Denials Management Specialist (PRN)

PURPOSE OF THIS POSITION The purpose of the Denials Management Specialist is to review the initial denial notifications for claims that have been received by the insurance but have been partially or fully denied for reimbursement from the provider. The specialist is expected to identify the root cause of the denial in a timely fashion and appropriately respond to the denial with a response that will result in reimbursement for the covered services that have been provided and prevent any subsequent denials. The specialist will work with multiple departments, including but not limited to, patient access, provider clinics, clinical departments, managed care, billing, coding, and compliance to resolve any outstanding issues which is preventing payments for covered services. The denials management specialist will assist in identifying denials trends, research payer policies, understand coding guidelines, and provide assistance in finding resolution to prevent identified denial trends. JOB DUTIES/RESPONSIBILITIES Duty 1: Handles the end-to-end denial and appeal process, including the receiving, analyzing, tracking, managing, and/or resolving appeal with third-party payers in a timely manner. This includes the initial denial and any subsequent denial that comes from an unsuccessful appeal. Duty 2 Carries out appropriate research and analysis to help with the appeals process and stay informed of best practices and policy changes. Duty 3: Conducts clear, concise, and professional correspondence with payers and other stakeholders in accordance with organizational processes and expectations. Duty 4: Promotes interdepartmental coordination for finding a solution and offers suggestions for improvements. Duty 5: Examines payer remittance advice and determines the cause of loss of reimbursement in line with payer criteria. Duty 6: Accurately reviews clinical documentation to submit with the appeal that supports the requirements for payment but does not exceed the information necessary for a successful appeal. Duty 7: Utilizes payer websites research denials, submits information electronically, and follow up on appeals to expedite the payment process. Duty 8: Posts adjustments to claim balances that fall below the low balance threshold as outlined in the Denials Write-Off Approval Policy. Duty 9: Relays accurate information to support the appropriate party for A/R reduction and patient satisfaction. Duty 10: Identifies trends in denials, works to determine the root cause and successful solutions, shares findings with other members of the team to promote systemness in addressing denials. Duty 11: Participates in daily huddles, idea board meetings, staff meetings, and meeting with external departments for managing daily improvements. Duty 12: Communicates in a professional manner with patients, representatives from third party payor organizations, provider relations, contract management, other internal customers, and co-workers, etc. in a manner to achieve revenue cycle department AR goals. Duty 13: Identifies opportunities for system and process improvement and submit to management. Duty 14: Ensures that services are provided in accordance with state and federal regulations, organization policy, and compliance requirements. REQUIRED QUALIFICATIONS Two (2) years in previous patient accounting or billing experience. High School graduate or GED equivalent. Understanding of CPT, ICD-10, and HCPCS coding concepts. A CPC or specialty coding certification is required within 12 months of date of hire. Certified Patient Financial Services Specialist (CPFSS) certification within the first 6 months of hire. The ability to understand and interpret payer policies and navigate payer websites. The ability to use the information to effectively develop an appeal that will result in the denial being overturned and receipt of accurate reimbursement. Follows the requirements for different appeal levels and uses the appropriate forms and method of appeal submission. An understanding of payer reimbursement methodologies and guidelines such as OPPS, IPPS, NCCI edits, etc. Ability to navigate provider documentation, test results, medication administration records, provider orders, etc. to accurately support the appeal process. An understanding of the requirements for a clean claim, including field requirements, for both the professional (CMS-1500) and the facility (UB-1450) claim types. Understand the remittance advice, remark codes, reason codes, and other payment information as it relates claims which have a denial posted. Knowledge of revenue cycle workflows and systems used within the Revenue Cycle such as Cerner, Trisus, Forvis, Quadax, KaiNexus, 3M, Experian, etc. Ability to compile, analyze and effectively present data and complex information in an informative and meaningful way to a variety of audiences, including leadership. Ability to effectively present/educate departments within the Revenue Cycle. Ability to manage complex issues and manage multiple tasks/projects. Excellent organizational and time management skills; detail oriented and follow through. Self-directed. Strong problem-solving, research and analytical skills. Positive service-oriented interpersonal and communication (written and verbal) skills required. Ability to effectively present and interact with all levels of the organization, including senior leadership. PREFERRED QUALIFICATIONS Denial Management experience College degree in a health-related field Payment posting experience PHYSICAL DEMANDS This position requires a full range of body motion with intermittent walking, lifting, bending, squatting, kneeling, twisting and standing. The associate will be required to walk for up to one hour a day, sit continuously for six hours a day and stand for one hour a day. The individual must be able to lift twenty to fifty pounds and reach work above the shoulders. The individual must have good eye-hand coordination and fine finger dexterity for simple grasping tasks. The individual must have excellent verbal communication skills to perform daily tasks. The associate must have corrected vision and hearing in the normal range. The individual must be able to operate a motor vehicle for business travel and community involvement.

