<h3>Job Description</h3>
Job Description
Valeo Resources has been partnered with a National Mental Health/SUD Organization that is constantly expanding. We are looking for a Data Integrity Specialist to join our team in our West Palm location. In this role, you will be working with admissions, clinical and administrative support staff to ensure that the data we have on clients is matching up with our documents and protocols. 
If you worked in admissions or case management/intake but want to get your foot in the door in corporate - this is the role for you!
Position: Data Integrity Specialist
Location: West Palm Beach, FL
Schedule: Friday-Tuesday 9am-5pm OR Monday-Friday 9am-5pm
Responsibilities:
<ul>
<li>To ensure data is properly inputted</li>
<li>VOBs, assisting with intake paperwork, case management</li>
<li>Ensure notes are inputted properly and accurately</li>
</ul>
Requirements:
<ul>
<li>HS Diploma or GED</li>
<li>Must have 2 years of healthcare data management experience</li>
<li>Attention to detail, data entry and technology efficient</li>
<li>Ability to catch error and report errors to correct</li>
</ul>
 Benefits offered:
<ul>
<li>Health, Vision, Dental</li>
<li>PTO</li>
<li>Other benefits and corporate growth</li>
</ul>

Data Integrity Specialist

<h3>Job Description</h3>
Job Description
THE OPPORTUNITY:
You will have the opportunity to work in an independent 17025 ISO-accredited laboratory that invests heavily in state of the art instrumentation and analytical technologies and works with a multitude of Medical Marijuana Treatment Centers (MMTC) to provide them with high quality analytical data.
Modern Canna Laboratories is seeking a Data and Reporting Specialist to help with report generation, data entry, data review, and data quality assurance.
KEY RESPONSIBILITIES:
<ul>
<li>Thoroughly review data to ensure quality parameters are met</li>
<li>Identify any mistakes and/or discrepancies in the data</li>
<li>Input data into our database</li>
<li>Generate reports to deliver electronically to clients</li>
<li>Other duties as assigned</li>
</ul>
QUALIFICATIONS/TALENTS SHOULD INCLUDE:
<ul>
<li>MUST HAVE ATTENTION TO DETAIL - your primary responsibilities will include identifying and correcting mistakes and discrepancies.</li>
<li>Must be able to analyze and interpret large amounts of data</li>
<li>Must be proficient with Gmail, Google products, and Microsoft Office Suite products (especially Excel)</li>
<li>Must be able to multitask</li>
<li>Must have efficient time management skills to ensure all deadlines are met with high quality</li>
<li>Must have excellent organizational skills</li>
<li>Must possess the ability to prioritize daily tasks</li>
<li>Must have a positive attitude</li>
<li>Must be able to work well in a team setting</li>
<li>Must be able able to work independently as needed</li>
<li>Must be an effective communicator, both written and oral</li>
<li>Must be available to work flexible schedule when required</li>
<li>
Commercial lab experience is a plus! 
</li>
<li>
Chemistry background is a plus!
</li>
<li>
Familiarity with databases is a plus!
</li>
<li>
Familiarity with LIMS database is a plus plus!
</li>
</ul>
Company DescriptionHeadquartered in Lakeland FL, Modern Canna is considered one of the largest and most well respected cannabis testing labs in the United States. The Modern Canna mission is To help set the standard for cannabis testing labs worldwide by providing the most accurate and efficient testing services, delivered with a sense of compassion, integrity, and moral obligation; and to attract and attain clients who value quality data that is verifiable, reproducible, and legally defensible. Which in turn, will protect and empower the consumer, and redefine an industry. 
<h3>Company Description</h3>
Headquartered in Lakeland FL, Modern Canna is considered one of the largest and most well respected cannabis testing labs in the United States. \r\n\r\nThe Modern Canna mission is To help set the standard for cannabis testing labs worldwide by providing the most accurate and efficient testing services, delivered with a sense of compassion, integrity, and moral obligation; and to attract and attain clients who value quality data that is verifiable, reproducible, and legally defensible. Which in turn, will protect and empower the consumer, and redefine an industry.

