Job Summary
We are seeking a PFS Denial Specialist to review denied and underpaid claims, validate dispute reasons, and prepare appeals. The ideal candidate will have strong Medi-Cal experience along with hospital billing, collections, or Revenue Cycle experience.
Key Responsibilities
Review EOBs/Remittance Advice to validate denial and dispute reasons.Research denied and underpaid claims and identify payment variances.Generate and submit appeals for denied and underpaid claims.Escalate payment variance trends and recurring issues to management.Apply payer contract language to reimbursement and payment issues.Maintain effective communication with internal teams, payers, and other stakeholders.Perform work accurately while following established policies and procedures.Required Qualifications
3–5 years of experience in a hospital business environment performing billing and/or collections; OR2 years of Revenue Cycle experience within Alameda Health System.High school diploma or equivalent.Strong Medi-Cal experience.\nCompany DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read LessJob Summary:
The Patient Services Representative serves as the first point of contact for patients, visitors, and healthcare providers, delivering exceptional customer service while supporting daily front-office operations. Responsibilities include scheduling appointments, patient registration, check-in/check-out, insurance verification, wellness billing, answering multi-line phones, maintaining accurate patient records, and providing administrative support. The role collaborates with clinical and administrative teams to ensure efficient patient flow, accurate documentation, and compliance with HIPAA and organizational policies while creating a positive patient experience
Job Duties:
• Primary point of contact for patient relations in person and by phone
• Greet patients and assist in resolving patient concerns and escalating as appropriate
• Check patients in/out and collect co-payments, give receipts, and reconcile payments
• Verify patient demographics and insurance information in CS-Link/Epic
• Schedule appointments and complete patient registration
• Process and track referrals and authorizations for various insurance types
• Handle patient/provider correspondence
• Explains polices, procedures, or services to patients
• Sanitize workspace using provided supplies and following department guidelines
Required Qualifications:
• HSD/GED
• Experience with medical insurance, referral processes, and benefit plans
• 1 year of recent experience working in an outpatient clinic or medical office setting
• Ability to read, understand, and respond to detailed oral and written instructions
• Experience with CS-Link/Epic
Preferred Qualifications:
• 2+ years’ recent experience working as a Patient Service Representative
• Understanding of medical terminology
AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read LessPOSITION SUMMARY
The HIM Clerk processes Health Information under the direction of the HIM Director or designated supervisor. This processing includes but is not limited to: collecting and/or delivering health information/hard copy medical records for patient care and processing the surgical list; retrieval of medical records, pick up of discharged patient records from nursing units, locating and following up on missing medical records, prepping, scanning and filing of medical records and loose reports, preparation of documents for storage via scanning or boxing, answering telephones; and/or assisting physicians and ancillary staff with health information requests. As time permits, may assists with preparation of medical records for destruction.
SPECIFIC SKILLS NEEDED
•Demonstrates knowledge of medical records and medical record documents.
•Ability to process work using both alphabetical and numerical filing systems.
•Must be well organized and demonstrates an aptitude for accuracy and attention to detail.
•Demonstrates effective communication, interpersonal skills, and ability to follow instructions.
•Ability to be courteous, tactful, and cooperative throughout the day.
•Ability to concentrate and maintain accuracy despite frequent interruptions.
•Legible writing and printing is mandatory.
•Basic computer skills and keyboarding skills; typing speed of 30 wpm.
EDUCATION/EXPERIENCE/TRAINING
Required:
• Knowledge of Windows Software
Preferred:
•Familiarity with electronic medical record systems
•Knowledge of medical terminology
•Previous HIM Department or medical office experience
•Valid California driver’s license, motor vehicle, motor vehicle insurance and current registration.
• High School graduate or GED
DUTIES AND RESPONSIBILITIES
1.Safeguards and preserves the confidentiality of patient’s protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital, and departmental policies.
2.Ensures a safe patient environment and adherence to safety practices per policy.
3.With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant other when administering care.
Job Title: Health Info Clerk Revised: May 2023
4.Essential to the provision of community benefits as an expression of our charitable healthcare mission and purpose, each manager/supervisor is committed to the delivery of high quality, compassionate healthcare and is further committed to supporting the strategic direction of community benefits within PIH Health and its affiliates. (Applies to management positions).
