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Service Agent, Patient Care Coordinator

Job Details

The Service Agent provides excellent experience for patients and providers by fielding and responding to their requests. They help keep provider schedules full and optimized, and guide patients through the intake process.  They also ensure all patients are matched appropriately to a provider, and take care of administrative tasks like faxes, emails, and authorizations.   
 
The successful candidate must be available to work one of the following shifts:
·         9:30am – 6:00pm EST
·         7:30am – 4:00pm EST
 
About us:
Talkiatry transforms psychiatry with accessible, human, and responsible care. We’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.     
  
60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low and paperwork is unduly burdensome.   With innovative technology and a human-centered philosophy, we provide patients with the care they need—and allow psychiatrists to focus on why they got into medicine.   

You will:

  • Answer incoming inquiries from patients, answer questions, and schedule appointments 
  • Make outbound phone calls to patients, pharmacies, and insurance companies 
  • Create and triage tickets in ServiceNow 
  • Ensure that providers are scheduled for best use of time 
  • Schedule appointments as needed in eClinicalWorks 
  • Support clinicians via Microsoft Teams Chat to: 
  • Schedule patient follow-up appointments 
  • Reach out to patients who are late to tele visits 
  • Send referral information to patients 
  • Send discharge letters 
  • Monitor and complete tickets in ServiceNow to: 
  • Inform patients of insurance benefits 
  • Respond to patient inquiries 
  • Add copies of insurance cards/IDs to patient documents 
  • Troubleshoot minor technological issues or escalate them to our helpdesk 

You have:

  • Strong written and verbal communication skills 
  • Excellent customer service skills 
  • Ability to multitask while maintaining accuracy 
  • Enjoy working in team-based environment 

Must have:

  • Experience providing phone, email and chat-based customer service 
  • Experience answering phones and multitasking in a fast-paced environment 
  • Experience scheduling appointments 
  • Medical Reception experience and experience using an Electronic Health Record (EHR) is a plus, but not required 
  • Microsoft Office (M365), plus if you have worked with Microsoft Teams 

Why Talkiatry:

  • Top-notch team: we’re a diverse, experienced group motivated to make a difference in mental health care
  • Collaborative environment: be part of building something from the ground up at a fast-paced startup  
  • Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more!
  • Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands
  • It all comes back to care: we’re a mental health company, and we put our team’s well-being first 
Compensation for this position is $18.00/hr, depending on experience; actual compensation will be dependent upon the specific role, location, as well as the individual’s qualifications, experience, skills and certifications. 
Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work.   
  
At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.  
  
We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.
 

APPLY HERE: Service Agent, Patient Care Coordinator

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Medicare Billing Specialist 

Job Details

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medicare Specialist today with Parallon.

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as a Medicare Specialist. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

 

 

As the Medicare Specialist, you are responsible for all aspects of Medicare receivable processing, including but not limited to billing, collection, account and system maintenance, process reconciliation, and productivity reporting. 

What you will do in this role:

 

  • Maintains current knowledge of all office operations, job specific requirements and related regulations
  •  Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information 
  • Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer
  • Contacts and effectively communicates with all parties involved in the resolution of accounts placed
  • Completes work request timely and in accordance with instruction 
  • Performs all tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold) 
  • Maintains department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership 
  • Provides support for team members that may be absent or backlogged 
  • Analyzes, investigates, and resolves outstanding edits in order to submit clean claims to Medicare 
  • Performs appropriate non-billable adjustments and plines as necessary
  • Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’s attention daily 

 

 

 

 

 

 

 

 

 

 

What qualifications you will need:

 

 

  • 1 year in a productivity/quality-based role or direct office experience preferred

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

 


 

“The great hospitals will always put the patient and the patient’s family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.”– Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medicare Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

 

APPLY HERE: Medicare Billing Specialist

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Adjuster, Claims (Remote)

Job Details

Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation.  Also monitors and controls backlog and workflow of claims, and ensures that claims are settled in a timely fashion and in accordance with cost-control standards.

Essential Job Duties

• Researches claims tracers, adjustments and resubmissions.
• Assists with defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
• Adjudicates or readjudicates claims in a timely manner.
• Meets claims department quality and production standards.
• Supports claims department initiatives to improve overall claims function efficiency.
• Completes basic claims projects as assigned.

Required Qualifications

• At least 1 year of experience in a clerical role in a claims, and/or customer service setting – preferably in managed care, or equivalent combination of relevant education and experience.
• Data entry and research skills.
• Organizational skills and attention to detail.
• Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Customer service experience.  
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

• Health care claims/billing experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $21.16 – $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type  Full TimePosting Date 12/26/2025

 

APPLY HERE: Adjuster, Claims (Remote)

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Representative, Pharmacy

Job Details

Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. 

Shift Available:12:30-9 PM MST

Essential Job Duties


• Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. 
• Provides coordination and processing of pharmacy prior authorization requests and/or appeals. 
• Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. 
• Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. 
• Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. 
• Assists members and providers with initiating verbal and written coverage determinations and appeals. 
• Records calls accurately within the pharmacy call tracking system. 
• Maintains established pharmacy call quality and quantity standards. 
• Interacts with appropriate primary care providers to ensure member registry is current and accurate. 
• Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation. 
• Proactively identifies ways to improve pharmacy call center member relations. 

