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Talkiatry is led clinically by Dr. Georgia Gaveras, a board-certified child, adolescent and adult psychiatrist with an additional board-certification in addiction medicine. At Talkiatry, that means our psychiatrists are in control of their practice. Our support staff focuses on removing administrative duties, enabling you to spend more of your time on patient care. It also means providing flexibility in where and when you practice medicine. Our psychiatrists also enjoy control over their hours and schedule. We provide in-network, outpatient treatment for children and adults with depressive, anxiety, attention, and other disorders. Talkiatry does not provide intensive outpatient or partial hospitalization programs. We believe that solving the accessibility issues in mental health care begins with taking care of our doctors. We provide solutions to the challenges that psychiatrists are facing - from a lack of front and back-office infrastructure and support in private practice settings to being overworked and underpaid by hospitals, clinics, and other institutions. Talkiatry aims to bridge the current gap in outpatient psychiatry by providing high quality, respected medical care in a modern setting with modern tools. Through proprietary technology developed by psychiatrists for psychiatrists, we empower you to treat the conditions and population you enjoy, building a practice you find both satisfying and intellectually challenging. Talkiatry believes that psychiatric care should be affordable for patients and accepts all major insurance. As an integrated practice, we have a large in-house billing and patient care coordinator team that handles billing and administrative issues for our clinical staff. To learn more, please visit us at ___. Talkiatry 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. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: ___ & ___.At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us. We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status. Talkiatry was built for Psychiatrists, by Psychiatrists and offers the stability and support of a hospital group with the autonomy of a private practice. We are currently seeking 100% Remote BC/BE Psychiatrists to join our national team as we continue to expand across the US. * Our Promises • Market-leading compensation. Competitive base salary coupled with productivity-based income. You retain a high percentage of your earnings; we pay at the top of the market., • Comprehensive employee benefits package designed specifically for high earning physicians and we cover up to 100% of your healthcare premiums, even for large families., • Lighter administrative burden and schedule flexibility. You can focus on providing great care, while maintaining control over your schedule. We will handle patient scheduling, billing, and various other support functions, • The efficiency of Talkiatry’s practice benefits you. Our single specialty focus, scale and technology allows for better reimbursement rates while maintaining lower practice expenses which enables us to pass the economic benefits to our psychiatrists., • Custom developed technology driven solutions for psychiatry including an integrated EMR which supports provider-to-patient messaging, telemedicine, direct lab integration and proprietary tools to track and gain insight into your patients’ outcomes., • Select a patient population according to your own criteria and preferences. Our patient intake process is robust and can be adjusted in real time to allow you to balance the acuity and diagnoses of the patient population you are treating., • You decide what allotted time is appropriate for your patients. Minimum of 60 minutes for intakes and 30 minutes on follow up visits., • Strong in-house referral network that allows you to refer patients to specialists and therapists whose practice exclusively supports patients our psychiatrists are actively treating. Best of all, clinical information is shared seamlessly through our EMR. Our Benefits • Health, Dental, Vision Insurance: Up to 100% of insurance premiums, • 100% Employer paid malpractice coverage, • Competitive 401K match with immediate participation, • PTO, sick time and 11 paid holidays, • Pre-tax commuter benefits, • CME allowance, • Flexible scheduling and patient criteria in a remote, telehealth environment, • Few administrative burdens with full-time, on-site billing and scheduling services, • Licensing support- Our in-house licensing department will be happy to assist in managing this process for you, and we cover the costs up front, • Technology package is provided, • In addition to a highly competitive Benefits plan, Talkiatry’s Full Time Psychiatrists compensation plan totals ~$300K- $350K+ annually, which consists of a base salary, in addition to a monthly productivity incentive; monthly productivity incentive is guaranteed throughout clinician’s onboarding ramp up period. Your Qualifications • Board eligible or certified in Psychiatry. Subspecialties strongly encouraged to apply., • Active and unrestricted license to practice medicine. We can assist in obtaining licensure as needed., • Excellent clinical knowledge and communication skills., • A willingness to learn new or streamlined EMR tools., • A proactive approach with a strong work ethic and desire to participate in a collaborative environment.

