healthcare Staffing

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A/R Specialist (REMOTE)

indiana

Position Summary: Reporting to the Revenue Cycle Supervisor, the A/R Specialist provides end-to-end revenue cycle responsibilities and account management. This individual will work in multiple systems based on the client’s needs. We are looking for an ambitious individual to impact and expand our rapidly growing team. As a Revenue Cycle Specialist, you will play a crucial role in supporting our clients.

Key Performance Indicators: The KPI’s that will be used to measure the performance of the individuals in this role include, but are not limited to:

1) Production

2) Quality

3) Resolution %

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Ensures compliance with all federal, state, local and internal policies, and procedures.
  • Responsible for submitting claims and ensuring follow-up on outstanding claims.
  • Denial management to ensure an efficient process and ultimately resolution.
  • Ensures information obtained is complete and accurate.
  • Collaborates with internal departments and external providers on utilization management of authorizations.
  • Ensures up-to-date documentation in billing software.

Job Competencies

  • Understand essential functions Within the areas of Revenue Cycle Department:
  • AR Follow-up
  • Maintain current knowledge of billing rules for providers (hospital and physicians) and Insurance Providers
  • Reports discrepancies, admission errors, and coding questions to proper departments for ongoing process improvement.
  • Prioritize insurance aging reports to identify unpaid insurance claims.
  • Ability to work with Insurance Providers to drive resolutions via portals and telephone communication.
  • Identify, bill, and follow-up on unpaid secondary or tertiary claims within assigned insurances.
  • Follow policies and procedures for submitting appeals.
  • Ensures all claims are resolved in a timely manner.
  • Ensure all appeals are conducted as appropriate with Insurance Providers
  • Enhances billing department and organization reputation by accepting ownership for accomplishing new and different requests, exploring opportunities to add value to job accomplishments.

Job Qualifications, Skills, Abilities, Requirements: To perform this job successfully, an individual must be able to perform each essential duty to our current standards and meet expected KPI’s. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Knowledge of healthcare billing and reimbursement strategies.
  • Ability to effectively communicate both orally and in writing.
  • Demonstrates the ability to plan and prioritize work, coordinate with others, and use time productively.
  • Provide excellent customer service to both internal and external customers.
  • Ability to support HIPAA privacy rules and maintain strict confidentiality.
  • Self-Motivated with the ability to function as a team player and as an individual contributor.
  • Ability to adapt to change and be flexible.
  • Engages in all time sensitive tasks with level or urgency.
  • 2+ years of relevant experience in finance/healthcare, medical billing & reimbursement.
  • Experience with State and Federal (Medicare, Medicaid) and private insurance billing portals.
  • Proficiency in Microsoft products including Word and Excel.
  • Proficient in Epic, Meditech, Salesforce a plus
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Actuary – Defined Benefit (REMOTE)

Networks Connect is seeking a highly organized Actuary with Defined Benefit Plan experience.  This individual must be strong in analytical and communication skills.

Experience with Cash Balance Plans is required. Must be an Enrolled Actuary with a bachelor’s degree (or equivalent experience) and 5+ years of experience administrating DB and DC Plans without supervision. Experience with life insurance in a defined benefit plan is a plus.

Responsibilities include:

  • Prepare and sign Schedule SB Forms/Packages, AFTAP’s , Annual Funding Notices and PBGC premiums
  • Formulate and process benefit calculations and projected benefit estimates
  • Calculate annual employer contribution requirements, prepare contribution letter, and communicate the contribution amount to the Consultant
  • Make recommendations for plan contributions and provide guidance as limits are approached
  • Design new plan proposals, including plan document and amendment work
  • Conduct non-discrimination testing, including combined testing with DC plans
  • Perform plan coverage testing under 410(b)
  • Analyze plan documents to determine correct administrative components, and make client recommendations resulting in optimum plan operation for the client
  • Assist with Takeover plans
  • Complete benefit calculations and PBGC filings (where applicable) as part of the plan termination process

Salary range: $120,000+annually determined on experience and other factors.

We offer competitive wages with benefits including: medical, 401(k) profit sharing, paid vacation, sick leave and paid holidays.

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Administrative Assistant

florida

Networks Connect is conducting a search on behalf of a client for an experienced Administrative Assistant. The ideal candidate will exhibit high standards, excellent communication skills, and have an ability to take initiative, and prioritize daily tasks. Position may supervise other administrative and clerical support staff for a department or departments. A strong ability to take charge and meet tight deadlines will ensure your success in this multi-faceted role.

Responsibilities

  • Handle and coordinate active calendars
  • Maintains department personnel paperwork
  • Prepares and distributes monthly reports
  • Travel as needed to area facility sites
  • Schedule and confirm meetings
  • Ensure file organization based on office protocol
  • Provide ad hoc support around office as needed

Qualifications

  • Bachelor’s degree or equivalent experience
  • Strong interpersonal, customer service and communication skills
  • Ability to multitask in a fast-paced environment
  • Proficient in Microsoft Office suite
  • Experience in a medical or hospital setting preferred

Job Type: Full-time

Salary: $18.00 – $27.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Weekend availability

Work Location: In person

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Ambulatory Nurse Case Manager

RN Ambulatory Nurse Case Manager

Networks Connect is hiring for an Ambulatory Nurse Case Manager located in Washington D.C. In this position you will comprehensively and actively maintain the care management and coordination needs of payer defined and/or payer enrolled populations of patients who meet designated inclusion criteria. This includes activities such as assessments, formal Case Management care plan development, establishing goals and intervention and monitoring/tracking. Through these activities, the Ambulatory Nurse Case Manager will partner with physician practices and the care management team related to the clinical and care coordination needs of the patient, as well as work with payers and community resources to develop and facilitate effective, efficient care delivery options for the patient across the continuum of care.

Qualifications

 

Minimum Education

BSN (Required)

Master’s Degree (Preferred)

Minimum Work Experience

4 years Nursing experience in case management, ambulatory nursing or community/homecare experience (Required)

Required Skills/Knowledge

Ability to critically think and apply logic and reasoning to dynamically changing healthcare environment.

Requires superior verbal communication skills and service excellence approach with internal and external stakeholders.

Must have strong business writing skills.

Proficient at keyboarding and facile with Microsoft Office Excel, Access and Power Point.

Required Licenses and Certifications

Registered Nurse in District of Columbia (Required)

Licensed RN (Required)

Certification in Case Management preferred (Preferred)

If you are interested in this RN Ambulatory nurse Case Manager job, please apply today by submitting your resume. Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Assistant Commercial Underwriter (Hybrid)

indiana

Assistant Commercial Underwriter:

Networks Connect is conducting a search on behalf of a client for an experienced Underwriting professional. This candidate should have experience in commercial insurance or be willing to learn the transportation commercial industry through coaching and self-study. The ideal candidate will be detail oriented, have exceptional time management skills, and take a collaborative approach at resolving underwriting issues within internal departments.

Qualifications:

Bachelors degree preferred – relevant experience accepted in lieu of degree

Required Skills/Knowledge:

  • Knowledge of ISO commercial lines policy rating and issuing transactions in corporate systems
  • Excellent analytical, critical thinking, time management and organization capabilities with a strong customer service focus with building solid relationships
  • Intermediate to advanced Microsoft Office skills, including Word, Excell, Outlook, and Access

Salary: $50,000 – $60,000

Work Location: Hybrid; Indianapolis, IN

Benefits:

  • 401(k)
  • 401(k) matching
  • Insurance Designation
  • Dental, Health, Life, and Vision Insurance
  • Paid Time Off
  • 13 Paid Holidays
  • Remote Flexibility
  • Share Purchase Plan
  • Short Term/Long Term Disability

 

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Call Center Manager

florida

Call Center Manager

Networks Connect LLC is conducting a search for a Call Center Manager job located in The Villages, FL area. To be qualified for this position, you must have 5 years of call center management experience with the ability to be agile and wear many hats in a healthcare environment. In this position, you will be responsible for a team of 30+ call center representatives as well as 3 supervisors. The Call Center Manager is expected to optimize, improve and report on call center processes, and to meet or exceed Service Level Agreements for KPIs, including but not limited to hold queue times, abandoned call rates, missed call rates, inbound and outbound calls and performance, call outcomes, caller satisfaction and sales conversion rates.

Qualifications

Minimum Education

  • High School Diploma or GED (Required)
  • Bachelor’s Degree (Preferred)

Minimum Work Experience

  • Call Center Supervisor certification (Preferred)
  • 5 years experience in customer service for healthcare (medical centers) (Preferred)
  • 5 years experience in call center progressive leadership management role (Required)

Required Skills/Knowledge

  • Ability to communicate with physicians’ offices, patients and insurance carriers in a professional and courteous manner.
  • Hands on leadership with the ability to empathize and lead a team with different learning styles.
  • Understanding of Cisco and Calabrio applications
  • Superior customer service skills and professional etiquette.
  • Strong verbal, interpersonal, and telephone skills.
  • Experience in healthcare setting and computer knowledge necessary.
  • Attention to detail and ability to multi-task in complex situations.
  • Demonstrated ability to solve problems independently or as part of a team.
  • Knowledge of and compliance with confidentiality guidelines and policies and procedures.

If you are interested in this Call Center Manager job, please apply today by submitting your resume. Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

Job Type: Full-time

Salary: $70,000.00 – $85,000.00 per year

Job Type: Full-time

Salary: $70,000.00 – $90,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
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CDI RN Specialist

Company Overview: Our client is a leading healthcare provider committed to delivering high-quality patient care. We are seeking a CDI RN Specialist to join our team and ensure quality and completeness in clinical documentation for specified populations.

Job Summary: The CDI RN Specialist ensures the quality and completeness of clinical documentation by working with physicians and healthcare teams. They facilitate modifications to support the appropriate severity of illness, expected risk of mortality, and complexity of care rendered to inpatient populations.

Key Responsibilities:

  • Clinical Documentation: Conduct daily evaluations of medical records, including physician and clinical documentation, lab results, and treatment plans.
  • Collaboration: Work closely with the Coder CDI Specialist to resolve physician queries and ensure complete and accurate documentation.
  • Communication: Engage with physicians and healthcare teams to clarify and improve medical record documentation.
  • Program Activities: Focus on specific payers, DRGs, and teams based on data analysis. Collect and analyze data on program outcomes to improve documentation review and process.
  • Performance Improvement: Identify opportunities for documentation improvement and promote development of accurate and complete documentation.