Required Qualifications


• At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience. 
• Excellent customer service skills. 
• Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc. 
• Ability to multi-task applications while speaking with members. 
• Ability to multi-task applications while speaking with members. 
• Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. 
• Ability to meet established deadlines. 
• Ability to function independently and manage multiple projects. 
• Excellent verbal and written communication skills, including excellent phone etiquette. 
• Microsoft Office suite (including Excel), and applicable software program(s) proficiency. 

Preferred Qualifications


• Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice. 
• Health care industry experience. 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $16.63 – $24.02 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

APPLY HERE: Representative, Pharmacy

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Medical Coder I

Job Details

We are seeking full-time Medical Coder I to support our mission with the Defense Health Agency (DHA). This role focuses on professional and institutional coding for outpatient primary care encounters.

Key Responsibilities:

  • Documentation Review: Review clinical documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may impact coding accuracy or quality of patient care
  • Code Assignment: Accurately assign:<ul “list-style-type:=”” circle”=””>
  • Evaluation & Management (E&M) codes
  • Current Procedural Terminology (CPT)
  • Healthcare Common Procedure Coding System (HCPCS), including modifiers and units of service
  • ICD-10-CM diagnosis codes for outpatient encounters
  • ICD-10-PCS procedure codes (as applicable for inpatient records)
  • System Utilization: Use the Military Health System (MHS) GENESIS to remotely access patient records and assign appropriate codes
  • Productivity & Quality: Meet or exceed established productivity benchmarks while maintaining a minimum 97% coding accuracy standard

Required Qualifications:

Candidates must meet one of the following educational or training requirements:

  • Associate’s degree or higher in Health Information Management, Healthcare Administration, or a biological science, OR
  • University certificate in Medical Coding, OR
  • Completion of a medical training program beyond apprentice level (e.g., medical technician, hospital corpsman, medical service specialist, or hospital training) under professional medical supervision through the U.S. Armed Forces or U.S. Maritime Service

Certifications:

Must hold one or more of the following certifications from AAPC, AHIMA:

Professional Coding Certifications:

  • AAPC: Certified Professional Coder (CPC)
  • AHIMA:<ul “list-style-type:=”” circle”=””>
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist – Physician (CCS-P)

Evaluation & Management (E&M) Certifications:

  • AAPC: Certified Evaluation and Management Coder (CEMC)
  • NAMAS: Certified Evaluation and Management Auditor (CEMA)

Required Experience:

  • Minimum of 1 year of medical coding experience (required)
  • DoD or Veterans Administration medical coding experience (preferred)
  • MHS GENESIS coding experience (preferred)

Work Environment & Schedule:

  • 100% Remote
  • Flexible scheduling Sunday–Saturday
  • Up to 40 hours per week

We are currently hiring in:

AK,AL,AR,AZ,CA,CO,FL,GA,HI,IL,IN,KS,LA,MD,ME,MO,MS,NC,NE,NM,NV,OH,OK,SC,TN,TX,UT,VA,WA

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Staff Specialist II

Job Details

Classification: Non-Exempt / Non-Bargaining

Position may be located remote. #LI-Remote

Fidium is where next-generation fiber meets next-level opportunity. With a vision to be America’s favorite fiber internet and network services provider, we deliver lightning-fast and reliable connections to families, businesses, and communities. 

Backed by one of the nation’s top 10 fiber networks, Fidium is driven by a team of 2,500 employees. We champion innovation, integrity, and continuous improvement—empowering every team member to make a meaningful impact. 

Responsible for handling a large volume of inbound and outbound calls, creating the best possible experience for every caller.

Candidate should be able to display active listening skills be customer focused, detail oriented and able to be efficient in a high-volume and fast paced environment.  Candidates should also be polite, reliable, knowledgeable, willing to learn and adaptable to changing situations.

Performs job duties consistent within safety, legal, and regulatory requirements; company standards culture and business practices.  Acts with the highest level of business and personal ethical standards in all aspects of job performance.

Responsibilities

  • Answering inbound customers professionally and responding to customer inquires and complaints
  • Making outbound calls
  • Using active listening to identify customers needs, concerns and complaints
  • Problem solving to find best solution to meet customers needs
  • Basic troubleshooting of products and services as trained
  • Using de-escalation techniques on phone calls with customers
  • Making product recommendations based on client needs in best interest of customer and company
  • Handle and resolving customer complaints respectfully and professionally
  • Redirect customers to appropriate departments and teams when appropriate
  • Following up complicated customer calls where required
  • Being an active participant in training and learning opportunities within the company

Qualifications

  • High School Diploma or Equivalent
  • Customer Service experience
  • Skilled typing
  • Experience in Microsoft Office
  • Exceptional customer service skills including active listening, verbal and written communication.
  • Ability to multitask
  • Must have a demonstrated ability to communicate effectively with customers and other employees.
  • Experience in Salesforce
  • Must have excellent customer service skills.

Benefits Offered

We are proud to offer a comprehensive and competitive benefits package:

  • 401(k) matching
  • Medical, Rx, Dental and Vision insurance
  • Disability insurance
  • Flexible spending account
  • Health savings account
  • Life insurance
  • Tuition reimbursement
  • Paid vacation and personal days
  • Paid holidays
  • Employee Assistance Program
  • Annual bonus program to eligible employee’s based upon organization performance 

Salary

Pay range (commensurate with skills and experience): $15.54 – $23.57

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, marital status, familial status, genetics, disability, age, veteran status or any other characteristic protected by law.

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