JOB DESCRIPTION Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers. Job Duties • Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing., • Identifies and reports quality of care issues., • Assists with Complex Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience, • Documents clinical review summaries, bill audit findings and audit details in the database, • Provides supporting documentation for denial and modification of payment decisions, • Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of all relevant and applicable Federal and State regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care., • Reviews medically appropriate clinical guidelines and other appropriate criteria with Medical Directors on denial decisions., • Supplies criteria supporting all recommendations for denial or modification of payment decisions., • Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals., • Provides training and support to clinical peers., • Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. JOB QUALIFICATIONS Graduate from an Accredited School of Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • Minimum 3 years clinical nursing experience., • Minimum one year Utilization Review and/or Medical Claims Review., • Minimum two years of experience in Claims Auditing, Medical Necessity Review and Coding experience Active, unrestricted State Registered Nursing (RN) license in good standing. PREFERRED EDUCATION: Bachelors’s Degree in Nursing or Health Related Field PREFERRED EXPERIENCE: Nursing experience in Critical Care, Emergency Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in Healthcare Quality or other healthcare certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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

Job Description About Sciometrix At Sciometrix, our goal is to deliver the best-ever personalized care with utmost compassion enabling patients to lead healthier and happier lives. Our commitment to innovation in healthcare technology drives us to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population Health. We envision a world where advanced technology and human compassion intersect seamlessly to deliver superior patient experiences and outcomes.” Our mission is to enhance the lives of patients by leveraging digital solutions that reduce hospital readmissions, improve health outcomes, and optimize the delivery of healthcare services. At the heart of our philosophy lies the belief that every patient deserves access to the highest quality of care, tailored to their individual needs. We strive to make this vision a reality by pioneering innovative solutions that prioritize patient well-being and provider efficiency. With Sciometrix, the future of healthcare is not just about treating illnesses; it's about empowering patients to live their best lives. What’s in It for You A telephony dietitian delivers expert nutritional guidance through HIPAA-compliant telephone or video consultations. This role supports clients in achieving their health goals by developing personalized nutrition plans and offering ongoing support remotely. Key Responsibilities · Conduct nutrition assessments via phone or video, considering medical history, lifestyle, and dietary habits. · Develop and monitor individualized meal plans tailored to client needs. · Use motivational interviewing (MI), stages of change (TTM), and strengths-based counseling techniques. · Schedule and conduct follow-up calls to track progress and adjust plans. · Collaborate with healthcare providers to ensure coordinated care. · Document all interactions in electronic health records (EHR) in compliance with privacy regulations. · Educate clients on chronic disease management, weight loss, and general wellness. · Respond to client inquiries via phone, video, or secure messaging platforms. Qualifications · Bachelor’s or Master’s degree in Nutrition, Dietetics, or related field. · Registered Dietitian (RD) or Dietitian-Nutritionist (LDN) credential. · Licensure in applicable state(s), if required. · Experience with telehealth platforms and remote counseling. · Strong communication and interpersonal skills. · Ability to work independently and manage a remote caseload. Preferred Skills · Familiarity with digital health tools (e.g., BMI calculators, glucose monitors). · Experience with elderly or chronic care populations. · Bilingual abilities (a plus for diverse client bases). · Knowledge of insurance documentation and billing for telehealth services. Sciometrix is an& Equal Opportunity Employer& and is proud to offer equal employment opportunity to everyone regardless of race, color, ancestry, religion, gender, national origin, sexual orientation, age, citizenship, disability, gender identity, veteran status, and more. Join us at& Sciometrix& and be part of a team dedicated to transforming healthcare through telehealth innovation.

