Production, processing, and distribution of consumable products from agriculture to packaged goods.
Resident Care Coordinator (Full-Time)(6a-6p Shift) – Colonial Gardens
Navion Senior Solutions is currently seeking a Resident Care Coordinator to join our team at Colonial Gardens. As a Resident Care Coordinator, you will be responsible for assisting our residents with their daily tasks and ensuring they have a safe and enjoyable living environment. At Colonial Gardens, we are dedicated to providing exceptional care and services to our residents. Our Resident Care Coordinators play a crucial role in planning, directing, and assisting as needed in all resident care staffing and service needs within the scope of their respective certifications. Colonial Gardens has partnered with Tapcheck, revolutionizing the way team members get paid! Join our amazing team and be part of a groundbreaking mobile app that allows team members to access their earned wages instantly. Say goodbye to waiting for payday and the stress of financial instability. With Tapcheck, we believe in empowering team members and giving them more control over their finances. With our innovative technology and user-friendly interface, we are reshaping the world of payroll! Responsibilities: Complete scheduling for resident care staff. Orient, monitor progress, and reinforce training of resident care staff in collaboration with the Director of Clinical Services. Complete all Navion Senior Solutions and state required documentation in a timely manner. Assist the Director of Clinical Services in implementing state regulations as required. Provide manager on duty coverage and participate in staff meetings, marketing events, and community activities. Audit Medication Administration Report (MAR) and notify pharmacy of any changes. Conduct regular inspections of resident records and maintain compliance with state regulations. Complete resident assessments as outlined by Navion Senior Solutions and licensure guidelines. Requirements Must be 21 years of age or older. Experience or training in an equivalent setting preferred. Medication Technician certification required. General understanding of and concern for the needs of seniors. Ability to work in an environment conducive to caring for residents without posing a substantial safety or health threat to self or others. Ability to manage team processes and promote a team environment. Benefits Health Care Plan (Medical, Dental & Vision) Retirement Plan (401k) PTO for full time positions Short & Long Term Disability Insurance Life Insurance Career Advancement Opportunities #MTC
Resident Care Coordinator – Legacy of Camden
Legacy of Camden is seeking a Resident Care Coordinator to join our team and assist our residents with their daily tasks, along with other duties to ensure residents have a safe and enjoyable living environment. Our Resident Care Coordinators are responsible for planning, directing, and assisting as needed in all resident care staffing and service needs within the scope of their respective certifications. Legacy of Camden has partnered with Tapcheck, revolutionizing the way team members get paid! Join our amazing team and be part of a groundbreaking mobile app that allows team members to access their earned wages instantly. Say goodbye to waiting for payday and the stress of financial instability. With Tapcheck, we believe in empowering team members and giving them more control over their finances. With our innovative technology and user-friendly interface, we are reshaping the world of payroll! Responsibilities Complete scheduling for resident care staff. In collaboration with Director of Clinical Services, orient, monitor progress and reinforce training of resident care staff. Complete all Navion Senior Solutions and state required documentation in a timely manner. Assist the Director of Clinical Services in implementing state regulations as required. Manager on duty coverage, presenting the community, planning and participating in staff meetings, planning and implementing marketing and community events. Audit Medication Administration Report (MAR) notify pharmacy of changes. Conduct regular inspections of resident records and maintain in accordance with state regulations. Complete resident assessments as outlined by Navion Senior Solutions and licensure guidelines in a timely manner. Requirements Must be 21 years of age or older. Experience or training in an equivalent setting preferred. Medication Technician certification required. General understanding of and concern for the needs of seniors. Ability to work in an environment conducive to caring for residents without posing a substantial safety or health threat to self or others. Ability to manage team processes and promote a team environment. Benefits Health Care Plan (Medical, Dental & Vision) Retirement Plan (401k) PTO for full time positions Short & Long Term Disability Insurance Life Insurance Career Advancement Opportunities #RMR
Customer Experience Coordinator