Qualifications:

  • Education: BSN required.
  • Experience: 5+ years of experience, including 3 years in clinical nursing.
  • Skills: Strong communication, data analysis, and collaboration abilities.

Organizational Accountabilities:

  • Maintain a safe, efficient work environment and promote safety for patients, families, visitors, and co-workers.
  • Demonstrate flexibility and a willingness to change.

Why Join Us:

  • Competitive salary and benefits package.
  • Opportunity to contribute to innovative healthcare initiatives.
  • Work with a dedicated team of healthcare professionals.

If you are passionate about clinical documentation integrity and have the required qualifications, we encourage you to apply. Please submit your resume and cover letter.

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Certified Medical Assistant

indiana

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry. Full Medical, Dental, Vision Benefits Available!

We are looking to add talented Certified Medical Assistants to our team. We have full-time and part-time opportunities available in the area for Certified Medical Assistant who desires to work in a physician’s office. You are a qualified candidate for this position if you have at least 1 year of Medical Assistant experience.

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Certified Medical Assistant (CMA)

michigan

Networks Connect is searching on behalf of our client for a Certified Medical Assistant for to join a dynamic healthcare team and contribute to providing exceptional patient care. This role is pivotal in supporting healthcare professionals and ensuring the well-being of patients through various medical procedures. A career filled with rewards and impacts, perfect for a compassionate and skilled individual.

Key Responsibilities:

  • Conduct **vital signs measurements** (blood pressure, temperature, pulse, respiratory rate).
  • Support in medical examinations and procedures.
  • **Administer medications** as per healthcare professional’s direction.
  • Provide **administrative support**: scheduling appointments, maintaining patient records, managing medical documentation.
  • Involved in coding and billing processes.
  • Utilize medical terminology for effective communication.
  • Adhere to infection control protocols; maintain a clean work environment.
  • Provide basic life support in emergencies.
  • Engage in patient education and chronic condition management support.
  • Collaborate with healthcare teams for integrated patient care.

Requirements:

  • Certified Medical Assistant with valid certification.
  • Experienced in vital signs and medication administration.
  • Familiar with medical coding and billing.
  • Knowledgeable in medical terminology, physiology, anatomy.
  • Basic Life Support (BLS) certification (preferred).
  • Strong organizational skills and attention to detail.
  • Efficient multitasking and prioritization abilities.
  • Excellent communication and interpersonal skills.
  • Team-oriented work approach.
  • X-Ray experience is not a requirement.

Offerings:

  • Competitive compensation: $17.00 – $20.00 per hour.
  • Job Types: Full-time, Contract, PRN, Temporary.
  • Expected hours: 40 per week.
  • Comprehensive Benefits: 401(k), 401(k) matching, Dental, Health, Life insurance, Paid time off, Paid training, Vision insurance.

Specialties:

  • Primary Care

Schedule:

  • Monday to Friday
  • No weekends

Work Setting:

  • Clinic, In-person, Long-term care, Nursing home, Office, Outpatient

Relocation Requirement:

  • Southfield, MI: Required relocation before work commencement.

Work Location:

  • In-person

This position is an excellent opportunity for individuals dedicated to impactful patient care and seeking career fulfillment. Apply now to advance your career as a Certified Medical Assistant!

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Certified Medical Coder (Level I)

florida

Certified Medical Coder – Ocala, Florida Area

Networks Connect is conducting a search for a Certified Medical Coder (Level I) to be in the Ocala, Florida Area.  In this position, you will be accountable for timely and accurate coding and filing of claims to minimize the number of claims rejections and denials.

As the Certified Medical Coder, your job duties will include:

  • Reviewing medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider.
  • Utilizing ICD9/10 to code diagnosis and determine principal and significant secondary diagnoses.
  • Utilizing CPT/HPCS to assign and sequence all codes for services rendered.
  • Providing education and teaching to providers and clinical assistants as needed related to proper coding encounters (CPT, ICD-10 and HCC) and compliance with medical record documentation.
  • Reviewing all FFS and UHC MA notes from encounters for prior day.
  • Reviewing diagnosis codes to ensure the codes are specific to clinical documentation.
  • Collaborating and providing feedback to providers when questions arise where a code might need to be edited or added according to correct coding guidelines and requirements.
  • Ensuring that claims are accurate and clean before submission utilizing appropriate coding tools.
  • Resolving coding issues in the Athena Workflow Dashboard “Hold” cues as well as the Assigned Claim Worklists.
  • Reviewing assigned providers’ upcoming schedules to identify M.A. patients. Audit M.A. patient chart for any HCC diagnoses (retrospective, prospective or suspected) that need to be brought forward to provider to validate and subsequently address.
  • Conducting chart audits and coding reviews to ensure all documentation is accurate and precise in accordance with correct coding guidelines.
  • Assisting and collaborating with billing department personnel as needed to ensure all bills are satisfied in a timely manner.

You are the perfect person if you have:

  • One of the following Certifications Required:  CPC, RHIT, CCS, CRC
  • 2 years of medical coding experience preferred.
  • Experience interpreting medical records.
  • Experience interacting with physicians regarding coding requirements.
  • Knowledge of CPT/HPCS and ICD9/ICD10 coding.
  • Knowledge of anatomy and physiology.

If you are interested in this Certified Medical Coder job, please apply today by submitting your resume.  If you are interested in being considered for other jobs, please submit your resume.

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Certified Nursing Assistant

indiana

Certified Nursing Assistant 

 

Networks Connect is conducting a search for a Certified Nursing Assistant- CNA job to be in the North Vernon, IN area.  We offer part-time or PRN opportunities for Certified Nursing Assistants- CNAs who desire to work in long term care or assisted living facilities, and wish to select the shifts that work best for your schedule! Please see below for more information on our CNA positions!

 

You are the perfect person if you have:

  • 1 year of experience in any healthcare field (preferred)
  • Long Term Care Experience (preferred)
  • Current, valid Licensed Practical Nurses – CNA license or certification in the state of IN
  • Certification in CPR (BLS)
  • Excellent communication skills

 

If you are interested in this Certified Nursing Assistant job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Certified Nursing Assistant

kansas

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Certified Nursing Assistants to our team. We have full-time, part-time, and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Certified Nursing Assistant

kentucky

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented nurses to our team. We have full-time, part-time, and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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Certified Nursing Assistant (CNA)

nebraska

Job Description

We are looking to add talented Certified Nursing Assistants – CNA to our team. We have full-time, part-time, and part-time opportunities available in the area for Certified Nurse Assistants – CNA who desire to work in long term care and assisted living facilities. Extremely flexible scheduling and a wide range of facilities to choose from for Certified Nursing Assistants – CNA.

Benefits

  • Competitive pay and weekly paychecks
  • Health, Dental and Vision insurance
  • Overtime rates over 40 hours
  • Benefit eligibility is dependent on employee status

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Certified Nursing Assistants

oklahoma

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Certified Nursing Assistants to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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Certified Occupational Therapy Assistant (COTA)

illinois

Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Certified Occupational Therapy Assistant (COTA) to our team. We are looking for a compassionate and dependable Certified Occupational Therapy Assistant (COTA) for an orthopedic clinic including diagnosis such as, sports injuries, fractures, rotator cuff repairs, hip arthroscopies, total joint replacements, spine conditions, work injuries and foot and ankle diagnosis.

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Certified Surgical Technologist (CST)

indiana

Who We Are

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry. Full Medical, Dental, Vision Benefits Available!

Job Description

We are looking to add talented Certified Surgical Technician (CST) to our team. We have full-time opportunity available in the area for Certified Surgical Technician (CST) who desires to work in an Ortho setting. You are a qualified candidate for this position if you have at least 1 year of Certified Surgical Technician (CST).

Responsibilities

  • Facilitates the operative or other invasive procedure by preparing and providing the required sterile instruments, supplies and equipment
  • Maintains the sterile field and anticipates and responds to the needs of the surgical team
  • Functions as the scrub person and assists as trained during operative and other invasive procedures by assembling supplies and equipment required for the procedure
  • Prepares and organizes sterile supplies and instrument for the procedure and performs surgical counts with the circulating RN according to policy
  • Maintains an organized sterile field and ensures the sterility of the field by taking corrective action as needed
  • Assists with placement of sterile drapes
  • Provides instruments and supplies to the surgical team during the procedure and maintains aseptic technique
  • Retrieves and collects specimens and labels specimens appropriately and correctly
  • Reports any implanted devices, catheters, drains, and packing to circulator
  • Provides complete case preparation and has knowledge, with the ability to adapt, of special instruments, supplies, and equipment needs for patient populations
  • Demonstrates knowledge of patients’ rights and responsibilities according to the patients age and understanding
  • Demonstrates understanding of patients Advance Directives
  • Assists in CPR as needed
  • Assists with pre and post procedure cleaning of the operative or invasive procedure room and necessary instruments
  • Participates in ongoing educational and competency verification opportunities
  • Participates in all patient safety care measures
  • Prepares and performs surgical skin prep and clipping as indicated by procedure
  • Inserts urinary catheter as required
  • Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation

Requirements

· Associate degree from an accredited school or surgical technology program

· Certified Surgical Technician certification

· BLS certification

Position:

  • Full-Time (4-10s)
  • Days (7:00am – 5:30pm)
  • No Weekends
  • No Holidays
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Claims Processor

Networks Connect LLC is conducting a search for a Claims Processor position which will work remotely. You are the perfect person for this position if you have a desire to grow in your career. In this position you must be comfortable processing 35 new business applications daily and operate in a high production environment while being able to problem solve. You will start the position with three (3) to four (4) weeks of paid training, and then move into the role full time. No experience is required, and the position is a gateway to continued growth in your career with a Fortune 500 company. Your working hours will be from 8am to 5pm EST (Eastern Time).

As a Claims Processor, your job duties will include:

  • Completing in depth training program that will prepare you for your job
  • Processing multiple new business applications daily
  • Problem solving and decision making
  • Accurately input and process data in high volumes

You are the perfect person if you have:

  • One (1) or more years of previous work experience in a production environment
  • Ability to stay organized and accurate
  • Desire to grow in your career

If you are interested in this Claims Processor job, please apply today by submitting your resume.

