeking an Infusion Center Intake Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion experience required, and must be able to work 8:30am-5pm Eastern Time. Soleo Health Perks: • Competitive Wages, • 401(k) with a Match, • Referral Bonus, • Paid Time Off, • Great Company Culture, • Annual Merit Based Increases, • No Weekends or Holidays, • Paid Parental Leave Options, • Affordable Medical, Dental, & Vision Insurance Plans, • Company Paid Disability & Basic Life Insurance, • HSA & FSA (including dependent care) Options, • Education Assistance Program This Position: The Infusion Center Intake Coordinator is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: • Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services, • Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc, • Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing, • Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including, • Reviewing and obtaining clinical documents for submission purposes, • Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed, • Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations, • Generate new patient start of care paperwork Schedule: • Must be able to work Full time, 40 hours per week, from 8:30am-5pm Eastern Time, • Must have experience with home Infusion for Prior authorization/Benefits VerificationRequirements:, • High school diploma or equivalent, • At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred, • Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units, • Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met, • Ability to work in a fast-paced environment, • Knowledge of HIPAA regulations, • Basic level skill in Microsoft Excel & Word, • Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: • Improve patients’ lives every day, • Be passionate in everything you do, • Encourage unlimited ideas and creative thinking, • Make decisions as if you own the company, • Do the right thing, • Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring

Job Description Who are we? A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character. We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world? Learn more about our unique culture and history. Job Opportunity: Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Medical Stop Loss Senior Claims Auditor with knowledge of employer group health insurance, managed care, and direct medical claims products. This position will work with our Third-Party Administrator’s (TPA’s) daily with interaction with several other areas in our Medical Stop-Loss Division. The position is preferably located in our Indianapolis or Plymouth Meeting, PA office. We are open to candidates who could work from out Atlanta or Boston office as well. Duties & Responsibilities: • Audit specific and aggregate claims for assigned complex blocks of business, • Audit and process claim reimbursements, • Verify claims are paid in accordance with the plan document and reimbursable under the Stop Loss policy, • Verify participant and dependent eligibility, • Maintain and exceed targeted claims accuracy standards, • Maintain accurate and detailed information for each file, • Conduct implementation calls for newly sold groups, • Review and approve plan documents and plan amendments, • Initiate and further cost containment opportunities, • Audit program business claims across several lines within our Accident & Health Division, • Assist management with implementation calls for new business sold, • Set and adjust reserves Qualifications, Skills, and Experience: • Minimum of 5+ years’ experience examining and auditing medical stop loss claims, • Proficient with Microsoft Office Suite, especially Excel, • Knowledge of group insurance, managed care, and direct medical claims products, • Demonstrate excellent mathematical, communication and customer service skills, • Excellent problem-solving and critical-thinking skills, • Detail/results-oriented, • Strong analytical skills, • Excellent customer service, • Knowledge of COB, Medicare, HIPAA, CPT, ICD9/ICD10, and interpretation of employer group health plan benefits, • Ability to work independently with minimal supervision while meeting or exceeding established turn-around-time, production, and accuracy standards BHSI Offers: • A competitive package and exciting growth opportunities for career-oriented teammates, • A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates and our other stakeholders, • A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework, • Benefits that support your life and well-being, which include:, • Comprehensive Health, Dental and Vision benefits, • Disability Insurance (both short-term and long-term), • Life Insurance (for you and your family), • Accidental Death & Dismemberment Insurance (for you and your family), • Flexible Spending Accounts, • Health Reimbursement Account, • Employee Assistance Program, • Retirement Savings 401(k) Plan with Company Match, • Generous holiday and Paid Time Off, • Tuition Reimbursement, • Paid Parental Leave NOTE: This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization. The base salary range for this position is from $70,000 – $80,000 along with annual bonus eligibility; a candidate’s actual salary is commensurate with experience as determined by their relevant skills, experience, and geographical location. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture.

Job Description Revenue Cycle Manager Department: Revenue Position Summary: The Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving billing-related issues. The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables. This role will also manage Provider credentialing. The Revenue Cycle Manager will be the main contact for the Practice Management vendor, Medicaid contacts, clinically integrated networks and Clearing House vendor. They will be responsible for setting the annual practice fee schedule. This position is to stay apprised of coding and revenue trends; and is responsible for coding education to clinical and coding/billing staff. In addition, this position will manage all Revenue Cycle Management staff including billers, coders, team assistants, and the RCM supervisor; this will include day to day supervision as well as development opportunities, training, and mentorship. Supervision Received: Director of Finance/Partners at Pediatric Ear Nose and Throat of Atlanta Supervision Exercised: Coders, Billers, Team Assistant, and RCM Supervisor Classification: Full-Time Required Education and Qualifications: • A bachelor’s degree and 3-5 years of related work experience, • Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process, • Proven experience in healthcare billing, including Medicaid., • Knowledge of basic insurance policies, procedures, and reimbursement practices with Medicaid and commercial coding, • Experience supervising staff, • Prior experience with process development and execution, • Excellent communication and interpersonal skills, • 3 years healthcare experience at the management level, • Certified coder, coding auditor, or coding education experience Essential Functions: • Oversee and manage entire revenue cycle including billing, coding, collections, and denial management, • Manage relationships with external vendors for practice management software and clearinghouse vendor, • Communicate professionally with various payers, • Manage, develop, and mentor all revenue department staff, including billers and coders and RCM/Admissions Supervisor, • Teams with the operations team to oversee the registration process and manage the registration process team, • Responsible for management and maintenance of billing and practice management software platform, • Provide up to date education for clinical, billing, and coding staff on coding trends, • Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies, • Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements, • Manage and update the charge master based on the current CMS fee schedule and negotiated contracts, • Conduct monthly analysis of Medicaid/Third Party Payers, • Oversees the processing of credentialing and provider enrollment applications, initial, and re-enrollment status with all Medicaid, Medicare, and Commercial Payors, • Responsible for the generation and management of revenue, registration and credentialing metric reports, • Review and resolve issues related to claim generation and rejected/denied billings, • Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information, • Technical expert for practice management system (eg. Mod Med), • Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations, • Maintains appropriate internal controls over accounts receivable, RCM process, • Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payers, • Reviews, monitors, and evaluates third party reimbursement and researches variances, • Participates in the development of coding and billing strategies, evaluating process relative to revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, government and specific 3rd Party Payors), • Working understanding and ability to perform the task of staff members under your supervision, • All other duties as assigned Lifting Requirements Sedentary- generally, lifting not more then 50 lbs. maximum and occasionally lifting and/or carrying such articles as reports, files and small items. Travel Requirement Local; Metropolitan Atlanta Career Path Additional training/education or equivalent experience, as well as business need, are required for movement into higher level jobs. Disclaimer Must perform the essential duties and responsibilities with or without reasonable accommodation. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and /or skills required. This job description is not an employment agreement and /or an expressed or implied contract. Management has the right to alter this job description at any time without notice.