TJ Maxx At TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you’re working in our four global Home Offices, Distribution Centers or Retail Stores—TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you’ll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family—a Fortune 100 company and the world’s leading off-price retailer. Job Description: Opportunity: Grow Your Career Responsible for promoting an excellent customer experience. Oversees a team of Associates at front of store ensuring prompt, courteous customer service and promotion of loyalty programs. Leads by example by engaging and interacting with all customers, and maintaining a clean and organized store. Role models outstanding customer service. Creates a positive internal and external customer experience Promotes a culture of honesty and integrity; maintains confidentiality Takes an active role in training and mentoring Associates on front end principles Trains and coaches Associates on personalizing the customer experience while promoting loyalty programs Assigns registers, supports and responds to POS coverage needs, and coordinates breaks for all Associates Addresses customer concerns and issues promptly, ensuring a positive customer experience Ensures Associates execute tasks and activities according to store plan; prioritizes as needed Communicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updates Provides and accepts recognition and constructive feedback Partners with Management on Associate training needs to increase effectiveness Ensures adherence to all labor laws, policies, and procedures Promotes credit and loyalty programs Supports and participates in store shrink reduction goals and programs Promotes safety awareness and maintains a safe environment Other duties as assigned Who We’re Looking For: You. Available to work flexible schedule, including nights and weekends Strong understanding of merchandising techniques Capable of multi-tasking Strong communication and organizational skills with attention to detail Able to respond appropriately to changes in direction or unexpected situations Team player, working effectively with peers and supervisors Able to train others 1 year retail and 6 months of leadership experience Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information. In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. Applicants with arrest or conviction records will be considered for employment. Address: 321-2 Forum Drive Location: USA TJ Maxx Store 0339 Columbia SC This position has a starting pay range of $13.00 to $13.50 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.
Retail Store Manager – Store 72 – Camden
GENERAL RESPONSIBILITIES: To effectively maintain a strong work ethic to manage a high volume, retail variety store. To encourage and promote a mutual associate/customer/donor relationship which enhances the profitability of Goodwill Industries. To establish positive relationships with clients and associates to successfully implement Goodwill’s mission services. SPECIFIC RESPONSIBILITIES: lead the development and operation of the assigned store to maximize retail market share and donations in compliance with the annual operating budget. To supervise associates and clients in the day-to-day operations of retail variety store. To hire, train, and supervise retail team members to ensure individual store retail, sales and processing goals are met. This also includes cross training associates where possible to ensure growth of the associate as well as growth of the location To accurately operate the cash register, which includes validating methods of payment (i.e. cash, check, money orders, gift certificates or charge card purchases), validating register tapes, balancing and counting down cash drawers, and making daily bank deposits. To successfully maintain weekly schedules, reconciliation of daily sales receipts, and prepare daily reports accurately and timely. To maintain merchandising displays, train and supervise associates engaging in and/or performing sales work as well as production. To coordinate sales promotion activities. To process, stock, merchandise, colorize, size, tag, barb and date merchandise. Order merchandise and supplies. To exceed production goals to maximize to profitability of the location. To perform general housekeeping, custodial and janitorial duties as may be scheduled, assigned, and needed. To ensure compliance with established Goodwill policies and procedures. To attend all managers meetings as scheduled. To assist in other locations as needed. To perform all other duties as assigned. Responsible to: Vice President of Retail Sales/Regional Manager Education: High School Diploma or equivalent. Work Experience: Five years retail experience required. Must have exemplary management skills that include planning, organizing, scheduling, directing, merchandising, training, recruiting and customer service. Must have a valid South Carolina Driver’s License. Physical Requirements: Daily requirements may include climbing, balancing, reaching, talking, hearing, seeing, standing, stooping, kneeling, handling, lifting, carrying, pushing, and pulling. May be exposed to dust and odors. May be required to do limited work outdoors. Safety & Security: Responsible for following all safety, security, and money handling procedures, as directed by Goodwill policy. Report all accidents, however slight, to your supervisor immediately. Never leave the premises without reporting any accident that occurred during your working time. If you should need medical treatment during your non-work hours, you should contact your supervisor. Goodwill strives to have a safe, secure, and ethical work environment. Goodwill’s expectation from each associate is to refrain from: 1) unsafe work practices; 2) involvement in unethical situations; 3) dishonest/fraudulent work behaviors; or, 4) other behavior which would damage the organization's good standing in the community. If a Goodwill associate observes or has the knowledge of unsafe, unethical, dishonest, or fraudulent work practices, the associate should report it immediately to his/her supervisor, another member of management, or contact the CALL Hotline at 1-888-475-8272. Work Hours: As assigned by store location. Must be flexible to changing schedule or able to work to cover shifts. Work Attire: Each associate should present a fashionable, neat, and clean appearance that will be reflective of Goodwill’s positive image in the community.
