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Program/Policy Analyst Sr (Medi-Cal Compliance) CalOptima CalOptima Health is seeking a highly motivated Program/Policy Analyst Sr (Medi-Cal Compliance) to join our team. The Program/Policy Analyst Sr (Medi-Cal Compliance) will coordinate and maintain CalOptima Health's relationship with regulatory agencies and ensure CalOptima Health and its First Tier, Downstream and Related Entities (FDRs) comply with all appropriate standards, regulations, contractual provisions, federal waivers and laws. Specifically, the incumbent works to enhance and strengthen CalOptima Health's policy infrastructure, platform and strategies at the state level, including contract compliance, statutory and regulatory obligations with the Department of Health Care Services (DHCS). The incumbent requires the ability to complete a variety of independent detailed analyses, including the development, review and response to corrective action plans. The incumbent will be responsible implementing Corrective Action Plans (CAPs), supporting regulatory audits, validating regulatory guidance and developing regulatory communications for CalOptima Health stakeholders. The incumbent will interact with CalOptima Health's executives and department management, FDR's management, legal counsel and state and federal regulatory agencies. The incumbent will also support other key CalOptima Health staff on related projects. Position Information: 
<ul>
<li>Department: OOC - MediCal Regulatory Affairs &amp; Compliance </li>
<li>Salary Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>85% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Works with all of CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message.</li>
<li>Assists in the management of CalOptima Health's daily relationship with the DHCS for CalOptima Health's Medi-Cal program.</li>
<li>Maintains open lines of communication to ensure the ongoing trust and confidence of regulators in the program and management.</li>
<li>Researches, analyzes and makes recommendations regarding the policy implications of major initiatives for CalOptima Health's Medi-Cal program, e.g., integration of new benefits and populations.</li>
<li>Works with business areas at all levels of leadership to validate regulatory communications from regulators impacting CalOptima Health's Medi-Cal program.</li>
<li>Supports process improvements for the Office of Compliance department.</li>
<li>Serves as a Medi-Cal regulatory subject matter expert and lead for CalOptima Health's compliance issues and investigations.</li>
<li>Supports management in the readiness, coordination, oversight and remediation of regulatory audits, including but not limited to validating business area submissions, additional audit requests and written daily reports.</li>
<li>Researches and responds in a professional manner to questions pertaining to the Medi-Cal program.</li>
<li>Works with the director and manager with interactions and responses to regulatory representatives on compliance-related issues as needed.</li>
<li>Reviews and retains working knowledge of Medi-Cal policies and procedures related to assigned programs and projects.</li>
<li>Assists in the creation of communications and strategic alliances with regulators.</li>
<li>Researches and keeps current on the local, state and federal health care environment and health policy, identifying issues that may impact CalOptima Health's Medi-Cal program.</li>
<li>Coordinates the maintenance of public program benefit updates for accurate and consistent application by CalOptima Health and its provider community.</li>
<li>Participates and represents CalOptima Health in meetings and calls with regulators and associations and summarizes key points and impact to CalOptima Health's Medi-Cal program as needed. </li>
<li>10% - Administrative Support</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Initiates, facilitates and promotes activities to foster compliance awareness and encourages the reporting of compliance issues within the organization and related entities. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in health services administration, public health, public policy or a related field PLUS 4 years of experience in government, public or government affairs role in health care compliance or health plan requirements required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree. </li>
<li>Experience working with regulatory agencies in California. </li>
<li>Experience with Medi-Cal regulatory requirements and/or compliance in the areas of Customer Service, Grievance &amp; Appeals, Quality Improvement, Case Management, Claims Administration and/or Utilization Management. </li>
<li>Certification in Healthcare Compliance (CHC) or other compliance related certifications such as Certified Compliance and Ethics Professional.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>n/a</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6296744&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 25, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6296744" target="_blank">https://jobs.caloptima.org/jobs/program-policy-analyst-sr-medi-cal-compliance-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-c10c0223e159b943b7243c210753f920

Program/Policy Analyst Sr (Medi-Cal Compliance)