Job Description JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining appropriate documentation and account records, as well as timely issue resolution. In this role, you will ensure work is in compliance with all legal, regulatory, and internal Integra policies and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as a next step in your career. JOB RESPONSIBILITIES • Accountable for daily productivity goals at or above the current production metric, • Maintain a climate of teamwork and collaborative problem solving, • Uses problem solving skills and planning abilities to diagnose and solve root process, payer and communicate system issues impacting revenue cycle objectives, • Stay informed on product information, changes in Medicare/State/Contract funding procedures, and updates in policies and procedures, • Contribute beyond fundamental responsibilities to support company growth and department development, • Adds value and positive contributions towards the company and department culture, • Understand and perform duties in compliance with State and Federal regulations and the policies and procedures of Integra, • Achieve and maintain an individual effectiveness rate of 70% +, • Contributes to the department maintaining AR aging over 120 days at 10% or less of total inventory, • Strong Microsoft Office skills (Excel in particular) and ability to learn new programs and software, • Must type 45+ words per minute, • Familiar with ICD-10, HCPCS, and medical terminology, • Ability to follow verbal and written instructions, • Ability to maintain consistent, regular attendance and punctuality, • In the first 6 months you will learn Integra’s claims platform (QUE) and how to navigate it thoroughly (i.e. transmit new claims to payers, submit corrected claims, update member information, adjust off correctly adjudicated claims, etc.)., • You will learn your job role and responsibilities and which tools/references are available to you to assist in resolving unpaid claims., • You will build your knowledge base in relation to the insurance plans one plan at a time, so that in 6 months you are the subject matter expert on those plans and are able to spot any payer issue trends., • You will be fully integrated with your job, company and team., • You will continue to learn additional insurance plans and become a subject matter expert on multiple plans., • You will contribute your skills and knowledge to meet your department’s metrics and goals. EXPERIENCE: • Familiarity with the 1500 claim forms, and DMEPOS services, • Knowledge of ICD-10, HCPCS, and medical terminology, • Understanding of CMS guidelines, and Medical Policy adopted by the plan, • Correctly read and assess medical documents, • Must type 45+ words per minute, • Computer experience, and the ability to learn new programs and software, Microsoft Word and Microsoft Excel background is a necessity, • Conduct yourself in a courteous, helpful, and professional manner at all times, • Passion for your work and the mission of the company, • Motivated and able to work independently within a fast-paced, team environment, • Must be organized and thorough, • Sound judgement and critical thinking, • Ability to work overtime as required, • Must follow policies regarding attendance and punctuality, • Competitive compensation and annual bonus program, • 401(k) retirement program with company match, • Company-paid life insurance, • Company-paid short term disability coverage (location restrictions may apply), • Medical, Vision, and Dental benefits, • Paid Time Off (PTO), • Paid Parental Leave, • Sick Time, • Paid company holidays and floating holidays, • Quarterly company-sponsored events, • Health and wellness programs We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives. Powered by JazzHR z80ckBVIGH

Job Description Patient Care Coordinator - Travel About Sciometrix Sciometrix is a leading digital Health company looking for RN Case Manager Spanish. We are a leader in Telehealth -healthcare Virtual care Management. Our mission to engage patients to Deliver better outcomes. Sciometrix is known among customers, peers, and patients for clinical excellence, patient experiences, and provider satisfaction. Since the inception of our patient count, technological solutions have been evolving. We empower healthcare providers with advanced technology and human expertise, revolutionizing a patient's experience. Our propriety software and related technologies ensure HIPAA compliancy with cloud access. We have established HIPAA-compliant Clinicus, an artificial intelligence (AI) bot that monitors patients 24/7 and ensures fast response in their care management program. Clinicas watches each patient's vitals and alerts our licensed team when a patient's program progress or vitals are varying. Our team will then quickly contact the patient to discuss the change. If needed, we will schedule a physician's appointment . What's in it for you: A telephony dietitian delivers expert nutritional guidance through HIPAA-compliant telephone or video consultations. This role supports clients in achieving their health goals by developing personalized nutrition plans and offering ongoing support remotely. Key Responsibilities · Conduct nutrition assessments via phone or video, considering medical history, lifestyle, and dietary habits. · Develop and monitor individualized meal plans tailored to client needs. · Use motivational interviewing (MI), stages of change (TTM), and strengths-based counseling techniques. · Schedule and conduct follow-up calls to track progress and adjust plans. · Collaborate with healthcare providers to ensure coordinated care. · Document all interactions in electronic health records (EHR) in compliance with privacy regulations. · Educate clients on chronic disease management, weight loss, and general wellness. · Respond to client inquiries via phone, video, or secure messaging platforms. Qualifications · Bachelor’s or Master’s degree in Nutrition, Dietetics, or related field. · Registered Dietitian (RD) or Dietitian-Nutritionist (LDN) credential. · Licensure in applicable state(s), if required. · Experience with telehealth platforms and remote counseling. · Strong communication and interpersonal skills. · Ability to work independently and manage a remote caseload. Preferred Skills · Familiarity with digital health tools (e.g., BMI calculators, glucose monitors). · Experience with elderly or chronic care populations. · Bilingual abilities (a plus for diverse client bases). · Knowledge of insurance documentation and billing for telehealth services. Work Location:& In person Equal Opportunity:& Sciometrix is committed to being an Equal Opportunity Employer, providing equal employment opportunities to all individuals .Sciometrix is committed to being an Equal Opportunity Employer, providing equal employment opportunities to all individuals