Revenue Cycle Claim Specialist
Job Title: Revenue Cycle Claim Specialist Company Overview: Eau Claire Cooperative Health Center, Inc. (dba Cooperative Health) is a leading community health center serving the Midlands of South Carolina since 1981. It is deeply rooted in its mission of providing accessible, high quality, compassion health care in the spirit of the Good Samaritan. The organization’s values of: treating each other with respect, putting people first, being excellent at what we do, promoting a collaborative work environment, improving community/population health, fostering innovative thinkers, and getting results, are core attributes of every employee at Cooperative Health. Position Summary: The Revenue Cycle Claim Specialist will be assigned to specific Practice Locations and is responsible for increasing billing efficiency, accuracy and profitability through working Missing Slips and creating claims. Responsibilities will include, review of insurances, billing services, payer specific billing guidelines and other Billing duties and tasks as assigned by Revenue Cycle Supervisor, Sr. Lead Revenue Cycle Specialist and/or Revenue Cycle Director. This position may be considered for a future hybrid schedule. Principles Responsibilities: Effectively communicates with Revenue Cycle Leadership staff to clarify coding and billing for accuracy. Track and report insurance, billing and coding errors that impact claim creation. Report identified coding and practice management system issues to Revenue Cycle Leadership. Attend required Revenue Cycle meetings in person and/or via Zoom or Teams. Perform daily Encounter review to assure general documentation supports coding on Superbills. Perform Daily Day End review to identify the need for additional claim edits and validate charges. Review and prepare claims for submission to various insurance carriers. Responsible for responding to emails and Athena text pertaining to claim corrections. Responsible for performing other billing task as directed by Revenue Cycle Leadership. Education & Experience: Education – Min. High School Diploma with some college Minimum 2 years working Registration in a Physician’s office Minimum 1 year experience performing Patient Check-in/Registration (Athena experience required) Minimum 1 year experience performing Claim Creation (Athena experience required) Minimum 2 years Medical Billing and Insurance experience. Training or working knowledge of ICD-10 and CPT coding. Current working knowledge of Medical software (Athena) Knowledge of FQHC Billing Physical Demands Prolonged periods sitting or standing Must be able to lift up to 25 pounds. Be able to sit, stand, stoop, squat for extended periods of time throughout the day. Standing or walking for extended periods throughout the day. Company Conformance Statement In the performance of respective job assignments, all employees are required to conform with Cooperative Health’s: Board approved policies and procedures; Confidentiality and professional provisions; Compliance program; and Standards of conduct. **Cooperative Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Cooperative Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers, leaves of absence, compensation and training.
