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job_organization_name

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city

state

<h3>Job Description</h3>
Job Description
Job Purpose
The Claims Examiner &amp; Support Specialist Level I is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone calls, and handling various administrative tasks within the department. In addition, you will be responsible for contributing to the growth and success of the company while upholding our Mission, Vision and Values.
Essential Job Duties &amp; Responsibilities
<ol>
<li>Processing Health Plan Delegated Claims:
<ul>
<li>Reviewing claim submissions for accuracy and completeness.</li>
<li>Verifying information provided in claims to ensure it aligns with established guidelines.</li>
<li>Adjudicating claims according to the policies and regulatory guidelines set by the health plans.</li>
<li>Ensuring the accurate and timely processing of delegated claims.</li>
</ul>
</li>
<li>Answering Phone Calls:
<ul>
<li>Handling incoming phone calls from healthcare providers and other stakeholders.</li>
<li>Providing prompt and accurate responses to inquiries related to claims processing.</li>
<li>Documenting phone calls to include topics discussed and resolution.</li>
<li>Addressing concerns and questions from providers regarding claims.</li>
<li>Assisting with claim-related issues and resolving problems over the phone.</li>
</ul>
</li>
<li>Administrative Functions:
<ul>
<li>Performing various administrative tasks to support the efficient operation of the claims processing department.</li>
<li>Conducting data entry accurately and efficiently.</li>
<li>Logging disputes and tracking their resolution process.</li>
<li>Processing incoming mail related to claims and ensuring timely distribution.</li>
<li>Handling other clerical duties as assigned by supervisors or managers.</li>
</ul>
</li>
<li>Other Duties as Assigned:
<ul>
<li>Being flexible and willing to take on additional responsibilities as needed.</li>
<li>Adapting to changes in workflow or procedures within the claims processing department.</li>
<li>Collaborating with team members to achieve overall departmental goals.</li>
</ul>
</li>
</ol>
To excel in this role, attention to detail, knowledge of healthcare claim processing, and effective communication skills are crucial. You must be familiar with the specific guidelines and policies of the health plans you are working with and stay updated on any changes. Additionally, maintaining a customer-centric approach when dealing with inquiries and issues is essential to ensure a positive experience for providers and stakeholders.
Experience
<ul>
<li>1 year of call center experience preferred</li>
<li>6 months claims adjudication experience preferred</li>
<li>1 year experience in Claims department is a plus</li>
</ul>
Education
<ul>
<li>High School diploma or equivalent GED</li>
</ul>
Knowledge, Skills &amp; Abilities
<ul>
<li>Basic knowledge of healthcare terminology, coding, and claim processing procedures.</li>
<li>Strong attention to detail and accuracy in data entry.</li>
<li>Good communication skills, both written and verbal.</li>
<li>Ability to adapt to changing guidelines and procedures.</li>
<li>Familiarity with relevant software and computer skills for data entry and claims processing systems, a plus.</li>
<li>Basic knowledge of Microsoft Office including Outlook, Word, Excel, and Teams.</li>
<li>Data Entry/Typing skills, a minimum of 50 words per minute.</li>
<li>Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.</li>
<li>Ability to multi task, as needed.</li>
</ul>
Company DescriptionWho We Are: Peyton Resource Group (PRG) has a 20-year track record of delivering real results for our clients. With offices in Dallas, San Antonio and Austin, PRG is an innovative industry leader utilizing the latest technology to drastically reduce the time-to-hire problem plaguing most companies today. What We Do: We innovate. We understand. We collaborate. We move forward. We get IT done. How We Do It: We partner with world-class organizations that offer exciting career paths to their employees. We cultivate relationships with the best and brightest talent in the marketplace. We leverage technology in a way that is helping to redefine the staffing industry. Our Results: We solve today's critical staffing challenges, while delivering best-of-class professionals to our clients. 
<h3>Company Description</h3>
Who We Are:\r\nPeyton Resource Group (PRG) has a 20-year track record of delivering real results for our clients. With offices in Dallas, San Antonio and Austin, PRG is an innovative industry leader utilizing the latest technology to drastically reduce the time-to-hire problem plaguing most companies today.\r\nWhat We Do: We innovate. We understand. We collaborate. We move forward. We get IT done.\r\n\r\nHow We Do It:\r\nWe partner with world-class organizations that offer exciting career paths to their employees.\r\nWe cultivate relationships with the best and brightest talent in the marketplace.\r\nWe leverage technology in a way that is helping to redefine the staffing industry.\r\nOur Results: We solve today's critical staffing challenges, while delivering best-of-class professionals to our clients.