Job Description Hi, We're Centerfield ... Super-powered customer acquisition. Centerfield delivers outcome-based digital marketing solutions and personalized omnichannel experiences for the worlds leading brands. Powered by our proprietary Dugout platform, Centerfield acquires customers at scale for leading residential service, insurance, e-commerce, and B2B brands. Centerfields digital experiences and digital brands, such as Business.com and BroadbandNow.com, reach more than 150 million in-market shoppers annually. Centerfield is headquartered in Silicon Beach and is proud to be recognized as a Best Place to Work in Los Angeles. The Opportunity ... Looking for a high-earning, high-impact sales career with unlimited potential? If you're a licensed insurance agent eager to maximize your income in a fully remote role with a company that invests in your success, we want to hear from you! QuoteManage, a fast-growing national Medicare telesales brokerage firm and subsidiary of Centerfield, is seeking highly motivated Licensed Health & Life Insurance Agents to join our work-from-home team. We specialize in helping Medicare consumers across the country find the best plans to fit their needs. With the power of our parent company, Datalot, we drive inbound calls directly to our agents, keeping them connected and maximizing their opportunities. Join QuoteManage as a Captive Agent, where you can focus exclusively on our top-tier insurance solutions without the distractions of independent sales. Youll focus on selling and enrolling eligible Medicare customers into the right plans, including health, prescription drug, vision, and dental options, as well as advising pre-Medicare recipients on their options. We give our agents everything they need to thrivelive inbound calls, high earning potential, and stability with a fast-growing organization. Expect 20-25 qualified calls per day in the off-season, with even greater volume during peak months. Annual Enrollment Period (October 15 December 7) is the busiest and most rewarding time of the year, requiring agents to be fully available to drive sales and maximize earnings. Our aggressive compensation package includes top-tier commissions, daily spiffs, and performance-based bonuses to keep motivation high and results strong. Be part of a thriving organization that fosters teamwork, invests in your development, and rewards your success! Heres what youll need to succeed • Must reside in and hold a Resident License in one of the following states: Alabama, Arizona, Florida, Georgia, Indiana, North Carolina, South Carolina, Tennessee, Texas, or Utah, • At least 1 year of experience in Medicare phone sales is requiredwere looking for candidates with a strong track record in selling Health, Life, and/or Medicare Insurance over the phone, • Annual Enrollment Period (AEP) Commitment: Agents must be available to work October 15 December 7, the busiest and most lucrative time of the year, • Strong ability to navigate and operate multiple web browsers across a dual-screen setup, • Secure, hardwired high-speed internet to ensure uninterrupted connectivity, • A private and distraction-free home office or space to stay compliant with the Health Insurance Portability and Accountability Act (HIPAA) when handling Protected Health Information (PHI) What We offer • Full-time, work-from-home position (40 hours per week, MondayFriday) with flexible scheduling options. Alternative shift arrangements may be available during the off-season (AprilSeptember), • Competitive starting hourly rate of $21/hour. On average, agents earn $75,000-$85,000 annually, with top performers exceeding $100,000, • Enjoy yearly pay increases that reflect your ongoing commitment and success in the roleLicensed Sales Agents enjoy annual hourly pay increases for their first three years as they grow with us!, • Daily spiffs, incentives, and an unmatched AEP commission structure Essential Job Functions... • Maintain continuous availability for inbound and/or outbound phone calls during scheduled work hours., • Remain at a workstation for extended periods of time, up to and including an 8-hour shift, with additional hours as required for overtime., • Engage in continuous listening and verbal communication with customers throughout the workday using a headset and phone system., • Speak clearly and professionally for extended periods while providing sales guidance, plan explanations, and enrollment support., • Use a computer, keyboard, mouse, headset, and multiple software systems continuously throughout the shift., • View and interpret information on a computer screen for prolonged periods of time., • Adhere to scheduled breaks, lunch periods, call coverage requirements, and attendance expectations., • Follow phone readiness, adherence, auxiliary status, and schedule compliance procedures when stepping away from the phone., • Accurately document customer interactions and enrollments in required systems while on live calls., • Consistently meet productivity, quality, and performance metrics, including call handling, compliance, and sales expectations. Life At Centerfield ... • Competitive total compensation, including commission, • Extensive training programs and learning resources are available. We foster an environment that leans into mentoring, coaching, and collaboration to continue elevating our sales agents, • Generous PTO and holiday schedule, • Industry-leading medical, dental, and vision plans, • 401(k) company match plan fully vested on day 1, • Award-winning culture & unprecedented team spirit (featured in LA Business Journal & Built In LA), • Career growth we enjoy promoting from within! In 2024, over a dozen internal agents were promoted to leadership roles #ZR To learn more, visit us Here. Interviews will take place after resumes have been screened for the minimum requirements. Please note that this position is not restricted solely to the responsibilities listed above and that the job scope and responsibilities are subject to change. For more information about our collection, use, and disclosure of your personal information in connection with our evaluating your candidacy, please visit our Privacy Policy at . Centerfield Media is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected under federal, state, or local law.

Job Description Licensed Practical Nurse: Home Health - Decatur, GA Visiting Nurse Health System (Visiting Nurse) is seeking a Licensed Practical Nurse (LPN) to join our Home Health team who’s not only a skilled nurse – but also a calm, compassionate, and empathetic presence caring for our patients. This role is not just about nursing; it's about being a significant part of our patient’s care, representing Visiting Nurse's values of Respect and Integrity, Excellence, Stewardship, and Care. We're seeking an LPN who believes nursing is a calling in their life, understands the importance of patient care, and ensures every patient is treated with dignity, comfort, and care. We are seeking two (2) individuals willing to work Monday through Friday across Decatur, GA. This is a non-exempt position. Our corporate office is located in Dunwoody, GA 30346; however, this position is headquartered out of our Hartsfield office, near the airport. Who is Visiting Nurse Health System... Serving the Atlanta Area for over 75 years, Visiting Nurse is a leading provider of home healthcare, long-term care at home, hospice, and palliative care services, helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. To achieve patient and employee satisfaction scores and clinical outcomes within the top 10 percent of all home healthcare providers in the U.S. To continue to invest in our strong community partnerships, coordinated care solutions, top-performing workforce, and innovative technologies to improve affordability throughout the healthcare continuum. To be a financially strong organization where healthcare professionals prefer to work. For more information about Visiting Nurse, please visit vnhs.org. In this position... • Provide nursing care, emotional support, patient and family education regarding disease process, self-care techniques, prevention strategies, clinical nursing observations, and documentation for Home Health patients., • Provides nursing services as ordered by the physician and under the direction of the RN., • Reports subjective and objective patient findings to the RN., • Under the direction of the RN, obtains physician’s orders and ensures orders exist for each visit made,, • Provides necessary skills to report changes appropriately; documents pertinent information and care rendered to the patient to ensure continuity of care., • LPN Graduate from an accredited school of nursing or program, • Completion of an IV training program or certification in IV therapy, • Experienced in advanced wound therapies, • Current license by the Georgia State Board of Nursing., • Minimum of one - two (1-2) years’ experience in a Medicare-certified home health agency is preferred., • Minimum of two (2) years as an LPN, • Current valid Driver’s License, proof of auto insurance, and a reliable vehicle Benefits: • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and 9 Holidays #INDP3