Store Manager - Spencer's

Hourly rate ranges from $24.13 to $24.38 and is dependent upon qualifications and experience. Benefits include: Company Paid Sick Time, Paid Vacation Time, Paid Holidays, Bereavement Pay, Jury Duty Pay, Monthly Sales Bonus, Yearly Shrink Bonus, Champions Club Bonus, Contest Prize Awards, 401K Plan with Company Match, Medical/Dental/Vision Plans, Employee Assistance Program, 30% Discount Merchandise, College Scholarship Award. All Bonuses, Awards and Benefits subject to qualifications and eligibility. Brand: Spencer's The Store Manager is responsible for establishing and maintaining Guest Services. The Store Manager oversees and is accountable for the operation of a store, ensuring maximum sales and profitability through controlling expenses, shrinkage, human resources management as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The minimum age requirement for a Store Manager is 21. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds. Prior retail management experience is required. As an equal opportunity employer, Spencer Gifts – Spirit Halloween considers applicants for all positions without regard to race, color, sex, religion, national origin, disability, age, height, weight, marital status, sexual orientation, familial status, genetic information or any other characteristic or protected classes as defined by federal, state/provincial, or local law. Spencer Gifts – Spirit Halloween will consider for employment qualified applicants with criminal histories.

Auto Body Painter | Automotive Body Painter

Auto Painter | Body Shop Painter Szott M-59 Dodge is now hiring an Automotive Painter for their Body Shop team! Dealership Commitment: Competitive Compensation Medical, Dental, Disability and Life Insurance offered Paid time off Great working environment Job Description: Refinish damaged body parts and bodies of vehicles in accordance with factory and dealership quality specifications and time standards Operate and use all body shop equipment properly and safely Remove rust from metal, grease, and dirt from work surfaces Prepare surfaces for new paint application using manual and power sanding tools Mix paint to match manufacturer’s color specifications Paint surface using sprayer or brush as appropriate Maintain tools and keep equipment clean and in safe working order Maintain and wear all safety and protective wear Comply with laws and regulations pertaining to paint, thinners and other hazardous materials Cooperate and assist other personnel in the repair and prepping of vehicles Other duties as assigned Job Requirements: Must have previous experience as a painter for a dealership or other collision/body shop- minimum of 2-3 years previous experience Waterborne paint experience a plus Ability to read and comprehend instructions and information General mechanical skills Good eye for detail and color Must be self-motivated and dependable Must be authorized to work in the United States Valid driver’s license All other duties as assigned Apply today!