Medical Claims Examiner

<h3>Job Description</h3>
Job Description
 Job details are Shared below: Job Title:&nbsp;Building Security Operations
Location:&nbsp; Stanford, CA 94305 Job Duration:&nbsp;3+m Contract with potential for conversion
 Primary Skills:&nbsp;
<ul>
<li>Experience with Building Access Control and distributing keys.</li>
<li>Experience using work order systems</li>
<li>Experience with Excel, Word, and other Microsoft programs</li>
</ul>

Responsibilities:
<ul>
<li>Help in transferring coremarks information from FileMaker Pro to Tririga core module.</li>
<li>Provides back-up coverage for Building Access Control Specialist</li>
<li>Work with Conference, front desk in distributing keys, and supervise the special re-coring of rooms for conference during summer.</li>
<li>Organize and oversee Crash re-key effort where hundreds to thousands of residential rooms are re-keyed in transitioning to summer conference occupancy or to other cores due to construction projects.</li>
<li>Provide staff support for Manager, Key Distribution, and staff for their needs in performing their work, and in ordering office supplies.</li>
<li>Help - coordinates day-to-day operations of the Building Security shop.</li>
<li>Works with security technicians to troubleshoot and resolve keying and hardware issues.</li>
</ul>

Qualification:
<ul>
<li>Bachelor’s or equivalent experience.&nbsp;</li>
</ul>
Please respond&nbsp;at the earliest&nbsp;to speed up the interview process. I will contact you if I need further details.
Amit Bundele
Technical Recruiter&nbsp;
Phone : 669-319-4167
Email : <a href="mailto:amitb@saicongroup.com" target="_blank">amitb@saicongroup.com</a>

San Jose, California

<a href="http://www.netpolarity.com" target="_blank">www.netpolarity.com</a>

Company DescriptionStaffing Technologies has 20+ Years of IT Staffing and Consulting Experience. Headquartered in Overland, KS, we have 9 Offices Nationwide and have 3 Global Delivery locations. Saicon, our Parent Company, specializes in and has rich experience filling various type of job roles (Both IT &amp; Non IT) in Retail, Consumer Products and Brands, Insurance, Logistics and Travel, Banking and Financials, Manufacturing, Healthcare, and Life Sciences, Telecom, Media &amp; Entertainment, Professional Services, Government and Public Sector. 
<h3>Company Description</h3>
Staffing Technologies has 20+ Years of IT Staffing and Consulting Experience. Headquartered in Overland, KS, we have 9 Offices Nationwide and have 3 Global Delivery locations. Saicon, our Parent Company, specializes in and has rich experience filling various type of job roles (Both IT &amp; Non IT) in Retail, Consumer Products and Brands, Insurance, Logistics and Travel, Banking and Financials, Manufacturing, Healthcare, and Life Sciences, Telecom, Media &amp; Entertainment, Professional Services, Government and Public Sector.