Job Description About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today! The Hospice Clinical Director is responsible for ensuring the coordination and management of patient care. Assists the Director of Nursing in maintaining the quality of patient care in accordance with the Agency's objectives and policies, through planning, coordination, implementation and evaluation of the hospice services provided. This market services the Sandy Springs region in Georgia. POSITION RESPONSIBILITES • Coordinate and oversee direct and indirect patient services provided by clinical personnel., • Provide supervision and guidance to clinical staff to ensure the quality of services and maintenance of standards., • Perform chart audits., • Gather data for QAPI and participates in QAPI activities., • Appraise clinical staff performance during their probationary period and annually, provides the teaching and counseling necessary to enhance the delivery of services and the professional development of nursing and health aide staff., • Identify and evaluate patient needs and appropriateness of home care by reviewing the initial intake screening form before assignment of direct care staff. Assist with the orientation of new staff. See patients in the home setting as needed. Maintains adequate and appropriate Medical Supplies., • Assists with orientation of new personnel as well as in-services for current staff., • Responsible for ensuring Medicare, State and ACHC regulations are followed by all clinical staff., • Assists the Director of Nursing with responsibilities as requested., • Position may be stressful., • Primarily a desk job which involves minimal and occasional lifting of medical supplies and charts., • On occasion, one may be required to bend, stoop, reach and move patient weight up to 250 pounds lift and/or carry up to 30 pounds., • Travel is required to and from patient's home when supervision of care is scheduled., • The ability to access patients' homes which may not be routinely wheelchair accessible is required., • Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform patient care., • Must be a graduate of an accredited School of Nursing., • Must be a Registered Nurse licensed in the state of GA., • The Clinical Supervisor must possess at least one of the following:, • A Bachelor of Science in nursing and two (2) years combined public health nursing and progressive professional responsivities in public health nursing OR Three (3) years combined public nursing and progressive professional responsibilities in public health nursing., • Must have a minimum of 2 years nursing experience in home hospice or skilled home care. (hospice preferred), • Ability to market and deal tactfully with customers and the community., • Knowledge of business management, governmental regulations and ACHC standards. #yellow Full-time employees qualify for the following benefits: • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity., • Paid Time Off, • Paid Sick Time, • 401(k) with up to 3% company match, • Referral Program Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

Job Description Hi, we're Oscar. We're hiring an Associate, Delegate Oversight to join our Delegation Oversight team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Delegate Oversight supports the enterprise's compliance program and activities. You will assist in the development of all compliance program activities to ensure understanding of healthcare regulatory requirements. You will assess business unit compliance to laws, regulations, standards, and their procedures by conducting audit and monitoring activities. You will report into the Sr. Manager, Compliance Audit and Monitoring. Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year and annual performance bonuses. Responsibilities: • Help create a risk-based audit and monitoring plan for the healthcare organization., • Review healthcare regulations, including HIPAA, Medicare, Medicaid and NCQA regulations to ensure compliance., • Conduct assigned audits based on departmental audit plans., • Partner with teams to understand their business operations and test their compliance with regulations., • Evaluate compliance effectiveness and identify areas for improvement., • Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated to the business unit., • Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them., • Help maintain compliance policies, procedures, and controls with regulatory requirements., • Provide regular updates to leadership on compliance audit and monitoring activities and recommendations., • Compliance with all applicable laws and regulations, • Bachelor's Degree or equivalent work experience, • 3+ years experience working in health care or related field, • 3+ years experience in health plan compliance, • 3+ years driving compliance with regulatory and accreditation audit/policy requirements, • 3+ years experience working with regulation and translating into operational procedures, • Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional CCEP, or similar, • Fluency with State DOI audit and/or reporting obligations, • State DOI audit management experience, • Experience in a start-up and/or health tech environment At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Lead with compassion. Manage with purpose. Who are we? Caring for Atlanta for over 75 years, Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. We pride ourselves in helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. We offer not just a job, but we also offer purpose, impact, and the chance to care deeply for people in the comfort of their homes. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We look to not only achieve, but to also maintain exemplary patient and employee satisfaction levels. VNHS is dedicated to continuing our investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. We aim to be an organization where healthcare professionals not only prefer to work, but where they are able to grow as professionals. For more information on our organization, please visit us here. Salary: $90,000 - $120,000 - Pay Per Visit Every day we strive to display our four core values: • Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees., • Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate., • Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us with each of us contributing toward a shared purpose., • Care – We will provide compassionate person-centered care while respecting individual physical, emotional, and spiritual needs Job Overview Visiting Nurse Health System is hiring a Physical Therapist who brings not just clinical skill, but warmth, empathy, and a calming presence to every patient interaction. This role is more than just a job, it’s a chance to walk alongside our patients during some of life’s most meaningful moments. Whether it's recovery, daily care, or end-of-life comfort we look for our employees to represent Visiting Nurse's values of Respect and Integrity, Excellence, Stewardship, and Care in all aspects of their work. We're seeking a Physical Therapist who believes physical therapy is their calling in life and understands the importance of patient care. At Visiting Nurse, we strive to ensure every patient is treated with dignity, comfort, and care. What You’ll Do: • Perform initial physical therapy assessments for home health patients, • Develop and revise individualized treatment plans and discharge plans, • Coordinate with interdisciplinary team members to create individualized care plans, • Deliver compassionate, skilled therapy, including preventative and rehabilitative techniques in the home setting, • Educate patients, families, and caregivers on care techniques and recovery to ensure comfort and understanding, • Document patient progress, physician orders, therapy outcomes, and maintain accurate records in compliance with regulations, • Supervise PTAs and HHAs, including conducting supervisory visits, • Comply with Medicare, Medicaid, and insurance regulations, • Drive to patient homes and work independently in the field, • Monday to Friday, • 8am – 5pm, • Douglas County/Paulding County, • Newton County, • Ellenwood, • Stone Mountain, • Doctorate from an accredited Physical Therapy program, • Current GA Physical Therapy license, • CPR certification and valid driver's license required, • Reliable transportation and automobile insurance, • Experience with Medicare/Medicaid regulations and compliance in home health, • Strong documentation and assessment skills (e.g., OASIS, care plans, discharge planning), • Ability to educate patients, families, and interdisciplinary team members, • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and Paid Holidays, • 403b with Company Match Join us in our mission to provide excellent care, comfort, and dignity to our patients! Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100. #INDTH1

Job Description Atlanta GA: Vantage Point Insurance Group Address: 2700 Cumberland Pkwy SE, Atlanta, GA 30339 Benefits: N/A Pay: $18/hour Bi-Weekly Commission: Paid 1st week of the following month on all MA deals that reach effectuation. (Must average 10/week to be eligible for commission. Spiffs: Daily spiffs added to the bi-weekly paycheck; Agents who sell 5 or more polices in a day spin the wheel for a chance to win $10-$120. Highest weekly & monthly sales winner: receives a surprise gift ($15-$20 Gift Card or their favorite type of candy and a 6/12 pack of their favorite soft drink/sports drink) Bonus Incentive: Agents that sell 12-15 policies in a week receive a $100 bonus Agents that sell 16-20 policies in a week receive a $200 bonus Agents who sell 21 & up policies in a week receive a $300 bonus Website:

Job Description Vivo HealthStaff is recruiting for a Senior Healthcare Regulatory Attorney in North Carolina (Charlotte, Raleigh) South Carolina (Charleston, Columbia, Greenville, Spartanburg) GA (Atlanta), or Washington, D.C. This is a permanent position with salary and benefits. Our client, a nationally respected law firm, is seeking an experienced Healthcare Regulatory Attorney to join its Healthcare Practice Group. This position is ideal for an attorney with deep experience advising healthcare providers on billing compliance, fraud and abuse laws, and reimbursement policy under Medicare, Medicaid, and other federal programs. Position Overview: This attorney will play a key role in counseling hospitals, academic medical centers, physician groups, SNFs, and home health agencies on healthcare regulatory compliance, with a strong focus on structuring transactions to comply with complex federal healthcare laws. Key Responsibilities: * Advise clients on Medicare, Medicaid, and VA/Tricare billing and reimbursement requirements. * Provide legal guidance on federal fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and False Claims Act. * Counsel clients on billing compliance, claims submissions, and enrollment processes. * Assist healthcare organizations with structuring business arrangements that comply with applicable healthcare regulations. * Collaborate with a multidisciplinary legal and regulatory team to address a wide range of compliance issues. Candidate Requirements: * JD from an accredited law school with a strong academic record. * Active bar license in GA, NC, SC or D.C. * 10+ years of experience in healthcare regulatory law, with a focus on reimbursement and fraud and abuse compliance. * Extensive experience working with healthcare entities such as hospitals, physician groups, AMCs, SNFs, and home health organizations. * Strong understanding of both government and private payor systems is preferred. * Proven ability to manage complex client matters and provide strategic legal counsel. Compensation and Benefits: * Competitive salary, commensurate with experience. * Multiple bonus opportunities. * Comprehensive benefits package including medical, dental, life, and disability insurance, optional vision coverage, a 401(k) plan, and paid time off. Why Join? This is an exceptional opportunity to join a nationally ranked healthcare law practice that values collaboration, mentorship, and professional development. Work with top-tier healthcare clients on meaningful, complex matters that shape the future of healthcare delivery. Application Instructions: Interested candidates should submit a cover letter, resume, and writing sample to be considered.

Job DescriptionPosition: Market Physician Executive (MPE) Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health’s Multi[1]Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk[1]based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population healthoutcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment. Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making. Roles and ResponsibilitiesClinical Guidelines Execution – 25% • Know, understand, and deliver on Monogram Health’s proprietary evidenced based clinical pathways., • Ensure adherence to established clinical guidelines and Monogram Model of Care., • Review and approve APP, RN, SW and PharmD plans of care., • Appropriate and timely patient document within Salesforce and Athena clinical activities, interventions, and tasks., • Review, approve and co-sign APP encounters., • Clinical and Operations Performance and Quality Improvement – 25%, • Overall accountability for reducing total cost of care and Medical Loss Ratio., • Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient, • utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure, • Actively lead daily high risk and concurrent review rounds., • Direct supervision of front line clinical and operations team members., • Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management., • Regularly assess and present market performance and outcomes to Executive and Senior Leaders .Patient Care and Treatment – 25%, • Provide direct and indirect patient care (including diagnosis and treatment of disease)., • Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways., • Conduct Peer to Peers with community, facility, and health plan partners., • Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.Population Health Management (PHM) – 20%, • Provide clinical guidance and direction to Market teams to drive Population Health Management activities, including, • identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete, • quality post hospital discharge visits, and improving the quality of visits., • Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes., • Present and guide population health strategies in clinical and operational meetings., • Conduct patient reviews to target high utilizers, high risk and high opportunity patients and patient cohorts.Miscellaneous – <5%, • Participate in Monogram On-Call activities Needs will vary; 7 days on call minimum once/quarter., • Provide coverage for other MPEs, during PTO or vacancy, as needed.Position Requirements, • Must be willing and able to obtain hospital privileges at required facilities., • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel., • Demonstrated experience applying evidence based clinical criteria., • Experience in renal care and geriatrics., • Strong management and communication skills., • Active, unrestricted state medical license required in each state within the market., • Experience with high need Medicare Advantage and managed Medicaid populations., • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment., • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states., • MD (Medical Doctor) or DO degree from an accredited medical school., • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine,, • Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.Benefits, • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts, • Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources, • Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Job Description Lead with compassion. Manage with purpose. Who are we? Caring for Atlanta for over 75 years, Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. We pride ourselves in helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. We offer not just a job, but we also offer purpose, impact, and the chance to care deeply for people in the comfort of their homes. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We look to not only achieve, but to also maintain exemplary patient and employee satisfaction levels. VNHS is dedicated to continuing our investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. We aim to be an organization where healthcare professionals not only prefer to work, but where they are able to grow as professionals. For more information on our organization, please visit us here. Salary: $74,821.76 - $112,232.64 - Pay Per Visit Every day we strive to display our four core values: • Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees., • Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate., • Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us with each of us contributing toward a shared purpose., • Care – We will provide compassionate person-centered care while respecting individual physical, emotional, and spiritual needs Job Overview Visiting Nurse Health System is hiring a Physical Therapist who brings not just clinical skill, but warmth, empathy, and a calming presence to every patient interaction. This role is more than just a job, it’s a chance to walk alongside our patients during some of life’s most meaningful moments. Whether it's recovery, daily care, or end-of-life comfort we look for our employees to represent Visiting Nurse's values of Respect and Integrity, Excellence, Stewardship, and Care in all aspects of their work. We're seeking a Physical Therapist who believes physical therapy is their calling in life and understands the importance of patient care. At Visiting Nurse, we strive to ensure every patient is treated with dignity, comfort, and care. What You’ll Do: • Perform initial physical therapy assessments for home health patients, • Develop and revise individualized treatment plans and discharge plans, • Coordinate with interdisciplinary team members to create individualized care plans, • Deliver compassionate, skilled therapy, including preventative and rehabilitative techniques in the home setting, • Educate patients, families, and caregivers on care techniques and recovery to ensure comfort and understanding, • Document patient progress, physician orders, therapy outcomes, and maintain accurate records in compliance with regulations, • Supervise PTAs and HHAs, including conducting supervisory visits, • Comply with Medicare, Medicaid, and insurance regulations, • Drive to patient homes and work independently in the field, • Monday to Friday, • 8am – 5pm, • Douglas County/Paulding County, • Newton County, • Stone Mountain, • Doctorate from an accredited Physical Therapy program, • Current GA Physical Therapy license, • CPR certification and valid driver's license required, • Reliable transportation and automobile insurance, • Experience with Medicare/Medicaid regulations and compliance in home health, • Strong documentation and assessment skills (e.g., OASIS, care plans, discharge planning), • Ability to educate patients, families, and interdisciplinary team members, • Medical, Dental, and Vision insurance, • Employee Assistance Program, • Employee Discount, • Flexible Schedule, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life insurance, • PTO and Paid Holidays, • 403b with Company Match, • Pet Insurance Join us in our mission to provide excellent care, comfort, and dignity to our patients! Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100. #INDTH1 #INDTH1