Director, Medicare Program Development (Director III) CalOptima CalOptima Health is seeking a highly motivated Director, Medicare Program Development (Director III) to join our team. The Director III (Medicare Program Development) will be responsible for leadership, plan management and operations of CalOptima Health's Medicare lines of business, including the Program of All Inclusive Care for the Elderly (PACE) health plan operations. The incumbent will provide direction to CalOptima Health's departments to ensure compliance with regulatory agencies such as the Centers for Medicare and Medicaid (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC). The incumbent will collaborate with the Operations Management, Clinical Operations, Regulatory Relations and Finance departments, including but not limited to Customer Service, Grievance and Appeals, Medical Management, Provider Network Operations, Strategic Development, Compliance and Regulatory Affairs and subcontracted providers and health networks. The Director III will interact with all levels of CalOptima Health's staff, members, providers, regulatory agencies, advisory committees and representatives of other agencies as needed. Position Information: 
<ul>
<li>Department: Operations Management </li>
<li>Salary Grade: 322 - $192,386 - $307,817 ($92.49 - $147.9891) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Hires, supervises, develops, counsels and reviews the performance of department staff.</li>
<li>Supports the development of reports and presentations to CalOptima Health's Board of Directors, as needed.</li>
<li>Utilizes matrix management, directs and coordinates staff throughout the organization in the implementation of strategic work plans, development and implementation of new benefits or other initiatives for health plan operations, including but not limited to CMS Five Star Program operational initiatives and improvement activities.</li>
<li>Ensures implementation of Medicare and PACE program changes to comply with CMS regulatory requirements and is responsible for communication with stakeholders to implement such changes.</li>
<li>Ensures timely filing and compliance with CMS reports and data submissions.</li>
<li>Reviews and recommends approval of OneCare program and PACE health plan operations policies and procedures by the Executive Director and executive leadership. </li>
</ul>
</li>
<li>45% - Program Oversight
<ul>
<li>Directs and leads all business operations associated with the Medicare lines of business operations and supports certain PACE health plan operations, including coordination with and oversight of delegated health networks, contracted providers and contracted vendors.</li>
<li>Directly leads Medicare Programs outreach and retention function including developing strategies designed to expand community outreach and retention of current OneCare members.</li>
<li>Reviews and monitors Medicare programs and PACE program financial performance, provides recommendations and develops action plans.</li>
<li>Develops and monitors strategies and tactics for business development, new member enrollment and member retention in Medicare and PACE programs.</li>
<li>Supports Medicare annual bid submissions, including project management, supplemental benefit development and coordination with external actuary firm(s) and internal departments to complete and submit bids on time for Medicare and PACE programs.</li>
<li>Oversees the development of strategic plans, work plans and other initiatives for the OneCare and PACE program health plan operations.</li>
<li>Collaborates with Finance and other departments to improve activities for Medicare Risk Adjustment Factor (RAF) improvement activities for applicable programs.</li>
<li>Collaborates with internal departments in the implementation and oversight of community and member outreach activities designed to maximize visibility of Medicare programs including OneCare and PACE.</li>
<li>Partners with staff from across the organization to research specific issues as necessary to develop and analyze solutions and make policy or programmatic recommendations to address operational issues.</li>
<li>Reviews reports for submission to CMS, CalOptima Health's Board of Directors, executive leadership and others, as needed.</li>
<li>Facilitates monthly operations meetings to review Medicare and PACE program medical, financial and administrative operations.</li>
<li>Communicates the plan's operational issues, ensures adherence to work plans, identifies problem areas and develops solutions to issues or problems.</li>
<li>Collaborates with Medicare Programs Sales and Marketing and Communications departments in the development of marketing and enrollment strategies and tactics for increasing Medicare and PACE program enrollment and retention. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration or related field PLUS 7 years of experience in a management position of a health insurance plan, Independent Physician Association (IPA), managed care organization or public agency serving Medicare and Medicaid (Medi-Cal) populations required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>7 years of progressive leadership experience, including direct supervision of staff required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree. </li>
<li>Medicare Advantage health plan operations, Medicare Advantage health maintenance organization (HMO) special needs plans (SNP), Medicaid or Medi-Cal and PACE program operations experience. </li>
<li>Project management experience.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6281703&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 20, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6281703" target="_blank">https://jobs.caloptima.org/jobs/director-medicare-program-development-director-iii-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-7afb9ea777e68d4fab491cabeb4bb238