Data and Reporting Specialist

<h3>Job Description</h3>
Job Description
We are looking for a motivated, detail-oriented individual who excels in a fast-paced environment and is able to focus on multiple tasks at once to join our team as our Order Entry and Data Specialist.
Pay: $20 per hour
Have questions? Call 803-766-2534. We’re happy to answer any questions!
Easy application and interview system in place.
Job Responsibilities:
<ul>
<li>Analyze material takeoffs and enter sales orders with accuracy</li>
<li>Interpret a wide range of information and identify possible takeoff errors</li>
<li>Generate takeoff-related questions to field personnel to ensure order accuracy</li>
<li>Provide purchasing recommendations of stock items to appropriate personnel based on inventory information gathered during the order entry process</li>
<li>Purchasing of non-stock / special order items</li>
<li>Provide material cost and availability information to estimating, sales, and field management personnel in a timely manner</li>
<li>Create COD material orders and communicate delivery expectations</li>
<li>Cross-trained to: Maintain delivery schedule, retrieve, and organize field orders, handle expedited orders and administrative duties, prepare shop documents.</li>
</ul>
Skills and Qualifications:
<ul>
<li>Knowledge of Building Materials and Construction Industry Practices</li>
<li>Organized</li>
<li>Attention to Detail</li>
<li>Data Entry</li>
<li>Computer Skills (Bistrack, Windows/MS Office)</li>
<li>Able to prioritize, make quick decisions, and has strong problem-solving skills</li>
<li>Works Well Independently</li>
<li>Communicates Clearly and Follows Through</li>
</ul>
Benefits: Once hired on permanently
<ul>
<li>Life, Health, Dental, and Vision</li>
<li>Paid Vacation and Holidays</li>
<li>401K with company match</li>
</ul>
Company DescriptionWhy Join Us: We are an established well performing branch in Columbia, and are looking for highly motivated individuals to join our team and make a meaningful contribution. The Columbia branch offers the best of both worlds: the flexibility and endless upside opportunity for growth of a new branch, combined with the experience, know-how, and resources of a leading organization! We believe people are a company's number one asset, and in addition to a competitive base salary, we offer the opportunity for additional earning potential through annual performance bonuses. But more importantly, we offer an excellent work environment, characterized by service excellence, a high sense of camaraderie and genuine recognition for hard work and performance. 
<h3>Company Description</h3>
Why Join Us:\r\nWe are an established well performing branch in Columbia, and are looking for highly motivated individuals to join our team and make a meaningful contribution. The Columbia branch offers the best of both worlds: the flexibility and endless upside opportunity for growth of a new branch, combined with the experience, know-how, and resources of a leading organization!\r\nWe believe people are a company's number one asset, and in addition to a competitive base salary, we offer the opportunity for additional earning potential through annual performance bonuses. But more importantly, we offer an excellent work environment, characterized by service excellence, a high sense of camaraderie and genuine recognition for hard work and performance.

