Patient Record Specialist

Forefront Telecare Inc. provides better behavioral health for all seniors. We Follow the Patient.

At this time, we are looking for a PRS (Patient Record Specialist) who will be primarily responsible for supporting the documentation of provider activity for billing and clinical quality Successful candidates will possess a sense of urgency, accuracy, and a commitment to daily tracking and reporting. The PRS will report to one of Forefront’s Director of Care Delivery for inpatient services or emergency services.

Duties and Responsibilities include:

  1. Confirm that daily encounters are properly input into Sales Force tracker platform
  2. Collect face sheets for all patients seen and store in FFT EMR
  3. Complete Patient Registration in FFT EMR capturing demographic data efficiently, and accurately from Hospital EMR for all patients seen
  4. Insurance verification and documentation.
  5. Retrieve Discharge Summaries from hospital EMR and Upload into FFT EMR
  6. Responsible for all Facility Requested Providers signatures through Docu-Sign
  7. Support Data Entry for Monthly Facility Schedules
  8. Support Unique workflows for facilities as needed
  9. Communicates verbally and electronically with providers, facilities, and others
  10. Maintain confidentiality of patient information
  11. Other duties as business needs dictate

Requirements

  1. Excellent prioritization, decision-making and multi-tasking skills are essential
  2. Resourceful to secure necessary documentation
  3. Superior attention to detail and accuracy
  4. Experience with EMR systems; ability to quickly learn new software systems
  5. Excellent verbal and written communication with providers and facilities
  6. Ability to follow processes from initiation through resolution
  7. Prior experience in healthcare registration
  8. Must have high-speed broadband internet connectivity, as the role is remote (United States based)

Benefits

The role is a full time, hourly position and benefits eligible. Benefits include:

  1. Medical
  2. Dental
  3. Vision
  4. FSA/HSA/DCA
  5. 401k with employer match
  6. Paid Time Off and Holidays
  7. Short Term and Long Term Disability
  8. Life Insurance

APPLY HERE

Project Coordinator

Ameresco, Inc. (NYSE:AMRC) is a leading cleantech integrator and renewable energy asset developer, owner and operator. Our comprehensive portfolio includes energy efficiency, infrastructure upgrades, asset sustainability and renewable energy solutions delivered to clients throughout North America and Europe. Our solutions range from upgrades to facility’s energy infrastructure to the development, construction and operation of renewable energy plants combined with tailored financial solutions. We foster an entrepreneurial, collaborative, and forward-thinking culture that thrives with innovation, diversity of thought, and inclusion. We are excited with all that the future holds for our industry, planet, and communities.

Ameresco is seeking a Project Coordinator to support project managers in administering and organizing the development and construction of projects nationwide, specifically; renewable natural gas (RNG) projects utilizing biomethane sources including landfill gas, wastewater treatment anaerobic digester gas, or agricultural anaerobic digester gas that is processed to achieve pipeline quality standards. This position is based at an Ameresco office location in Portland ME, Framingham, MA, or Charlotte NC, but other locations including remote locations may be considered.

Responsibilities

Work closely with multiple Project Managers to prepare comprehensive action plans, including resources, timeframes, and budgets;

Perform various coordinating tasks, like scheduling, budget tracking, cost projections, and risk management;

Assist with maintaining organization of project documents, plans sets, and specifications on Procore (and in the field if needed) and make sure they are distributed to the project team.  Assist with organizing and standardizing project file systems;

Process RFIs for various projects and follow through to make sure responses are received in a timely manner;

Process construction submittals and follow through to make sure review comments are received in a timely manner;

Attending project meetings and create/distribute notes to project team in a timely manner;

Gather information, create, and send out change orders both to subcontractors and client representatives for initial approval;

Assist with maintaining project schedules and communicate this with the subcontractors;

Provide accurate and timely project status updates and communication to Managers;

Assist project management with organizing activities, resources, equipment and information;

Make sure that clients’ needs are met as projects evolve;

Assist with project procurement management;

Work with the Project Manager to resolve project issues;

Work with project managers to organize all project documentation needed for project development and financial needs; and

Perform other duties as assigned.