Building Security Operations

<h3>Job Description</h3>
Job Description
Claims Specialist (Hybrid Remote) – $29/Hour | Bronx, NY | Full-Time | Temp to perm
Location:&nbsp;Bronx, NY (Hybrid Remote: 3 Days from Home, 2 Days On-Site) Schedule:&nbsp;Monday–Friday | 8:30 AM – 5:30 PM (1-Hour Lunch) Compensation:&nbsp;$29 per hour Job Type:&nbsp;Full-Time | 40 Hours/Week | Temp to perm
Join a mission-driven healthcare organization in the Bronx as a&nbsp;Claims Specialist, where you’ll play a critical role in&nbsp;claims adjudication, provider relations, and payment configuration—all while benefiting from a&nbsp;hybrid work schedule&nbsp;and career stability in a growing industry.
If you’re experienced in healthcare insurance, claims processing, and provider contracting, this is your opportunity to take the next step in your career in a flexible, high-impact role.
Claims Specialist Key Responsibilities:
<ul>
<li>Review and analyze medical claims adjudicated by third-party administrators (TPAs)</li>
<li>Investigate and resolve provider appeals, disputes, returned or pended claims</li>
<li>Conduct root cause analysis to recommend system or procedural improvements</li>
<li>Validate DRG grouping, repricing, and provider compensation outcomes</li>
<li>Create and test provider compensation grids to support accurate claims reimbursement</li>
<li>Process and log returned checks/refunds to ensure timely credit of funds</li>
<li>Compile reports on claim adjustments, payment discrepancies, and trends</li>
<li>Communicate with internal teams, external vendors, providers, and regulatory contacts</li>
<li>Assist in JOC meetings and provide guidance on billing and coverage policies</li>
<li>Monitor claims processing workflows and recommend changes to improve accuracy and efficiency</li>
<li>Ensure compliance with Medicaid/MLTC and managed care regulations</li>
<li>Participate in performance tracking, SLA compliance, and ad-hoc projects</li>
</ul>
Claims Specialist Required Qualifications:
<ul>
<li>Bachelor’s degree required</li>
<li>Certified Professional Coder (CPC) is preferred</li>
<li>8+ years of insurance experience&nbsp;within a healthcare or managed care setting preferred</li>
<li>Strong understanding of:</li>
<li>Claims adjudication processes</li>
<li>Medicaid/MLTC programs</li>
<li>Provider contracting, CPT, ICD-9/ICD-10, HCPCS, DRG, Revenue, RBRVS</li>
<li>Utilization management and authorizations</li>
<li>Member/subscriber enrollment and billing systems</li>
<li>Proficiency in Microsoft Excel, Word, PowerPoint, and claims processing/database systems</li>
</ul>
Why Join Us?
<ul>
<li>Competitive hourly rate:&nbsp;$29/hour</li>
<li>Hybrid schedule&nbsp;for improved work-life balance</li>
<li>Career-building opportunity in&nbsp;healthcare administration and claims analysis</li>
<li>Stability and growth in a well-established healthcare setting</li>
</ul>
This is more than a job—it’s a chance to&nbsp;grow your healthcare operations career&nbsp;while contributing to efficient, member-focused claims operations in New York City.
Apply today&nbsp;to bring your healthcare expertise into a role designed for flexibility, growth, and impact.
Company DescriptionAtlas Search is an executive recruiting firm dedicated to placing accounting, finance, middle office, information technology, human resources, and office / accounting support professionals. Our clients range from Fortune 500 to start-ups and we service all industries ranging from Financial Services to Media &amp; Entertainment. We were founded on the principle of relationships; our firm has been built on partnering with candidates and clients with a focus on their long-term interests. We provide Technology professionals like yourself on a permanent basis for our clients across all industries. Specialties include: Software Engineers, Web Developers, iOS/Android Engineers, Data Analysts, Business Intelligence, Data Engineers, Data Scientists, Help Desk/Desktop Support, Systems Administrators/Engineers, Network Administrators/Engineers, Cloud/DevOps Engineers, Application Support, Business Analysts, Project Managers, IT Managers, CTOs, etc. 
<h3>Company Description</h3>
Atlas Search is an executive recruiting firm dedicated to placing accounting, finance, middle office, information technology, human resources, and office / accounting support professionals. Our clients range from Fortune 500 to start-ups and we service all industries ranging from Financial Services to Media &amp; Entertainment. We were founded on the principle of relationships; our firm has been built on partnering with candidates and clients with a focus on their long-term interests. We provide Technology professionals like yourself on a permanent basis for our clients across all industries. Specialties include: Software Engineers, Web Developers, iOS/Android Engineers, Data Analysts, Business Intelligence, Data Engineers, Data Scientists, Help Desk/Desktop Support, Systems Administrators/Engineers, Network Administrators/Engineers, Cloud/DevOps Engineers, Application Support, Business Analysts, Project Managers, IT Managers, CTOs, etc.