Director, Medicare Program Development (Director III)

<h3>Job Description</h3>
Job Description
Position Title: Patient Service Representative (PSR)
Summary Description:
ZOLL, manufacturer of the LifeVest wearable defibrillator, is seeking a Patient Service Representatives as an independent contract worker&nbsp;to train patients on the use of the LifeVest.
The LifeVest wearable defibrillator is worn by patients at risk for sudden cardiac arrest (SCA), providing protection during their changing condition.&nbsp; It is lightweight and easy to wear, allowing patients to return to their common activities of daily living, while having the peace of mind that they are protected from SCA. &nbsp;
This is the perfect opportunity for the health professional with patient care and teaching experience to supplement his or her income. A typical LifeVest patient is in the hospital awaiting discharge, and the PSR sets up the equipment and trains the patient and caregivers on the LifeVest. They also follow up with patients as needed to assure patient understanding and satisfaction. PSRs retain the flexibility to accept or decline assignments as their schedules dictate. Most assignments can be scheduled during free time – before/after work, and on days off.
Responsibilities:
<ul>
<li>Manage equipment &amp; garment inventory</li>
<li>Contact caregivers and family to schedule fittings</li>
<li>Available, willing and able to conduct evening and weekend activities</li>
<li>Willing to travel to patient’s homes for fittings or follow up visits</li>
<li>Disclose their family relationship with any potential referral source</li>
<li>Program equipment according to the prescribing physician’s orders</li>
<li>Measure the patient and determine correct garment size</li>
<li>Train the patient &amp; other caregivers in the use of the LifeVest</li>
<li>Have the patient sign a Patient Agreement &amp; WEAR Checklist</li>
<li>Fax the signed copy of the Patient Agreement &amp; WEAR Checklist to ZOLL within 24 hours of the&nbsp;assignment</li>
</ul>
Qualifications:
<ul>
<li>Have 1 year patient care experience
<ul>
<li>Patient experience must be professional (not family caregiver)</li>
</ul>
</li>
<li>Patient experience must be documented on resume</li>
<li>Willing to have a background check completed</li>
<li>Florida and Ohio candidates must complete a level 2 screening, fee not paid by ZOLL</li>
<li>Disclose personal NPI number (if applicable)</li>
<li>Have a valid driver’s license and car insurance</li>
<li>Willing to pay for additional training and vendor credentials (i.e. DME/RepTrax), fees not paid&nbsp;by ZOLL</li>
</ul>
Powered by JazzHR
A8wSeIBsib

Patient Service Representative

<h3>Job Description</h3>
Job Description
Position Title: Patient Service Representative (PSR)
Summary Description:
ZOLL, manufacturer of the LifeVest wearable defibrillator, is seeking a Patient Service Representatives as an independent contract worker&nbsp;to train patients on the use of the LifeVest.
The LifeVest wearable defibrillator is worn by patients at risk for sudden cardiac arrest (SCA), providing protection during their changing condition.&nbsp; It is lightweight and easy to wear, allowing patients to return to their common activities of daily living, while having the peace of mind that they are protected from SCA. &nbsp;
This is the perfect opportunity for the health professional with patient care and teaching experience to supplement his or her income. A typical LifeVest patient is in the hospital awaiting discharge, and the PSR sets up the equipment and trains the patient and caregivers on the LifeVest. They also follow up with patients as needed to assure patient understanding and satisfaction. PSRs retain the flexibility to accept or decline assignments as their schedules dictate. Most assignments can be scheduled during free time – before/after work, and on days off.
Responsibilities:
<ul>
<li>Manage equipment &amp; garment inventory</li>
<li>Contact caregivers and family to schedule fittings</li>
<li>Available, willing and able to conduct evening and weekend activities</li>
<li>Willing to travel to patient’s homes for fittings or follow up visits</li>
<li>Disclose their family relationship with any potential referral source</li>
<li>Program equipment according to the prescribing physician’s orders</li>
<li>Measure the patient and determine correct garment size</li>
<li>Train the patient &amp; other caregivers in the use of the LifeVest</li>
<li>Have the patient sign a Patient Agreement &amp; WEAR Checklist</li>
<li>Fax the signed copy of the Patient Agreement &amp; WEAR Checklist to ZOLL within 24 hours of the&nbsp;assignment</li>
</ul>
Qualifications:
<ul>
<li>Have 1 year patient care experience
<ul>
<li>Patient experience must be professional (not family caregiver)</li>
</ul>
</li>
<li>Patient experience must be documented on resume</li>
<li>Willing to have a background check completed</li>
<li>Florida and Ohio candidates must complete a level 2 screening, fee not paid by ZOLL</li>
<li>Disclose personal NPI number (if applicable)</li>
<li>Have a valid driver’s license and car insurance</li>
<li>Willing to pay for additional training and vendor credentials (i.e. DME/RepTrax), fees not paid&nbsp;by ZOLL</li>
</ul>
Powered by JazzHR
ZDyK8o2Vma