Psychiatric Nurse Practitioner in Danville, VA

Shape your career in long-term care! Are you a highly skilled psychiatric nurse practitioner (NP) or physician assistant (PA) with a passion for long term care patients? TeamHealth offers an exceptional opportunity to make a significant impact on the lives of older adults in and around Danville, Virginia. Enjoy unparalleled flexibility, competitive compensation, and the support of a national leader in healthcare. We understand the importance of work-life balance. That's why we offer a flexible "round and go" model, allowing you to set your own schedule and manage your patient load. Focus on providing high-quality care without the constraints of rigid schedules. We currently have approximately 3.5 days per week of work that can be tailored to meet your ideal work/life balance. As a key member of our team, you will: Provide psychiatric care to a consistent patient caseload in skilled nursing and assisted living facilities Collaborate with interdisciplinary care teams to optimize patient outcomes Utilize your expertise to diagnose, treat, and manage mental health conditions in older adults Enjoy the satisfaction of improving the quality of life for your patients Why Choose TeamHealth? Flexibility: create a schedule that fits your lifestyle and career goals Competitive compensation: earn a competitive salary plus production bonuses Comprehensive support: benefit from our robust administrative and clinical support systems Professional growth: advance your career with leadership opportunities Industry leadership: join a nationally recognized healthcare leader Qualifications Psychiatric NP/PA Board certification in psychiatry or minimum of 2 years of direct psych prescription management experience Active Virginia license and DEA Strong clinical assessment and diagnostic skills Ability and desire to work autonomously Passion for working with mental health and the older population Expected compensation is estimated range of $101,938-$120,325 annually with no cap on productivity income potential. Join TeamHealth and make a difference in your patients! California Applicant Privacy Act: https://www.teamhealth.com/california-applicant-privacy-notice/

Senior Assistant Store Manager

Hourly rate ranges from $17.73 - $17.98 per hour and is dependent upon qualifications and experience. Benefits include: Company Paid Sick Time, Paid Vacation Time, Paid Holidays, Bereavement Pay, Jury Duty Pay, Contest Prize Awards, 401K Plan with Company Match, Medical/Dental/Vision Plans, Employee Assistance Program, 30% Merchandise Discount, College Scholarship Award. All Bonuses, Awards and Benefits subject to qualifications and eligibility. The Assistant Store Manager is responsible for establishing and maintaining Guest Services. The Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. This position will work up to 38 hours per week. The minimum age requirement for an Assistant Store Manager is 18. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds. Prior retail and or management experience is required. As an equal opportunity employer, Spencer Gifts – Spirit Halloween considers applicants for all positions without regard to race, color, sex, religion, national origin, disability, age, height, weight, marital status, sexual orientation, familial status, genetic information or any other characteristic or protected classes as defined by federal, state/provincial, or local law. Spencer Gifts – Spirit Halloween will consider for employment qualified applicants with criminal histories.