Job DescriptionDescription: ADVANCED LYMPHA PRESS THERAPY COORDINATOR – East Point, GA Part-Time | Field-Based POSITION HIGHLIGHTS • Part-time, flexible schedule, • Field-based position providing in-home patient care and education, • Opportunity to make a direct impact on patient outcomes, • Mission-driven healthcare organization improving patient outcomes through innovative DME solutions ROLE SUMMARY The Advanced Lympha Press Therapy Coordinator performs in-home device deliveries, trials, and patient education within a designated geographic territory. Focusing on building strong patient relationships, this role ensures a positive customer experience while utilizing company communication and documentation technology professionally and efficiently. The Coordinator works closely with internal teams to support patient access, proper device use, and overall satisfaction. This is a part-time, field-based role. KEY RESPONSIBILITIES • Complete Medicare Advantage trials, explaining the benefits of advanced model pumps, trialing both 51 and 52 devices, and reviewing out-of-pocket differences, • Schedule and perform product demonstrations, including taking patient measurements and providing instructions for proper use of Lympha Press compression devices, • Ensure patients are properly sized for correct device fit and comfort, • Educate patients on all aspects of compression therapy devices, including garment application, prescribed protocols, and initiating therapy sessions, • Clearly communicate patient rental agreements and financial responsibility, as well as verbal instructions to patients and caregivers based on individual needs, • Manage and respond professionally to patient questions and concerns regarding devices or required documentation, • Confirm scheduled appointments in advance, provide expectations for in-home visits, and organize equipment and supplies for effective patient education, • Collaborate with internal operations teams on order completion and documentation, • Identify, escalate, and communicate patient needs or concerns to the patient relations team for same-day follow-up whenever possible, • Utilize company translation resources or partners to eliminate language barriers when applicable, • Perform all duties in compliance with federal, state, accreditation, and insurance regulations, including HIPAA, non-disclosure, and non-solicitation requirements, • Travel extensively within assigned territory to service patients and conduct in-home visits, • Work professionally and collaboratively with other company employees, managers, and departments, • High School Diploma or GED required; minimum six (6) months of related healthcare experience; professional certification or license preferred but not required, • Previous medical device industry experience a plus, • Strong written and verbal communication skills, • Effective organizational, time management, and multitasking abilities, • Knowledge of technology including scheduling, travel, and documentation applications, • Self-motivated, self-disciplined, and able to work independently while meeting role expectations, • Flexibility to travel to patient homes or healthcare settings for appointments, • Ability to quickly learn and effectively use company-specific software and handheld technology tools PHYSICAL DEMANDS • Ability to lift and carry up to 60 pounds, • Ability to sit, stand, bend, kneel, and reach as required for patient care, • Ability to read printed materials and computer screens, • Hearing and speech required to communicate in person and over the phone, • Manual dexterity to perform job functions and stamina to frequently sit for extended periods SUPERVISORY FUNCTIONS • This position has no supervisory responsibilities ABOUT LYMPHA PRESS Lympha Press helps people with lymphedema, venous disease, and lipedema improve their quality of life through innovative pneumatic compression therapy systems. We sell durable medical equipment across the United States and work closely with health plans, providers, and facilities to ensure patients have access to the products they need. Our team works on-site at our headquarters in Glen Mills, PA, and across the country to provide exceptional service, operational excellence, and support for patient care and revenue growth. Our mission is simple: Because Life Can Be Better. Join Lympha Press and help improve patient access and outcomes every day. APPLY TODAY If you are a motivated, patient-focused professional who enjoys educating and supporting patients in their homes while ensuring proper use of medical devices, we encourage you to apply and join our Advanced Therapy team in this flexible, part-time, field-based role.

Job DescriptionDescription: Soleo Health is seeking a Billing Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion billing experience required. • Competitive Wages, • 401(k) with a Match, • Referral Bonus, • Paid Time Off, • Great Company Culture, • Annual Merit Based Increases, • No Weekends or Holidays, • Paid Parental Leave Options, • Affordable Medical, Dental, and Vision Insurance Plans, • Company Paid Disability and Basic Life Insurance, • HSA and FSA (including dependent care) Options The Billing Specialist will primarily be responsible for insurance and self-pay billing, excluding Medicare. This role is also responsible for submitting electronic and paper claims. Follows up with clearing house vendors on accepted and working rejections. Responsibilities include: • Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer/ Institutional Payers)., • Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules., • Creates and submits secondary electronic pharmacy and medical claims in a timely manner., • Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing., • Monitors billing requirements pursuant to contracts with third party payers or government programs., • Answer insurance/billing questions from branch staff and help educate., • Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims., • Perform routine revenue review of claims billed within the current month., • Answering incoming calls and triage if necessary., • Create claim batches and process them via electronic submission., • Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections, and resubmit., • Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers., • Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues., • Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc., • Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely, • Effectively utilize time and resources to meet performance goals., • Provides exceptional Customer service to internal and external customers., • Ensures compliance with federal, state, and local governments, third party contracts, and company policies., • Clearly communicate any billing related issues to all appropriate parties including: Intake, collections, RBL, and manager., • Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information., • 8:30a-5p, Monday-FridayRequirements:, • 2 years or more of home infusion billing required, • High School Diploma or equivalent, • Knowledge of HCPC coding and medical terminology, • Experience providing customer service to internal and external customers, • Must be computer literate, • Must be dependable. Excellent phone and email communication skills. Soleo’s Core Values: • Improve patients’ lives every day, • Be passionate in everything you do, • Encourage unlimited ideas and creative thinking, • Make decisions as if you own the company, • Do the right thing Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords:billing representative, accounts receivable, collections, claims, medical coding and billing

Job Description ???? Immediately Hiring – Director of Health Economics, Outcomes & Reimbursement (HEOR) ???? Remote | ???? Full-Time | ✈️ 20–30% Travel Ready to take the next step in your Market Access or HEOR career? At CDL Nuclear Technologies, we’ve been delivering innovative cardiac imaging solutions for over 30 years. Since 1992, we’ve supported more than 850 healthcare facilities nationwide and have led the way in Cardiac PET imaging for over 15 years. We offer a stable, growth-oriented environment where your expertise directly impacts patient access and clinical decision-making. ???? What You’ll Do As Director of HEOR, you’ll lead payer value communication strategies that support access and reimbursement for CDL’s cardiac imaging services across Commercial, Medicare, and Medicaid markets. You’ll drive impact by: * Translating clinical, real-world, and economic data into compelling payer value narratives * Developing payer value decks, cost-impact tools, and summary materials * Leading cost-effectiveness and budget impact analyses * Partnering with Marketing, Finance, Reimbursement, and Commercial teams * Creating objection handlers, FAQs, and field enablement tools * Monitoring payer trends (MACs, commercial insurers, CMS) * Supporting value-based contracting and payer segmentation strategies * Ensuring all materials meet legal, regulatory, and compliance standards ???? Qualifications Required: * 12+ years in pharma, biotech, or medical technology * 5+ years in HEOR, Market Access, or payer value communications * Strong understanding of U.S. payer dynamics and Medicare Part B * Ability to translate complex data into payer-facing tools * Strong communication and leadership skills Preferred: * Advanced degree (PharmD, MPH, MHA, PhD, or MBA) * Cardiovascular therapeutic experience * Experience in Market Access Strategy or Payer Account Management * Experience building health economic models * Established payer relationships ???? Critical Skills * Strategic thinking * Decision making & problem solving * Cross-functional leadership * Organization & planning * Communication excellence * Adaptability & creativity ???? Working Conditions * Primarily desk-based with periodic travel * Indoor work environment * Ability to lift/move up to 10–50 lbs * Ability to manage peak workload stress ???? What CDL Nuclear Offers * Competitive compensation * Medical, Vision & Dental Insurance * Short-Term Disability * Company-paid Long-Term Disability * Company-paid Life & AD&D Insurance * 401(k) with company match * Paid Holidays & PTO * Training & professional development * Career advancement opportunities * Employee referral program CDL Nuclear Technologies is an Equal Opportunity Employer. All employment decisions are based on individual merit and business needs.