Claims Specialist

<h3>Job Description</h3>
Job Description
As part of our hiring process, we request each applicant please complete this quick questionnaire to help us further analyze your potential fit within our company:
<a href="https://bit.ly/onsitequestionnaire" target="_blank">https://bit.ly/onsitequestionnaire</a>
As a technical support/helpdesk employee, you’ll be monitoring and maintaining the computer systems and networks within an organization in a technical support role. If there are any issues or changes required, such as forgotten passwords, viruses, or email issues, you’ll be the first-person employees will come to. Tasks can include installing and configuring computer systems, diagnosing hardware/software faults, and solving technical problems, either over the phone or face-to-face. Most importantly, as businesses cannot afford to be without the whole system, or individual workstations, for more than the minimum time taken to repair or replace them, your technical support is vital to the ongoing operational efficiency of the company. Some tasks you may be involved in include:
<ul>
<li>
Working with staff to identify computer problems and advising on the solution
</li>
<li>
Working with field central engineers if the problem is more serious
</li>
<li>
Installing and configuring computer hardware, software, systems, networks, printers, and scanners
</li>
<li>
Monitoring and maintaining computer systems and networks
</li>
<li>
Responding in a timely manner to service issues and requests
</li>
<li>
Providing technical support across the company (this may be in person or over the phone)
</li>
<li>
Testing and fixing faulty equipment
</li>
</ul>
Who you ARE
<ul>
<li>
Creative – you find unique ways to solve difficult problems and challenge the status quo
</li>
<li>
Self-managing - you take full ownership of driving tasks to completion, and helping those around you in doing the same
</li>
<li>
Collaborative – you recognize that working as a team yields more effective results than working alone; do you value your workplace culture and your coworkers' experiences over chasing compensation; do you challenge others and set high goals for yourself and the people around them; do you want to spread your knowledge and insights to those around you in order to make them better.
</li>
<li>
Results-driven – you focus on projects that deliver value to the end-user; do you chase the ability to cause change and disrupt industries; are you the type to find solutions to major problems
</li>
<li>
Business savvy – you understand your clients and deliver solutions that cater to their needs
</li>
<li>
Cross-disciplinary – you have skills that span across disciplines and are comfortable playing different roles in more than just one area
</li>
<li>
Continuous learner – you seek out ways to constantly develop your skills and invest in learning every single week
</li>
<li>
Agile – you pivot easily within a constantly changing environment and are comfortable with a high degree of change
</li>
<li>
Risk-taker – you see failure as part of the learning process and do it time and again; are you the type to not hold back on whenever you have an idea; are you not scared to try something new, and will do your best in collecting data and analytics to make sure that your ideas are foolproof
</li>
</ul>
Who you are NOT
<ul>
<li>
Individual contributor – you wait for directives from management and work individually to accomplish goals
</li>
<li>
Specialist - you specialize in a specific discipline in order to gain an ever-deeper understanding and contribute your key expertise in that area
</li>
<li>
Traditional – you thrive within structured corporate organizations where roles and titles are clearly defined, and where you can climb the corporate ladder
</li>
<li>
Management – you’ve established yourself as a manager within a hierarchy and are responsible for following and enforcing traditional HR practices
</li>
<li>
Passive – you prefer to leave the good ideas to others and focus instead on implementing them
</li>
<li>
Conservative – you stick with what has worked in the past, you are uncomfortable challenging the status quo, and generally avoid taking risks and trying new approaches
</li>
<li>
Linear – you are most comfortable working in a traditional project plan/Gantt chart environment
</li>
</ul>
Desired Skills
What operating systems, languages, processes, patterns, and practices you are aware of are not as important as your aptitude to learn and pick up new ways of doing things. You should be able to explain complex information in simple, clear terms to non-IT personnel.
A general curiousness and aptitude to
<ul>
<li>
Install/maintain servers, network, and storage devices.
</li>
<li>
To pick up configuration and maintenance of generic applications.
</li>
<li>
Good analytical and problem-solving skills
</li>
<li>
Up-to-date technical knowledge
</li>
<li>
Good interpersonal and customer care skills
</li>
<li>
Strong computer skills
</li>
<li>
Ability to troubleshoot and diagnose problems
</li>
<li>
Ability to communicate effectively to help customers fix their issues and feel satisfied with the experience
</li>
<li>
Logical thinker
</li>
</ul>
Compensation and Benefits
<ul>
<li>
Competitive salary
</li>
<li>
Additional employee benefits and perks
</li>
<li>
Tech Stipend
</li>
<li>
One-of-a-kind culture
</li>
</ul>
Company DescriptionLooking for a new adventure... come join our journey! HealthSpaces was founded by a team of technology leaders, engineers, and Agile practitioners equipped with decades of experience across healthcare and technology. We have come together to create an absolutely amazing workplace culture, which is the primary factor helping us translate what we do to happy customers. We are developing and applying new technologies to fix the many problems facing healthcare for the key players - patients, physicians, and their staff. We place a high value on co-worker relationships and are looking for people to join us on this journey we call life. We are looking for candidates who are not merely looking for a job, they are looking for a way of life. We value: - mindset over knowledge - the way you think over years of experience - culture over compensation - eagerness to learn over what you know - collaboration over departmental hierarchies - freedom to explore new technologies over existing tools and methods We are looking for a multi-disciplinary engineer who wants to surround themselves with similarly creative and hard-working peers in an innovative environment that focuses on delivering useful results that customers value. 
<h3>Company Description</h3>
Looking for a new adventure... come join our journey!\r\n\r\nHealthSpaces was founded by a team of technology leaders, engineers, and Agile practitioners equipped with decades of experience across healthcare and technology. We have come together to create an absolutely amazing workplace culture, which is the primary factor helping us translate what we do to happy customers. We are developing and applying new technologies to fix the many problems facing healthcare for the key players - patients, physicians, and their staff.\r\n\r\nWe place a high value on co-worker relationships and are looking for people to join us on this journey we call life. We are looking for candidates who are not merely looking for a job, they are looking for a way of life. We value:\r\n\r\n- mindset over knowledge\r\n\r\n- the way you think over years of experience\r\n\r\n- culture over compensation\r\n\r\n- eagerness to learn over what you know\r\n\r\n- collaboration over departmental hierarchies\r\n\r\n- freedom to explore new technologies over existing tools and methods\r\n\r\nWe are looking for a multi-disciplinary engineer who wants to surround themselves with similarly creative and hard-working peers in an innovative environment that focuses on delivering useful results that customers value.

