Customer Success Associate, Payor Job at Verse Medical (New York City)

Delivery Associate Director

The Delivery Associate Director role at NTT DATA involves leading a team of IT P...

Location

Mexico , GDL, Jalisco

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

10+ years related experience including a minimum of 3+ years of planning, leading and maintaining high quality, projects
Critical thinker
Demonstrated problem solving techniques
Strong verbal and written communication skills
Health Care Payor Experience Required
IT, Project/Program Management experience
Bachelors - Computer and Information Science (Preferred)
CSM - Certified Scrum Master - Enterprise (Preferred)
PMP - Project Management Professional - Enterprise (Preferred)

Job Responsibility

Provides direction to a team of IT Project Managers
Provides guidance and mentoring to staff
Handle and Coordinate with Other Teams and vendors to resolve P1 and P2 incidents
Track the Incidents and ensure no SLA’s are breached
Serve as single point of contact for customer’s report delivery/program manager
Monitor and control daily progress, and help resolve obstacles as they arise
Generate and implement ideas to continuously improve process efficiency
Work closely with customer on clear prioritization and help team stay focussed on top priority items
Estimates feasibility, time and effort of projects and tasks via the Project Portfolio Management committee
Supports projects through appropriate resource assignments

Claims resolution representative II

The claims resolution representative II is responsible for working across the pr...

Location

United States of America , Rochester - NY; Albany

Salary:

18.71 - 25.27 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma and 2 years of related work experience or equivalent combination of education and/or experience
Strong working knowledge of the professional billing software applications
Excellent customer service skills

Job Responsibility

Performing routine follow-up activities designed to bring all open account receivables to successful closure
Effective claims follow-up to obtain maximum revenue collection
Researching, correcting, resubmitting claims, submitting appeals and taking timely and routine action to resolve unpaid claims
Follows department policies and procedures and maintains and exercises thorough knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivables
Follows up on denied accounts through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic and claims submission
Research claims, identifies problems, and takes appropriate action to assure claim resolution
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing
Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims
Follows established procedure for missing insurance payment information on claims

Fulltime

Hospice Intake Manager

JourneyCare Hospice is seeking Hospice Intake Manager to join our growing team! ...

Location

United States , Crystal Lake

Salary:

85000.00 USD / Year

Arcadia Home Care and Staffing - an Addus family company

Expiration Date

Until further notice

Requirements

Associates degree is preferred and equivalent with successfully completed course work or equivalent experience in medical terminology and/or working in healthcare environments
Minimum of two years’ experience working in hospice, home care, or other health care environment required
Experience in dealing with a variety of payers in healthcare, e.g., Medicare, Medicaid, and commercial payors, preferred
Customer service focused, including the ability to set the caller at ease and encourage open dialogue about the client’s needs
Ability to work with a variety of team members representing other functional areas that directly or indirectly impact client intake/admission
Ability to maintain composure in addressing stressful and/or challenging situations
Prior use of Electronic Medical Records (EMR), preferred
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order

Job Responsibility

The Intake Manager will ensure the team is providing initial coordination of information with clients, their family members, physicians, referral sources, facility staff, agency staff, and any others involved in assuring continuity of client care
Inform referral sources, clients, family members, and physicians about response time and plans for follow up. Informs clinical office staff of potential admits and accurately documents information in the client’s medical record
Input patient information into the EMR and updates EMR with the correct level of care
Completes and copies necessary paperwork to ensure patient files are prepared for admission. This includes but is not limited to completing the referral intake form, copying all referral information, and attaching it to the intake for review by clinical office staff, scanning and uploading referral information in a timely manner so information is available to admissions clinicians, Establishes, maintains, and closes patient’s EMR and paper charts in accordance with regulatory and office guidelines. This may include but is not limited to the mailing, faxing, or emailing of required documentation
Verification of insurance coverage. Collaborates as needed to procure needed information
Creates morning and evening census reports

What we offer

Great culture and team atmosphere
Comprehensive benefits (medical, dental, vision, life/AD&D, disability)
401(k) retirement plan with a generous company match
Generous time off accruals
Paid holidays
Mileage reimbursement
Tuition Reimbursement
Employee Referral Program
Merit Increases
Employee Discount Programs

Fulltime

Hospice Intake Manager

JourneyCare Hospice is seeking Hospice Intake Manager to join our growing team! ...