Job Type: Full-time

Salary: $17.00 per hour

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • No nights
  • No weekends

 

Work Location: Remote

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Clinical Documentation Integrity Lead (CDI Lead)

florida

Networks Connect is conducting a search for a local prominent healthcare system for someone to join their dynamic healthcare team as a Clinical Documentation Integrity Lead! Leverage your expertise in clinical documentation, compliance, and healthcare coding to spearhead our CDI program. This role is crucial in enhancing the accuracy, quality, and completeness of medical record documentation.

Key Responsibilities:

  • Lead day-to-day operations of the Clinical Documentation Integrity program.
  • Collaborate with CDI Specialists, department heads, and healthcare providers (including Physicians, Advanced Practice Professionals, and Medical Residents) to enhance medical record documentation.
  • Conduct thorough audit investigations, educational initiatives, and data analysis to ensure documentation quality.
  • Work closely with medical coders and healthcare staff to ensure accurate coding and appropriate charge capture.
  • Perform pre-bill compliance audits, adhering to coding guidelines and regulatory requirements.
  • Proactively identify and resolve issues impacting data quality and reimbursement accuracy.

Required Qualifications:

  • At least four years of experience as a Clinical Documentation Integrity Specialist.
  • Bachelor’s degree in Nursing (BSN) or Associate of Science in Nursing (ASN) with two years of relevant clinical experience.
  • Active Florida RN or MD license.
  • Obtain CDIP or CCDS certification within one year.

 

Preferred Qualifications:

  • Experience in Clinical Documentation Integrity Auditing/Education.
  • Proficiency in ICD-10-CM coding and AHA Coding Clinic.
  • Excellent communication and team collaboration skills.
  • Ability to work independently and manage multiple tasks effectively.
  • Familiarity with payer compliance and quality metrics.

Key Job Standards:

  • Comprehensive management of daily CDI operations, including chart audits and query resolutions.
  • Development of CDI educational programs for staff and physicians.
  • Advanced use of CDI software and maintaining data integrity.
  • Active involvement in quality assurance and process improvement initiatives.
  • Ensuring compliance with all relevant healthcare regulations and standards.
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Clinical Documentation Integrity Lead (CDI Team Lead)

florida

The Clinical Documentation Integrity Lead is responsible for assisting and supporting leadership in planning, directing, and controlling all aspects of the day-to-day operations for the Clinical Documentation Integrity (CDI) program by establishing a collaborative rapport with CDI Specialists, department leadership, and providers (Physicians, Advanced Practice Professionals and Medical Residents). The Lead is also responsible for facilitating improvement in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education, and data analysis. Responsible for working with physicians, coders, ancillary department staff, CDI, and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. Performs pre-bill compliance audits to ensure accurate code assignment, application of coding guidelines, and compliance with external regulatory and accreditation requirements. Identifies solutions to improve the overall data quality of the health records and to assure that appropriate reimbursement is obtained for services provided.

Required Qualifications

– Requires a minimum of four (4) years of experience as a Clinical Documentation Integrity Specialist.

– Require a Bachelor’s (preferably BSN) degree in a relevant field; or an Associate of Science n Nursing (ASN) degree and two (2) years of relevant clinical work experience in an acute care inpatient setting can substitute for a required degree.

– Require an active Florida Registered Nurse (RN) license or Medical Doctor (MD) equivalent.

– Require Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) certification within one (1) year along with the maintaining of required Continuing Education Units (CEUs) thereafter.

 

Preferred Qualifications

– Prefer experience as a Clinical Documentation Integrity Auditor/Educator.

– Prefer coding skills with experience in ICD-10-CM and working knowledge of the AHA Coding Clinic.

– Prefer demonstrated proficiency in verbal and written communication.

– Prefer demonstrated ability to be a team player who is able to delegate and work in a team environment.

– Prefer demonstrated ability to work independently, shift priorities and demonstrate decision-making ability.

– Prefer demonstrated ability to meet tight deadlines and successfully handle multiple tasks at a time.

– Prefer demonstrated ability to remain calm and project a positive attitude and proactively engage physicians.

Required License and Certs

FL RN: FL Registered Nurse License

 

 

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Clinical Pharmacist

florida

CLINICAL PHARMACIST

Are you a licensed Clinical Pharmacist looking for a new opportunity in Florida? We have multiple positions available to make a direct impact on patient care as a Clinical Pharmacist.

Job Summary

These positions are responsible for the safe, precise, and cost-effective selection and utilization of medications for the patients you will serve. By using your advanced knowledge of the best pharmacy practices and skills, you will oversee the daily activities of pharmacy operations that are in accordance with accredited hospital policies and procedures along with State and Federal requirements. You will serve as the patients’ advocate when preparing and dispensing medication orders after verifying order entries are accurate and appropriate. You will also act as an interpreter on medication information by working directly with physicians and other health professionals to ensure that the medications prescribed for patients contribute to the best possible health outcomes.

Requirements

  • Bachelor of Science in Pharmacy from an accredited college of pharmacy (PharmD is desirable)
  • Must have active pharmacist license in Florida within 60 days of start date
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Collections Specialist

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Commercial Lines Underwriter (Hybrid)

indiana

Commercial Lines Underwriter:

Networks Connect is conducting a search on behalf of a client for an experienced Transportation Underwriter located in the Indianapolis, IN area. To be qualified for this position, you must have approximately 4+ years of Commercial Underwriting experience in the Fleet Transportation market. Underwriting experience in the middle to large market commercial space will also be reviewed, however, Transportation lines experience is preferred. Further, this candidate will exhibit strong analytical and investigative skills, a holistic understanding of the commercial insurance process, and a desire to serve customers with a best-in-class, value-driven insurance product.

Qualifications:

  • Bachelor’s degree Required: preferably in insurance, actuarial science, mathematics/statistics, business administration, or related field.
  • Minimum Work Experience
  • 4+ years prior insurance experience required, commercial fleet underwriting for transportation risks is strongly preferred
  • Experience with external communication to brokers, customers, and other stakeholders

Required Skills/Knowledge

  • Commercial Fleet Transportation Underwriting (Strongly Preferred)
  • Passion for helping develop and grow oncoming/associate underwriters
  • Self starter with the ability to manage time in a fast-paced environment, prioritize critical tasks, communicate with management on status, and deliver on objectives in a timely fashion
  • Job Type: full time

Salary: 95k starting

Schedule: 8 hour shift (day) Monday-Friday

Work Location: Hybrid; Indianapolis, IN

Benefits:

  • 401(k)
  • 401(k) matching
  • Insurance Designation
  • Dental, Health, Life, and Vision Insurance
  • Paid Time Off
  • 13 Paid Holidays
  • Remote Flexibility
  • Share Purchase Plan
  • Short Term/Long Term Disability

 

 

 

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Corporate HIM Manager

florida

Networks Connect Professional Staffing is conducting a search on behalf of our client for a Manager, Health Information Management (HIM). This leader manages a team of Healthcare Information Specialists and leads the daily activities of the Corporate HIM department. The Hospital is in the Tampa/Sarasota area and relocation assistance is provided.

Position Summary:

In this role, the leader sets the tone and models positive leadership behavior, while ensuring teamwork tasks, projects, and responsibilities are completed successfully in support of departmental and organizational goals. This leader is the on-site representative and subject matter expert for HIM at the Hospital location. Continued development, implementation, and maintenance of a fully functioning EHR system which is based on workflow technology and interfaces within system specific applications. Also responsible for coordinating department functions/staff pertaining to record indexes, record completion, deficiency analysis/re-analysis, incomplete record notification and suspension processes, release of information and scanning.

Essential Functions:

  • Manages staff and oversees employee performance; provides on-going performance feedback, addresses problems, orients, and trains employees, verifies competency, and identifies and suggests way to develop skills, monitors workflows.
  • Develop and maintain job specific Standard of Work processes across various HIM disciplines for optimal reimbursement and to avoid financial risk to the patient, physician, and organization.
  • Assess accuracy of data integrity ensuring complete and accuracy of information is entered in an efficient and timely manner; development of quality reporting metrics to support the same.
  • Responsible for maintaining efficient and ethical department operational budget; provides remediation plans when necessary to meet budgetary targets.
  • Interprets, develops, and maintains departmental specific policies, in addition to recommending and implementing policy changes as needed for compliance and regulatory needs.
  • Measures performance improvement standards per system policy and implements performance improvement practices to achieve maximum outcomes; responsible for meeting department defined key performance indicators as assigned.
  • Ensures adherence to accounting controls, compliance standards and all federal and state regulatory requirements.
  • Monitors and develops root cause analysis on all deficient documentation related denials.

Minimum Qualifications:

  • Bachelor’s Degree in Healthcare Management or Business preferred, or equivalent combination of education (minimum Associates Degree required) and work experience. A minimum of 3-4 years supervisory experience in a hospital/medical office environment preferred.
  • Accreditation as RHIA or RHIT by the American Health Information Management Association required.
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Cost Accountant

indiana

Networks Connect Professional Staffing is excited to partner with a leading trucking and logistics company experiencing significant growth. We’re on the hunt for a dedicated and detail-oriented Cost Accountant ready to apply their outstanding financial analysis skills to our dynamic team. This is a fantastic opportunity for someone who wants to engage in meaningful work, offering competitive compensation, excellent benefits, Employee Stock Ownership Plan (ESOP), and avenues for career advancement.

Roles and Responsibilities:

  • Conduct thorough analyses of company performance and essential business metrics to aid operational enhancements.
  • Regularly evaluate driver fleet assignments for consistency and profitability.
  • Enhance asset utilization through detailed reviews of mileage, revenue, and geographical allocation.
  • Communicate vital financial metrics to executive leadership, identifying improvement opportunities and proposing practical solutions.
  • Foster an environment of creative problem-solving to drive process enhancements.
  • Maintain data accuracy across systems to ensure reliable financial analysis and costings.
  • Collaborate with the financial controller to ensure office operations are seamlessly aligned with financial data analytics.
  • Oversee and manage special projects as directed by the Controller or CFO.
  • Analyze maintenance costs, fuel usage, and driver recruitment program efficiency to formulate strategies aimed at reducing turnover and enhancing compensation frameworks.

