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May 06, 2024

Baltimore, MD

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Case/Care Manager (Healthcare)

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Contract

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$30 - $46 (hourly estimate)

{"JobID":355513,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-76.6038181818182,"Longitude":39.3091818181818,"Distance":null},"State":"Maryland","Zip":"21202","ReferenceID":"HSE-701408","PostedDate":"\/Date(1715001250000)\/","Description":"An employer is looking for a Remote PRP Counselor/Therapist to join their team in the Maryland area. This person will be handling calls from Emergency Department providers seeking authorization for Mental Health services for patients actively in the respective Emergency Department. They will also be handling level-of-care review for non-emergency cases originating from outpatient mental health facilities throughout Maryland. This means that this person must be comfortable with communication over the phone for a handling those authorizations -- great personality is important! All candidates must have a master\u0027s degree in a relevant field, hold an active LCPC or LCSW-C in the state of Maryland and have experience with the utilization review/authorization of services from a payer perspective. Additionally, all perspective candidates must have experience supporting a Psychiatric Rehabilitation Program (PRP). The ideal candidate has most recently been in a therapist or counselor role. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .","Title":"Remote Care Advocate","City":"Baltimore","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Master\u0027s degree in psychology, Social Work, Counseling, Marriage or Family Counseling or Relevant fieldHolds an active LCPC OR LCSW-C in the State of Maryland2+ years of experience in mental health as a counselor, therapist or relevant mental health professional supporting a Psychiatric Rehabilitation Program (PRP)Experience with utilization review/level-of-care review of casesComfortable working and communicating with providers in inpatient emergency departments","Skills":"Direct practice experience in the Maryland Public Behavioral Health SystemKnowledge of public resources throughout MarylandExperience with Medicaid populations and/or those who are dually diagnosed with mental health and substance use disordersManaged Care experience and/or experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for patientsBilingual Spanish","Industry":"Case/Care Manager (Healthcare)","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":45.6000,"SalaryLow":30.4000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

An employer is looking for a Remote PRP Counselor/Therapist to join their team in the Maryland area. This person will be handling calls from Emergency Department providers seeking authorization for... Mental Health services for patients actively in the respective Emergency Department. They will also be handling level-of-care review for non-emergency cases originating from outpatient mental health facilities throughout Maryland. This means that this person must be comfortable with communication over the phone for a handling those authorizations -- great personality is important! All candidates must have a master's degree in a relevant field, hold an active LCPC or LCSW-C in the state of Maryland and have experience with the utilization review/authorization of services from a payer perspective. Additionally, all perspective candidates must have experience supporting a Psychiatric Rehabilitation Program (PRP). The ideal candidate has most recently been in a therapist or counselor role. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

May 17, 2024

Miami, FL

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Financial Reporting

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Perm

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$100k - $150k (estimate)

{"JobID":358050,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-80.1743636363636,"Longitude":25.7781818181818,"Distance":null},"State":"Florida","Zip":"33156","ReferenceID":"HFL-705424","PostedDate":"\/Date(1715955274000)\/","Description":"The Director of Revenue Cycle Management is responsible for the successful management of the RCM AR Management Operations Team. The position manages processes and provides guidance, direction and support to encompass all aspects of the revenue cycle, including but not limited to reimbursement related analysis, claim submission, account follow-up, denial management, patient customer service, and underpayments recovery. The Director is responsible for establishing and monitoring the department goals, objectives and tactical plan consistent with the organizational strategic plan and vision. He or she must work effectively as a team member utilizing effective problem-solving skills and intradepartmental relationships. Possess the ability to motivate others to achieve objectives and goals, while balancing the big picture with perspective to the details of the operation. Direct Reports: * Manager, AR Management Responsibilities and Duties * The Director of Revenue Cycle Management is responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement in a cost-effective manner that is in compliance with federal, state and payer-specific billing requirements. * Prepares detailed analyses and reports of billing and accounts receivable activity and results, including performance metrics, bad debt expense and AR days outstanding. * Analyzes reimbursement from all sources, including carrier reimbursement exception reporting and follow up pending claims analysis and denials management. * Contribute to the department goals on meeting key productivity metrics. * Assist in the training and cross training of staff. * Develop reports and procedures for the AR team, as well as systems for coordinating the management of the billing functions. * Perform and analyze periodic reporting. * Provides mentoring, coaching and performance reviews for direct reportsWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .","Title":"Director of Revenue Cycle","City":"Miami","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Bachelors Degree5+ years of leadership experience managing multifacility complex and diverse operational teams5+ years of Rev Cycle management exp- preferably in GI, Pathology, Anesthesia, Imaging, InfusionExperience managing multispecialtyKnowledge of healthcare AR, Collections, Insurance, government programs, and appeals (compliance regulations and guidelines)Experience with practice management systems (E Clinical works plus)Experience overseeing remote operations","Skills":"Masters Degree- Healthcare Admin, or MBAViziquate Experience working with surgical centers- professionally services and facility side","Industry":"Financial Reporting","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":150000.0000,"SalaryLow":100000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

The Director of Revenue Cycle Management is responsible for the successful management of the RCM AR Management Operations Team. The position manages processes and provides guidance, direction and... support to encompass all aspects of the revenue cycle, including but not limited to reimbursement related analysis, claim submission, account follow-up, denial management, patient customer service, and underpayments recovery. The Director is responsible for establishing and monitoring the department goals, objectives and tactical plan consistent with the organizational strategic plan and vision. He or she must work effectively as a team member utilizing effective problem-solving skills and intradepartmental relationships. Possess the ability to motivate others to achieve objectives and goals, while balancing the big picture with perspective to the details of the operation. Direct Reports: * Manager, AR Management Responsibilities and Duties * The Director of Revenue Cycle Management is responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement in a cost-effective manner that is in compliance with federal, state and payer-specific billing requirements. * Prepares detailed analyses and reports of billing and accounts receivable activity and results, including performance metrics, bad debt expense and AR days outstanding. * Analyzes reimbursement from all sources, including carrier reimbursement exception reporting and follow up pending claims analysis and denials management. * Contribute to the department goals on meeting key productivity metrics. * Assist in the training and cross training of staff. * Develop reports and procedures for the AR team, as well as systems for coordinating the management of the billing functions. * Perform and analyze periodic reporting. * Provides mentoring, coaching and performance reviews for direct reportsWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

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