Location

United States , Deerfield

Salary:

85000.00 USD / Year

Arcadia Home Care and Staffing - an Addus family company

Expiration Date

Until further notice

Requirements

Associates degree is preferred and equivalent with successfully completed course work or equivalent experience in medical terminology and/or working in healthcare environments
Minimum of two years’ experience working in hospice, home care, or other health care environment required
Experience in dealing with a variety of payers in healthcare, e.g., Medicare, Medicaid, and commercial payors, preferred
Customer service focused, including the ability to set the caller at ease and encourage open dialogue about the client’s needs
Ability to work with a variety of team members representing other functional areas that directly or indirectly impact client intake/admission
Ability to maintain composure in addressing stressful and/or challenging situations
Prior use of Electronic Medical Records (EMR), preferred
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order

Job Responsibility

Ensure the team is providing initial coordination of information with clients, their family members, physicians, referral sources, facility staff, agency staff, and any others involved in assuring continuity of client care
Inform referral sources, clients, family members, and physicians about response time and plans for follow up
Informs clinical office staff of potential admits and accurately documents information in the client’s medical record
Input patient information into the EMR and updates EMR with the correct level of care
Completes and copies necessary paperwork to ensure patient files are prepared for admission
Establishes, maintains, and closes patient’s EMR and paper charts in accordance with regulatory and office guidelines
Verification of insurance coverage
Collaborates as needed to procure needed information
Creates morning and evening census reports

What we offer

Great culture and team atmosphere
Comprehensive benefits (medical, dental, vision, life/AD&D, disability)
401(k) retirement plan with a generous company match
Generous time off accruals
Paid holidays
Mileage reimbursement
Tuition Reimbursement
Employee Referral Program
Merit Increases
Employee Discount Programs

Fulltime

Chief Executive Officer

Chief Executive Officer – New Behavioral Health Hospital in Jacksonville, FL. Le...

Location

United States , St. Augustine

Salary:

Not provided

Acadia Healthcare

Expiration Date

Until further notice

Requirements

Bachelor's degree in Business Administration, Healthcare Administration, Public Health, Marketing, Clinical Discipline, or related discipline is required
A Master's degree in health care administration, business administration, Clinical Discipline or related field is preferred
Minimum of three to five years of experience in senior leadership or CEO role in a behavioral health, acute care, and/or managed care environment
Demonstrates thorough knowledge of facility administration and clinical operations
Experience in turning around an organization as well as the ability to direct crisis and inpatient behavioral health services
Must be able to manage multiple tasks/projects simultaneously within inflexible timeframes
Ability to adapt to frequent priority changes
Initiative-taking and self-directed with effective communication and problem-solving skills
Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality
Excellent people skills including the ability to interact effectively and professionally with individuals at all levels

Job Responsibility

Lead all facets of hospital operations—clinical, financial, and administrative—with integrity, accountability, and a commitment to excellence
Cultivate a strong and compassionate leadership team that prioritizes patient safety, staff engagement, and service delivery
Engage the local community and stakeholders to enhance awareness, strengthen referral relationships, and build lasting trust
Be instrumental in developing a culture that emphasizes high quality care and patient safety
Manages day-to day operations and staff so that the facility achieves its objectives in all of the following key performance areas: effective patient care outcomes
appropriate fiscal management
maintenance of licensure, accreditation and other regulatory criteria
implementation of focused business development processes
medical staff compliance with regulatory and accreditation guidelines
Organizes the day-to-day management and operation of the Facility through departmentalization, delegation and alignment of responsibilities to meet the facility’s patient care and business objectives

What we offer

Competitive compensation package including performance-based incentives
Comprehensive medical, dental, and vision insurance
401(k) plan with company match through Acadia Healthcare
Equity/stock-based incentive awards for long-term financial growth
Generous paid time off including vacation, holidays, and sick days
Executive onboarding and support, leveraging Acadia’s national infrastructure
Growth opportunities within Acadia’s expansive network of 250+ behavioral health facilities

Fulltime

Senior B2B PR & Events Manager - DACH (all genders)

Zalando's Retail Media unit ZMS is looking for a high-impact Senior External Mar...