Accounts Receivable / Payable - Data Specialist

&lt;b&gt;&lt;b&gt;Job Location: Bellwood&lt;/b&gt;&lt;/b&gt;&lt;br&gt;&lt;br&gt;&lt;b&gt;&lt;b&gt;Want to make an impact?&lt;/b&gt;&lt;/b&gt;&lt;br&gt;&lt;br&gt;Excellent Opportunity for a new college graduate in Environmental, Health and Safety or candidates with 1 plus year of related experience.&lt;br&gt; &lt;br&gt;&lt;b&gt;The Environmental, Health and Safety Specialist (EHS) &lt;/b&gt;is responsible for maintaining the health and safety of the plant workforce and environment by monitoring and evaluating health and safety conditions; assuring compliance with applicable policies, procedures and governmental standards; and maintenance of the EHS Programs for the site. The primary objective is to ensure a safe and incident-free work environment including methodologies, initiatives and strategies that promote safe operations, safety awareness, training and continuous improvement to eliminate or control unsafe behaviors, environments and hazards.&lt;br&gt;&lt;br&gt;To assist with team work and ensure a safe work environment in this 24/7 facility environment, this position requires the Specialist to work occasionally off traditional business hours shift, 10% depending on facility needs. In general the hours will be flexible as much as possible to deliver a strong life/work balance. Those who are flexible and agile to a pre-determined schedule are encouraged to apply to this position offering growth opportunities.&lt;br&gt;&lt;br&gt;&lt;b&gt;&lt;b&gt;Ways you will make a difference&lt;/b&gt;&lt;/b&gt;&lt;br&gt;&lt;br&gt;&lt;ul&gt; &lt;li&gt;In addition to overall input to site environmental, health and safety initiatives, strategies, programs and procedures, responsibilities include: Deliver EHS programs to train employees in work site safety practices by promoting and leading to a site culture where Safety is engrained as a core value with all employees&lt;/li&gt; &lt;li&gt;Drives key effective, sustainable implementation of Corporate and Site EHS initiatives, strategies, programs and procedures, responsibilities via hands on leadership, coaching and team work&lt;/li&gt; &lt;li&gt;Facilitate, train and coach employees from onboarding to OSHA required annual training and other safety related topics to ensure compliance with government mandated training&lt;/li&gt; &lt;li&gt;Collaborates with employees to identify and implement solutions to safety issues identified in inspections and investigations to eliminate incidents and preventing recurrence&lt;/li&gt; &lt;li&gt;Effectively coaches and develops supervisors to be effective EHS leaders/coaches&lt;/li&gt; &lt;li&gt;Reviews incident and injury reporting and analyzes data to identify trends&lt;/li&gt; &lt;li&gt;Compliance with regulations and Company policies by routinely interacting with employees on the plant floor Analyze EHS programs, conditions and behaviors and recommends changes to continuously improve site EHS performance&lt;/li&gt; &lt;li&gt;Provides key support with all site Environmental policies and procedures&lt;/li&gt; &lt;li&gt;Leads and ensures thorough investigation of all incidents, in coordination with site leadership Fosters/develops a culture where everyone is actively engaged in performing their work in a safe manner and co-workers hold each other accountable to prevent at-risk behaviors&lt;/li&gt; &lt;li&gt;Oversee regulatory compliance audits/inspections and associated record keeping In partnership with HR oversees worker's compensation claims by working with the insurance company, injured employee and clinics from the opening of the claim and until the claim closes&lt;/li&gt; &lt;li&gt;Provides EHS functional and technical expertise/coaching as needed in all areas and initiatives of the function.&lt;/li&gt; &lt;li&gt;Collaborates with other key functions on initiatives including Engineering, HR, Quality, Operations, etc. to deliver on goals and plans.&lt;/li&gt; &lt;li&gt;Understands, demonstrates and is a role model of the Company's Operating Principles; Agile, Collaborate, Empowering and Leading with Integrity&lt;/li&gt; &lt;/ul&gt;&lt;br&gt;&lt;b&gt;&lt;b&gt;Skills that will make you successful&lt;/b&gt;&lt;/b&gt;&lt;br&gt;&lt;br&gt;&lt;ul&gt; &lt;li&gt;Ability to build teams throughout all levels and functions of the site with respect, tact and win win outcomes.&lt;/li&gt; &lt;li&gt;Extensive working knowledge of OSHA and regulatory compliance inspection procedures&lt;/li&gt; &lt;li&gt;Decision-making; must be capable of making well-informed decisions in both routine and emergency situations.&lt;/li&gt; &lt;li&gt;Excellent written and oral communication skills are required along with the ability able to communicate with audiences that have a broad range of background and understanding.&lt;/li&gt; &lt;li&gt;Thorough knowledge of basic industrial hygiene and occupational health hazards and regulations&lt;/li&gt; &lt;li&gt;High attention to detail is needed to maintain awareness of existing and proposed safety codes/regulations and company guidelines plus maintain and analyze appropriate data&lt;/li&gt; &lt;li&gt;Must be proactive as well as solve problems and make decisions in time sensitive conditions&lt;/li&gt; &lt;li&gt;Understanding of fire codes, standards, and regulations&lt;/li&gt; &lt;li&gt;Awareness of applicable environmental policies, standards, guidelines, regulations, and local requirements (spill containment, facility waste stream &amp; disposal requirements, etc.)&lt;/li&gt; &lt;li&gt;Strong presentation skills; ability to communicate effectively across all levels of the organization&lt;/li&gt; &lt;li&gt;Ability to develop programs to reduce worker's compensation, recordable injury and lost time injury rates&lt;/li&gt; &lt;li&gt;Guide site based safety teams and effectively lead safety committees to engage site personnel&lt;/li&gt; &lt;li&gt;Must demonstrate good insight and ability to develop mutual solutions to challenges&lt;/li&gt; &lt;li&gt;Apply ergonomic principles and recommend improvements with engineering or administrative controls&lt;/li&gt; &lt;li&gt;Understand biomechanics and human interaction/impact with machinery and work stations&lt;/li&gt; &lt;li&gt;Examine tasks and determine the best method of accomplishing work to prevent injury&lt;/li&gt; &lt;li&gt;Oversee incident investigation and preparation of CAPA reports for prevention of recurring incidents across multiple manufacturing sites Initiative to lead continuous improvement efforts&lt;/li&gt; &lt;li&gt;First Aid, CPR, and AED skills and certification&lt;/li&gt; &lt;li&gt;Computer literate, preferably Microsoft Outlook, Maximo and SAP&lt;/li&gt; &lt;/ul&gt;&lt;br&gt;&lt;b&gt;&lt;b&gt;Experiences that will support your success&lt;/b&gt;&lt;/b&gt;&lt;br&gt;&lt;br&gt;&amp;bull; Bachelor's Degree in Engineering, Occupational Safety, Environmental Sciences or related field, or a combination of education and experience related to the position&lt;br&gt; &lt;br&gt;&amp;bull; Demonstrated 2 years of experience working in a safety and environmentally conscious manufacturing environment&lt;br&gt; &lt;br&gt;&amp;bull; Experience in successfully coordinating EHS sustainability activities in a manufacturing setting preferred&lt;br&gt; &lt;br&gt;&amp;bull; Knowledge of laws and regulations regarding OSHA, NFPA, DOT and EPA&lt;br&gt; &lt;br&gt;&amp;bull; Strong technical expertise in manufacturing safety and knowledge of safety processes&lt;br&gt; &lt;br&gt;&amp;bull; Professional certifications in EHS related fields are considered beneficial