5.Logs out charts that are requested so that location can be tracked.
6.Answers the telephone and directs calls to appropriate area of the department.
7.Retrieves daily discharge patient records and old records from nursing units, ambulatory surgery center and the emergency department; follows up on all missing records. Processes all current discharged inpatient or outpatient records and previous records according to established policies and procedures. Ensures correct face sheets are on the front of the medical record.
8.Checks each original document and preps medical records and documents for scanning. Verifies all documents belonging to the record are being prepped (i.e., check name, medical record number and account number). Prints cover sheets and mounting sheets as required. Identifies documents with poor quality stamp if document is hard to read. Prepares, scans and quality checks reports.
9.Ensures scanning equipment is properly cleaned and maintained per department policy
10.Assists with ongoing projects with others as requested.
11.Adheres to daily production standards per department policy.
12.Understand hospital and department operations, policies and procedures and can apply them to any situation.
13.Demonstrates a consistent level of performance; strives to maintain a steady level of productivity and provides consistent effort.
14.Must be able to communicate effectively with all ages of customers served.
15.Abides by and strongly enforces all compliance requirements and policies and performs his/her responsibilities in an ethical manner consistent with the organization values.
16.Performs other related duties as needed/assigned or directed.
AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read LessJob description-
Care Coordination Specialist is sometimes called Case Management Assistant at other hospitals.
\nCompany DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read LessRequirements:
High school diploma, GED, or equivalent education
1+ years of recent relevant experience
Experience with healthcare operations, care coordination, or related administrative workflows
Ability to coordinate transition-of-care and discharge-related activities across multiple stakeholders
Proficiency in intermediate PC, word processing, and electronic documentation
Strong oral and written communication skills
Ability to work independently with minimal direction
Ability to prioritize competing tasks in a fast-paced environment
Ability to exercise discretion and seek input when appropriate
Preferred Requirements:
Experience with skilled nursing facility admissions or intake
Experience working in a skilled nursing facility or post-acute care setting
Experience with insurance-related workflows or payer coordination
Experience communicating with healthcare providers, facilities, families, and external vendors
Summary / Duties:
The Case Management Assistant II will support the Care Coordination department at California Pacific Medical Center’s Davies Campus. This is a non-clinical, minimally patient-facing role focused primarily on skilled nursing facility admissions and intake rather than direct patient care. Responsibilities include coordinating transition-of-care and discharge activities, gathering and organizing required information, communicating with care providers, skilled nursing facilities, families, insurance contacts, and external vendors, and helping ensure timely placement and discharge. The assistant will manage multiple priorities, maintain accurate documentation, follow established workflows, escalate questions when needed, and work independently in a fast-paced environment. Strong communication, organization, time management, computer, and word processing skills are required.
AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read LessPosition Summary
Patient Service Representative / Surgery Scheduler to support plastic surgery scheduling and related administrative activities. The ideal candidate will have healthcare administrative or PSR experience, strong knowledge of health insurance and authorization processes, and preferably experience using Epic for surgery scheduling.
Required Qualifications
High School Diploma or GED.Minimum 1 year of PSR or healthcare administrative experience, preferably in a hospital setting.Ability to read, understand, and respond to detailed oral and written instructions.Strong organizational, communication, and customer service skills.Preferred Qualifications
2+ years of Patient Service Representative experience.Previous hospital or surgical scheduling experience.Experience with Epic Surgery Scheduling.Required Skills
Health plan insurance knowledge.Insurance authorization processes.Epic system experience.Surgery scheduling.Patient coordination and administrative support.Preferred Skills
Epic Surgery Scheduling experience.Experience supporting surgical procedures, preferably Plastic Surgery.Key Responsibilities
Schedule patients for surgical procedures and coordinate appointment details.Obtain and verify required pre-operative results, reports, and documentation.Review insurance benefits and complete the necessary authorization process.Financially clear patients for scheduled surgeries by ensuring required authorizations and insurance information are completed.Coordinate with patients, physicians, clinical staff, insurance plans, and other departments to resolve scheduling or authorization issues.Maintain accurate patient and scheduling information in Epic.Follow established procedures and ensure all required documentation is available before surgery.Provide professional patient service and respond to questions regarding scheduling and pre-operative requirements.Perform additional administrative and scheduling duties as assigned.\nCompany DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read LessJob Summary:
We are seeking a Patient Services Representative to support patient registration, scheduling, insurance verification, referrals, and front-office patient services in an outpatient medical setting.