Skills & Qualifications:

  • Bachelor’s Degree in Accounting or a related field required.
  • 1-2 years’ experience in cost or financial analysis strongly preferred.
  • Exceptional detail-oriented and analytical prowess.
  • Proficient in communicating financial information to company leadership.
  • Solid capability in critical thinking and analytical questioning.

Benefits Offered:

  • Comprehensive Health Insurance
  • HSA with Employer Matching
  • Dental and Vision Insurance
  • Employer-paid Life and Disability Insurance
  • Voluntary Life and Additional Accident Coverage
  • Hospital Indemnity Coverage
  • Access to Telemedicine
  • 401(k) Plan with Employer Match
  • Generous Paid Time Off
  • Employee Stock Ownership Plan (ESOP)

Schedule:

  • Regular 8-hour shifts.

Join our team and contribute to the growth and success of our client’s expanding operations. Apply today for the Cost Accountant position and kickstart a rewarding career with Networks Connect Professional Staffing!

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Counselor (Case Manager)

indiana

Networks Connect is seeking a dedicated and compassionate Counselor to join our team in Indianapolis, IN. This role involves providing case management services and conducting individual, family, and group counseling as outlined in treatment plans. The ideal candidate will align with our client’s mission, rooted in the Bible and motivated by God’s love, to preach the gospel and address human needs without discrimination.

Responsibilities:

  • Formulate and update treatment plans with clients based on ongoing assessments.
  • Document all client interactions and progress notes in the electronic medical record system.
  • Present client cases to multidisciplinary teams and participate in staffing meetings.
  • Conduct individual and family counseling sessions using various therapeutic approaches.
  • Facilitate group counseling sessions and maintain appropriate session formats.
  • Teach educational classes while maintaining client confidentiality.
  • Complete necessary paperwork in a timely manner, including action sheets and progress notes.
  • Attend scheduled meetings, training programs, and peer reviews to maintain certification requirements.
  • Facilitate client visitation per agreements with external agencies.
  • Conduct outside assessments and provide Withdrawal Management within 48 hours of admission as required by leadership tasks.

Minimum Qualifications:

  • Bachelor’s degree in human services or a related field required; Master’s degree preferred.
  • Background check required; findings may disqualify an individual for this position.
  • Minimum of 1-2 years of direct service in the substance abuse field preferred. If in recovery, must demonstrate at least two years of sobriety with evidence of emotional and social stability.
  • Valid driver’s license and ability to maintain The Salvation Army Driver’s qualification standard; Safe From Harm training completion within the first 90 days of employment.
  • ICAADA certification preferred or within 12 months of employment. Licensed Addiction Counselor certification preferred or within 12 months of hire. Maintain certification requirements as applicable.
  • Proficient in English for effective communication with leadership, field personnel, and clientele.
  • Computer proficiency with Microsoft products and ability to learn electronic reporting systems.
  • May require attendance at court hearings or external training opportunities. Transporting clients may also be required.
  • Bilingual in Spanish preferred.

Physical Requirements:

  • Good speaking, hearing, and vision ability, and excellent manual dexterity.
  • Ability to lift, pull, and push materials up to 25 pounds.
  • May require bending, squatting, walking, and standing for extended periods.

Job Types:

  • Full-time, Contract

Pay:

  • $20.00 per hour

Medical Specialties:

  • Addiction Medicine

Schedule:

  • 8-hour shift
  • Evening shift
  • Holidays
  • Weekends as needed

Work Setting:

  • Clinic
  • Inpatient
  • In-person
  • Outpatient

Ability to Relocate:

  • Indianapolis, IN: Relocate before starting work (Required)

Work Location:

  • In person
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Customer Service Coordinator (HYBRID)

indiana

Networks Connect LLC is conducting a search for a Customer Service Coordinator position which will work in the office in Zionsville, IN on a hybrid basis. You are the perfect person for this position if you have a desire to grow in your career. In this position, you must be comfortable taking 30-40 inbound calls daily and helping customers resolve financial issues. You will start the position with three (3) to four (4) weeks of paid training. Financial experience or a FINRA Series 6 license would be helpful and the position will be a gateway to continued growth in your career with a multinational enterprise scale company. Your working hours will be from 8:30am to 5:00pm EST.

As a Customer Service Coordinator, your job duties will include:

  • Completing in depth training program that will prepare you for your job.
  • Taking 30-40 inbound calls daily and resolving customer issues.
  • Escalating issues when unable to resolve.
  • Communicating pleasantly with customers while on the phone.

You are the perfect person if you have:

  • One (1) or more years of previous work experience.
  • Comfortable speaking on the phone with customers.
  • Desire to grow in your career.
  • An FINRA Series 6 license.

If you are interested in this Customer Service Coordinator job, please apply today by submitting your resume.

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Customer Service Representative (Hybrid)

indiana

Networks Connect LLC is conducting a search for a Customer Service Representative position which will work a hybrid schedule in Zionsville, IN. You are the perfect person for this position if you have a desire to grow in your career. In this position, you must be comfortable taking 30-40 inbound calls daily and helping customers resolve issues. You will start the position with six (6) weeks of paid training. No experience is required, and the position is a gateway to continued growth in your career with a multination enterprise scale company. Your working hours will be from 9:45 AM – 6:15 PM EST (Eastern Time).

If you are interested in this Customer Service Representative job, please apply today by submitting your resume.

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Customer Service Representative (HYBRID)

indiana

Networks Connect LLC is conducting a search for a Customer Service Representative position which will work in the office in Zionsville, IN on a hybrid basis. You are the perfect person for this position if you have a desire to grow in your career. In this position, you must be comfortable taking 30-40 inbound calls daily and helping customers resolve issues. You will start the position with three (3) to four (4) weeks of paid training. No experience is required, and the position is a gateway to continued growth in your career with a multinational enterprise scale company. Your working hours will be from 9:45am to 6:15pm EST.

As a Customer Service Representative, your job duties will include:

  • Completing in depth training program that will prepare you for your job.
  • Taking 30-40 inbound calls daily and resolving customer issues.
  • Escalating issues when unable to resolve.
  • Communicating pleasantly with customers while on the phone.

You are the perfect person if you have:

  • One (1) or more years of previous work experience.
  • Comfortable speaking on the phone with customers.
  • Desire to grow in your career.

If you are interested in this Customer Service Representative job, please apply today by submitting your resume.

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Defined Benefit Specialist – Plan Administrator

Networks Connect is conducting a search for a Defined Benefits Specialist (Remote).  In this position you will perform technical DB and DC administration at a high level and work directly with actuaries. Provide exceptional customer service to our broad client base of Plan Sponsors/Employers, Financial Advisors, CPA’s, Recordkeeper Contacts, and other partnerships.  Share DB/DC expertise and confidence while working alongside peers to achieve company goals.

Responsibilities and Duties:

  • Provide clear communication that conveys the right information to our client base, while performing routine compliance administration.
  • Ability to communicate Defined Benefit and Combo Plan testing and specific information to clients.
  • Communicate directly with actuaries.
  • Understanding of Defined Benefit Calculations & Limits.
  • Utilize current, standardized administration and tools (excel templates etc.) to perform all administrative reports.
  • Must be detailed oriented in all aspects of administration, including detailed notes, cell links and documentation.
  • Sort through obtained data to meet timely testing deadlines that meet client expectations for such deliveries.
  • Able to understand DB and DC Plan Documents and how they relate to ongoing administration.
  • Work with Recordkeeper data that is most likely received in varied formats and systems to reconcile Plan Assets.
  • Work on Pooled Brokerage Account reconciliation.
  • Understand the intricacy of plan asset reconciliations, document distributions, including Required Minimum Distribution calculations, contributions, earnings, transfers, adjustments etc. that may have transpired throughout the Plan year, including recordkeeping conversions.
  • Provide timely contribution calculations and monitor IRS maximums and limits.
  • Accurate and timely completion of IRS Forms (5500 series, 5330, 1099R’s and others)
  • Accurate and timely completion of PBGC Forms
  • Assist colleagues with their questions by providing insight and options.
  • Ability to provide to our clients, necessary direction and resources that assist Plan needs (payroll questions, corrections or adjustments, Plan design questions and any other plan related items).
  • Continue to seek ways to improve our processes and services. Maintain client and plan data according to set administrative electronic path (Box…).
  • Perform work according to company policy and procedures.
  • Perform other job-related duties as assigned.

 

 

 

Qualifications:

  • Minimum 3 years of TPA compliance and administration
  • Minimum 3 years of experience related to defined benefit actuarial/administrative services.
  • Experience with PBGC related forms and processes
  • Bachelor’s degree in accounting, Business Administration, or equivalent work experience
  • Excellent presentation skills, telephone/video call etiquette and professionalism, client service skills and time management proficiency
  • Proficiency with Excel and database applications including formatting and formulas.
  • Preference for ASC & PensionPro experience (preferred not required)
  • Thorough knowledge base of ERISA, PBGC, DOL and IRS regulations, and plan documents
  • Excellent written and oral communication skills. The ability to communicate effectively (clear, concise, and professionally) with all levels within the organization, as well as with our client’s.
  • Excellent analytical and problem resolution skills
  • Must possess the drive to solve problems and improve inefficient processes; lead the team to think of creative/innovative solutions.
  • Ability to work in a team environment to ensure common goal of providing exceptional customer service.
  • Ability to react to change productively and manage other essential tasks as assigned.
  • Ability to work well under pressure with multiple priorities and deadlines in a fast-paced environment.
  • Ability to escalate issues to appropriate levels within an organization.
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Defined Contribution Account Relationship Manager

Networks Connect is conducting a search for a Senior Defined Contribution Account Relationship Manager (Remote).  If you excel at solving your clients’ 401(k) problems, you deserve better than a job that is just “okay”. Do you want the flexibility and convenience of working from home? Are you looking for a position with career advancement opportunities? Are you tired of working many hours of overtime? If so, our client may have a “wow” position for you!Overview of the Position:

Our client is looking to fill fully remote Senior Defined Contribution Account Relationship Manager/Consultants. They will provide you with a home office set-up including a computer and a phone. They have been offering remote work for over 10 years. They offer a great work experience for their remote employees!