Entry-Level Environmental, Health and Safety Specialist (EHS)

<h3>Job Description</h3>
Job Description
GENERAL SUMMARY OF DUTIES: Oversees processing of professional and facility charges in accordance with current ICD and CPT guidelines.
SUPERVISION RECEIVED: Reports to RCM Manager.
Schedule/Shift: In Office; Mon-Fri; 8am- 4:30p
SUPERVISION EXERCISED: None.
TYPICAL PHYSICAL DEMANDS: Requires sitting for long periods of time. Working in office environment. Some bending and stretching required. Working under stress and use of telephone required. Manual dexterity required for use of calculator and computer keyboard.
TYPICAL WORKING CONDITIONS: Normal office environment.
EXAMPLES OF DUTIES: (This list may not include all of the duties assigned.)
1. Gathers, reviews and corrects professional and facility charges which includes checking for patient demographic information accuracy and total charges through review of patient charts.
2. Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines.
3. Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD and CPT codes.
4. Works with physicians to resolve coding issues.
5. Works with hospital staff to coordinate inpatient consultations.
6. Participates in educational activities.
7. Maintains strictest confidentiality.
8. Performs related work as required.
9. Will&nbsp;be reading colonoscopy reports daily to make sure codes are entered correctly
PERFORMANCE REQUIREMENTS:
Knowledge of ICD and CPT coding guidelines, reimbursement practices. Knowledge of coding and clinic operating policies. Ability to read and interrupt medical procedures and terminology. Ability to examine documents for accuracy and completeness. Ability to prepare records in accordance with detailed instructions. Ability to work effectively with patients and co-workers. Ability to communicate clearly.
Education: High school diploma or GED.
Experience: Two years of experience in medical record coding preferred but not required.
Certificate/License: None
Equal Opportunity Employer
Company DescriptionThis is a wonderful career opportunity to join a prestigious company and team in a beautiful city! 
<h3>Company Description</h3>
This is a wonderful career opportunity to join a prestigious company and team in a beautiful city!