Bilingual French Customer Service Case Manager

At Percepta, we deliver award-winning services for every stage of the automotive and mobility customer journey. As a Customer Service Case Manager (Bilingual French) working fully remote in Melbourne, FL, you'll become part of a community that values your success, supports your career growth, and celebrates your contributions. What You'll Be Doing The Customer Service Case Manager (Bilingual French) will work with customers and prospective buyers to earn and retain their loyalty to our client, a globally recognized provider of high-quality automotive products and services. This will be accomplished by creating relationships based on understanding the customer's needs, concerns, lifestyle, and preferences by carefully listening to the customer, providing knowledge and resources, and resolving issues in a timely basis. In this role, the Customer Service Case Manager (Bilingual French) is empowered to make decisions using customer satisfaction tools to resolve customer concerns and ensure customer loyalty. During a Typical Day, You'll Provide an exceptional customer experience with a focus on building a relationship of trust and enthusiasm, while guiding the customer from website to pre-buy experience. This includes vehicle knowledge and availability, local promotions for the brand, assisting with specifications of the vehicle, assisting with customer/dealer connection, and educating the customer on products and services Act as a resource for all product knowledge and service support Schedule activities as required for special events Actively listen to the customer while controlling the interaction to lead the customer in a professional and efficient manner Act as a liaison between the customer, service support, and dealership by following up to ensure customer satisfaction Be responsible for handling inbound customer calls regarding sales and service in a helpful, courteous, and professional manner, displaying knowledge and concern for their needs Be responsible for handling emails and chats Exhibit strong follow-up and organizational skills in both verbal and written communication Be responsible for resolving customer issues using all available resources, including Dealers (i.e., service personnel, subject matter experts (SMEs), leadership, and field service engineers). Return all email and voice mail messages promptly and follow up with customers and dealers as committed Be responsible for documenting customer inquiries and concerns Use applicable customer satisfaction tools to resolve customer issues. Tools include financial assistance, service plans, payments, and maintenance plans Participate in business-related marketing and sales projects Meet specified goals as set forth by management Provide feedback to management for the continued and improved performance of the department to foster positive results and growth Work as a team player - assist other team members when in need of support What You Bring to the Role High school diploma required; an Associate or bachelor's degree is preferred Bilingual English and Canadian French (Fluent) - must be able to pass verbal and written assessments A minimum of two (2) years of experience in customer service, call center, hospitality, public relations, or sales Experience in a luxury field (hospitality or brand product) is a plus Knowledge of the automotive industry is a plus Strong verbal and written communication skills Strong customer service, interpersonal, and relationship-building skills Excellent English language (oral and written), with grammatical knowledge and etiquette Typing skills (minimum of 30 words per minute) What You Can Expect Pay rate of $20.34 per hour, inclusive of the base pay of $18.34 per hour $2.00 per hour premium for the bilingual French skill Health/Dental/Vision/Life Insurance Flexible Spending Account (FSA) and Health Savings Account (HSA) 401(k) with company match Vacation/Sick Time and Paid Holidays Tuition Reimbursement Employee Assistance Program Employee Discount Program Training and Development Programs (Percepta College) Employee Rewards Program (Perci Perks) A Bit More About Your Role This position is a single point of contact for customers to address sales, product knowledge, service issues, dealer information, and obtain resolutions. Customer interaction will be accomplished through a combination of inbound/outbound phone, email, and other correspondence. About Percepta Established in 2000 as a joint venture with TTEC, Percepta has specialized in creating customer loyalty for its clients across the globe. Delivered in multiple channels, speaking multiple languages, we bring first-class service across each market we support. Our values are the heartbeat of our organization, and we live, breathe, and play by them daily. At Percepta, we: Lead with humility - We listen first, lead with empathy, and stay grounded—so people and ideas have room to grow. Service beyond self - We serve others—clients, customers, and teammates—with care and integrity in every interaction. Leave it better - We take ownership and leave every process, person, and place better than we found it. Win together - We succeed as one—celebrating, supporting, and showing up for each other. Deliver remarkable - We go beyond expectations to create bold, meaningful moments that stand out. Percepta is proud to be an equal opportunity employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Percepta embraces and is committed to building a diverse and inclusive workforce that respects and empowers the culture and perspectives within our global teams. We strive to reflect the communities we serve by not only delivering amazing service and technology, but also humanity. We make it a point to make sure all our employees feel valued and comfortable being their authentic selves at work. As a global company, we know diversity is our strength. It enables us to view projects and ideas from different vantage points and allows every individual to bring value to the table in their unique way. LI-Onsite