They are in the process of transforming our Account Relationship Manager/Consultant positions to focus more on review and client/advisor service. These positions are supported by a strong implementation group, plan document team, special projects team, and loan and distribution department.  Account Relationship Manager/Consultants are organized into teams that work toward firm goals with special recognition given to individuals with exceptional performance. Each Team Leader schedules weekly calls to discuss upcoming internal and external deadlines.About Our Client:

Our client is a vibrant third party non-producing administration firm. They have a nationally recognized sales team allowing us to grow continuously and provide career advancement opportunities for our professionals.

What Our Client Offers You:

This position supports a great work-life balance with a 37.5 hour work week, generous PTO, and overtime pay. They also financially support professional designations and offer regular, recurring, professional training. They offer a competitive compensation package including medical insurance, dental insurance, disability insurance, life insurance, a 401(k) plan, and an HSA.

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ENT Registered Nurse (RN)

indiana

Job Title: ENT Registered Nurse (RN)

Location: Indianapolis, IN

Type: Temporary-to-Hire (16-week contract)

Hourly: $37 – $52/hr

Company Overview:
Join a leading health system in Indiana known for its dedication to providing exceptional patient care and fostering a supportive work environment. This top-rated institution offers a temporary-to-hire opportunity for an ENT (Ear, Nose, and Throat) RN in Indianapolis, IN.

Position Overview:
The ENT RN plays a crucial role in delivering high-quality care to patients with ear, nose, and throat conditions. This position involves providing comprehensive nursing support to ENT physicians, assisting with procedures, educating patients on treatment plans, and ensuring seamless coordination of care.

Key Responsibilities:

  • Patient Assessment: Conduct thorough assessments of patients presenting with ear, nose, and throat concerns, gathering relevant medical history, and documenting findings accurately.
  • Procedure Assistance: Assist ENT physicians with diagnostic procedures, treatments, and minor surgeries, ensuring patient comfort and safety throughout the process.
  • Patient Education: Educate patients and their families about ENT conditions, treatment options, and post-procedure care instructions, addressing any questions or concerns they may have.
  • Medication Administration: Administer medications, including topical agents, antibiotics, and analgesics, as prescribed by the physician, adhering to established protocols and safety guidelines.
  • Patient Advocacy: Serve as a patient advocate, ensuring that patients’ needs and preferences are respected and addressed in the delivery of care.
  • Care Coordination: Collaborate with other healthcare professionals, including ENT physicians, audiologists, and speech therapists, to coordinate comprehensive care plans and facilitate referrals as needed.
  • Documentation: Maintain accurate and up-to-date medical records, including patient assessments, treatment plans, and progress notes, in accordance with regulatory standards and institutional policies.

Qualifications:

  • Registered Nurse (RN) License: Active RN license in the state of Indiana.
  • Specialized Knowledge: Background in ENT nursing preferred, but not required.
  • Clinical Experience: nursing highly desirable.
  • Technical Skills: Proficiency in basic medical procedures, such as wound care, specimen collection, and vital sign monitoring.
  • Communication Skills: Excellent interpersonal skills with the ability to communicate effectively with patients, families, and members of the healthcare team.
  • Detail-Oriented: Strong attention to detail and organizational skills, with a commitment to maintaining accurate documentation and ensuring patient safety.
  • Adaptability: Ability to work in a fast-paced environment and adapt to changing priorities and patient needs.
  • Team Player: Collaborative mindset with a willingness to work closely with interdisciplinary teams to deliver comprehensive care.

Benefits:

  • Competitive hourly rates
  • Opportunity for permanent employment with a top-rated health system in Indiana
  • Comprehensive benefits package upon conversion to permanent employee status
  • Professional development opportunities and career advancement potential

Application Process:
If you’re a dedicated and compassionate RN with a passion for providing exceptional care to patients with ear, nose, and throat conditions, we invite you to apply for this ENT RN position in Indianapolis, IN. Submit your resume and cover letter today to join our dynamic team and embark on a rewarding career journey with our esteemed health system.

Job Types: Full-time Contract-to-hire

Pay: $37.00 – $52.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Medical specialties:

  • Otolaryngology

Physical setting:

  • Clinic
  • Outpatient

Standard shift:

  • Day shift

Weekly schedule:

  • 5×8
  • Monday to Friday
  • No weekends

Work Location: In person

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Financial Clearance Coordinator

Networks Connect is conducting a search on behalf of our client, a prominent Healthcare system, for an experienced Financial Clearance Coordinator in Silver Spring, MD. You will be a vital member of the Patient Access team, reporting directly to the Manager of Financial Clearance. In this role, you will provide essential administrative support and manage patient access workflows, including generating patient estimates for clinical services. You will work closely with physicians, payers, and patients to ensure comprehensive audits of patient data and financial responsibilities before care is provided.

Key Responsibilities:

  • Patient Estimates: Generate accurate patient estimates for assigned clinical services and communicate costs to families and patients promptly via inbound and outbound calls.
  • Insurance Verification: Verify insurance eligibility and benefits using real-time tools, payer websites, and phone calls; document verification responses within the registration pathway.
  • Authorization Management: Validate authorization status, communicate with ordering physicians’ offices, and document authorization information in the registration pathway.
  • Financial Assistance: Identify patients requiring payment assistance and facilitate communication with the Financial Information Center (FIC).
  • Data Analysis: Conduct data deep dives to identify trends, root causes, and corrective actions; present findings to leadership in monthly meetings and reports.
  • Audit and Compliance: Perform audits on registration staff performance and price estimations; collaborate with departments to reduce first pass denials and ensure compliance.
  • Staff Development: Provide training and develop educational tools to improve staff productivity and compliance with standard processes.
  • Special Projects: Lead and participate in special projects impacting the revenue cycle, supporting business decisions through research and analysis.

Qualifications:

Education: Bachelor’s degree in Research Administration, Business Administration, Finance, Hospital Management, or Healthcare Administration preferred.

Experience: Minimum of 4 years in healthcare business operations, patient access, and revenue cycle. Auditing experience and root cause analysis required. Proficiency in Microsoft Office products.

Skills:

  • Superior customer service skills and professional etiquette
  • Strong written, verbal, interpersonal, and telephone skills
  • Attention to detail and ability to multitask in complex situations.
  • Knowledge of confidentiality guidelines, insurance requirements, and CNMC policies
  • Previous experience with Cerner, Experian, or related software programs and EMRs preferred.
  • Successful completion of all Patient Access training assessments

Functional Accountabilities:

  • Generate patient estimates and inform families/patients of costs.
  • Verify insurance eligibility and document responses.
  • Validate authorization status and communicate with physicians’ offices.
  • Facilitate payment assistance communication with FIC.
  • Conduct data analysis and present outcomes to leadership.
  • Perform audits and collaborate with departments to reduce denials.
  • Review and audit price estimations.
  • Provide training and develop educational tools.
  • Lead and participate in revenue cycle-related projects.

Organizational Accountabilities:

  • Customer Service: Anticipate and respond to customer needs, follow up until needs are met.
  • Teamwork: Demonstrate collaborative and respectful behavior, partner with team members to achieve goals.
  • Performance Improvement: Contribute to a positive work environment, identify opportunities to improve processes.
  • Cost Management: Use resources efficiently, search for cost-effective solutions.
  • Safety: Promote safety for patients, families, visitors, and co-workers.

Join and play a critical role in ensuring our client’s patients receive the best financial clearance support. Apply today to become part of their dedicated team!

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Health Information Specialist (HIS)

florida

Networks Connect in our quest for our client, a local healthcare system, to expand their talented team in Sarasota! We are actively seeking a skilled Medical Records Specialist who is adept at managing health information and medical records with precision and accuracy. This role is crucial in ensuring the seamless processing and maintenance of vital health records.

Key Responsibilities:

  • Efficiently analyze outpatient and inpatient charts, adhering to departmental guidelines.
  • Perform daily chart reconciliation, locate missing charts, and resolve related issues promptly.
  • Skillfully manage dictation retrieval in EMon by clinician name, patient account, dictation ID, or confirmation number.
  • Process internal and external requests for release of information (ROI) in a timely manner.
  • Assess and decide on the deletion of medical images based on set criteria.
  • Report indexing and quality inconsistencies to the scan center or Health Information Management (HIM) quality team as needed.
  • Engage in direct follow-up with patients to confirm completion and return of necessary forms.
  • Handle insurance audit requests in line with departmental policies.

Preferred Qualifications:

  • Proven experience in medical records or Health Information Management.
  • Strong capability to perform detailed and repetitive clerical tasks.
  • Excellent interpersonal communication and organizational skills.
  • Associate’s Degree, or equivalent certification.

Required Certification: RHIT

Job Details:

  • Type: Full-time
  • Benefits: 401(k), Dental, Health, Paid time off, Vision insurance
  • Schedule: 8-hour shifts, Day shift, Weekend availability, Multiple Shifts Available
  • Work Location: On-site in Sarasota

 

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Health Information Specialist I (HIS)

florida

Job Summary:

Networks Connect is on the lookout for a dedicated Health Information Specialist I on behalf of our client, to join their dynamic team. This role is essential in managing and processing health information, contributing significantly to the efficient operation of our healthcare services.

Key Responsibilities:

  • Manage day-to-day tasks related to health information processing including chart pick-up, general HIM reception, transcription, release of information, indexing, and quality assurance of medical records.
  • Engage in outpatient analysis and work diligently to maintain high standards of accuracy and efficiency in all tasks.
  • Operate various systems such as EMon for dictation retrieval and ensure accurate documentation and processing of information.

Required Qualifications:

  • At least one (1) year of previous office experience.

Preferred Qualifications:

  • Experience in Health Information Management.
  • Strong interpersonal communication and organizational skills.
  • Familiarity with Windows/Microsoft software and the ability to interact effectively with ancillary departments.
  • Capability to perform clerical duties and repetitive tasks with a high degree of accuracy.
  • Independent work ethic, with an ability to shift priorities and make decisions.

Mandatory Education:

  • High School Diploma, GED, or equivalent certificate.

Job Standards:

  • Commitment to completing all mandatory education and competency requirements.
  • Participation in department cross-training and teamwork.
  • Professional and courteous demeanor, with a focus on quality and safety.