Medical Coding, Charge Entry Specialist- In Office - Healthcare System

<h3>Job Description</h3>
Job Description
Job description
Payroll Specialist for United Employment Solutions
Reports to:&nbsp;President
Status:&nbsp;Non-Exempt
Location:&nbsp;Rancho Cucamonga, CA (in-person)
Job Type:&nbsp;Full-time
Pay:&nbsp;$22.00 - $26.00 per hour
Summary:
United Employment Solutions is seeking a detail-oriented and experienced Payroll Specialist. Under the direction of the Payroll Manager, the Payroll Specialist will prepare and process employee pay, compile payroll information, and ensure all records are maintained within established timelines.
Duties and Responsibilities:
<ul>
<li>Maintain payroll information and records by directing the collection, calculation, and data entry.</li>
<li>Update payroll records by reviewing and correcting changes in pay rates, hours worked, deductions, job titles, and department transfers.</li>
<li>Coordinate the production and issuance of paychecks or electronic transfers to bank accounts.</li>
<li>Approve the calculation of federal and state income and social security taxes, unemployment, and workers' compensation payments.</li>
<li>Maintain employee confidence and protect payroll operations by keeping information confidential.</li>
<li>Assist in opening and closing payroll weeks, including preparing reports for retention.</li>
<li>Manage the funding of invoices and submit all processed invoices to clients.</li>
<li>Reissue voided or incorrect checks.</li>
<li>Track records of PTO, loans, etc.</li>
<li>Communicate with branches and resolve payroll discrepancies such as missing employees, hours, and incorrect pay rates.</li>
<li>Generate invoices, process checks, and deliver checks to clients as needed.</li>
<li>Enter payroll in systems and audit payroll entries.</li>
<li>Separate and sort checks by client and insert them into envelopes.</li>
<li>Respond to all staff and client emails in a timely manner.</li>
<li>Prepare payroll reports for record retention.</li>
<li>Generate invoice registers for funding twice per week.</li>
<li>Conduct weekly collection activities.</li>
<li>Follow injury/illness procedures when work-related accidents occur.</li>
<li>Respond to unemployment claims and garnishments.</li>
<li>Assist in maintaining a clean and orderly working environment.</li>
</ul>
Skills/Qualifications:
<ul>
<li>High School diploma or GED (College degree preferred or relevant experience equivalent)</li>
<li>Computer literate with experience in Excel and Word</li>
<li>Prior payroll experience</li>
<li>Knowledge of compensation and wage &amp; hour laws</li>
<li>Strong organizational and reporting skills</li>
<li>Excellent communication skills (written, verbal, and interpersonal)</li>
<li>Ability to communicate in English (required); Spanish desirable but not required</li>
</ul>
Benefits:
<ul>
<li>Dental Insurance</li>
<li>Health Insurance</li>
<li>Vision Insurance</li>
</ul>
Ability to Commute/Relocate:
<ul>
<li>Rancho Cucamonga, CA: Reliably commute or planning to relocate before starting work (Required)</li>
</ul>
Experience:
<ul>
<li>Accounting: 1 year (Preferred)</li>
<li>Payroll 2 years</li>
</ul>
If you meet the qualifications and are interested in joining our team, please apply today!
Job Type: Full-time
Pay: $21.00 - $24.00 per hour
Expected hours: 40 per week
Benefits:
<ul>
<li>Dental Insurance</li>
<li>Health insurance</li>
<li>Life insurance</li>
<li>Paid time off</li>
<li>Vision insurance</li>
</ul>
Schedule:
<ul>
<li>8 hour shift</li>
<li>Day shift</li>
<li>Monday to Friday</li>
<li>Weekends as needed</li>
</ul>
Company DescriptionAt United Employment Solutions, we have a supportive and collaborative work environment where your contributions are valued, alongside opportunities for advancement and competitive benefits. Together, we uphold a culture of innovation, diversity, and excellence, making a meaningful impact in our industry and beyond. Join us in shaping the future of staffing by creating a reliable and qualified workforce. 
<h3>Company Description</h3>
At United Employment Solutions, we have a supportive and collaborative work environment where your contributions are valued, alongside opportunities for advancement and competitive benefits. Together, we uphold a culture of innovation, diversity, and excellence, making a meaningful impact in our industry and beyond. Join us in shaping the future of staffing by creating a reliable and qualified workforce.