Burger King Restaurant Assistant Manager

We are looking for Restaurant Assistant Managers (RAM)to join our team. Our restaurants are staffed with amazing people, and we are looking for more. The RAM supports the Restaurant General Manager in their efforts to develop a team of dedicated people, delivering great and friendly guest experiences and producing top line sales. They do this by learning, managing and teaching restaurant systems effectively to achieve goals, develop people and provide excellent service. RAM's bonus on performance, both operationally and financially. Job Duties: Ensure your team provides outstanding service and satisfied guests Train and coach the team Utilize GPS Hospitality Systems to run a great restaurant every shift, every day Implement restaurant controls, especially cash & inventory Set and meet restaurant goals for service, operations and financial results Meet all operational standards, including speed of service, food safety and cleanliness Meet positive food and labor variance and take appropriate action to improve results Maintain a clean and safe working environment Work all shifts as required by the business Set an example by maintaining an excellent working knowledge and high level of proficiency in restaurant operations Provide feedback and coaching to the team Demonstrate problem solving skills Follow all government regulations, employment laws, food safety and operations policies and implement all accounting controls Any / all other duties as assigned by the Restaurant General Manager (RGM) Physical Requirements: Ability to perform the following motions: bending, squatting, twisting, pulling and reaching Ability to work in warm and cold temperatures Ability to stand for 8-10 hours Ability to lift up to 20lbs Job Requirements: 1-3 year of supervisory experience in a restaurant or retail setting Excellent customer service skills Must be able to perform under pressure in a high-volume setting Must have reliable vehicle and valid driver's license Must be at least 18 years of age & authorized to work in the US ServSafe certification preferred About our benefits: We offer a passionate, fun and positive work environment, with a welcoming and supportive team, along with… Strong, performance-based bonus program Regular performance reviews Health & Life Benefits HSA program Generous Paid Time Off benefits Employee Rewards & Recognition Program Career development through structured training programs EEO Statement GPS Hospitality is an Equal Opportunity employer. All persons shall have the opportunity to be considered for employment without regard to their race, color, religion, creed, national origin, ancestry, lineage or citizenship status, age, disability, gender (including pregnancy, childbirth and other related conditions), sexual orientation, genetic information / characteristics, veteran or military status, marital status or any other characteristic provided by applicable federal, state or local laws. ADAA GPS Hospitality will endeavor to make a reasonable accommodation / modification to the known physical or mental limitations of a qualified applicant with a disability to assist in the hiring process, unless the accommodation would impose an undue hardship on the operation of our business, in accordance with applicable federal, state and local law. If you believe you require such assistance to complete this form or to participate in the interview process, please contact Human Resources at 770-738-8779 .

Burger King Restaurant Assistant Manager

We are looking for Restaurant Assistant Managers (RAM)to join our team. Our restaurants are staffed with amazing people, and we are looking for more. The RAM supports the Restaurant General Manager in their efforts to develop a team of dedicated people, delivering great and friendly guest experiences and producing top line sales. They do this by learning, managing and teaching restaurant systems effectively to achieve goals, develop people and provide excellent service. RAM's bonus on performance, both operationally and financially. Job Duties: Ensure your team provides outstanding service and satisfied guests Train and coach the team Utilize GPS Hospitality Systems to run a great restaurant every shift, every day Implement restaurant controls, especially cash & inventory Set and meet restaurant goals for service, operations and financial results Meet all operational standards, including speed of service, food safety and cleanliness Meet positive food and labor variance and take appropriate action to improve results Maintain a clean and safe working environment Work all shifts as required by the business Set an example by maintaining an excellent working knowledge and high level of proficiency in restaurant operations Provide feedback and coaching to the team Demonstrate problem solving skills Follow all government regulations, employment laws, food safety and operations policies and implement all accounting controls Any / all other duties as assigned by the Restaurant General Manager (RGM) Physical Requirements: Ability to perform the following motions: bending, squatting, twisting, pulling and reaching Ability to work in warm and cold temperatures Ability to stand for 8-10 hours Ability to lift up to 20lbs Job Requirements: 1-3 year of supervisory experience in a restaurant or retail setting Excellent customer service skills Must be able to perform under pressure in a high-volume setting Must have reliable vehicle and valid driver's license Must be at least 18 years of age & authorized to work in the US ServSafe certification preferred About our benefits: We offer a passionate, fun and positive work environment, with a welcoming and supportive team, along with… Strong, performance-based bonus program Regular performance reviews Health & Life Benefits HSA program Generous Paid Time Off benefits Employee Rewards & Recognition Program Career development through structured training programs EEO Statement GPS Hospitality is an Equal Opportunity employer. All persons shall have the opportunity to be considered for employment without regard to their race, color, religion, creed, national origin, ancestry, lineage or citizenship status, age, disability, gender (including pregnancy, childbirth and other related conditions), sexual orientation, genetic information / characteristics, veteran or military status, marital status or any other characteristic provided by applicable federal, state or local laws. ADAA GPS Hospitality will endeavor to make a reasonable accommodation / modification to the known physical or mental limitations of a qualified applicant with a disability to assist in the hiring process, unless the accommodation would impose an undue hardship on the operation of our business, in accordance with applicable federal, state and local law. If you believe you require such assistance to complete this form or to participate in the interview process, please contact Human Resources at 770-738-8779 .