Onsite IT Engineer

<h3>Job Description</h3>
Job Description
Sr. Quality Specialist - Ridgeview
AllHealth Network is seeking a qualified Senior Quality Specialist to join our Ridgeview team. We are looking for dedicated professionals passionate about behavioral health services. As a team we strive every day to nurture growth and recovery by caring for each other, our clients, and our future.
Job Description:
Sr. Quality Specialist - Remote/Hydrid
Facilitates process improvement and change management activities. Assists leadership team maintaining and monitoring quality improvement and service activities to improve efficiency and ensure compliance.
<ul>
<li>Facilitate and lead process improvement activities using a Lean approach and involving a variety of stakeholders including frontline staff to Directors.</li>
<li>Facilitate and lead change management initiatives with a quality lens.</li>
<li>Define and monitor key quality indicators and outcomes related to clinical care, client satisfaction, safety, and operational performance.</li>
<li>Collaborate with clinical leaders to make quality recommendations for reducing waste and increasing efficiency</li>
<li>Lead the development of the organization’s long and short-term quality improvement initiatives</li>
<li>Collaborate with clinical leadership to implement evidence-based practices and ensure adherence to clinical protocols and treatment standards.</li>
<li>Collaborate with the data analytics team to determine data needed to support quality initiatives.</li>
<li>Help program staff to review and interpret data and identify areas of concern, make recommendations for improvements, and develop a plan to address identified issues</li>
<li>Facilitate QI committee meetings and present data-driven reports to leadership for ongoing quality oversight.</li>
<li>Stay up to date on health care quality best practices and current trends</li>
<li>Collaborate with a diverse range of clinical and administrative professionals to investigate and resolve complex quality related issues</li>
<li>Utilize independent judgment to manage requests from internal and external stakeholders</li>
<li>Develop and maintain good working relationships with employees, clients, other organizations, and the general public</li>
<li>Build a culture of continuous quality improvement</li>
<li>Follow all AllHealth Network policies and procedures</li>
<li>Complete all deliverables accurately, legibly and by established timelines</li>
<li>Perform other duties as required within the scope of the position and the experience, education and ability of the employee</li>
</ul>
Qualifications:
<ul>
<li>Minimum Bachelor’s Degree or equivalent in human services, social sciences, business, or related field.</li>
<li>AllHealth Network does not employ former or current clients or family members of clients receiving treatment at any AllHealth Network facilities.</li>
<li>Minimum of 4-5 years of experience in quality management or quality improvement within a behavioral health or healthcare setting.</li>
<li>Experience with quality improvement tools and methodologies (e.g., PDSA cycles, root cause analysis).</li>
<li>Experience leading change management initiatives</li>
<li>Experience with project management</li>
<li>Certification in quality (e.g., CPHQ, lean) preferred</li>
<li>Knowledge of behavioral health regulatory standards, Colorado Behavioral Health Administration, CARF, HIPAA, Medicaid/Medicare, and state-specific requirements preferred</li>
</ul>

Skills and Knowledge:
<ul>
<li>Strong analytical and problem-solving skills; ability to interpret clinical data and identify trends.</li>
<li>Excellent interpersonal and communication skills, with the ability to work collaboratively with diverse teams.</li>
<li>Excellent written and communication skills with a high attention to detail.</li>
<li>Strong skills in synthesizing material</li>
<li>Must have advanced Microsoft Office Excel and intermediate skills in other Microsoft Office applications.</li>
<li>Exceptional Web-based and computer proficiency is required. </li>
</ul>

Shift:
Full-time

Pay Rate: 
$110,000 - $113,000 
The base salary range represents the low and high end of the AllHealth Network salary range for this position. Actual salaries will vary and may be above or below the range based on various factors including but not limited to experience, education, training, merit, and the ability to embody the AllHealth Network mission and values. The range listed is just one component of AllHealth Networks’ total compensation package for employees. Other rewards may include short-term and long-term incentives as well as a generous benefits package detailed below.

Benefits &amp; Perks:
First, you would be joining one of Denver’s Top Places to Work! We are honored to receive this amazing award, and we know it is recognition from our engaged staff who believe they are taken care of, listened to, and believe they are part of something bigger.
Our facility is approved by the Colorado Health Service Corps (CHSC), and we offer our employees the opportunity to participate in our Loan Repayment Program. Additionally, we provide a comprehensive compensation and benefits package which includes:
<ul>
<li>Positive, collaborative team culture</li>
<li>Competitive compensation structure</li>
<li>Medical Insurance, Dental Insurance, Basic Life and AD&amp;D Insurance, Short- and Long-Term Disability Insurance, Flexible Spending Accounts</li>
<li>Retirement Savings 401k, company match up to 50% of the first 6% contributed</li>
<li>Relocation Assistance/Sign-On Bonus</li>
<ul>
<li>Please keep in mind that while sign-on bonuses may be advertised, AllHealth Network maintains a policy of not offering these bonuses to current internal employees. We appreciate your understanding and continued commitment to our team</li>
</ul>
<li>Excellent Paid Time Off &amp; Paid Holidays Off</li>
<li>Additional Benefits</li>
</ul>
Please apply and you will be joining the amazing mission to be the most impactful growth and recovery provider with communities that need us most.