Behavior Standards:

  • Promote patient-centered and safe environment.
  • Demonstrate caring, compassion, respect, and ethical behavior.
  • Engage in effective teamwork and trust-building.
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Human Resources Generalist

indiana

Networks Connect Professional Staffing is conducting a search on behalf of our client, a leading provider of revenue cycle management services to hospitals and healthcare organizations across the United States. They are seeking a dynamic HR Generalist driven by a passion for career growth in human resources. In this pivotal role, you’ll collaborate closely with the Chief People Officer, playing a key part in enhancing employee satisfaction and contributing significantly to the organization’s overall success.

Responsibilities:

  • Develop and implement recruitment plans and strategies, aligned with the company’s operational and sales projections; handle job postings, resume screening, and interview scheduling.
  • Oversee the onboarding process for new hires, including preparing materials, conducting orientations, and coordinating with other departments to ensure a smooth transition.
  • Act as a point of contact for employee inquiries, manage conflict resolution, and maintain a positive and productive workplace environment.
  • Administer benefits programs, including addressing employee inquiries and ensuring employees are informed about their benefits.
  • Create and implement employee engagement activities, ensuring alignment with company culture and objectives.
  • Collaborate with management to develop and update HR policies and procedures to improve department efficiency and employee experience.
  • Ensure company compliance with all local and national employment laws and regulations, updating policies and procedures as necessary.
  • Assist with HR-related projects and initiatives as needed, offering support and insights.

Qualifications:

  • Minimum 2 years of experience in human resources or related field required.
  • Bachelor’s degree in Human Resources, Business Administration, or related field preferred.
  • Knowledge of implementing HRIS (Paycor, ADP, Paycom, etc.) is a big plus.
  • Strong interpersonal, communication, and organizational skills.
  • Ability to maintain confidentiality and manage sensitive information.
  • Proficiency in Microsoft Office Suite
  • Proven ability to handle multiple tasks with attention to detail and efficiency.
  • Resourceful mindset with excellent problem-solving abilities.
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Inside Sales Representative

indiana

Networks Connect is actively seeking driven and skilled individuals who excel in sales, inside sales, and delivering outstanding customer service. This opportunity is ideal for those just beginning their careers or those aiming to utilize their sales expertise further. This position offers a unique chance for professional and financial growth, allowing you to enhance your skills and achieve your career goals.

Salary: $40,000 – $100,000 per year

Benefits:

  • Comprehensive health insurance (Medical, Dental, Vision)
  • 401(k) and 401(k) matching
  • Generous paid time off and parental leave
  • Employee assistance and tuition reimbursement programs
  • Life insurance and Health Savings Account (HSA)
  • Professional on-the-job training and NMLS licensing program

Location: Indianapolis, IN 46250 (In-person)

Responsibilities:

  • Connect with customers to assess their needs and offer customized solutions that meet their financial objectives.
  • Join our comprehensive 15-week training program to gain full certification and expertise in financial advising.
  • Collaborate with clients to support them in reaching their immediate and future financial ambitions.
  • Ensure outstanding customer satisfaction with superior service and effective communication.

Requirements:

  • Bachelor’s Degree preferred.
  • Strong skills in communication, multitasking, analytical thinking, and detail orientation.
  • Ability to thrive in a high-energy and fast-paced environment.

Work Schedule: Full-time position requiring an 8-hour day shift. Weekend availability as needed.

Why Join Us?

Interested in this Inside Sales Representative position? Apply now by submitting your resume.

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Intake Specialist (Case Management)

indiana

Networks Connect is hiring an Intake Specialist position for one of our clients based in Indianapolis, IN.  Our client is a mission driven organization with its message based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.

Job Objective

As an Intake Specialist, you will assess clients for appropriate placement into SAHLC treatment programs by completing Biopsychosocial, ANSA, SOGA, and health risk screening forms. Develop an Initial Treatment Plan for clients. Ensure all releases are filled out appropriately and have the proper signatures. Transfer clients to the primary clinician and case managers as needed. Coordinate with external referral sources to accommodate appropriate service needs of clients. The Intake Specialist will ensure that the Mission is effectively carried out.

Responsibilities

  • Conduct Intake/Admission:
    • Collect basic demographic and background information.
    • Complete SOGA and TCUDS comprehensive needs, abilities, strengths, preferences, and drug use history.
    • Provide orientation to SAHLC services and expectations.
  • Assess Withdrawal Management Clients:
    • Conduct assessments within 48 hours of admission if the client is medically stable.
  • Enroll Clients:
    • Enroll and re-enroll eligible clients in DMHA Supported Client or other funding programs by completing appropriate forms.
  • Develop Initial Treatment Plan:
    • Initiate treatment for clients.
  • Complete Biopsychosocial Assessment:
    • Complete an action sheet regarding placement level of care.
    • Complete a clinical summary of clients’ history and presenting problems.
    • Utilize DSM V to diagnose clients based on interview criteria.
  • Team Collaboration:
    • Staff all cases in a weekly multi-disciplinary team meeting to assess appropriate treatment level of care and diagnosis.
  • Confidentiality:
    • Maintain client confidentiality according to Federal regulations.
  • Professional Development:
    • Attend staff meetings, departmental meetings, seminars/conferences, and in-service training programs as scheduled.
    • Maintain all certifications by meeting certification requirements.
  • Data Entry:
    • Enter all required client information into the CSM computer system.
  • Additional Tasks:
    • Perform other tasks as assigned by leadership.

Minimum Qualifications

  • Education: Master’s Degree or Licensing Track (LMHC, LCAC, LCSW).
  • Background Checks: Position requires a background check. Findings may disqualify an individual for this position.
  • Experience: Two years of office experience.
  • Certifications:
    • Must be working towards or currently have CADAC certification.
    • Valid driver’s license and maintain Driver’s qualification standard.
    • Complete Safe From Harm training within the first 90 days of employment.

Skills/Abilities

  • Proficiency in English for effective communication with leadership, field personnel, and clientele.
  • Computer proficiency with Microsoft products and ability to learn electronic reporting systems.
  • If in recovery, must demonstrate a minimum of 2 years sobriety, including emotional and social stability.

Physical Requirements

  • Good speaking, hearing, and vision ability.
  • Excellent manual dexterity.
  • Ability to lift, pull, and push materials up to 25 pounds.
  • May require bending, squatting, walking, and standing for extended periods.

Travel

Position may require occasional travel for training.

Working Conditions

  • Work is performed in a typical office environment.
  • May require some weekend and evening work.

All employees recognize that we are a church and agree to do nothing as an employee to undermine its religious mission.

This job description should not be interpreted as all-inclusive. It is intended to identify the essential functions and requirements of the position. Other job-related responsibilities and tasks may be assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.

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Licensed Practical Nurse

indiana

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Licensed Practical Nurses to our team. We have full-time, part-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Licensed Practical Nurse

kentucky

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Licensed Practical Nurses to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Licensed Practical Nurse

missouri

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Licensed Practical Nurses to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Licensed Practical Nurse (LPN)

indiana

Who We Are

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

Networks Connect Healthcare Staffing is currently conducting a search to add talented Licensed Practical Nurses (LPNs) to our team in Valparaiso, IN. We offer full-time, part-time or PRN opportunities available in your area. Please see below for more information!

Qualifications:

  • 1 year of experience in any healthcare field (preferred)
  • Current, valid LPN or RN license or certification in the state of IN
  • Certification in CPR (BLS)
  • Excellent communication skills
  • Background and drug screen

 

Benefits:

At Networks Connect Healthcare Services, we firmly believe that our employees are the key to our success, and we are happy to offer the following benefits:

  • Competitive pay and weekly paychecks
  • Health, Dental, and Vision insurance
  • Competitive overtime rates
  • Benefit eligibility is dependent on employment status

 

If you are interested in this position, please apply today by submitting your resume.

If you are interested in being considered for other jobs, please visit our website: www.networks-connect.com . We are excited to be a part of your next career move!

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Licensed Practical Nurse (LPN)

indiana

Licensed Practical Nurse

 

Networks Connect is conducting a search for a Licensed Practical Nurse – LPN job to be in the Lafeyette, IN area.  We offer part-time or PRN opportunities for Licensed Practical Nurses – LPNs who desire to work in long term care or assisted living facilities, and wish to select the shifts that work best for your schedule! Please see below for more information about our Licensed Practical Nurses – LPN positions!

 

You are the perfect person if you have:

  • 1 year of experience in any healthcare field (preferred)
  • Long Term Care Experience (preferred)
  • Current, valid Licensed Practical Nurses – LPN license or certification in the state of IN
  • Certification in CPR (BLS)
  • Excellent communication skills

 

If you are interested in this Licensed Practical Nurse job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Licensed Practical Nurse (LPN) / Registered Nurse (RN)

kansas

Who We Are

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

Networks Connect Healthcare Staffing is currently conducting a search to add talented Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) to our team in Wichita, KS We offer full-time, part-time or PRN opportunities available in your area. Please see below for more information!

Qualifications:

  • 1 year of experience in any healthcare field (preferred)
  • Current, valid LPN or RN license or certification in the state of KS
  • Certification in CPR (BLS)
  • Excellent communication skills
  • Background and drug screen

 

Benefits:

At Networks Connect Healthcare Services, we firmly believe that our employees are the key to our success, and we are happy to offer the following benefits:

  • Competitive pay and weekly paychecks
  • Health, Dental, and Vision insurance
  • Competitive overtime rates
  • Benefit eligibility is dependent on employment status

 

If you are interested in this position, please apply today by submitting your resume.

If you are interested in being considered for other jobs, please visit our website: www.networks-connect.com . We are excited to be a part of your next career move!

View Job Listing

Licensed Practical Nurse (LPN) / Registered Nurse (RN)

ohio

Who We Are

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

Networks Connect Healthcare Staffing is currently conducting a search to add talented Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) to our team in New Paris, OH. We offer full-time, part-time or PRN opportunities available in your area. Please see below for more information!