Direct Support Professional, DSP

Description Since 1960, Benchmark has been connecting people and potential. We are committed to empowering those we serve to live as independently as possible, be included in their communities, and reach their full potential. This mission extends to our employees, who bring our mission to life each day. We actively strive to be a workplace that honors the unique experiences, perspectives, and strengths of our employees. We believe we are stronger, better, and more effective in our pursuits when we create space for everyone to be their authentic selves. Benchmark Human Services has grown to become one of the most respected leaders in the country in the areas of intellectual and developmental disabilities (IDD) and behavioral health. We work with people of all ages at home, at work, and in the community through residential programs, employment services, crisis response, early intervention, and more. View our 65 Years of Stories campaign to learn more about the impact Benchmark employees have made across the country. The Marion Supported Living program is seeking qualified and caring people to work as a Direct Support Professional. Successful applicants will attend paid training to obtain required certifications. No experience is necessary, learn on-the-job. FULL TIME PART TIME WEEKEND SHIFTS AVAILABLE Benefits: Competitive wages Health, vision and dental insurance 401k plan with company match Tuition reimbursement Life Insurance Paid Time Off and Sick Time Pay Flexible Spending Accounts (FSA) Various shifts and locations Advancement opportunities And MORE! Responsibilities Include: Protect and honor the rights of people with disabilities Ensuring a safe and clean home for people served Develop a positive rapport while serving as a role model to create a safe and caring environment Teach skills to individuals served that increase independence such as eating, cooking and bathing Document data displaying the individual served goals and progression Assist in finding and participating in meaningful community activities Work independently or with co-workers to enhance the growth of individuals served Be able to lift up to 50 pounds or more 1% - 33% of the time. Be able to stand and walk 67% - 100% of the time. Participate in on-going professional training Required Qualifications: Reliable transportation Valid auto insurance and driver’s license High school diploma or GED, preferred Apply today at www.BenchmarkHS.com/Careers Benchmark Human Services is an EOE/AAP Employer. Veterans, women, and individuals with disabilities are encouraged to apply! Candidates selected for hire will be required to complete a background check in accordance with company policy and applicable laws. INDDSP

Assistant Store Manager - Spencer's

Hourly rate ranges from $18.90 to $19.15 and is dependent upon qualifications and experience. Benefits include: Company Paid Sick Time, Paid Vacation Time, Paid Holidays, Bereavement Pay, Jury Duty Pay, Contest Prize Awards, 401K Plan with Company Match, Medical/Dental/Vision Plans, Employee Assistance Program, 30% Merchandise Discount, College Scholarship Award. All Bonuses, Awards and Benefits subject to qualifications and eligibility. Brand: Spencer's The Assistant Store Manager is responsible for establishing and maintaining Guest Services. The Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The minimum age requirement for an Assistant Store Manager is 18. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds. Prior retail and or management experience is required. As an equal opportunity employer, Spencer Gifts – Spirit Halloween considers applicants for all positions without regard to race, color, sex, religion, national origin, disability, age, height, weight, marital status, sexual orientation, familial status, genetic information or any other characteristic or protected classes as defined by federal, state/provincial, or local law. Spencer Gifts – Spirit Halloween will consider for employment qualified applicants with criminal histories.