Sr. Quality Specialist

<h3>Job Description</h3>
Job Description
About the Opportunity
A leading, multi-site clinical research organization is seeking a Quality Control Data Entry Specialist to join its growing team in Winter Park, FL. This is an exciting opportunity for a motivated, detail-oriented professional looking to contribute to life-changing research within a supportive, mission-driven environment.
The organization offers a competitive compensation package, comprehensive benefits, and a collaborative culture committed to professional growth and patient impact.
Position: Quality Control Data Entry Specialist Location: Miami, FL 33135&nbsp; (Little Havana) Schedule: Monday–Friday, 8:00 AM – 4:30 PM Employment Type: Full-time (on-site) - May be eligible for a hybrid schedule after 6 months.
Benefits Include:
<ul>
<li>
Health, dental, and vision insurance
</li>
<li>
401(k) with 4% employer match
</li>
<li>
Tuition reimbursement
</li>
<li>
Parental leave
</li>
<li>
Employee referral program
</li>
<li>
Life and disability insurance
</li>
<li>
15 days PTO + 10 paid holidays
</li>
<li>
Employee assistance program
</li>
</ul>
Role Overview
This position is responsible for ensuring the accuracy and completeness of patient files through detailed chart audits and data entry into a Clinical Trial Management System (CTMS). The role is ideal for candidates with strong attention to detail and a background in clinical settings or research quality.
Key Responsibilities
<ul>
<li>
Conduct thorough reviews of study charts in alignment with SOPs, GCP, GDP, and protocol guidelines
</li>
<li>
Accurately and timely enter data into electronic case report forms (eCRFs/CRFs)
</li>
<li>
Identify and escalate discrepancies, missing data, or documentation issues
</li>
<li>
Collaborate with site teams and sponsor representatives to resolve data queries
</li>
<li>
Participate in study initiation and monitoring activities, including SIVs
</li>
<li>
Assist with onboarding and training of new team members
</li>
<li>
Support sponsor monitor visits and audit readiness
</li>
<li>
Perform other quality-related duties as assigned
</li>
</ul>
Qualifications
<ul>
<li>
Must have at least 1 year of clinical research experience OR A medical background such as RN, LPN, MA, or similar certification
</li>
<li>
Familiarity with patient data systems (e.g., CTMS)
</li>
<li>
Knowledge of ICH, FDA, and GCP regulations preferred
</li>
<li>
High attention to detail and strong organizational skills
</li>
<li>
Effective communication and interpersonal skills
</li>
<li>
Working knowledge of medical terminology
</li>
<li>
Proficiency in Microsoft Office Suite
</li>
</ul>
About the Organization This organization is a nationally recognized leader in clinical research, with a diverse portfolio in therapeutic areas such as cardiology, metabolic disorders, CNS, pulmonology, and vaccines. It operates under a strong commitment to diversity, equity, and inclusion, striving to reflect and serve its local communities through excellence in clinical trials.
Employees are empowered to grow their careers while contributing to research that improves lives. The organization values transparency, teamwork, and a shared mission to advance healthcare outcomes.

QC & Data Entry Specialist (Clinical Research - Entry & Exp.)

<h3>Job Description</h3>
Job DescriptionDescription:
At HCS, we provide compassionate, personalized home health and hospice care to patients and their families in the comfort of their own homes. Our team of skilled professionals is dedicated to improving the quality of life for individuals facing serious illness, injury, or end-of-life challenges. We are seeking a dynamic and compassionate Intake and Referral Specialist to join our team and support our mission of delivering exceptional care to those in need.
 
Position Overview:
The Intake and Referral Specialist is a key member of our team, responsible for managing and processing patient referrals and facilitating smooth transitions into our home health and hospice services. This role requires exceptional communication skills, a strong attention to detail, and the ability to work collaboratively with patients, families, physicians, and healthcare providers.
 