<h3>Job Description</h3>
Job DescriptionDescription:
Job Title: Patient Service Representative 
 
Location: Sioux Falls
 
Job Summary:
We are seeking a dedicated and compassionate full-time Patient Service Representative to join our team in Sioux Falls. The ideal candidate will be responsible for providing exceptional service to patients during the registration process, ensuring a smooth and welcoming experience.
 
Key Responsibilities:
- Greet patients and visitors in a friendly and professional manner.
- Assist patients with the registration process, including collecting personal and insurance information.
- Verify patient information and ensure accuracy in the system.
- Answer phone calls and respond to inquiries regarding services and appointments.
- Collaborate with healthcare staff to facilitate patient flow and address any concerns.
- Maintain confidentiality and adhere to HIPAA regulations.
- Provide support in scheduling appointments and managing patient records.
 
We offer a supportive work environment and opportunities for professional growth. If you are passionate about providing excellent patient care and service, we encourage you to apply.
Requirements:
Skills and Qualifications:
- High school diploma or equivalent; additional education in healthcare administration is a plus.
- Previous experience in a customer service or healthcare setting preferred.
- Strong communication and interpersonal skills.
- Proficient in using computer systems and electronic health records.
- Ability to handle sensitive information with discretion.
- Excellent organizational skills and attention to detail.
- Ability to work in a fast-paced environment and manage multiple tasks.

<h3>Job Description</h3>
Job Description
Responsibilities
Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join usas a Patient Service Representative,you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.
You Will:
<ul>
<li>Greet and register patients in a friendly and service-oriented manner.</li>
<li>Obtain or verify proper insurance and patient information, collect signatures and ensure accuracy and completion of necessary documentation.</li>
<li>Collect and log all co-pays and fees</li>
<li>Answer/transfer incoming phone calls.</li>
<li>Schedule, reschedule or cancel new or current patients, confirm appointments and notify staff of changes when necessary.</li>
<li>Give patients appropriate orientation for preparatory and safety protocols, and provide directions to facilities if needed.</li>
<li>Coordinate with the back-office staff for timely and effective care of patients</li>
<li>Demonstrates competency regarding the need to safeguard patient property and Patient Health Information.</li>
<li>Safeguards any on site medications in accordance with Company policies, procedures and any legal requirements.</li>
<li>Demonstrates respect for company property, including any cash and patient financial information on site or on patient portals.</li>
<li>Is responsive to the needs of others by exhibiting and maintaining professional behavior toward patients and coworkers.</li>
<li>Demonstrates respect for patient boundaries and cultural sensitivities during all interactions.</li>
<li>Demonstrates ability to interact diplomatically and sympathetically with patients, their families, and the public in a clinical setting.</li>
<li>Demonstrates ability to establish, nurture, and maintain cooperative working relationships.</li>
</ul>
You Are:
<ul>
<li>Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations</li>
<li>Able to demonstrate effective and professional communication, interpersonal skills and respect with patients, guests &amp; colleagues</li>
<li>Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world-class customer service</li>
</ul>
To Ensure Success In This Role, You Must Have:
<ul>
<li>High School Diploma or GED</li>
<li>Intermediate to advanced computer skills</li>
<li>Strong multitasking and communication skills</li>
<li>Experience providing exceptional customer service</li>
<li>Medical terminology knowledge and recent medical/radiology office experience is preferred.</li>
</ul>