Job Description If you're a licensed agent looking to increase your production or build a team, this opportunity is designed for you: What You'll Learn: • Proven Medicare sales systems, • Final Expense sales strategies, • How to generate consistent leads, • How to build a profitable agency, • Marketing systems that produce daily appointments Medicare and Final Expense Insurance Sales. Six- Figure Income. Opportunity for the right individuals who possess Integrity, Trustworthiness and Hard work. We are hosting an Opportunity Event on April 27, 2026 from 10:00am- 3:00pm at the Hilton Atlanta in Peachtree City, GA. Company DescriptionDiscover opportunities that challenge you, support your growth, and let you make a real impact. We're always on the lookout for talented, driven individuals who are passionate about finance and client success. Whether you're starting out or advancing your career, you'll find a place where your skills are valued and your future is supported.Discover opportunities that challenge you, support your growth, and let you make a real impact.\r\n\r\nWe're always on the lookout for talented, driven individuals who are passionate about finance and client success. Whether you're starting out or advancing your career, you'll find a place where your skills are valued and your future is supported.

Job Description Job Title: Licensed Clinical Social Worker Position Summary: Reports to Chief Medical Officer or his/her designee. Utilizes professional social work skills in collaborating with other members of the medical team. To prevent or ameliorate related psychosocial problems. To ensure the patient-related and clerical functions of Social Services are executed in a timely and efficient manner. Resolves social, emotional and psychological problems of patient/family which may interfere with goals of the medical treatment plan by either working with patient/family directly or by providing advice and assistance to responsible staff members. Description of Responsibilities: 1. Refers patients to federal, state and city agencies., 2. Interviews patients/families., 3. Makes referrals for needed resources and services., 4. Coordinates referrals from outside agencies to Southside Healthcare, Inc., 5. Develops knowledge of Joint Commission audit procedures for ambulatory health care facilities and social services., 6. Provides crisis intervention for acute situations, i.e., locating emergency housing emergency services, housing, etc., 7. Assists the Performance Improvement initiative by developing and implementing Performance Improvement indicators with appropriate follow up monitoring., 8. To assist in resolving psychosocial problems which may interfere with medical treatment or rehabilitation of the patient/family., 9. Provides case management services and documents such activity in the case record., 10. Maintains an updated file of community agencies and programs., 11. Coordinates volunteer activities as needed., 12. Makes appropriate community/home visits to better ascertain the patient/family environment., 13. Prepares periodic reports on caseloads, visits, etc., 14. Serves as resource person to other staff members by providing advice and assistance in meeting the social needs of the patients., 15. Counsels patients referred internally in need of assistance such as housing, food stamps, Medicaid, Medicare, SSI and other federal and state assistance programs. Knowledge, Skills & Responsibilities: 1. Knowledge of agency policies and procedures relative to social work to provide services within approved parameters., 2. Knowledge of eligibility criteria for federal and state services such as Medicare, Medicaid, Presumptive Eligibility, Advanced Directives, SSI, Welfare, Veterans benefits, etc. To assist patients/families to receive benefits to which they are entitled., 3. Knowledge of community resources and facilities to make appropriate referrals to assist patient/family., 4. Knowledge of counseling techniques to provide adequate counseling to patient/families., 5. Considerable knowledge of the physical and psychological needs of individuals and families; of cultural factors and belief systems which may affect family lifestyle; of family dynamics; of techniques of interviewing a variety of persons to obtain needed and confidential information; of counseling principles and techniques., 6. Knowledge of guidelines for the provision of protective services; of current social and economic conditions; of available community agency resources; of the legal system and the procedures for legal protection of clients, as patients, and Southside Healthcare, Inc., as a health care facility., 7. Considerable skills in oral and written communication in a clear and concise manner; in providing crisis intervention; in documenting in the case record social services data, facts, observations, contacts, findings and recommendations; in developing service plans; in providing intensive case work services to clients including locating and coordinating specific services to meet client’s needs; in ready and comprehending material of varying levels of complexity. Minimum Requirements: Master's degree in social work from an accredited school of Social Work. Should be licensed as a clinical social worker by the State of Georgia. Two (2) years (minimum) casework experience in a health care institution that has dealings, but not limited to, child welfare agencies, psychiatric clinic, and/or family counseling agencies. Knowledge of psychiatric and medical terminology. Ability to make decisions during crisis situations. Lecture/instruct/supervise social services student interns. Involves walking, sitting, standing intermittently during the day. Ability to drive a car is desirable.

Job Description Join a Company That Puts People First! Registered Nurse – RN Schedule: Sunday, Saturday 7:00pm-7:00am Location/Setting: Atlanta 30310 Age Range: Young Adult Acuity: High, Trach/Vent We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture • Indeed’s Work Wellbeing Top 100 Company in 2024, • Health, Dental, Vision and Company-Paid Life Insurance, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice, • Compact licenses must be transferred to your state of residence within 90 days, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Six months prior hands-on nursing experience preferred but not required As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California Notice for Job Applicants Residing in Florida