Minimum Qualifications:

High School diploma.

Minimum of 3 years progressive experience in project development and/or construction projects, preferably related to energy, renewable natural gas, power generation or the industrial area.

Additional Qualifications:

Proven work experience as a Project Coordinator or similar role

Advanced computer applications skills (Microsoft), including AutoCAD, Project, Excel, Bluebeam and Smartsheets.

Experience in developing project schedules utilizing Microsoft project.

Proven ability to work as part of a team and act quickly with minimal supervision.

Demonstrated ability to interact and work with multi-functional teams including contractors, engineers, equipment vendors, customers and regulators.

Excellent time management and organization skills including ability to effectively work on multiple projects.

Strong verbal, written, computer and communication skills.

An ability to prepare and interpret flowcharts, schedules and step-by-step action plans.

Willingness to travel to jobsite on an as needed basis.

Willingness to grow, learn and be trained on more skills.

Valid Driver License issued by state of residence and in good standing. 

AMERESCO challenges the brightest, most talented and creative individuals in the industry by providing an environment that embraces initiative, diversity, and achievement along with comprehensive rewards, including people-oriented insurance, investment, and incentive plans.

APPLY HERE

Verification Specialist

LivaNova is a global medical technology company built on nearly five decades of experience and a relentless commitment to improving the lives of patients around the world. Our advanced technologies and breakthrough treatments provide meaningful solutions for the benefit of patients, healthcare professionals, and healthcare systems.  The company is listed on the NASDAQ stock exchange under the ticker symbol “ LIVN .”  LivaNova is headquartered in London (UK) with a presence in over 100 countries and a team of more than 3,000 employees worldwide.

RESPONSIBILITY AND AUTHORITY

This position is responsible for the gathering and coordination of information regarding patient benefits, prior authorization and pre determination. Additionally, provides support to providers and payers regarding VNS Therapy reimbursement to ensure patients are eligible for benefits for VNS Therapy.

This position is authorized for financial expenditures/commitment levels as defined by the Cyberonics, Inc. Global Authority Matrix.

PRIMARY ACTIVITIES

Level I

  • Handles receipt and data entry of all incoming faxes including PIQs/IVEAs and patient medical records in a timely manner.
  • Creates new opportunities in SLX as needed when new PIQs/IVEAs come in.
  • Performs self -assessment of all activities to ensure accuracy.
  • Verifies for completeness of incoming Insurance Verification forms
  • Completes insurance verifications on behalf of the health care provider within 48-72 hour turn-around period
  • Assists with identification of VNS Therapy policies with payers in the area of responsibility
  • Handles scanning and electronic storage of incoming hard copy correspondence
  • Performs other duties as may be required by management

Level II

  • Performs Level I duties in addition to the following:
  • Assist Case Management with payer data collection
  • Maintains Verification FAQs and updates as needed

Level III

  • Performs Level I & II duties and
  • Oversees training of new verification specialists and provides continued support
  • Assist with device tracking and web request for information
  • Assists Case Managers with maintenance of Sales Logix including accuracy of contact and account information
  • Assists Department Manager/Director (All Levels) with special projects
  • Performs quality monitoring as assigned.
  • Maintain users and organization on Availity Web Portal
  • Monitors all state Medicaid websites for updated policy information as well as check for new PA forms on at least a yearly basis.

ADDITIONAL ACTIVITIES

Assist Case Managers in providing information to referring physicians via fax as requested

TRAVEL REQUIREMENTS

This position does not require business travel.