Qualifications:

  • 1 year of experience in any healthcare field (preferred)
  • Current, valid LPN or RN license or certification in the state of OH
  • Certification in CPR (BLS)
  • Excellent communication skills
  • Background and drug screen

 

Benefits:

At Networks Connect Healthcare Services, we firmly believe that our employees are the key to our success, and we are happy to offer the following benefits:

  • Competitive pay and weekly paychecks
  • Health, Dental, and Vision insurance
  • Competitive overtime rates
  • Benefit eligibility is dependent on employment status

 

If you are interested in this position, please apply today by submitting your resume.

If you are interested in being considered for other jobs, please visit our website: www.networks-connect.com . We are excited to be a part of your next career move!

View Job Listing

Licensed Practical Nurse (LPN/LVN)

florida

Networks Connect Healthcare Staffing is currently conducting a search for talented LPN – Licensed Practical Nurses in Saint Petersburg, Florida.  Our client is a five-star not-for-profit senior healthcare organization with a great team culture.

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Managed Care Analytics Manager

florida

Supervisor Managed Care Analytics

Networks Connect LLC is conducting a search for a Supervisor, Managed Care Analystics job located in Sarasota, FL.  To be qualified for this position, you must have strong experience with Managed Care Analytics responsibilities.  In this position, you will have accountability and oversight, and supervise the daily activities of the departmental analytics activities.

If you are interested in this Supervisor, Managed Care Analytics job, please apply today by submitting your resume.

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Manager Case Management

florida

Networks Connect is conducting a search for a Manager Case Management on behalf of a hospital client located in the Tampa FL area. This leader has operational accountability and oversight and manages the daily activities of the department or responsible area and supports best practice standards for department functions and the Case Management Program.

In this role, the manager sets the tone and models positive leadership behavior, while ensuring that teamwork tasks, projects, and responsibilities are completed successfully in support of departmental and organizational goals. The Manager adheres to all Federal, State, and regulatory statutes and accreditation requirements. The Manager supports the Director in developing, planning, and implementing appropriate changes in keeping with case management best practice standards and organizational goals.

Required Qualifications:

  • Bachelor of Science in Nursing (BSN) degree; Master of Science in Nursing (MSN) degree is preferred. Require active State of Florida Registered Nurse.
  • Social Worker: – Require a Master of Science in Social Work (MSW) degree. Require active State of Florida Licensed Clinical Social Worker (LCSW) or Licensed Mental Health Counselor (LMHC).
  • Certification Requirement: – Require certification in Case Management (CCM or ACMA certification) or must be obtained within one (1) year from hire/transfer date. (If LCSW, certification may be waived.) ACM-SW, A-SWCM or CCM is required.
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Manager of FP&A

florida

Networks Connect is conducting a search on behalf of our client, a rapidly growing, multi-specialty medical organization. With a team of over 700 dedicated professionals, they are committed to delivering exceptional care and fostering a supportive work environment that promotes a healthy work-life balance. They are currently seeking talented individuals with strong leadership, budgeting, and analytical skills for their Manager of FP&A opportunity.

Responsibilities:

The successful candidate will oversee all Financial Planning and Analysis (FP&A) activities and coordinate operational metrics between internal functional departments and external health plan partners.

  • Lead and manage the FP&A team.
  • Coordinate financial and operational metrics across Primary and Specialty Care departments monthly.
  • Provide superior customer service to internal stakeholders.
  • Handle monthly financial forecasting and manage the annual budget process.
  • Serve as the primary liaison for payor relations and data management.
  • Administer membership reporting, clinician bonus schemes, and commission payments.
  • Document FP&A processes and prepare monthly cash flow projections.
  • Ensure compliance with current and future payer requirements.

Education/Experience Requirements:

  • Bachelor’s degree in Accounting or Finance required.
  • An MBA is highly desirable.
  • At least five years of supervisory experience.
  • Experience in a medical group involved with Medicare Advantage and global risk models.
  • Proven track record in a dynamic, high-growth environment.
  • Deep understanding of Medicare Advantage and global-risk business models.
  • Strong strategic thinking and problem-solving abilities.
  • Exceptional communication skills and proficiency in MS Excel, Word, and PowerPoint.

Full-time Benefits

  • Comprehensive Medical, Dental, & Vision Insurance
  • Employer-Matched HSA & 401k
  • Generous PTO & Paid Holidays
  • Eligibility for Local Educational Programs
  • And much more!
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Manager of Integrated Case Management

florida

Manager of Integrated Case Management

Networks Connect is conducting a search for a Manager Case Management on behalf of a hospital client located in the Tampa FL area. This leader has operational accountability and oversight and manages the daily activities of the department or responsible area and supports best practice standards for department functions and the Case Management Program.

In this role, the manager sets the tone and models positive leadership behavior, while ensuring that teamwork tasks, projects, and responsibilities are completed successfully in support of departmental and organizational goals. The Manager adheres to all Federal, State and regulatory statutes and accreditation requirements. The Manager supports the Director in developing, planning, and implementing appropriate changes in keeping with case management best practice standards and organizational goals.

Required Qualifications:

  • Bachelor of Science in Nursing (BSN) degree; Master of Science in Nursing (MSN) degree is preferred. Require active State of Florida Registered Nurse.
  • Social Worker: – Require a Master of Science in Social Work (MSW) degree. Require active State of Florida Licensed Clinical Social Worker (LCSW) or Licensed Mental Health Counselor (LMHC).
  • Certification Requirement: – Require certification in Case Management (CCM or ACMA certification) or must be obtained within one (1) year from hire/transfer date. (If LCSW, certification may be waived.) ACM-SW, A-SWCM or CCM (Certified Case Manager)  is required.
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Manager-Defined Contribution Plans

Our client provides full-service retirement plan design, consulting, and administration to businesses of all sizes.  They offer highly specialized ESOP services, a complete suite of 403(b) of services and value-added consulting, administration, and actuarial certification for traditional defined benefit plans, offset plans, and cash balance design.

They are committed to providing the highest level of quality work and customer service to their clients and referral partners, and are looking to add an experienced manager to join their defined contributions team!

For a qualified candidate who is the right fit to join their team, they are offering an exceptional salary package with potential of a sign-on bonus!

Job Summary:

Seeking an experienced professional to co-manage our Defined Contributions team.  This full-time, salaried employee will work closely with the Senior Management Team to assist with implementing department policies and procedures, overseeing a team of DC administrators and their work product, training of new employees, and managing a smaller caseload of specialized plans directly.

Responsibilities:

  • Manage a team of Retirement Administrators and productivity to meet applicable deadlines.
  • Mentor and develop Junior Analysts on industry knowledge and administrative procedures.
  • Motivate and lead team members to provide excellent customer service.
  • Perform quality control over select book of clients – review of retirement plan administration, including contribution calculations, non-discrimination testing, annual valuations, and Form 5500’s.
  • Provide feedback and solutions for various discrimination testing and compliance issues.
  • Consult with clients on various issues and plan design recommendations.
  • Maintain solid relationships with business owners and plan contacts, financial advisors, and other professionals.
  • Understand and interpret defined contribution plan documents.
  • Provide support to auditors for large plan audits.

Qualifications:

  • 7-8 plus years of experience in the retirement plan industry.
  • Three to five years of supervisory/managerial industry experience preferred not required.
  • ASPPA credentials strongly preferred (QPA, CPC, or ERPA).
  • Solid knowledge of ERISA, IRS & DOL regulations.
  • Knowledge of ASC & FTW compliance software preferred not required.
  • Knowledge of PensionPro preferred.
  • Strong communication skills, both written and verbal.
  • Strong attention to detail and ability to manage multiple projects in a fast-paced environment.
  • Proficient with Microsoft Office products.

Salary/Benefits:

  1. Extremely competitive base salary, based on experience and qualifications;
  2. Annual bonus potential, based on performance and profitability;
  3. Four (4) weeks of PTO along with ten (10) paid holidays;
  4. Health/dental/vision insurance;
  5. Life insurance;
  6. Company-sponsored retirement plan offering 401(k) salary deferral, safe harbor non-elective, and discretionary profit sharing contributions;
  7. Educational support for ASPPA certifications and on-going CE;
  8. Advancement and growth opportunities available for those showing pride in the services they provide and commitment to continued success of the company.
View Job Listing

Manager, Health Information Management (HIM)

florida

Networks Connect Professional Staffing is conducting a search on behalf of our client for a Manager, Health Information Management (HIM). This leader manages a team of Healthcare Information Specialists and leads the daily activities of the HIM department. The Hospital is located in the Tampa/Sarasota area and relocation assistance is provided.

Position Summary:

In this role, the leader sets the tone and models positive leadership behavior, while ensuring teamwork tasks, projects, and responsibilities are completed successfully in support of departmental and organizational goals. This leader is the on-site representative and subject matter expert for HIM at the Hospital location. Continued development, implementation, and maintenance of a fully functioning EHR system which is based on workflow technology and interfaces within system specific applications. Also responsible for coordinating department functions/staff pertaining to record indexes, record completion, deficiency analysis/re-analysis, incomplete record notification and suspension processes, release of information and scanning.

Essential Functions:

  • Manages staff and oversees employee performance; provides on-going performance feedback, addresses problems, orients, and trains employees, verifies competency and identifies and suggests way to develop skills, monitors workflows.
  • Develop and maintain job specific Standard of Work processes across various HIM disciplines for optimal reimbursement and to avoid financial risk to the patient, physician, and organization.
  • Assess accuracy of data integrity ensuring complete and accuracy of information is entered in an efficient and timely manner; development of quality reporting metrics to support the same.
  • Responsible for maintaining efficient and ethical department operational budget; provides remediation plans when necessary to meet budgetary targets.
  • Interprets, develops, and maintains departmental specific policies, in addition to recommending and implementing policy changes as needed for compliance and regulatory needs.
  • Measures performance improvement standards per system policy and implements performance improvement practices to achieve maximum outcomes; responsible for meeting department defined key performance indicators as assigned.
  • Ensures adherence to accounting controls, compliance standards and all federal and state regulatory requirements.
  • Monitors and develops root cause analysis on all deficient documentation related denials.

