Intake Specialist I
VieMed · Centralia, WA
Job description(tap to read)
Intake Specialist I Job Category: Sleep Management, LLC Requisition Number: INTAK001153 Location: Lafayette, LA 70508, USA +8 more locations Description Essential Duties and Responsibilities: • Obtains patient demographic and health insurance information; collects co-pay(s) when appropriate. • Verifies and records insurance benefits, with the ability to understand and provide insurance breakdowns. • If required by payer(s), obtains prior authorization &/or follows up on authorization. • Interacts professionally with physicians, patients, patient's family, and co-workers. • Schedules set ups, as called into VieMed, by physicians or physician's office staff, per policy and procedure. • Retrieves incoming referral(s) and logs demographic information into current patient database & billing system. • Reviews medical records from referral(s) to determine if medical necessity has been met. • Communicates to sales team &/or referral source(s), if referral is acceptable or what is missing to complete referral(s) • Documents in computer system the status of referral • Reports all concerns or issues directly to Intake Manager or Intake Supervisor • Other responsibilities and projects as assigned. Qualifications • High School Diploma or equivalent • One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred. • Basic understandings of medical insurance benefits • Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public. • Effectively communicate with physicians, patients, insurers, colleagues, and staff • Able to read and understand medical documentation effectively. • Knowledge and understanding of same and similar DME equipment. • Knowledge and understanding of In-network vs Out of Network, PPO, HMO • Thorough understanding and maintaining of medical insurances company's regulations and requirements to include but not limited to Medicare and Medicaid. • Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits. • Learns and maintains knowledge of current patient database & billing system. • Up to date with health information technologies and applications • Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner. • Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public. • Proficient in Microsoft Office, including Outlook, Word, and Excel • Utilizes initiative, strives to maintain steady level of productivity and is self-motivated. • Work week is Monday through Friday and candidates will work an agreed upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm of 10am-7pm) • Possible weekend work or overtime, to include working an on-call rotation schedule. Access to Protected Health Information (PHI) • This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule. Working Conditions • This position will work in an office environment. We are an equal opportunity employer and all qualified applicants will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law. By submitting your application and participating in the interview process, you acknowledge and consent that interviews, video meetings, phone screenings, and other recruiting interactions may be recorded for evaluation, training, quality assurance, compliance, and hiring purposes. These recordings may be reviewed by authorized company personnel and may be processed using artificial intelligence or automated tools to assist with notetaking, transcription, scheduling, candidate evaluation support, and other recruiting functions. No employment decision will be based on automated processing. By submitting an application and participating in the interview process, you acknowledge and consent to the recording and processing in accordance with applicable laws and company privacy policies. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Border Patrol Agent
United States Customs and Border Protection · Centralia, WA
NEW RECRUITMENT AND RETENTION INCENTIVES! IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations. U.S. Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align...
Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they have an NV RN License. SHIFT: Training schedule is 3 weeks M-Fri 8AM-5PM PSt time ON CAMERA - NO TIME OFF Work Schedule after training: M-Fri 8AM-5PM PST time Duration: 3 months, Possibility to extend and/or convert to FTE Start Date: 3/9/2026 Description: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. Responsibilities: • Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria • Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care • Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member • Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care • Assists with service authorization requests for a member's transfer or discharge plans to ensure a timely discharge between levels of care and facilities • Collects, documents, and maintains all members clinical information in health management systems to ensure compliance with regulatory guidelines • Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members • Provides feedback on opportunities to improve the authorization review process for members • Performs other duties as assigned Candidate Requirements Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. Required: Requires Graduate from an Accredited School of Nursing RN/LPN or Bachelors degree in Nursing and 2 – 4 years of related experience. Preferred: Required: MUST BE RN, Must Live in Nevada MUST HAVE A NV LICENSE Preferred: Years of experience required: MUST HAVE 2-4 years experience in health prior authorizations, case management, medical terminology/hipaa guidelines, Disqualifiers: job hopping (want someone that will eventually be permanent at the client if the position comes available within department) PLEASE STATE IF CONTRACT ROLE. Additional qualities to look for: Trucare, interqual Top 3 must-have hard skills stack-ranked by importance • 1 Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred/analytical and critical thinking skills/problem solving/attention to detail • 2 Knowledge of Medicaid regulations preferred. • 3 Knowledge of utilization management processes preferred. Pay Rate: up to $44/hr. *** Working Place: Nevada, Nevada, United States Company: ESR Healthcare
AI Literacy Library Intern
University of Pennsylvania · Centralia, WA
University Overview The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned leader in education, research, and innovation. This historic, Ivy League school consistently ranks among the top 10 universities in the annual U.S. News & World Reportsurvey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by Penn's distinctive interdisciplinary approach to scholarship and learning. As an employer Penn has been consistently ranked nationally on many occasions with the most recent award from Forbes who named Penn one of America's Best Large Employers. Penn offers a unique working environment within the city of Philadelphia. The University is situated on a beautiful urban campus, with easy access to a range of educational, cultural, and recreational activities. With its historical significance and landmarks, lively cultural offerings, and wide variety of atmospheres, Philadelphia is the perfect place to call home for work and play. Posted Job Title AI Literacy Library Intern Job Profile Title Temporary Employee - Non-Exempt Job Description Summary The University of Pennsylvania Libraries seeks an energetic AI Literacy intern to participate as members of our academic engagement and departmental libraries teams and receive mentoring by a progressive and seasoned team of professional librarians. The AI Intern will collaborate with librarians to help develop AI literacy Resources and use GenAI to develop processes and workflows to support librarians' work, including creating a Canvas tutorial and presenting a workshop on AI applications. They will also contribute to AI working groups and support evaluation of AI-enabled library platform. Job Description Duties and responsibilities include but are not limited to: • Work with librarians to develop an online AI literacy tutorial on Canvas • Interview librarians about workflows and develop GenAI use cases, projects, and tools to support subject librarians' work • Present a workshop to librarians about what you develop and how to use the tools • Join AI Literacy Working Group meetings as schedule allows • Provide support for developing guidelines for the assessment and adoption of AI tools as part of the databases and other platforms that the library subscribes and offers access to the campus community • Get trained on and participate in chat reference to better understand the types of questions coming to the library Qualifications: • Current graduate student. • Ability to work both independently and as part of a team. • Desire to learn, adapt quickly, and work independently. • Desire to support a diverse academic community. • Flexibility regarding work location. • Attention to detail. This is a 1 year term position. Application Requirement: A Cover Letter and Resume/CV are required to be considered for this position. Please upload your Cover Letter where it asks you to upload your Resume/CV; multiple documents are allowed. Budgeted Pay Range: $15.00 - $20.00 commensurate with education and experience. Job Location - City, State Philadelphia, Pennsylvania Department / School University Library Pay Range $7.25 - $20.00 Hourly Rate Salary offers are made based on the candidate's qualifications, experience, skills, and education as they directly relate to the requirements of the position, and in alignment with salary ranges based on external market data for the job's level. Internal organization and peer data at Penn are also considered. Equal Opportunity Statement The University of Pennsylvania is an equal opportunity employer. Candidates are considered for employment without regard to race, color, sex, sexual orientation, religion, creed, national origin (including shared ancestry or ethnic characteristics), citizenship status, age, disability, veteran status or any class protected under applicable federal, state or local law. Special Requirements A background check may be required after a conditional job offer is made. Consideration of the background check will be tailored to the requirements of the job. University Benefits • Health and Life: Penn offers comprehensive medical, prescription, behavioral health, dental, vision, and life insurance benefits to protect you and your family's health and welfare. • Retirement: Penn offers generous retirement plans to help you save for your future. Penn's Basic, Matching, and Supplemental retirement plans allow you to save for retirement on a pre-tax or Roth basis. Choose from a wide variety of investment options through TIAA and Vanguard. Please note that benefit eligibility is determined/based on ACA guidelines.