Required Qualifications
High School Diploma/GEDFlu vaccination required; no exceptions or declinations1 year of recent experience in an outpatient clinic or medical officeExperience with medical insurance, referrals, and benefit plansAbility to understand and respond to detailed oral and written instructionsPreferred Qualifications
2+ years of recent Patient Services Representative experienceCS-Link/Epic experienceKnowledge of medical terminologyKey Responsibilities
Serve as the primary point of contact for patients in person and by phone.Greet patients, address concerns, and escalate issues when appropriate.Check patients in/out, collect co-payments, provide receipts, and reconcile payments.Verify patient demographics and insurance information in CS-Link/Epic.Schedule appointments and complete patient registration.Process and track referrals and authorizations.Handle patient and provider correspondence.Explain policies, procedures, and services to patients.Sanitize workspaces according to department guidelines.\nCompany DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read Less3 - 6 Month Contract
Potential (Temp-to-Hire)
Fully Onsite
Monday - Friday
8:00 am - 5:00 pm
M-F 8am-5pm
FULLY On-site
Temp to hire
Qualifications & Requirements:
Current clinical licensure and board certifications:
SOCRA (preferred)ACRP (preferred within 4 years of hire)CITI trainingHuman protections trainingIATA certification for shipping infectious substances and diagnostic specimens.Ability to read and interpret:
Research documentsClinical trial documentsOperating and maintenance instructionsProcedure manualsStrong written and verbal communication skills.Excellent interpersonal and relationship-building skills.Ability to work effectively with:
PhysiciansPhysician officesSponsorsHospital employeesStrong analytical and problem-solving abilities.Ability to work efficiently under:
Tight deadlinesHigh workloadsFrequent interruptionsStrong attention to detail and adherence to clinical trial requirements.Clinical Research Coordinator – Key Responsibilities
Prepare, submit, and monitor documentation for research programs.Ensure compliance with research regulations and protocols through audits.Advise caregivers on program design, treatment administration, and patient follow-up.Organize study files, including regulatory binders and source documentation.Maintain and update study files and records according to sponsor and institutional requirements.Review, edit, and update informed consent documents for clinical trials.Collaborate with the Principal Investigator (PI) to prepare IRB and regulatory submissions.Assist in reviewing eligibility criteria for participant enrollment.Coordinate enrollment of participants into Children's Oncology Group (COG) studies.Develop familiarity with COG protocols and specimen submission guidelines.Collect study data and ensure timely completion of Case Report Forms.Coordinate audits with the central COG office and maintain audit readiness.Perform additional duties as assigned.Physical & Work Environment Requirements
Work is mentally and visually demanding for more than 90% of the work time.Requires considerable standing and walking.Requires lifting light objects (up to approximately 20 pounds).May involve assisting with lifting or moving patients.Requires maintaining potentially fatiguing positions and performing repetitive physical movements.Clinical Research Coordinator (CRC):
Clinical Research Coordinator (CRC) and Clinical Research Assistant (CRA):
CITI training/Human Protections trainingDangerous Goods trainingPatient RegistrationConfirming eligibility/ Fast Facts reviewedReview all consents for correct signatures/initials on day signedAttend weekly COG working group meetingsAttend Teams meetings with Helen DeVos Children’s Hospital every 2 weeksMaintain active account access and training for:
iMedidata/RaveCOG/eRDSCTSU/OPENRedcap*TRIAD*CRCWM\nCompany DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read Less6 Month Contract - may extend longer
Monday - Friday
9:00 am - 5:30 pm
$23.00 0 $25.00 DOE
*PTCB Certified and PA Pharmacy Board Registered Pharmacy Technician
Job Description
PRIMARY DUTIES AND RESPONSIBILITIES:
This position is for a Registered/Licensed Pharmacy Technician with an active license from the Pennsylvania Board of Pharmacy. The role is based in a closed-door veterinary pharmacy environment and operates Monday through Friday, from 9:00 AM to 5:30 PM, with no weekends.Enters prescriptions into dispensing systemRetrieves and labels prescription drug products.Totes prescription orders following pharmacist verification in preparation of product shipment.Maintains pharmacy inventory by organizing, restocking medications and pharmacy supplies in designated locations.Ensures work environment is kept tidy in accordance with pharmacy standards.Maintains licensure necessary for employment in accordance with state and federal requirements.Physically capable of lifting up to 50 pounds and ascending and descending stairs