Job DescriptionResponsible for replying to web-form inquiries submitted to Integra Partners from our provider/plan partners. Responsible for the review of DME claims for billing accuracy. Responsible for the investigation of root cause and for delivering a solution to our clients in a succinct, professional, and timely manner. Must maintain appropriate documentation and account records and ensure all work is in compliance with all legal, regulatory, and internal Integra policies and procedures, as applicable (including, but not limited to HIPAA compliance) at all times. Salary: $19.00/hour JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES • Ability to work with multiple health plan payors and remain flexible in day-to-day assignments., • Strong attention to detail is required., • Ability to respond professionally and thoroughly to provider inquiries in a timely manner., • Must be self-motivated to use available resources to investigate and problem solve., • Understand and perform duties in compliance with State and Federal regulations and the policies and procedures of Integra Partners and our clients., • Ability to follow written and verbal directions., • Ability to meet consistent and punctual attendance expectations., • Must be flexible and willing to adapt to a changing environment., • Must be committed to adding value and contribute positively to the company and department., • Accountable for daily productivity goals at or above the current production metric, • Must maintain a minimum bandwidth internet service of 200 MPS download speed to adequately perform daily job duties., • Maintain a climate of teamwork and collaborative problem solving., • Perform other duties as assigned.EDUCATION: High school diploma required EXPERIENCE: • Former medical billing experience required., • Strong computer/keyboarding skills – including all Microsoft Office applications (Word, Excel, Outlook, etc.) with an ability to learn new programs where applicable., • Familiarity with 1500 claim forms and DMEPOS services, • Familiarity of ICD-10, HCPCS, and medical terminology, • Must be able to correctly read and assess medical documents and resources., • Motivated and able to work independently within a fast-paced, team environment., • Strong organizational and critical thinking skills, • Competitive compensation and annual bonus program, • 401(k) retirement program with company match, • Company-paid life insurance, • Company-paid short term disability coverage (location restrictions may apply), • Medical, Vision, and Dental benefits, • Paid Time Off (PTO), • Paid Parental Leave, • Sick Time, • Paid company holidays and floating holidays, • Quarterly company-sponsored events, • Health and wellness programs We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives. Powered by JazzHR KopbG7xygT

Job DescriptionThe Medical Policy & Compliance Specialist is responsible for researching, analyzing, and interpreting CMS (Medicare) and state Medicaid guidelines to ensure the organization's processes and procedures adhere to established rules and evolving legislation. This role serves as an internal subject matter expert on healthcare payer policies to develop and update billing procedures, assist with provider inquiries, identify compliance risks areas, and support process improvement initiatives across the company. Salary: $110,000/Annually The Medical Policy & Compliance Specialist responsibilities include but are not limited to: • Deep knowledge of CMS, state Medicaid, and NCQA regulations relevant to Utilization Management (UM), Credentialing and Claims, with the ability to translated them into operational requirements, • Strong understanding of DME billing guidelines, medical necessity criteria, coding protocols (ICD-10, HCPCS, modifiers, non-covered codes) from an operational compliance and policy perspective, • Ability to proactively monitor regulatory changes, assess downstream operational impacts, and recommend timely updates to policies and procedures, • Skilled in audit preparation and mock reviews to ensure readiness for NCQA, CMS, Medicaid and external health plan audits, • Strong analytical and problem-solving skills with the ability to spot compliance risk and propose actionable solutions, • Excellent written and verbal communication skills and ability to explain complex regulatory requirements in clear, practical terms to staff and leadership, • High organized and detail oriented with the ability to manage multiple priorities independently in a lean team environment, • Comfortable functioning as the primary operational compliance resource while collaborating effectively with UM, Credentialing, Claims, Business Intelligence and other teams, • Proficiency in Microsoft Office applications, specifically intermediate Excel or equivalent data analysis skills preferredEDUCATION: Bachelor’s degree required, Master’s degree preferred EXPERIENCE: • Minimum 3 years experience in healthcare compliance, regulatory affairs, and/or utilization management within a health plan or managed care environment, • Demonstrated expertise in CMS and state Medicaid regulations with the ability to translate policy into operational requirements for UM, Cred and Claims, • Proven ability to proactively monitor, analyze, and respond to regulatory changes, including developing policy/procedure updates and staff guidance, • Strong collaboration with cross functional teams to resolve operational compliance issues and strengthen processes, • Experience working independently in small or lean team environment, balancing multiple priorities and serving as the primary operational compliance resource, • Become self sufficient in the UM system and core UM, Credentialing and Claims workflows, • Stand up a regulatory monitoring cadence (CMS updates, state Medicaid portals, NCQA updates, etc.) to track changes impacting operations, • Begin delivering compliance summaries and recommendations to leadership and frontline teams Conduct initial mock audits checks again UM and Cred process to identify baseline gaps and risk, • Build relationships with UM, Credentialing, Claims, & Business Intelligence teams to establish yourself as the go to operational compliance resource, • Support early implementation activities by reviewing requirements and flagging regulatory considerations before go liveWHAT WILL YOU ACHIEVE IN THE FIRST 12 MONTHS?, • Demonstrate subject matter expertise in CMS and state Medicaid guidelines, including their operational impact on UM and Credentialing, • Expand working knowledge of ICD-10, HCPCS, and DME billing protocols to interpret regulatory requirements (not day to day coding), • Establish a structured process to proactively monitor CMS, state Medicaid, and regulatory updates that impact UM, Credentialing and Claims operations, • Support preparation for external audits by conducting mock reviews and ensure required compliance documentation is in place, • Identify process improvement opportunities that reduce compliance risk or improve regulatory alignment, • Actively support new client implementations by ensuring operational workflows and policies are aligned with payer and accreditation requirements from the outset, • Competitive compensation and annual bonus program, • 401(k) retirement program with company match, • Company-paid life insurance, • Company-paid short term disability coverage (location restrictions may apply), • Medical, Vision, and Dental benefits, • Paid Time Off (PTO), • Paid Parental Leave, • Sick Time, • Paid company holidays and floating holidays, • Quarterly company-sponsored events, • Health and wellness programs We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives. Powered by JazzHR 3OgRzEhfiG