Responsibilities: 
<ul>
<li>Review and process patient referrals, ensuring all necessary information is complete and accurate for timely admission into home health or hospice services.</li>
<li>Collaborate with physicians, hospitals, skilled nursing facilities, and other healthcare providers to ensure smooth transitions for new patients.</li>
<li>Verify patient eligibility and insurance benefits, ensuring all required documentation and approvals are in place.</li>
<li>Work closely with the Transitions of Care Team, clinicians, and management to ensure timely and efficient service delivery.</li>
<li>Communicate with insurance companies, referral sources, and community partners to resolve any issues or delays in the referral process.</li>
</ul>
Why HCS?
<ul>
<li>Competitive salary and benefits package</li>
<li>Opportunities for professional development and continuing education</li>
<li>A supportive, team-oriented work environment</li>
<li>The chance to make a positive impact on the lives of patients and their families</li>
</ul>
Requirements:
<ul>
<li> Knowledgeable regarding Medical Terminology and Health Care service delivery.</li>
<li>Demonstrated agility in use of EMRs or similar IT application mastery. </li>
<li>Experience in customer service.</li>
<li>Experience in Home Health and Hospice Services or related health care service.</li>
<li>A combination of education and experience that is determined to be equivalent to the above listed education and experience requirements.</li>
</ul>

Intake and Referral Specialist

<h3>Job Description</h3>
Job Description
Education/Experience:
<ul>
<li>Bachelor’s degree in Business Administration, Finance, Insurance, or related field (preferred).</li>
<li>Recent experience in underwriting for annuities (not someone who has sold annuities).</li>
<li>Familiarity with annuity products and common processing systems (e.g., policy administration platforms).
<ul>
<li>Example: Fast (newer, would be surprised if they had experience) &amp; AS400</li>
</ul>
</li>
<li>Handling financial information and high amounts of money.</li>
<li>Proficiency in Microsoft Office (Excel, Word, Outlook).</li>
<li>Strong attention to detail, organizational skills, and follow-through.</li>
<li>Effective communicator with a focus on delivering quality service.</li>
<li>Ability to work independently on routine tasks while collaborating effectively with peers.</li>
</ul>
Job Summary:
The Annuity Operations Specialist supports the processing and servicing of annuity contracts by executing well-defined tasks related to annuity applications, policy modifications, suitability reviews, and payment processing. This role serves as an experienced processor and peer mentor, helping ensure accurate and timely execution of daily annuity operations while upholding regulatory standards. The Specialist collaborates primarily within the department and supports process improvements initiated by management or senior-level consultants.
Job Responsibilities:
<ul>
<li>Accurately process standard and moderately complex annuity applications and policy service requests.</li>
<li>Support annuity payment processing, including annuitization and scheduled disbursements, under defined guidelines.</li>
<li>Ensure compliance with established procedures, regulatory standards, and internal controls.</li>
<li>Act as a team resource for operational questions and help coach newer processors on day-to-day procedures.</li>
<li>Escalate non-standard, high-risk, or complex cases to management or the Annuity Processing Consultant for review.</li>
<li>Maintain documentation and follow up on outstanding items to ensure processing completion.</li>
<li>Communicate with sales agents, internal partners, and customers to clarify application details or gather missing information.</li>
<li>Participate in training programs and contribute to onboarding of new team members by sharing best practices.</li>
<li>Identify recurring processing issues and make recommendations for minor workflow improvements to leadership.</li>
<li>Assist with department-level projects and initiatives under the direction of management or a Consultant.</li>
<li>Provide operational support during system or process transitions (e.g., testing, data cleanup, process walkthroughs).</li>
</ul>
Compensation:
$50,000&nbsp;to $ 60,000per year annual salary.&nbsp;[If client has provided an exact salary, then no need to use a range; also, if the client has provided an hourly rate, then use same hourly language from the Contract/Contract-to-Hire section above.]
Exact compensation may vary based on several factors, including skills, experience, and education.
Benefit packages for this role include: [description should be provided by the client since this is for a perm position- they will not receive IG benefits. If client does not provide it upon our request, we can insert something generic like "Benefit packages for this role may include healthcare insurance offerings and paid leave as provided by applicable law."]