Retail Merchandiser - North Haven, CT
United Natural Foods · Centralia, WA
Retail Merchandiser We are seeking candidates in the Norths Haven, CT area only at this time. Job Overview: The Retail Merchandiser provides consistent, quality service within a specific customer or independent customer location. Services can include but are not limited tostocking and merchandising products at shelf, providing reset support in remodels and new stores, executing continuity/Home Store and cycle coverage programs for a particular group of customers and may include ordering of products. At times the Retail Merchandiser will assist in stretch projects where needed. The Retail Merchandiser can receive directions from Sr. Retail Merchandiser, Retail Merchandising Coordinator/Supervisor/Manager/or Director. Job Responsibilities: • Ability to read, understand and implement planograms in store. Adjust sections as necessary based on evaluation with or without planograms. Report feedback on specific planogram compliance or item availability concerns, to the appropriate parties. • Visits retailers on Home Store or Field Sales program on a provided schedule, to execute customer specific plans. Providing effective feedback and follow-up. Perform duties in accordance with Hazard Analysis Critical Control Points (HACCP) and Safe Quality Food (SQF) policies and procedures, as appropriate for the location • Rotate stock and remove out-of-code products. Process Merchandise returns and issue credits according to company policy. • Interpret and facilitate internal reports related to assigned project. Complete required paperwork accurately and timely. • Seize opportunities to increase sales through creative merchandising Techniques. Sell promotional and sales programs as assigned. Follow through on customer product requests. • Responsible for maintaining effective business relations with customers and UNFI Stakeholders, this is accomplished through in-person interactions at store, via phone calls, and emails to the sales team and customers. • Order products that align with customer needs and effectively display them in stores. Assist in hanging Shelf Tags, and promotional POS/POP Materials and resets. • Develop and implement action plans with assistance from Supervisor or Account Manager on assigned projects. Ensure project deadlines are met and completed within budget. • Positively Engage customers on the full Professional Services Portfolio to strengthen customer/UNFI relationship. Job Requirements: Education/Certifications: • High School degree required. • Valid driver's license is necessary. • Auto Insurance levels that meet UNFI requirements. Experience: • Minimum 1-year related experience in Retail or Distribution. • Prior customer service experience in a retail setting. • Food related product experience desired. Knowledge/Skills/ Abilities: • Ability to work independently. • Strong organizational skills, time management skills and attention to detail. • Ability to read, understand and implement planograms. • Basic computer skills involving Microsoft Suite of Software. • Excellent customer service and communication skills. • Good judgment is required for this position as there may be times when direct supervision may not be immediately available. Work Environment: Onsite Role: • This position requires the associate to perform all duties at one of our UNFI locations, such as a distribution center or office. Local Travel (major): • Travel is required up to (95)% for this position. Physical Environment/Demands: • Daily travel is required and access to a vehicle is necessary • Ability to get in and out of car multiple times per day • Drive to and from accounts safely in city, rural and expressway conditions • Ability to set up displays, fixtures, shelving and products • Able to tolerate exposure to store and warehouse conditions including wide variances in temperature, dust and dirt • Ability to lift up to 40 lbs About UNFI: We are North America's premier grocery wholesaler, delivering the widest variety of fresh, branded, and owned brand products to community grocers and retail chains alike. A pioneer in natural and organic foods, we are growing and transforming to meet the needs of an evolving workplace. Our 29,000+ employees work across America in our 50 Distribution Centers and corporate offices. Benefits: Weekly Pay, Competitive 401k, Competitive PTO plan, Health benefits – first of the month following 30 days of employment, mileage reimbursement, mentorship program/developmental opportunities. UNFI is an Equal Opportunity employer committed to creating an inclusive and respectful environment for all. All qualified applicants will receive equal consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity or expression, national origin, disability, protected veteran status, or other protected ground. Accommodation is available upon request for candidates taking part in all aspects of the job selection process. - M/F/Veteran/Disability. VEVRAA Federal Contractor. Company: United Natural Foods Inc.