Job Description Our busy multi-office medical practice in Clinton Township is looking for an In Person Full-time experienced Medical Biller. This is not a remote position. Hours for this position will range from 36-40 per week. Pay rate:$18-20/hour Responsiblities Include: The daily functions of patient and insurance billing/re-billing operations in order to ensure maximum cash flow, compliance with regulations for insurance billing and promoting good public relations. Patient/insurance follow ups of outstanding accounts, and assisting patients, insurance companies and third parties with account inquiries. Requirements: Excellent customer service skills Experience with computerized scheduling systems Experience dealing with heavy call volume. Can perform other general office duties as needed and /or assigned. Must have a least 4 years of healthcare insurance experience. Medical Billing with ICD and CPT coding experience required. Must have High School diploma or GED. Ability to work well under pressure. Ability to express thoughts clearly and concisely. Ability to listen; read and interpret information quickly, in both written and oral form. Pay rate:$18-20/hour Benefits: We offer a competitive benefit package which includes medical, dental, vision, life insurance, 401(k), PTO, and paid holidays.

Billing / Collections / Remote] - Anywhere in U.Up to $28 per hour / Medical, dental & vision / 401k / PTO - As an Accounts Receivable Specialist at Prompt Therapy Solutions, you will: Prepare and submit claims to various insurance companies, adhering closely to specific payer guidelines and contrac

A-Line Staffing is now hiring a Provider Coding Education Specialist in Troy, MI. The Provider Coding Education Specialist would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested in this Provider Coding Education Specialist position, please contact Austin Faris at 586-710-7941 or ___ Provider Coding Education Specialist Compensation * The pay for this position is $24.50 per hour * Benefits are available to full-time employees after 90 days of employment * A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Provider Coding Education Specialist Highlights * This position is a 13-week contract assignment with potential to convert to permanent based on performance and business needs * Schedule: Monday–Friday, 9:00am–5:00pm (flexible, may adjust to 7:00am–3:00pm as needed) * Role is primarily remote but requires occasional travel within the Henry Ford Health market areas in Michigan * Must be located within 1 hour of Troy, MI or willing to travel as needed * Occasional morning or evening meetings may be required to accommodate provider schedules Provider Coding Education Specialist Responsibilities * Coordinate and oversee provider education and medical record coding to ensure accurate billing and regulatory compliance * Guide providers and coding staff on documentation and coding best practices, including ICD-10CM, CPT, HCC, NCCI Edits, and compliance standards * Develop and implement education plans to improve documentation quality, completeness, and accuracy across hospital and ambulatory sites * Provide one-on-one or group training sessions (virtual and in-person) to providers and staff * Match clinical documentation to services provided, ensuring alignment with coding and billing requirements * Serve as a subject matter expert in anatomy, physiology, coding systems, and healthcare documentation Provider Coding Education Specialist Requirements * High School Diploma or GED required; Associate’s Degree in Healthcare, Medical Record Sciences, or Business/Healthcare Administration preferred (may substitute with 4 years coding experience) * Minimum of 3 years of experience in documentation improvement, coding, CDI, compliance, or billing for hospital/physician services * Prior experience in a healthcare revenue cycle position required * Must have thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems * Strong communication and problem-solving skills with a passion for education and training * High proficiency in Microsoft Office (Excel, Word, PowerPoint) and/or Access; data analytics experience preferred * Ability to travel occasionally within Michigan Provider Coding Education Specialist Certifications (Required) * At least one of the following: CPC, CCS, CCS-P, RHIT, or RHIA If you think this Provider Coding Education Specialist position is a good fit for you, please reach out to me – feel free to call, e-mail, or apply to this posting!