Payroll Specialist

<h3>Job Description</h3>
Job Description
Job Description
Provides mission critical support to company brands by helping patients regarding prescribed products with assistance to address any access challenges and get on medications needed to improve their health.
• If you are customer-obsessed.
• If you are energized by leading people through change.
• If you are motivated by measured outcomes.
You should consider joining the Reimbursement Specialist Team.
Overview:
The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis medicines. They will accurately and efficiently find the patient’s insurance coverage, and any other requirements by leveraging reimbursement tools and collaborating with payers and providers.
The Reimbursement Specialist may also share appropriate information with Patient Specialty Services field teams. This information may cover coverage-related queries from customers, provide pre-authorizations for medical treatment, and outline information regarding co-payments.
The Reimbursement Specialist must have strong communication skills to converse with payors and providers about benefits coverage and be able to offer solutions in accordance with approved procedures.
A Reimbursement Specialist will possess an aptitude for learning and continual development.
• Develop and maintain knowledge of programs and payer coverage; broaden program knowledge over time.
• Learn and utilize protocols, information and technology to gather patient coverage information. Some of this will be completed via phone calls to payers in a prompt and courteous manner.
• Prepare proper documentation and notifications; perform proper escalation, tracking, and follow-up
• Evolve skills to navigate the payer landscape regarding company programs over time
• As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Team Leads.
What you’ll bring to the role:
Education:
<ul>
<li>High School Diploma required</li>
</ul>
Requirements:
<ul>
<li>Proximity and ability to commute to work onsite in Tempe, AZ</li>
<li>When working from home, a quiet dedicated space with internet/WiFi service or the ability to obtain such service (Novartis offers a subsidy to partially cover the cost of this technology) where the employee can work without interruption</li>
<li>Ability to work the scheduled work hours, which generally will be an 8-hour schedule with two paid rest breaks and an unpaid lunch break.</li>
</ul>
Experience:
Required Experience:
<ul>
<li>~6 months of proven Reimbursement Experience (such as Healthcare, Payers or Pharmaceuticals)</li>
<li>Salesforce is highly desired but not required</li>
<li>Experience and exposure in balancing multiple priorities with multiple audiences</li>
<li>Experience working with data entry system(s), fax machines, computer software, and telephone technology</li>
<li>Strong phone and verbal communication skills – ability to follow oral and written directions</li>
<li>Good problem-solving and critical thinking skills</li>
<li>Ability to interpret, capture and document the details of payer conversations, in a timely and efficient manner</li>
<li>Computer literacy with email, video conferencing systems and data entry systems</li>
</ul>
Preferred Experience:
<ul>
<li>1 year of Reimbursement Specialist experience within a Customer Contact Center in the Pharmaceuticals industry</li>
<li>Therapeutic area experience</li>
<li>No therapeutic area experience required.</li>
</ul>
Company DescriptionA great company doing groundbreaking and important work with a great reputation in the industry! 
<h3>Company Description</h3>
A great company doing groundbreaking and important work with a great reputation in the industry!

Reimbursement Specialist

<h3>Job Description</h3>
Job Description
Title: Reimbursement Specialist 1 
Duration: 6 months 
Pay Rate : $27.50/hr on W2 
Location - East Hanover, NJ 07936
Shift: Actual hours will be 10am-7pm EST shift
Training is a mix of on-site in East Hanover, NJ and virtual for from 8am – 5pm and will be 8-10 weeks.
Overview:
The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Clients medicines. They will accurately and efficiently find the patient’s insurance coverage, and any other requirements by leveraging reimbursement tools and collaborating with payers and providers. The Reimbursement Specialist may also share appropriate information with Patient Specialty Services field teams. This information may cover coverage-related queries from customers, provide pre-authorizations for medical treatment, and outline information regarding co-payments. The Reimbursement Specialist must have strong communication skills to converse with payors and providers about benefits coverage and be able to offer solutions in accordance with approved procedures. A Reimbursement Specialist will possess an aptitude for learning and continual development.
• Develop and maintain knowledge of PSS programs and payer coverage; broaden program knowledge over time. • Learn and utilize protocols, information and technology to gather patient coverage information. Some of this will be completed via phone calls to payers in a prompt and courteous manner. • Prepare proper documentation and notifications; perform proper escalation, tracking, and follow-up • Evolve skills to navigate the payer landscape regarding Clients programs over time • As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Team Leads. What you’ll bring to the role: Education:
High School Diploma required