We Offer: 
<ul>
<li>Comprehensive Medical, Dental and Vision coverages.</li>
<li>Health Savings Accounts with employer funding.</li>
<li>Wellness dollars</li>
<li>401(k) Employer Match</li>
<li>Free services at any of our imaging centers for you and your immediate family.</li>
</ul>

<h3>Job Description</h3>
Job DescriptionDescription:
The Patient Service Representative serves as the first point of contact for patients calling or arriving at the clinic. This position is responsible for greeting and checking-in patients, obtaining patient information, collecting payments, assisting with necessary paperwork, and fulfilling other customer service or administrative duties.
Essential Duties &amp; Responsibilities:
<ul>
<li>Registering, scheduling and re-scheduling patients for initial appointments and follow-ups</li>
<li>Entering data for patients into an electronic medical record (EMR)</li>
<li>Answering patient questions about billing and payments and collect payments</li>
<li>Screening incoming calls to provide the proper routing to other departments when necessary</li>
<li>Verifying insurance eligibility</li>
<li>Accepting lab drop offs from patients</li>
<li>Other duties as assigned </li>
</ul>
Requirements:
Education, Experience and Qualifications:
<ul>
<li>Previous experience in front office or similar role preferred</li>
<li>High school diploma or GED</li>
<li>Experience using an Electronic Medical Record system as well as foundational computer skills, including Microsoft Office Suite and the Internet. Ability to navigate at a basic level within web-based applications.</li>
<li>Ability to learn and follow HIPAA requirements and respect patient privacy rights</li>
<li>Strong organizational and multitasking skills</li>
</ul>
Interpersonal Skills:
<ul>
<li>Oral communication- Speaks clearly and persuasively in positive or negative situations; listens to others without interrupting and gets clarification when needed; responds well to questions</li>
<li>Written communication- Writes clearly and informatively; edits work for spelling and grammar</li>
<li>Teamwork- Willing to assist others when needed</li>
<li>Professionalism - Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status and position. </li>
<li>Problem-Solving- Identifies and resolves problems in a timely manner; develops alternative solutions, maintains composure and a professional manner even when dealing with difficult situations</li>
<li>Commitment to Company Standards: Follows company procedures: demonstrates ethical behavior in all business dealings</li>
</ul>
Physical &amp; Mental Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The Company will provide reasonable accommodations to permit individuals with qualified disabilities to perform the essential functions of the position as may be required by law.
Reasoning &amp; Mental Abilities:
Uses critical thinking skills to interpret information furnished in written, verbal or schedule form. Makes sound decisions and sets goals based on available information and evaluates situations and requirements to plan and adjust work accordingly.
Projects accurate future occurrences based on current or historic data. Must be able to work independently and without direct supervision; able to make decisions about the severity of variable situations and evaluate the most appropriate response; able to make appropriate decisions related to customer requests.
Work Environment &amp; Exposures: 
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The Company will provide reasonable accommodations to permit individuals with qualified disabilities to perform the essential functions of the position as may be required by law. The noise level is quiet to low.