A-Line Staffing is now hiring Medical Coding Education Coordinator in Troy, MI. The Medical Coding Education Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested in this Medical Coding Education Coordinator position, please contact Lindsay at Medical Coding Education Coordinator Compensation • The pay for this position is $25.00 per hour, • Benefits are available to full-time employees after 90 days of employment, • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Medical Coding Education Coordinator Highlights, • This position is a 13-week contract assignment with potential to hire permanently based on attendance, performance, and business needs, • The required availability for this position is Monday???Friday, 9:00 AM ??? 5:00 PM (flexible start times between 7:00 AM ??? 3:00 PM), • Standard 40-hour workweek with no mandatory overtime, • Mostly remote/virtual education with occasional local travel in Michigan Medical Coding Education Coordinator Responsibilities, • Provide one-on-one and group education for providers and coding staff, • Ensure documentation matches services provided and follows compliance standards, • Deliver training on ICD-10-CM, CPT, HCC, NCCI edits, and coding requirements, • Develop and implement education work plans to improve coding accuracy and timeliness, • Use Microsoft Office and data tools to support documentation improvement Medical Coding Education Coordinator Requirements, • High School Diploma or GED, • Minimum of 3 years??? experience in medical coding, documentation improvement, compliance, or billing, • Must hold at least one of the following certifications: CPC, CCS, CCS-P, RHIT, or RHIA, • Strong knowledge of anatomy, physiology, pathophysiology, medical terminology, pharmacology, and coding systems, • Ability to travel occasionally within Michigan (primarily within one hour of Troy, MI), • High proficiency in Microsoft Office; data analytics experience preferred, • Attendance is mandatory for the first 90 days Medical Coding Education Coordinator Preferred Qualifications, • Associate???s degree in a healthcare-related field, Medical Record Sciences, or Business/Healthcare Administration, • Two years of specialty coding certification experience If you think this Medical Coding Education Coordinator position is a good fit for you, please reach out to me ??? feel free to call, e-mail, or apply to this posting!

Job DescriptionSalary: Vero Diagnostics is looking for dynamic individuals who enjoy a fast-paced environment and who can be flexible in relation to site scheduling. You must be able to coordinate all the patients that are due for their labs as well as be organized with the appropriate paperwork and collection. We have a full-time position in Troy, MI. We offer a great benefit package upon eligibility. Let's see if there is alignment! • Coordinate and facilitate the collection of specimens to be processed at our laboratory, located in Troy MI, • Provide instruction to patients on how to provide blood specimens., • Proper labeling of specimens, completion of requisitions and all other needed information., • Prepare specimens and requisition forms, including packaging of the specimens into biohazard bags., • Responsible for data entry and processing specimens accurately., • Obtain billing information, including copies of patient insurance cards and demographic information., • Ensuring the accurate completion of requisitions forms and assisting with all missing information requests when needed., • Confirming reports are generated by laboratory for specimens processed and facilitating inquiries to laboratory., • Thorough knowledge of all processes and will act as liaison between clinic and laboratory., • Travel to client site to provide collection., • Provide excellent phlebotomy skills. Required Education: High school diploma or equivalent. Medical training: medical assistant or paramedic training preferred. Phlebotomy or Medical Assistant certification preferred. Work Experience: One year phlebotomy or MA experience preferred. Benefit Conditions: • Only full-time employees eligible COVID-19 Precaution(s): • Temperature screenings, • Social distancing guidelines in place, • Sanitizing, disinfecting, or cleaning procedures in place This Job Is Ideal for Someone Who Is: • Dependable -- more reliable than spontaneous, • People-oriented -- enjoys interacting with people and working on group projects, • Detail-oriented -- would rather focus on the details of work than the bigger picture Benefits: • 401(k), • Dental insurance, • Disability insurance, • Flexible schedule, • Health insurance, • Paid time off, • Travel reimbursement