TRC Talent Solutions is partnering with JTS Health Partners and hiring Revenue Cycle Specialists! This is a fully remote, full-time opportunity with JTS Health Partners’ Revenue Cycle Management team. This role is ideal for professionals with hospital back-end billing, denials management, or cash applications experience who want to make a real impact on healthcare organizations’ financial performance. As a Revenue Cycle Specialist, you’ll analyze accounts, resolve underpayments, appeal denials, and ensure accurate reimbursement — all while collaborating with payers, patients, and providers to drive results. Key Responsibilities: • Analyze accounts to identify underpayments, billing discrepancies, and claim denials., • Review EOBs, remittances, and payer documentation to resolve outstanding claims., • Submit appeals, reconsiderations, and corrected claims for denied or underpaid accounts., • Communicate with payers, patients, and clients via phone and written correspondence., • Navigate payer portals such as Availity, Optum, MMIS, and Medicare contractors., • Work AR reports and resolve credit balances., • Apply Lean process improvement methods to streamline daily workflows., • Ensure compliance with payer requirements, standard work procedures, and organizational policies. Required Qualifications:, • 1+ year of hospital back-end revenue cycle experience (denials, billing, cash applications, etc.) OR 2+ years in an accounting/finance environment., • High school diploma or GED., • Proficiency in Microsoft Excel and MS Office tools., • Knowledge of claim submission, insurance follow-up, and remittance analysis., • Strong analytical, problem-solving, and communication skills., • Excellent time management and organizational skills. Preferred Qualifications:, • Associate or Bachelor’s degree in Healthcare Administration, Business, or related field., • HFMA Certified Patient Account Representative (CPAR/ACPAR) or Certified Revenue Cycle Representative (CRCR)., • Experience in Lean process improvement. What We Offer:, • 100% Remote: Work from the comfort of your home with a secure setup., • Small team culture with big company benefits., • Paid Time Off and Holidays., • 401(k) with employer match., • Annual profit sharing (awarded 14 out of the last 15 years)., • A supportive environment that promotes career growth and skill development. JTS is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; national origin; sex; pregnancy; sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law. JTS makes hiring decisions based solely on qualifications, merit, business needs. You will be required to comply with all JTS Health Partners’ policies including our Information Security Policy and all its responsibilities. JTS is a drug-free workplace and does conduct pre-employment drug testing and we use E-Verify to confirm the identity and employment eligibility of all new hires.

Job Description Registered Nurse Case Manager – Decatur, GA Who are we? Caring for Atlanta for over 75 years, Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. We pride ourselves on helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. We offer not just a job but also purpose, impact, and the chance to care deeply for people in the comfort of their homes. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We look not only to achieve but also to maintain exemplary patient and employee satisfaction levels. VNHS is dedicated to continuing our investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. We aim to be an organization where healthcare professionals not only prefer to work but also can grow as professionals. For more information on our organization, please visit us here. Salary: $72,248 - $108,372 Every day, we strive to display our four core values, and we are looking for top-tier clinicians who embody them not only in their professional life but also personally. • Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest, and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees., • Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate., • Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us, with each of us contributing toward a shared purpose., • Care – We will provide compassionate person-centered care while respecting individual physical, emotional, and spiritual needs Job Overview Visiting Nurse Health System is hiring an RN Case Manager for Home Health who coordinates care for a caseload of patients, ensuring care meets quality standards and utilization guidelines. The RN Case Manager assesses, plans, implements, monitors, and evaluates comprehensive plans of care to ensure optimal patient outcomes. This position demands a compassionate, skilled nurse who thrives in a home-based environment and values patient education and family engagement. What You’ll Do: • Develop and implement individualized plans of care in accordance with physician orders by assessing patient needs and collaborating with the interdisciplinary team., • Modify and update care plans as patient conditions change, regularly evaluating their effectiveness., • Provide patient and family education on disease processes, self-management, and strategies to prevent complications such as hospitalizations., • Complete and submit OASIS documents, visit notes, and other required records within VNHS timeliness guidelines., • Communicate changes in patient status clearly to patients, physicians, and team members, and document appropriately., • Offer emotional support and connect patients/families with MSW and other community resources as needed., • Supervise LPNs and HHAs per VNHS policy, ensuring care plans are in place and meet patient needs., • Participate in SOC/ROC conference calls for new or resuming patients and in weekly team conferences., • Deliver competent, high-quality care in the home, adhering to VNHS policies and nursing standards., • Maintain required competencies through in-services and continuing education., • Schedule patient visits efficiently in accordance with orders and manage case load to optimize productivity., • Precept newly hired nursing staff and communicate effectively with the team and office staff regarding patient status or concerns. Schedule: • Full-time, • Flexible Scheduling, • Rotating participation in weekend and holiday on-call Location: Loganville, GA You’re Perfect for the Position if you: • Graduated from an accredited nursing program (Diploma, Associate, or BSN preferred)., • Hold current licensure by the Georgia State Board of Nursing and valid CPR certification., • Possess a valid driver’s license, reliable transportation, and current auto insurance., • Have prior home health experience if applying as PRN staff., • Demonstrate knowledge of Medicare, Medicaid, and funding source regulations as applied to home health care., • Exhibit advanced clinical nursing skills and comfort collaborating with interdisciplinary teams., • Have proven decision-making, time management, and interpersonal skills, functioning independently in a home environment., • Are proficient with computers and basic technology for documentation, email, HR systems, and online training. Why Work for Visiting Nurse Health System? • Medical, Dental, and Vision insurance, • PTO and Paid Holidays, • 403b Retirement Plan with Company Match, • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Life Insurance, • Employee Assistance Program, • Employee Discounts, • Flexible Schedule, • Pet Insurance Join us in our mission to provide excellent care, comfort, and dignity to our patients! Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need an accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100.

Job Description Patient Advocate Specialist Children’s Healthcare of Atlanta 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 Insuranc,e and more.

Job Description Patient Care Manager Pay: $90,000-$100,000 based on experience Benefits: Medical, dental, vision, PTO, paid holidays, 401k match and more! Schedule: Full-time | Monday – Friday | 8 a.m. to 5 p.m. #AC-BO The Patient Care Manager plays a critical role in supporting both patients and the caregiving team, ensuring that every person receives compassionate, high‑quality home health services. By guiding and empowering clinical staff, the Patient Care Manager helps create a supportive environment where employees can grow, collaborate, and deliver their very best work, ultimately enriching the care experience for every patient. Through thoughtful coordination of services, strong communication, and adherence to professional and regulatory standards, this leader nurtures a culture of excellence, safety, and trust. In this role, you influence quality outcomes, team success, and a meaningful difference in the lives of patients and the dedicated professionals who serve them. Responsibilities Patient Care Manager Key Responsibilities • Provide clinical supervision to ensure patient care aligns with professional standards, agency policies, laws and regulatory requirements, • Coordinate, plan, and monitor patient care, • Supervise clinical personnel to ensure services are delivered appropriately and consistently, • Maintain effective communication with patients, caregivers, referral sources, and both field and office staff, • Support quality outcomes by meeting departmental goals and participating in quality improvement initiatives, • Model professionalism, service excellence, and organizational values in daily work, • Uphold compliance expectations through required training, accurate reporting, and cooperation with audits or investigations, • Maintain a safe work environment by following and promoting safety protocols, • Encourage staff development through ongoing coaching and participation in continuing education Patient Care Manager Qualifications • Registered nurse with current licensure to practice nursing in the practicing state., • Previous experience in home care setting with two years management or supervisory experience, preferred., • Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: • Medical, dental, and vision coverage, • Paid time off and paid holidays, • Professional development opportunities, • Company-matching 401(k), • Flexible spending and health savings accounts, • Wellness offers, including an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app, • Programs to celebrate achievements, milestones and fellow employees, • Company store credit for your first AccentCare-branded scrubs for patient-facing employees, • And more! Qualifications Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