Travel requirements:
Proximity and ability to commute to work onsite in East Hanover minimally 1 week per month and for occasional meetings or events
Other Work Requirements:
When working from home, a quiet dedicated space with internet/WiFi service or the ability to obtain such service (Cleint offers a subsidy to partially cover the cost of this technology) where the employee can work without interruption
Ability to work the scheduled work hours, which generally will be an 8-hour schedule with two paid rest breaks and an unpaid lunch break.
 Experience: • Required Experience:
~6 months of proven Reimbursement Experience (such as Healthcare, Payers or Pharmaceuticals,)
Salesforce highly desired but not required
Experience and exposure in balancing multiple priorities with multiple audiences
Experience working with data entry system(s), fax machines, computer software, and telephone technology
Strong phone and verbal communication skills – ability to follow oral and written direc-tions
Good problem-solving and critical thinking skills
Ability to interpret, capture and document the details of payer conversations, in a timely and efficient manner
Computer literacy with email, video conferencing systems and data entry systems

• Preferred Experience:
1 year of Reimbursement Specialist experience within a Customer Contact Center in the Pharmaceuticals industry
Therapeutic area experience
No therapeutic area experience required.
Company DescriptionSupportive work environment and excellent culture! 
<h3>Company Description</h3>
Supportive work environment and excellent culture!

<h3>Job Description</h3>
Job Description
POSITION SUMMARY
Promotes timely and appropriate referrals for health care services by assisting clinical staff in the processing of prior authorization requests for ambulatory services and inpatient admissions.
COMPLIANCE WITH REGULATIONS:
Works closely with all departments necessary to ensure that the processes, programs, and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D, DHCS and DMHC.
RESPONSIBILITIES
<ul>
<li>Maintains internal operations and compliance with established standards and timelines by receiving admission notifications and outpatient referral authorization requests via mail, fax, or telephone; determining member eligibility and reviewing plan benefits; entering appropriate CPT and/or ICD codes and referral/admission information in the Utilization/Case Management system; forwarding the request to assigned clinical staff for review, authorization and length of stay determination; following policies and procedures; obtaining additional clinical documentation from a primary care provider or specialist, as requested by clinical staff; tracking and assisting claims re-routes, appeals, pending/denial letters, and CCS.</li>
<li>Provides customer services to external/internal customers by assisting Community Health Group (CHG) contracted facilities, primary care provider sites, specialty and ancillary providers, and members and their families with information regarding access to health care services; utilizing clinical staff as a resource, reviewing plan benefits and prior authorization requirements with customers; educating health care providers regarding utilization management process; providing information about the special program and community services and transferring callers to other appropriate staff members as necessary; producing and mailing hard copy responses, including non-certified and exhaustion of benefits letters, facility and members as applicable.</li>
<li>Assists clinical staff by reporting medical care delivery issues to clinical supervisor; identifying potential over-or under-utilization of services, and gathering data obtained from daily referrals review to assist in reporting primary and specialty care practice patterns; reviewing appropriate coding of services and use of Community contracted providers; referring questionable referrals for clinical review; assisting clinical staff with educating primary care providers.</li>
<li>Facilitates timely referral turnaround by receiving completed admission or referral requests from facility or clinical staff; entering data and faxing or calling authorization/admission information to the appropriate provider.</li>
<li>Ensures the provision of quality health care by monitoring, in conjunction with clinical staff, member and provider concerns; Potential Quality Issues (PQI), assisting in resolving problems involving access to appropriate levels of care; completing CQI forms and requesting reports; maintaining confidentiality.</li>
<li>Contributes to the team effort by attending department meetings; giving and receiving feedback; accomplishing related results as needed; assisting clinical staff in identifying areas requiring policies and procedures; working with clinical staff in policy development and periodic policy review.</li>
<li>Maintains filing system by maintaining accurate files of admissions and authorizations by facility/primary care site; retrieving and/or reproducing files as needed; transferring and archiving documents per department protocols.</li>
<li>Maintains product and company reputation and contributes to the team effort by conveying a professional image and accomplishing related tasks; participating on committees and in meetings; performing other duties as assigned or requested.</li>
</ul>
EDUCATION
<ul>
<li>High school diploma or equivalent.</li>
<li>Medical terminology.</li>
<li>Associates degree in medical field preferred.</li>
</ul>
&nbsp; EXPERIENCE/SKILLS&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<ul>
<li>2 years customer service and data entry experience in medical field.</li>
<li>3 years customer service and data entry experience in a managed care organization preferred.</li>
<li>Ability to operate a personal computer, UM/CM System/HSD database, telephone, fax, and copier.</li>
<li>Medical terminology including ICD-10 &amp; CPT coding structures.</li>
<li>Excellent customer service and communication skills.</li>
<li>Detail-oriented.</li>
<li>Bilingual (English/Spanish) preferred.</li>
</ul>
&nbsp; PHYSICAL REQUIREMENTS
<ul>
<li>Prolonged sitting, data entry and telephone use.</li>
<li>May be required to work evenings and/or weekends.</li>
</ul>
**Must have current authorization to work in the USA**
Community Health Group is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment based on any protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, and trainings. Community Health Group makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, see Personnel Policy 3101 Equal Employment Opportunity/Affirmative Action .
Company DescriptionCommunity Health Group (CHG) is a locally-based nonprofit health plan serving more than 360,000+ members in San Diego County. For 38 years CHG has been dedicated to coordinating quality care and providing exceptional customer service. Our more than 300 committed and well-trained employees do this as stewards of government funds from health-related programs (Medi-Cal and Cal MediConnect) designed to protect the most vulnerable people in our society. Providing access to culturally sensitive, quality care for our members is at the heart of what we do each and every day. 
<h3>Company Description</h3>
Community Health Group (CHG) is a locally-based nonprofit health plan serving more than 360,000+ members in San Diego County. For 38 years CHG has been dedicated to coordinating quality care and providing exceptional customer service. Our more than 300 committed and well-trained employees do this as stewards of government funds from health-related programs (Medi-Cal and Cal MediConnect) designed to protect the most vulnerable people in our society. Providing access to culturally sensitive, quality care for our members is at the heart of what we do each and every day.