MINIMUM REQUIREMENTS AND QUALIFICATIONS

  • High school diploma or equivalent
  • Good organizational skills with attention to detail
  • Good telephonic ability
  • Familiarity with Word, Excel, PowerPoint, Microsoft Outlook programs
  • Excellent written and verbal communication ability is a must
  • Coding/Billing software experience or relevant experience
  • Previous experience in office and/or hospital coding and billing, prior authorization experience at the office or hospital setting (preferably with a neurology or neurosurgeon practice) or relevant experience
  • Knowledge of health insurance industry practices/functions to include Medicare, Medicaid and all types of commercial and managed care organization’s coverage policies
  • Strong work ethics
  • High level of integrity
  • Ability to work overtime, as required
  • The minimum requirements, skills and qualifications contained in this job description outline the core functions and requirements of the position and do not constitute an exhaustive listing of activities, duties, or responsibilities that may be required of or assigned to an employee in this position at the Company’s discretion. Further, the ability to meet the minimum requirements and/or possession of the stated skills and qualifications do not imply or establish that an individual will be employed in this position.

DESIRED SKILLS AND QUALIFICATIONS

Level 1 – Specialist, Verification I 1 to 2 years relevant experience.

Level 2 – Specialist, Verification II Meets Level I requirement and has 5 or more years of experience with ICD-9/ICD-10 and CPT coding, medical terminology, or relevant experience.

Level 3 – Specialist, Verification III Meets all Verification Specialist level I and II qualifications with 10 years or more relevant experience Demonstrated skill in coaching/leading others.

Employee benefits include:

  • Health benefits – Medical, Dental, Vision
  • Personal and Vacation Time
  • Retirement & Savings Plan (401K)
  • Employee Stock Purchase Plan
  • Training & Education Assistance
  • Bonus Referral Program
  • Service Awards
  • Employee Recognition Program
  • Flexible Work Schedules

APPLY HERE

Database Specialist III

As an ASE employee, you will be surrounded by a challenging, yet supportive work environment that is committed to innovation and diversity, two of our most important values. You will also have access to our

Job Summary:

The U.S. Geological Survey (USGS) National Climate Adaptation Science Center (NCASC) manages a network of nine regional Climate Adaptation Science Centers (CASCs) located across the U.S. Together, the National and regional CASCs conduct research to understand how changing climate conditions impact fish, wildlife, ecosystems, and communities. Through this work, we aim to provide on-the-ground natural resource managers and other stakeholders with scientific information and decision-making tools to help them understand, respond, and adapt to these changes.

The National and Regional CASCs rely on several different online databases and systems to support program and project management. These tools help to ensure that the operational, administrative, and managerial sides of our program run efficiently, and in turn help to ensure that our program is effective at achieving our mission. As the CASC program ages and grows, our tools and databases need to adapt to continue meeting our needs. CASC program staff are actively working to ensure that these operational support tools will continue to function effectively into the future. One example of this effort is that the CASCs are in the process of transferring project tracking records and project lifecycle processes into SmartSheet. Akima Systems Engineering is looking for a Database Specialist III that will work closely with NCASC to support efforts to ensure that the various databases used by the CASCs have complete and accurate records and are functioning effectively to support the program.

Job Responsibilities:

  • Compiling a complete and accurate record of CASC project and product data (current and historical) from various locations into SmartSheet:
  • Migrating data from external spreadsheets and other locations into SmartSheet for 10 regional centers, working closely with staff from each center to coordinate.
  • Identifying missing or incorrect data records (funding information, dates, etc.) and assisting in correcting or completing these records.
  • Working closely with the CASC Data Stewards to ensure product records are complete and accurate in SmartSheet.
  • Conducting QA/QC checks to ensure all data in SmartSheet is accurate (using source reports from financial and other systems).
  • Establishing a standard set of QA/QC procedures for CASC project data in SmartSheet to ensure data accuracy in the future.
  • Conducting data entry and database management for existing and new project records in the USGS science repository (ScienceBase), the USGS website, and other database systems:
  • Adding and configuring new project and publication records in ScienceBase and on the USGS website.
  • Conducting QA/QC checks to ensure all CASC information and data in ScienceBase and on the USGS website is complete and accurate.
  • Reviewing and updating CASC scientific data records in ScienceBase to ensure that data is accessible to users.
  • Establishing a standard set of QA/QC procedures for CASC project data in ScienceBase, the USGS website, and other databases to ensure data accuracy in the future.
  • Working with CASC staff to improve spreadsheets, databases, web tools, and information management processes:
  • Transitioning existing databases and tools (Microsoft forms, automations, etc.) into SmartSheet and helping to communicate the changes out to users.
  • Improving existing tools, databases, and processes to increase efficiency (e.g. onboarding checklist, property management database, purchase request form, etc.).
  • Analyzing CASC processes that involve databases and providing and implementing recommendations for improvement.

Minimum Qualifications:

  • Proficient and demonstrated experience in database management, data entry, quality assurance/quality control (QA/QC) of data and databases, and business process optimization.
  • Proficient interpersonal communication skills, be detail-oriented and organized.
  • Proficient in working independently with minimal supervision.
  • Proficient in using SmartSheet, Microsoft Office (including Excel, SharePoint, Forms and Power Automate), as well as other similar database and project management software.
  • Bachelor’s degree and 3-5 years of experience.

Akima Systems Engineering (ASE), an Akima company, is not just another federal systems support contractor. As an Alaska Native Corporation (ANC), our mission and purpose extend beyond our exciting federal projects as we support our shareholder communities in Alaska. At ASE, the work you do every day makes a difference in the lives of our 15,000 Iñupiat shareholders, a group of Alaska natives from one of the most remote and harshest environments in the United States.

For our shareholders, ASE provides support and employment opportunities and contributes to the survival of a culture that has thrived above the Arctic Circle for more than 10,000 years.

For our government customers, ASE delivers solutions in maritime IT, systems engineering, and integration across the Department of Defense and stands ready to help improve operational performance at a reasonable and sustainable cost.

As an ASE employee, you will be surrounded by a challenging, yet supportive work environment that is committed to innovation and diversity, two of our most important values. You will also have access to our comprehensive benefits and competitive pay in addition to growth opportunities and excellent retirement options.

APPLY HERE

Fitness Reimbursement Examiner I (Remote, $14/hr)

American Specialty Health is seeking a Fitness Reimbursement Examiner to join our Fitness Reimbursement department. The primary purpose of this position is to enter data from fitness and exercise center billing reports into the Reimbursement Processing System. This position is responsible for the accurate review, input and adjudication of reimbursement requests in accordance with regulations, ASH standards and contractual obligations of the organization.

Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 50 Mbps upload speed).  

Responsibilities

  • Processes reimbursement requests accurately and efficiently.
  • Reviews all incoming reimbursement requests to verify necessary information.
  • Enters reimbursement requests and information into a computerized request Processing System.
  • Maintains all required documentation of reimbursement requests processed and reimbursement requests on hand.
  • Adjudicates reimbursement requests in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
  • Maintains minimum production standard, 98.5%.
  • Provides backup for other examiners within the department.
  • Promotes a spirit of cooperation and understanding among all personnel.
  • Attends organizational meetings as required.
  • Adheres to organizational policies and procedures.
  • Maintains confidentiality of all files, reimbursement request reports, and reimbursement request related issues.

Qualifications

  • High school diploma required.
  • 10 key and word processing; minimum 10,000 key strokes per hour required with 95% accuracy. 
  • Data Entry Experience.
  • Proficient in MS Office.
  • Ability to recognize unique and/or problem situations and brings to attention of Supervisor.
  • Demonstrated ability to meet department performance standards and quality improvement processes.

Core Competencies

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage time.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time. 

Physical Requirements

Ability to speak, see and hear other personnel and/or objects.  Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard.  Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

APPLY HERE