Charge Nurse (RN)
Job Title: Charge Nurse (RN) Company Overview: Eau Claire Cooperative Health Center, Inc. (dba Cooperative Health) is a leading community health center serving the Midlands of South Carolina. It is deeply rooted in its mission of providing accessible, high quality, compassion health care in the spirit of the Good Samaritan. The organization’s values of: treating each other with respect, putting people first, being excellent at what we do, promoting a collaborative work environment, improving community/population health, fostering innovative thinkers, and getting results, are core attributes of every employee at Cooperative Health. Position Summary: The Charge Nurse is responsible for the supervision of nursing staff members at his/her designated facility. He/she will be responsible for assigning duties, examining work for exactness, neatness, and conformance to policies, procedures, and applicable laws. The Charge Nurse will work under the supervision of the Clinical Practice Administrator and or Chief of Clinical Operations and will assure continuous quality improvement in collaboration with other members of the healthcare team. Principal Accountabilities/Responsibilities: Assumes the authority, responsibility and accountability of directing the shift. Plans, organizes and directs shift activities. Works directly with the Director of Nursing regarding issues or concerns. Maintains reporting responsibility to the Director of Nursing. Monitors staff activity and productivity. Assists in conducting performance evaluations Ensures that personnel adhere to general policies and procedures at all times. Makes recommendations in the development of department policies/procedures/position descriptions/standards and related documentation. Maintains confidentiality of all pertinent patient care information to assure patient rights are protected. Assures staff does the same. Provides on the job training to new departmental personnel. Attends and participates in workshops, seminars, etc. to keep abreast of current changes in the healthcare field, as well as to maintain a professional status. Maintains accurate statistical data and compile monthly reports for administration and/or medical staff as requested. Education & Experience: Current RN license for the state of South Carolina Required Must have graduated from an accredited institution/nursing program. Minimum of 1 year in a leadership role. Individuals who are Bi-lingual/Bi-cultural are encouraged to apply. Medical Office Experience preferred Must possess the ability to make independent decisions when circumstances warrant. Must possess the ability to deal tactfully with personnel, patients, visitors, family members and the general public. Must be flexible, demonstrate initiative and have a pleasant attitude. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to cope with the mental and emotional stress of the position. Must have effective verbal and written communication skills Must possess typing skills and general computer experience Competencies Occasional weekends and/or evening hours may be required. Attends training programs as authorized or directed. Represents the program at community meetings as assigned; attends meetings and/or training sessions as required and participates on committees as directed. Performs other duties as assigned. Physical Demands Prolonged periods sitting or standing Must be able to lift up to 25 pounds. Be able to sit, stand, stoop, squat for extended periods of time throughout the day. Standing or walking for extended periods throughout the day. Company Conformance Statement In the performance of respective job assignments, all employees are required to conform with Cooperative Health’s: Board approved policies and procedures; Confidentiality and professional provisions; Compliance program; and Standards of conduct. **Cooperative Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Cooperative Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers, leaves of absence, compensation and training
Revenue Cycle Manager
Job Title: Revenue Cycle Manager Company Overview: Eau Claire Cooperative Health Center, Inc. (dba Cooperative Health) is a leading community health center serving the Midlands of South Carolina. It is deeply rooted in its mission of providing accessible, high quality, compassion health care in the spirit of the Good Samaritan. The organization’s values of: treating each other with respect, putting people first, being excellent at what we do, promoting a collaborative work environment, improving community/population health, fostering innovative thinkers, and getting results, are core attributes of every employee at Cooperative Health. Position Summary: Revenue Cycle Director and is responsible for managing, supporting, training and disciplining the Revenue Cycle Staff. Additionally, the Revenue Cycle Manager is responsible for overseeing the day to day operations of the Revenue Cycle department, while consistently analyzing daily claims activity and communicating Billing updates and deficiencies that impact the Revenue Cycle to various department heads and the Revenue Cycle Director. The Revenue Cycle Manager adheres to Cooperative Health’s Mission, Vision and Values and exemplifies excellent leadership and work ethics. The Revenue Cycle Manager ensures that the proper results, controls and measurements are in place to optimize collections and maximize productivity. This position will report to the Revenue Cycle Director and will work collaboratively with the Senior Practice Management Revenue Cycle Analyst while working closely with all levels of management. Principal Accountabilities/Responsibilities: Develop, implement and oversee effective billing and collection procedures of staff. Develop, implement and oversee