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. ● Serve as a Subject Matter Expert (SME) across Medicare Advantage STAR, Commercial, Medicaid, and MSSP ACO quality measures, services, customers, and quality improvement initiatives under various commercial and governmental payers. ● Conduct proactive patient outreach initiatives to identify and address quality gaps across Medicare Advantage, Commercial, Medicaid, and MSSP populations, engaging patients to educate them on preventive care measures, schedule necessary screenings or appointments, and support adherence to treatment plans and medications to improve health outcomes. ● Support ACO quality reporting and performance improvement activities, including MSSP reporting requirements and payer-specific submissions. ● Collect and abstract quality data using multiple data sources including EMR systems, claims data, provider outreach, payer portals, and patient engagement workflows. ● Manage daily work using multiple systems and applications — EMR platforms, payer/vendor portals, Guidehealth applications, Microsoft 365 (Excel, Word, PowerPoint), Outlook, and Teams. ● Work with patient lists, gap lists, sourced health data, medical records, and performance dashboards related to Medicare, Commercial, Medicaid, and MSSP populations. ● Leverage all quality-related resources to ensure accuracy and completeness of work — measure specifications (NCQA/HEDIS®, CMS, MSSP), coding guidance, project workflows, and quick-reference materials. ● Prioritize daily work to meet various quality reporting deadlines, including STAR Ratings, Medicaid quality programs, Commercial payer initiatives, and MSSP ACO reporting timelines. ● Communicate quality performance trends, barriers, and improvement strategies internally and with customers, providers, and payers. ● Follow all established policies and procedures for QI workflows to ensure compliance and success across multiple payer programs. ● Collaborate with customers, payers, providers, and internal teams to drive quality performance improvement. ● Participate in departmental, payer-sponsored, and ACO-related trainings, webinars, and support calls throughout the year. ● Communicate professionally and build strong working relationships with co-workers, customers, providers, and care teams. WHAT SUCCESS LOOKS LIKE IN 3 MONTHS • Complete QI Department training, orientation and shadowing., • Have a solid understanding of QI department scope of work and assigned customer., • Begin to take QI responsibility for assigned customer while partnering w/ a seasoned QI co-worker., • Moving towards independence w/ QI ownership of assigned IPA w/ periodic support from QI team., • Taking lead or co-lead on QI portion of customer meetings and meeting preparations., • Fully independent with minimal direction and support needed. 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 All your information will be kept confidential according to EEO guidelines. 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. 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. COMPENSATION: 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. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. 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 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.

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 partially remote environment, collaborating with team members virtually each day., • Serve as a Subject Matter Expert (SME) on quality improvement measures, customer needs, and payer‑specific quality initiatives across commercial and government programs., • Travel to provider offices to support quality efforts, including completing on‑site eye exams (training provided), scanning records, and coordinating medical record management., • Conduct proactive patient outreach to identify and close quality gaps—educating patients, scheduling screenings, supporting treatment plan adherence, and improving outcomes., • Collect and abstract quality data using EMRs, claims information, and provider engagement., • Use multiple platforms daily, including EMR systems, payer portals, vendor tools, GuideHealth applications, and Microsoft 365 (Excel, Word, PowerPoint, Teams)., • Work with various health data sources, including patient lists, gap lists, and medical records., • Apply all available quality resources—NCQA/HEDIS® specifications, coding materials, and Guides—to ensure accuracy and completeness., • Prioritize tasks to meet strict reporting timelines and quality program requirements., • Communicate performance trends, barriers, and improvement strategies to internal teams and external partners., • Follow established QI workflows, processes, and best practices., • Collaborate daily with customers, payers, and internal teams., • Participate in payer and departmental trainings, webinars, and support calls., • Represent GuideHealth professionally and build positive working relationships with providers and staff. Qualifications WHAT YOU'LL NEED TO HAVE • Associate degree or higher, or a clinical license/certification (CMA, LPN)., • 1–3 years of healthcare experience, including EMR use, medical terminology, chart review, and familiarity with quality measures or billing/coding., • Minimum 2 years of Medicare Advantage quality data abstraction and patient outreach experience., • Strong technical ability—comfortable working with health data, Excel, PowerPoint, and multiple digital systems., • Excellent verbal and written communication skills., • High attention to detail, strong organization, and the ability to meet strict deadlines., • Ability to work collaboratively across teams and with external partners., • 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., • Use your skills to make a meaningful impact in healthcare., • Work with a great team in an awesome work environment., • Competitive compensation., • Great benefits like flextime time off. Additional Information The base pay range for this role is between $28-$32 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. 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. COMPENSATION: 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. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. 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 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.

Job Description About Belle Belle is a fast growing engagement company that is revolutionizing home healthcare – and it all begins with the feet. With 25M+ U.S. seniors no longer able to see or reach their feet, a lack of self care and mobility challenges cost the health insurance plans $38B+ in preventable medical spending every year. Belle trains and manages a network of nail technicians or “Belle Technicians” who provide in-home foot care (aka medical pedicures). Belle uses cutting edge data science to identify those most in need on behalf of health plans and deploys its services accordingly. While in the home, Belle Technicians complete assessments and screenings, often being the first to identify emerging issues below and above the knee. As these issues arise, a team of remote nurses coordinate care with other healthcare providers - preventing serious and costly episodes. Our mission: Bring Joy to Healthcare. Join us if our cause inspires you! About this Role This is a full-time position and hours of work and days vary Monday through Friday 9:00 am to 5:00 pm. Occasional evening and weekend work may be required, as needed. This position involves extensive daily travel throughout your local region. Responsibilities: • Specialize in senior therapeutic foot case, prioritizing lower extremity health and safety., • Adhere to Belle protocols to guarantee a hygienic service, minimizing the risk of infection., • Conduct thorough foot assessments using Belle’s mobile application during each service to escalate clinical concerns and observations, • Cultivate a positive rapport with members, fostering trust to effectively convey foot care education and promote enduring foot health., • Keep accurate member records, ensuring HIPAA compliance and effective communication with Belle’s administrative team., • Ensure punctuality for all appointments through consistent good attendance and proper automobile maintenance., • Updates job knowledge by participating in Belle-provided continuing educational opportunities, • Promotes and assist with the booking of future appointments for members prior to ending the appointment, • Must be 18 years of age or older, • Valid National-Interstate Council of State Boards of Cosmetology’s and/or state required Nail Technician Licensure (based on role location), • May not be debarred or excluded from participation in Medicare, Medicaid, FEHBP or any other federal or state government programs, • Valid Driver’s License and adequate car insurance is required, • Able to maintain reliable transportation, • Basic mobile device skills, • Completing and passing required credential checks (based on state location) including, but not limited to, a background check and drug test., • Frequently required to stand, walk, sit, use hands, handle documents and phone/tablet, and reach with hands and arms for extended periods of time Benefits • Competitive salary based on experience, • Health, dental and vision benefits, • 401k (non-matching), • PTO and Sick Time, • Flexible work environment, • Foot care services for yourself, • Opportunity for significant career growth and expansion of responsibilities, • Ability to reshape an industry and protect lives Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. Belle participates in E-Verify, and post-offer background checks and drug screenings. Belle will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, Belle is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before Belle can take any adverse actions, including terminating your employment. Belle can only use E-Verify once you have accepted a job offer and completed the Form I-9. Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9. Powered by JazzHR n9HDTjHPh9