Referrals Specialist

<h3>Job Description</h3>
Job Description
The company's purpose is to reimagine medicine to improve and extend people's lives. We use innovative science and technology to address some of society's most challenging healthcare issues. We discover and develop breakthrough treatments and find new ways to deliver them to as many people as possible.
Job Description
<ul>
<li>The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed medicines. They will accurately and efficiently find the patient’s insurance coverage, and any other requirements by leveraging reimbursement tools and collaborating with payers and providers.</li>
<li>The Reimbursement Specialist may also share appropriate information with Patient Specialty Services field teams. This information may cover coverage-related queries from customers, provide pre-authorizations for medical treatment, and outline information regarding co-payments.</li>
<li>The Reimbursement Specialist must have strong communication skills to converse with payors and providers about benefits coverage and be able to offer solutions in accordance with approved procedures.</li>
<li>A Reimbursement Specialist will possess an aptitude for learning and continual development.</li>
</ul>
Your responsibilities will include, but are not limited to: Develop and maintain knowledge of PSS programs and payer coverage; broaden program knowledge over time. Learn and utilize protocols, information and technology to gather patient coverage information. Some of this will be completed via phone calls to payers in a prompt and courteous manner. Prepare proper documentation and notifications; perform proper escalation, tracking, and follow-up Evolve skills to navigate the payer landscape regarding programs over time As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Team Leads.
What you’ll bring to the role: Education: High School Diploma required Experience: Required Experience: ~6 months of proven Reimbursement Experience (such as Healthcare, Payers or Pharmaceuticals,) Experience and exposure in balancing multiple priorities with multiple audiences Experience working with data entry system(s), fax machines, computer software, and telephone technology Strong phone and verbal communication skills – ability to follow oral and written directions Good problem-solving and critical thinking skills Ability to interpret, capture and document the details of payer conversations, in a timely and efficient manner Computer literacy with email, video conferencing systems and data entry systems Preferred Experience: 1 year of Reimbursement Specialist experience within a Customer Contact Center in the Pharmaceuticals industry Therapeutic area experience: No therapeutic area experience required.
Company DescriptionA great company doing groundbreaking and important work with a great reputation in the industry! 
<h3>Company Description</h3>
A great company doing groundbreaking and important work with a great reputation in the industry!

175 Data Entry Specialist Jobs