procedures for the review, appeal and resubmission of all claim denials. Manage, Develop, implement and oversee procedures for the posting/uploading of all third party payments received, confirmation of deposits and the reconciliation of discrepancies. Analyze claims data and suggest/implement procedures to maximize HEDIS and incentive revenue collections (i.e., level II HCPCS codes, ICD-10 and CPT modifiers). Conduct quality assurance and accuracy audits of staff. Compile requested statistical, financial, billing or auditing reports. Assure compliance with applicable laws and regulations related to billing. Perform billing analysis to ensure that the Billing Department is maximizing cash receipts. Continuously monitor Outstanding AR and address areas of concern. Analyze and monitor Denial trends amongst various payers. Assist Revenue Cycle Director with developing and updating billing policies Open cases with Practice Management vendor to troubleshoot and resolve issues as needed. Attend internal and external meetings that pertain to Billing. Implement processes and procedures to improve staff efficiency. Monitor and manage charge posting, claim creation, billing, and collection operations. Responsible for all Training and Development of Staff. Responsible for monitoring daily Claim Errors and Rejections. Manage processing of Patient Refunds. Assist with ongoing Training of various departments as directed by Revenue Cycle Director. Recruitment of staff. Conduct routine staff meetings. Responsible for delegating workload to staff. Responsible for disciplining staff. Build, maintain and improve billing and collections processes. Responsible for periodic, monthly and quarterly claim and GSP audits. Encourage motivation and cohesiveness amongst the staff. Responsible for Performance evaluations of staff. Responsible for monitoring and approving staffs attendance and Time off. Responsible for disciplining staff. Responsible for holding staff accountable and enforcing policy. Handle routine correspondence and other administrative tasks, as required. Performs other duties as assigned. Education & Experience: Associates Degree or higher, 10 years of relevant work experience, 10 years of supervisory experience, Proven record managing people and building teams, Demonstrated knowledge of medical coding, Medical coding or billing certification, RHC or FQHC billing/coding/rev cycle experience, Previous experience in EHR/PMS environment, Proficiency in Microsoft Office – Excel, Word, Outlook. Competencies Knowledge of organizational policies, procedures, systems and objectives. Knowledge of various payer guidelines. Knowledge of CPT, CDT, ICD-10, EOB and ERA. Knowledge of computer systems and applications. Skills in planning, organizing and multitasking. Skills in exercising initiative, judgment, problem-solving and decision-making. Skills in gathering and analyzing data. Skills in identifying and resolving problems. Excellent listening, written and communication skills. Effective Denials management, and excellent claims management experience from charge capture to receipt. Ability to create an atmosphere which encourages cohesiveness, motivation, innovation and high performance. Physical Demands Prolonged periods sitting or standing Must be able to lift up to 25 pounds. Be able to sit, stand, stoop, squat for extended periods of time throughout the day. Standing or walking for extended periods throughout the day. Company Conformance Statement In the performance of respective job assignments, all employees are required to conform with Cooperative Health’s: Board approved policies and procedures; Confidentiality and professional provisions; Compliance program; and Standards of conduct.
Charge Nurse (RN)
Job Title: Charge Nurse (RN) Company Overview: Eau Claire Cooperative Health Center, Inc. (dba Cooperative Health) is a leading community health center serving the Midlands of South Carolina. It is deeply rooted in its mission of providing accessible, high quality, compassion health care in the spirit of the Good Samaritan. The organization’s values of: treating each other with respect, putting people first, being excellent at what we do, promoting a collaborative work environment, improving community/population health, fostering innovative thinkers, and getting results, are core attributes of every employee at Cooperative Health. Position Summary: The Charge Nurse is responsible for the supervision of nursing staff members at his/her designated facility. He/she will be responsible for assigning duties, examining work for exactness, neatness, and conformance to policies, procedures, and applicable laws. The Charge Nurse will work under the supervision of the Clinical Practice Administrator and or Chief of Clinical Operations and will assure continuous quality improvement in collaboration with other members of the healthcare team. Principal Accountabilities/Responsibilities: Assumes the authority, responsibility and accountability of directing the shift. Plans, organizes and directs shift activities. Works directly with the Director of Nursing regarding issues or concerns. Maintains reporting responsibility to the Director of Nursing. Monitors staff activity and productivity. Assists in conducting performance evaluations Ensures that personnel adhere to general policies and procedures at all times. Makes recommendations in the development of department policies/procedures/position descriptions/standards and related documentation. Maintains confidentiality of all pertinent patient care information to assure patient rights are protected. Assures staff does the same. Provides on the job training to new departmental personnel. Attends and participates in workshops, seminars, etc. to keep abreast of current changes in the healthcare field, as well as to maintain a professional status. Maintains accurate statistical data and compile monthly reports for administration and/or medical staff as requested. Education & Experience: Current RN license for the state of South Carolina Required Must have graduated from an accredited institution/nursing program. Minimum of 1 year in a leadership role. Individuals who are Bi-lingual/Bi-cultural are encouraged to apply. Medical Office Experience preferred Must possess the ability to make independent decisions when circumstances warrant. Must possess the ability to deal tactfully with personnel, patients, visitors, family members and the general public. Must be flexible, demonstrate initiative and have a pleasant attitude. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to cope with the mental and emotional stress of the position. Must have effective verbal and written communication skills Must possess typing skills and general computer experience Competencies Occasional weekends and/or evening hours may be required. Attends training programs as authorized or directed. Represents the program at community meetings as assigned; attends meetings and/or training sessions as required and participates on committees as directed. Performs other duties as assigned. Physical Demands Prolonged periods sitting or standing Must be able to lift up to 25 pounds. Be able to sit, stand, stoop, squat for extended periods of time throughout the day. Standing or walking for extended periods throughout the day. Company Conformance Statement In the performance of respective job assignments, all employees are required to conform with Cooperative Health’s: Board approved policies and procedures; Confidentiality and professional provisions; Compliance program; and Standards of conduct. **Cooperative Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Cooperative Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers, leaves of absence, compensation and training
Revenue Cycle Billing Specialist
Job Title: Revenue Cycle Billing Specialist Company Overview: Eau Claire Cooperative Health Center, Inc. (dba Cooperative Health) is a leading community health center serving the Midlands of South Carolina since 1981. It is deeply rooted in its mission of providing accessible, high quality, compassion health care in the spirit of the Good Samaritan. The organization’s values of: treating each other with respect, putting people first, being excellent at what we do, promoting a collaborative work environment, improving community/population health, fostering innovative thinkers, and getting results, are core attributes of every employee at Cooperative Health. Position Summary: The Revenue Cycle Specialist-Biller 1 is responsible for tracking, collecting, posting and managing claims from the time of claim submission to payment. Maintenance of all billing related documentation to insure accurate and timely billing in strict compliance with Medicare, Medicaid, commercial insurance and private pay reimbursement sources. Responsible for follow up on all accounts receivable balances. Principles Responsibilities: Prepares and submits clean claims to various insurance company’s either electronically or by paper. Answers questions from patients, internal staff and insurance companies. Contacts insurance companies regarding problem or unpaid claims. Ongoing review of aging reports to determine reason for unpaid claims. Identifies and resolves patient billing inquiries. Prepares, reviews, and sends patient balance letters. Tracks and reports status of delinquent claims. Ensures that all charges are processed within acceptable time period by insurance payer. Performs various collection actions including contacting insurances and patients by phone. Documents and follows up on claims, client requests and issues. Corrects and resubmits claims to payers. Tracks and manages claim denials from insurance companies. Processes payments from insurance companies and prepares a daily deposit. Participates in educational activities and attends monthly staff meetings. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Maintains knowledge of all new features, functions, issues, and upgrades of Athena. Perform other duties as assigned. Competencies: Ability to embody the mission and vision of Cooperative Health. Excellent written and verbal communication and problem solving skills. Ability to communicate with people from a variety of socioeconomic and cultural backgrounds. Ability to prioritize, organize and carry out work assignments independently and efficiently. Ability to maintain appropriate degree of confidentiality. Other duties as assigned. Education & Experience: 3+ years of previous medical collections experience in Adult, Family Practice and/or Pediatrics with general insurance billing practice knowledge, required. Must have 3-4 years of experience in CPT & ICD-9/10 Coding. Billing related background in physician clinic setting preferred with experience in managing accounts receivable. Athena experience preferred. Minimum Associate degree. Additional appropriate education may be substituted for one year of billing experience. Individuals who are bilingual are encouraged to apply Physical Demands Prolonged periods sitting or standing Must be able to lift up to 25 pounds Be able to sit, stand, stoop, squat for extended periods of time throughout the day Standing or walking for extended periods throughout the day Company Conformance Statement In the performance of respective job assignments, all employees are required to conform with Cooperative Health’s: Board approved policies and procedures; Confidentiality and professional provisions; Compliance program; and Standards of conduct. **Cooperative Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Cooperative Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers, leaves of absence, compensation and training