<h3>Job Description</h3>
Job DescriptionDescription:
The Patient Service Representative serves as the first point of contact for patients calling or arriving at the clinic. This position is responsible for greeting and checking-in patients, obtaining patient information, collecting payments, assisting with necessary paperwork, and fulfilling other customer service or administrative duties.
Essential Duties &amp; Responsibilities:
<ul>
<li>Registering, scheduling and re-scheduling patients for initial appointments and follow-ups</li>
<li>Entering data for patients into an electronic medical record (EMR)</li>
<li>Answering patient questions about billing and payments and collect payments</li>
<li>Screening incoming calls to provide the proper routing to other departments when necessary</li>
<li>Verifying insurance eligibility</li>
<li>Accepting lab drop offs from patients</li>
<li>Other duties as assigned </li>
</ul>
Requirements:
Education, Experience and Qualifications:
<ul>
<li>Previous experience in front office or similar role preferred</li>
<li>High school diploma or GED</li>
<li>Experience using an Electronic Medical Record system as well as foundational computer skills, including Microsoft Office Suite and the Internet. Ability to navigate at a basic level within web-based applications.</li>
<li>Ability to learn and follow HIPAA requirements and respect patient privacy rights</li>
<li>Strong organizational and multitasking skills</li>
</ul>
Interpersonal Skills:
<ul>
<li>Oral communication- Speaks clearly and persuasively in positive or negative situations; listens to others without interrupting and gets clarification when needed; responds well to questions</li>
<li>Written communication- Writes clearly and informatively; edits work for spelling and grammar</li>
<li>Teamwork- Willing to assist others when needed</li>
<li>Professionalism - Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status and position. </li>
<li>Problem-Solving- Identifies and resolves problems in a timely manner; develops alternative solutions, maintains composure and a professional manner even when dealing with difficult situations</li>
<li>Commitment to Company Standards: Follows company procedures: demonstrates ethical behavior in all business dealings</li>
</ul>
Physical &amp; Mental Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The Company will provide reasonable accommodations to permit individuals with qualified disabilities to perform the essential functions of the position as may be required by law.
Reasoning &amp; Mental Abilities:
Uses critical thinking skills to interpret information furnished in written, verbal or schedule form. Makes sound decisions and sets goals based on available information and evaluates situations and requirements to plan and adjust work accordingly.
Projects accurate future occurrences based on current or historic data. Must be able to work independently and without direct supervision; able to make decisions about the severity of variable situations and evaluate the most appropriate response; able to make appropriate decisions related to customer requests.
Work Environment &amp; Exposures:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The Company will provide reasonable accommodations to permit individuals with qualified disabilities to perform the essential functions of the position as may be required by law. The noise level is quiet to low.

<h3>Job Description</h3>
Job DescriptionDescription:
Job Title: Patient Service Representative - Registration
 
Location: Huron, SD
 
Job Summary:
We are seeking a dedicated and compassionate part-time Patient Service Representative to join our team in Huron, SD. The ideal candidate will be responsible for providing exceptional customer service to patients during the registration process, ensuring a smooth and efficient experience. This role requires strong communication skills, attention to detail, and a commitment to patient care.
 
Key Responsibilities:
- Greet patients and visitors in a friendly and professional manner.
- Assist patients with the registration process, including collecting personal and insurance information.
- Verify patient information and ensure accuracy in the registration system.
- Address patient inquiries and provide information about services and procedures.
- Collaborate with healthcare staff to facilitate patient flow and ensure timely service.
- Maintain confidentiality and adhere to HIPAA regulations.
- Handle administrative tasks such as scheduling appointments and managing patient records.
- Assist in resolving any issues or concerns that may arise during the registration process.
 
We offer a supportive work environment and opportunities for professional growth. If you are passionate about providing excellent service to patients and contributing to their healthcare experience, we encourage you to apply.
Requirements:
Technical and Administrative Skills
<ul>
<li>Familiarity with EHR systems for managing patient data, admissions, and scheduling6.</li>
<li>Understanding medical language helps registrars accurately process patient information and communicate with clinical staff.</li>
<li>The ability to verify insurance eligibility, obtain pre-authorizations, and understand billing processes is essential to prevent billing issues and ensure smooth patient admissions.</li>
</ul>
Interpersonal and Soft Skills
<ul>
<li>Clear verbal and written communication is vital for explaining procedures, answering questions, and interacting with patients, families, and healthcare staff.</li>
<li>Customer Service Orientation providing a positive, empathetic experience for patients.</li>
<li>Flexibility to adjust to changing procedures, software updates, and varying patient volumes is important for ongoing effectiveness6.</li>
</ul>
Scheduling and Appointment Setting
 
Teamwork and Collaboration
 
Basic Medical Knowledge

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