Annuity Underwriter

<h3>Job Description</h3>
Job DescriptionBenefitsWe Offer Outstanding Benefits:
<ul>
<li>Paid Time Off &amp; Paid Company Holidays</li>
<li>Medical, Dental, Vision &amp; Life Insurance</li>
<li>Flexible Spending Account (FSA)</li>
<li>403(b) Retirement Plan with Company Match</li>
<li>Short-Term &amp; Long-Term Disability</li>
<li>$0 Copay for Legacy Provider visits</li>
<li>$0 Copay for prescriptions filled at Legacy Pharmacies</li>
<li>Travel Insurance &amp; Pet Insurance</li>
<li>Subsidized Gym Membership</li>
<li>And much more!</li>
</ul>
Apply today in less than 3 minutes using your phone, tablet, or computer!
Join Our Forward-Thinking Team as a Lead Eligibility Specialist in Bilingual Community Healthcare! (Mon-Fri 8AM-5PM)
At Legacy Community Health, we are committed to revolutionizing community healthcare with a proactive approach to accessibility and inclusivity. We are seeking a dynamic, bilingual Eligibility Specialist to become an integral part of our innovative team in Houston, TX. Positioned at the forefront of our mission, you will be a catalyst in changing lives by determining eligibility for essential health services, thereby ensuring that no community member is left without the care they need.
Located in the heart of Legacy Montrose Allen Parkway (2929 Allen Pkwy., Suite 1300.), you will forge a path toward improving healthcare accessibility while balancing administrative precision and compassionate service. This is not just a role; it's a chance to spearhead meaningful health outcomes in the vibrant Houston community.
Key Responsibilities
<ul>
<li>Determine patient eligibility for third-party reimbursement by meticulously reviewing applicable procedures and guidelines for each program.</li>
<li>Seamlessly process data for the admission of new patients into the CPCDMS system and complete all necessary paperwork ensuring seamless service initiation.</li>
<li>Efficiently coordinate and set initial service appointments post-eligibility determination to bridge patients swiftly to the care they require.</li>
<li>Ensure accurate and proper coding for insurance billing to facilitate smooth financial operations and compliance with industry standards.</li>
<li>Proactively handle inquiries from prospective applicants and patients, offering clear, empathetic, and informative communication.</li>
<li>Participate in required safety education programs and annual education initiatives to stay ahead in community healthcare practices.</li>
<li>In the absence of the manager, serve as the first-line contact, while adeptly monitoring multiple clinic schedules and providing report assistance.</li>
<li>Conduct site visits that support departmental functions and foster a collaborative work environment.</li>
</ul>
Qualifications
<ul>
<li>High School Diploma or GED equivalent required to ensure foundational readiness for the role.</li>
<li>3 - 5 years of experience in medical billing critical to handling intricate billing processes effectively.</li>
<li>Fluency in both English and Spanish necessary to serve our diverse community effectively.</li>
<li>Experience with ICD-A or CPT codes preferred, enhancing the capability to manage comprehensive coding requirements.</li>
</ul>
About Legacy Community HealthAs the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health—every day, in every way.
At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact.
Explore our open positions and see if a career at Legacy is right for you.
Core Employee Expectations
At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department:
Approachable &amp; Collaborative
We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility.
Driven &amp; Committed
We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve.
Perceptive &amp; Thoughtful Communicators
We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all.
Apply today in less than 3 minutes using your phone, tablet, or computer!
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Lead Eligibility Specialist Bilingual - Montrose

<h3>Job Description</h3>
Job Description
It's fun to work in a company where people truly believe in what they are doing!
Come join a growing organization! Neogen is looking to hire a Quality Specialist III that will be responsible for providing support activities related to the Quality Assurance of Neogen products.&nbsp; This will include activities related to raw material qualification, shelf life and stability studies, and overall product quality including technical support in product issues or changes, reporting, trending, and nonconforming material approvals.
Essential Duties and Responsibilities:
<ul>
<li>Responsible for quality assurance for assigned products</li>
<li>Qualify incoming raw materials for use in manufacturing processes</li>
<li>Assist in the evaluation of product and process changes for impact on quality</li>
<li>Participate in efforts to improve product quality and process capability</li>
<li>Assess and validate test methods and performing cross-over studies.</li>
<li>Conduct and analyze shelf life and stability studies to set and validate product claims</li>
<li>Organize studies and direct laboratory activities of assigned technicians</li>
<li>Assure compliance to internal SOPs and external regulations</li>
<li>Evaluate customer samples and trends to determine necessary actions/improvements</li>
<li>Help to foster a quality environment &amp; mindset throughout the business</li>
<li>The applicant will work and interact with other functions (product development, manufacturing, regulatory, technical service, and business)</li>
<li>Strong written and verbal communications skills, excellent attention to detail, and be process and system oriented.</li>
<li>This position can provide a great opportunity to learn, grow and develop as an employee</li>
<li>Team member for quality improvement projects to increase customer satisfaction and reduce cost</li>
</ul>
Education and Experience
<ul>
<li>Bachelor’s degree or higher in a biological science discipline from an accredited university</li>
<li>Minimum one (1) years working in industry in a laboratory, quality, or manufacturing function.</li>
<li>Experience working with microbiological techniques and applications</li>
<li>Experience with Microsoft Office</li>
</ul>
Come Be Part Of A Mission that Matters!
From inside the farm gate to our dinner plates, Neogen protects the world’s food supply. Through a variety of animal healthcare products, to food safety solutions for dangerous bacteria, allergens, toxins, drug residues and much more, Neogen is there — and you can be too.

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