Good Samaritan Coordinator II
Job Title: Good Samaritan Coordinator II Company Overview: Eau Claire Cooperative Health Center, Inc. (dba Cooperative Health) is a leading community health center serving the Midlands of South Carolina since 1981. It is deeply rooted in its mission of providing accessible, high quality, compassion health care in the spirit of the Good Samaritan. The organization’s values of: treating each other with respect, putting people first, being excellent at what we do, promoting a collaborative work environment, improving community/population health, fostering innovative thinkers, and getting results, are core attributes of every employee at Cooperative Health. Position Summary: The GSP Coordinator II is responsible for reviewing and determining final eligibility for the Sliding Fee Program. The GSP Coordinator II is responsible for tracking and communicating errors at the site level to the Revenue Cycle Supervisor and is also responsible for contacting the patients for additional information. In addition, the GSP Coordinator II is responsible for identifying Medicaid and Medicare eligibility and reviewing patient accounts for necessary billing adjustments and refunds. The GSP Coordinator II will be cross-trained in billing functions to assist with overall AR. The GSP Coordinator II will work overtime as needed to assist with billing or GSP projects. The GSP Coordinator II also is responsible for participating in ongoing interdepartmental trainings and other tasks as assigned by the Revenue Cycle Supervisor and Revenue Cycle Director. Principles Responsibilities: Working special projects. Accounts receivables AR projects. Cross-trained to work assigned insurances or special contracts. Posting custom transaction adjustments for AR (as assigned). Assist with various billing projects. Daily auditing and processing of GSP Applications. Same day approval and processing of GSP Renewals from the sites (as applicable). Responsible for logging, monitoring and following up on all pending applications. Responsible for loading notes for Palmetto Access effective and expiration dates. Ongoing updates and corrections to Patient Demographics within the Practice Management system and entering Notes. Responsible for inputting demographics of GSP approval into Practice Management System. Respond to internal and external calls and emails regarding patient balances and application statuses. Responsible for keeping accurate files of all GSP and Palmetto Access Applications. Ongoing communication with Palmetto Access regarding the processing of Palmetto Access Applications. Monthly adjustments and write-offs for all GSP from Accounts Receivables. Responsible for mailing out correspondence regarding GSP Renewal and additional information for approval. Determination of Medicaid Eligibility and other community services. Initial training of GSP for all new hires as directed by supervisor. Attends workshops, seminars, etc. regarding indigent patients and community resources. Works closely with Outreach Coordinator on the GSP applications for special contracts. Responsible for submitting GSP logs and specialty adjustment reports daily via email. Submit Weekly Updates via email regarding ongoing errors and/or trends of noncompliance. Participates in annual audits. Responsible for other tasks and duties as directed by Supervisor. Other duties assigned. Competencies: Ability to embody the mission and vision of Cooperative Health. Excellent written and verbal communication and problem solving skills. Ability to communicate with people from a variety of socioeconomic and cultural backgrounds. Ability to prioritize, organize and carry out work assignments independently and efficiently. Ability to maintain appropriate degree of confidentiality. Education & Experience: High school diploma or equivalent required; Associate degree preferred. Experience in the medical and/or billing field with primary focus in daily clinic billing. Additional appropriate education may be substituted for one year of billing experience. Must have good decision-making skills and be able to resolve account issues. Knowledge of CPT & ICD-10 Coding a plus. Able to work at a consistent and efficient pace independently. Must be careful, detail-oriented, hard- working and have excellent follow-through on assignments. Data entry proficiency with ability to use a calculator and accurate keyboard skills. Ability to prioritize and work independently. Ability to manage multiple projects; organize and schedule tasks to meet all deadlines. Excellent organizational skills, ability to manage multiple tasks and meet deadlines. Sufficient computer competency; working skill set for Word and Excel. Must display professional attitude and maintain professional appearance. Must be able to follow written and oral instructions. Must be able to speak and present in front of an audience. Must be able to work as part of a Team and foster the “Team” concept. Ability to prioritize, meet deadlines and willing to work Over-Time as needed. Physical Demands: Prolonged periods sitting or standing Must be able to lift up to 25 pounds Be able to sit, stand, stoop, squat for extended periods of time throughout the day Standing or walking for extended periods throughout the day Company Conformance Statement In the performance of respective job assignments, all employees are required to conform with Cooperative Health’s: Board approved policies and procedures; Confidentiality and professional provisions; Compliance program; and Standards of conduct. **Cooperative Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Cooperative Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers, leaves of absence, compensation and training.