as a requirement to manage and process prescription orders.Effectively communicates with customers.May access, input, and retrieve information from pharmacy computers.Assists pharmacist with the retrieval of information to perform patient consultations.Refers veterinarian and customer medical inquiries to the pharmacist.Demonstrates knowledge of the layout of the pharmacy/building and location of drug products.Demonstrates knowledge of basic warehouse processes for safety and order filling.Exhibits proficiency when in use of RF scanner to pick products and complete associated tasks in a timely manner.Demonstrates correct identification of MOT (Mode of Transportation) of orders and appropriate sorting of pick tickets based on MOT.Demonstrates an understanding of navigating bin locations within the warehouse.Correctly stages orders on the pharmacy countertop.Understands the process for matching processed summary sheets with picked orders.Demonstrates knowledge of appropriate labeling technique and sets orders in organized fashion for pharmacist final verification.Understands how to determine an order has been checked by a pharmacist.Can correctly assess MOT to complete the toting process.Able to demonstrate where to deliver toted orders for packing and shipping based on MOT.Able to demonstrate, identify and separate pharmacy prescription only orders from pharmacy prescription/warehouse OTC combined orders – Understands the process for combining the orders.Able to demonstrate how to answer the intercom phone system, identify self as a pharmacy technician, transfer a call, and take a call on hold.Exhibits scheduling availability consistent with the needs of the business, which may include working beyond scheduled hours to ensure all orders are completed daily.May guide, work closely with, and line balance other pharmacy technicians to optimize workflow.Monitor production demands and inventory levels during the shift to ensure timely fulfillment of orders.Monitors workflow and prioritizes tasks accordingly to ensure orders are processed in alignment with the needs of the business.Works in conjunction with other technicians and pharmacists to resolve workflow issues and product shortages effectively.Required to obtain national certification if residing in a state that requires national pharmacy technician certification by the applicable Board of Pharmacy to maintain active licensure.Obtain forklift certification and demonstrate the ability to retrieve pallet-sized orders if required by the pharmacy operations.Able to demonstrate how to enter and process new orders and refills in the pharmacy dispensing systemUnderstands the process for verifying and interpreting prescriptions and standing orders on file to ensure compliance while performing data entry in pharmacy dispensing systemCan process and print a wave in the order management system to maintain optimal workflow and is able to demonstrate how to drop pharmacy orders out of IBS XT or SCALE.Can verify account and order information when needed.Directs pharmacy technician team members to ensure the workflow is properly maintained and resolves order processing issues in accordance with company policy. Supports orientation and training of newly hired pharmacy technicians to facilitate compliance with the approved training program as assigned.Collaborates with the inventory team to enhance efficiency in product retrieval for order processing.Assists with implementing process changes to the workflow.Assists with managing pharmacy prescription files in compliance with state and federal legal requirements.Performs other duties as assigned.Education
High School diploma or GED completedNational Pharmacy Technician certification is required in states where mandated by the Pharmacy Board and preferred in states where it is not mandatedMust be unrestricted and either licensed or registered in the resident state as requiredOne or more years of related pharmacy experience is an assetProficiency in Microsoft applications (Outlook, Word, Excel, PowerPoint)Dress Code:
Pants, jeans slacksT-Shirts, polo shirts, button-up shirts and sweaters.\nCompany DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read LessPatient Care Coordinator
*EPIC IS REQUIRED
* Prefer one year experience in healthcare in a medical setting (not dental/naturopath, etc.)
The PCC would work at the front desk, checking in 200-250 patients, Verifying insurance, patient demographics and scheduling future appointments.
REQUIRED QUALIFICATIONS:
1 year of experience in medical/healthcare setting or 2 years in a customer service role
Prior experience providing a high level of customer service in a fast-paced environment, including handling confidential data with discretion. Electronic Medical Records (EMR) experience, specifically EPIC
Understanding of CPT and ICD10 coding
Act as liaison between the patient and the various clinic areas and ancillary services
\nCompany Description
AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs. Read Less