Location

Germany , Berlin

Salary:

Not provided

Zalando Sverige

Expiration Date

Until further notice

Requirements

Deep, established relationships with marketing, retail, and business journalists across Europe, with a strong focus on the DACH region
Proven track record in PR or Journalism, ideally with a background in AdTech, Retail Media, or E-commerce
Don't just 'send releases'
you craft compelling narratives that journalists actually want to cover and the industry desires to know about
Proactive
you don't wait for news to happen, but rather find the angle and create the opportunity
Fluent in German and English, with the ability to translate complex data into punchy, persuasive storytelling
Experienced in event management and successfully steered events with up to 400 participants
Know how to deal with a complex set of high-seniority stakeholders, keep them informed throughout projects, and guide them whenever needed

Job Responsibility

Elevate our brand presence across the DACH region and Europe
Turn our retail media business unit into a household name within the advertising and retail industries
Amplify our outward facing key messaging around our brand equity building capabilities, our stand-out creative campaigns, our product innovations and overall performance, driving visibility and building trust with our brand partners
Proactive Press Outreach
Actively pitch stories, data-driven insights, and executive profiles to top-tier business, tech, and marketing publications
Thought Leadership
Secure guest columns, speaking engagements, and expert commentary opportunities for leadership to define the future of Retail Media, as well as promote our own podcast
Award Management
Research, draft, and submit winning entries for prestigious industry awards to ensure consistent ranking
Interview & Coverage Coordination

What we offer

27 days of holiday a year to start for full-time employees (and +1 every year until 30)
2 paid volunteering days a year
Hybrid working model with up to 60% remote per week, actual practice is up to each team to best support their collaboration
Work from abroad for up to 30 working days a year
Employee shares program
40% off fashion and beauty products sold and shipped by Zalando, 30% off Lounge by Zalando, discounts from external partners
Relocation assistance available (subject to prior agreement)
Family services, including counseling and support
Health and wellbeing options (including Wellhub, formerly Gympass)
Mental health support and coaching available

Fulltime

Principal Product Designer - Strategic Discovery

We are seeking a highly skilled Principal Product Designer (Strategic Specialist...

Location

Germany , Berlin

Salary:

Not provided

Zalando Sverige

Expiration Date

Until further notice

Requirements

Advanced Multi-Method Research
Conceptual Design & Experience Modelling
Strategic Synthesis & Information Architecture
CX Visioning & Strategy Alignment
B2B / Complex System Problem Solving
Expert Facilitation & Enablement

Job Responsibility

Define and run cohesive research and discovery strategies across the product development lifecycle
Materialize product strategy and shape concepts hands-on
Discover intangible partner attitudes, behaviors, and core motivations through rigorous field research
Translate complex insights into compelling narratives
Enable a product-led organization to mature by modeling user-centered design practices
Partner with senior Product Management to co-create strategic prioritization frameworks
Translate customer insights into explicit business cases

What we offer

27 days of holiday a year to start for full-time employees (+1 day for every calendar year up to 30 days)
2 paid volunteering days a year
Hybrid working model with up to 60% remote per week
Work from abroad for up to 30 working days a year
Employee shares program
40% off fashion and beauty products sold and shipped by Zalando, 30% off Lounge by Zalando, discounts from external partners
Relocation assistance available
Family services, including counseling and support
Health and wellbeing options
Mental health support and coaching

Fulltime

Senior Data Analyst

We are looking for a Senior Data Analyst to strengthen our data analytics capabi...

Location

Czech Republic , Prague

Salary:

100000.00 - 130000.00 CZK / Year

Apollo Solutions

Expiration Date

Until further notice

Requirements

Experience in a data analytics role, ideally within customer, marketing, or sales environments
Strong skills in Python (including libraries such as NumPy, Pandas, or PySpark) and SQL
Track record of delivering data solutions that support business outcomes
Ability to communicate findings clearly and work through complex problems

Job Responsibility

Apply analytical techniques to business problems from initial definition through to delivery
Design and develop data products suitable for production use
Work closely with stakeholders to understand requirements and translate them into analytical solutions
Write clear, maintainable, and well-documented code with a focus on reliability

Fulltime

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Customer Success Associate, Payor

Job Description

Job Responsibility

Requirements

What we offer

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