Minimum Qualifications:

  • Bachelor’s Degree in Healthcare Management or Business preferred, or equivalent combination of education (minimum Associates Degree required) and work experience. A minimum of 3-4 years supervisory experience in a hospital/medical office environment preferred.
  • Accreditation as RHIA or RHIT by the American Health Information Management Association required.
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Medical Analyst (SQL)

florida

Medical Economics Analyst

Networks Connect LLC is conducting a search for a Medical Economics Analyst job located in the Ocala, FL area.  To be qualified for this position, you must be experienced in writing SQL queries.  In this position, you will provide analysis of medical costs as well as revenue via reporting packages, metrics and dashboards.  You will be a key go to team member for financial and operational analytics.

As the Medical Economics Analyst, your job duties will include:

  • Developing methodologies/approaches, design report formats, and writing SQL queries to extract data from various sources
  • Assisting with the maintenance of business-critical information systems in presentation format for Executive Team and Board of Directors
  • Enhancing current processes and developing new processes to increase reporting capabilities across Medical Economics team
  • Analyzing Medicare Advantage medical claims data provided by health plan partners
  • Collaborating with colleagues to determine information needs, assessing information availability, accessing and analyzing appropriate data and finalizing reports
  • Working with membership files from health plan(s) to ensure proper payments are received from health plan(s) on Medicare Advantage risk population
  • Providing analytics to the organization regarding Medicare Advantage population cost trends

You are the perfect person if you have a:

  • Bachelor’s Degree in Management of Information Systems, Health Care Administration, Business Analytics, or related field
  • Must have experience working with SQL and Microsoft Office
  • Experience with Power BI is desired
  • Strong analytical ability for solving complex financial, organizational, and departmental issues

If you are interested in this Medical Economics Analyst job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Medical Billing Specialist (REMOTE)

indiana

Position Summary: Reporting to the Revenue Cycle Supervisor, the Medical Billing Specialist provides end-to-end revenue cycle responsibilities and account management. This individual will work in multiple systems based on the client’s needs. We are looking for an ambitious individual to impact and expand our rapidly growing team. As a Revenue Cycle Specialist, you will play a crucial role in supporting our clients.

Key Performance Indicators: The KPI’s that will be used to measure the performance of the individuals in this role include, but are not limited to:

1) Production

2) Quality

3) Resolution %

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Ensures compliance with all federal, state, local and internal policies, and procedures.
  • Responsible for submitting claims and ensuring follow-up on outstanding claims.
  • Collaborates with internal departments and external providers on utilization management of authorizations.
  • Ensures up-to-date documentation in billing software.
  • Performs other duties as assigned with a comprehensive understanding of all functions on the entire revenue cycle.

Job Competencies

  • Understand essential functions Within the areas of Revenue Cycle Department:
  • Prior Authorization
  • Eligibility
  • Charge Entry/Billing
  • Maintain current knowledge of billing rules for providers (hospital and physicians) and Insurance Providers
  • Reports discrepancies, admission errors, and coding questions to proper departments for ongoing process improvement.
  • Prioritize insurance aging reports to identify unpaid insurance claims.
  • Ability to work with Insurance Providers to drive resolutions via portals and telephone communication.
  • Identify, bill, and follow-up on unpaid secondary or tertiary claims within assigned insurances.
  • Ensures all claims are resolved in a timely manner.
  • Enhances billing department and organization reputation by accepting ownership for accomplishing new and different requests, exploring opportunities to add value to job accomplishments.

Job Qualifications, Skills, Abilities, Requirements: To perform this job successfully, an individual must be able to perform each essential duty to our current standards and meet expected KPI’s. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Knowledge of healthcare billing and reimbursement strategies.
  • Ability to effectively communicate both orally and in writing.
  • Demonstrates the ability to plan and prioritize work, coordinate with others, use time productively.
  • Provide excellent customer service to both internal and external customers.
  • Attention to detail is a must for researching and interpretation.
  • Ability to support HIPAA privacy rules and maintain strict confidentiality.
  • Self-Motivated with the ability to function as a team player and as an individual contributor.
  • Ability to adapt to change and be flexible.
  • 2+ years of relevant experience in finance/healthcare, medical billing & reimbursement.
  • Experience with State and Federal (Medicare, Medicaid) and private insurance billing portals.
  • Proficiency in Microsoft products including Word and Excel.
  • Proficient in Epic, Meditech, Salesforce a plus
View Job Listing

Medical Call Center Representative

indiana

Networks Connect Professional Staffing is on the lookout for an experienced and dynamic individual to fill the vital role of a Medical Call Center Representative within our prestigious healthcare network. This role is a perfect match for motivated individuals looking to enhance their career in healthcare, particularly those with prior EPIC system experience. Acting as the principal liaison for our patients’ financial inquiries, you will be instrumental in managing scheduling, insurance verifications, and payment collections with a high level of professionalism and accuracy.

Key Responsibilities:

  • Undergo a detailed training program specifically designed to ensure your success in effectively utilizing the EPIC system in your daily responsibilities.
  • Establish meaningful connections with patients over the phone, prioritizing excellence in customer service and utilizing your EPIC system knowledge to streamline operations.
  • Handle 65 to 100 outbound patient calls daily, demonstrating exceptional communication skills and EPIC system proficiency.
  • Accurately register and process payments from patients, applying your EPIC experience in a fast-paced and demanding environment.

What We’re Looking For:

  • A minimum of two (2) years of prior experience in patient access or customer service within a healthcare setting, with a strong emphasis on EPIC system proficiency.
  • Demonstrated ability to organize efficiently and manage multiple tasks effectively, with EPIC experience enhancing your capability to perform in a dynamic work environment.
  • Ambitious individuals with a clear focus on career advancement within the healthcare industry, supported by their EPIC system experience.

If you’re ready to take the next step in your career journey as a Medical Call Center Representative with a prominent healthcare network, we invite you to apply today by submitting your resume.

Job Type: Full-time

Salary: $16.00 – $17.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work setting:

  • Hybrid work

Work Location: Hybrid remote in Indianapolis, IN 46220

 

View Job Listing

Medical Call Center Representative

Networks Connect is actively searching for an experienced Medical Call Center Representative with specific Emergency Department (ED) experience to join a leading Healthcare Network on a PRN basis. This pivotal role is essential for the coordination of scheduling, pre-certification, verification, and documentation processes for ancillary services and minor surgical procedures. The ideal candidate will possess a robust background in emergency care, serving as a critical conduit between our call center, clinics, and external providers. This position demands a proactive individual committed to fostering seamless communication and delivering exceptional patient care.

Responsibilities:

  • Schedule and verify appointments for ancillary services and minor surgical treatments, ensuring adherence to departmental guidelines.
  • Accurately document and register patient appointments via telephone, maintaining the integrity of data entered into our computer management system.
  • Serve as a liaison, ensuring effective communication between call center, clinics, and external providers.
  • Obtain and validate patient information from various sources, ensuring accuracy and completeness.
  • Deliver exemplary customer service within established standards.
  • Support departmental and interdepartmental operations through assistance and collaboration.

Skills:

  • Exceptional customer service and communication skills.
  • Proficient in problem-solving and critical thinking.
  • Competent in computer use and Microsoft Office Suite.
  • Knowledge of medical terminology and CPT-4/ICD-10 coding.
  • Ability to type a minimum of 30 words per minute.
  • Must complete Patient Access training curriculum and pass competency assessments.

Qualifications:

  • Minimum Education: High School Diploma or GED (Required); Associate degree (Preferred).
  • Experience: At least 3 years of patient registration and scheduling, medical insurance screening, verification, and Emergency Department (ED) experience.

Salary: $19.00 – $22.00 per hour

Job Types: Part-Time, PRN

If you’re a detail-oriented professional with a passion for healthcare and customer service, we encourage you to apply for this exciting opportunity as a Medical Call Center Representative. Apply by submitting your resume today!

View Job Listing

Medical Claims Data Entry Specialist (REMOTE)

indiana

Position Summary: Reporting to the Revenue Cycle Supervisor, the Medical Claims Data Entry Specialist provides end-to-end revenue cycle responsibilities and account management. This individual will work in multiple systems based on the client’s needs. We are looking for an ambitious individual to impact and expand our rapidly growing team. As a Revenue Cycle Specialist, you will play a crucial role in supporting our clients.

Essential Duties and Responsibilities

  • Ensures compliance with all federal, state, local and internal policies, and procedure
  • Responsible for submitting claims and ensuring follow-up on outstanding claim
  • Denial management to ensure an efficient process and ultimately resolution.
  • Ensures information obtained is complete and accurate t
  • Collaborates with internal departments and external providers on utilization management of authorization
  • Ensures up-to-date documentation in billing software
  • Performs other duties as assigned with a comprehensive understanding of all functions on the entire revenue cycle

Job Competencies

  • Understand essential functions Within the areas of Revenue Cycle Department

Prior Authorization

  • Eligibility
  • Charge Entry/Billing
  • Maintain current knowledge of billing rules for providers (hospital and physicians) and Insurance Providers
  • Ability to work with Insurance Providers to drive resolutions via portals and telephone communica

Job Qualifications, Skills, Abilities, Requirements: To perform this job successfully, an individual must be able to perform each essential duty to our current standards and meet the expected KPI’s. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Knowledge of healthcare billing and reimbursement strategies.
  • Ability to effectively communicate both orally and in writing.
  • Demonstrates the ability to plan and prioritize work, coordinate with others, use time productively.
  • Provide excellent customer service to both internal and external customers.
  • Attention to detail is a must for researching and interpretation.
  • Ability to support HIPAA privacy rules and maintain strict confidentiality.
  • Self-Motivated with the ability to function as a team player and as an individual contributor.
  • Ability to adapt to change and be flexible.
  • Engages in all time sensitive tasks with level or urgency.
  • 2+ years of relevant experience in finance/healthcare, medical billing & reimbursement.
  • Experience with State and Federal (Medicare, Medicaid) and private insurance billing portals.
  • Proficiency in Microsoft products including Word and Excel.
  • Proficient in Epic, Meditech, Salesforce a plus
View Job Listing

Medical Claims Specialist (REMOTE)

Networks Connect Professional Staffing is actively searching for a Medical Claims Specialist with proven EPIC system proficiency to strengthen our Revenue Cycle Department. Situated in the greater Indianapolis area, this fully remote, temp-to-hire position is crafted for individuals deeply familiar with the EPIC healthcare software. Your expertise will be crucial in navigating our complex billing and claims processes, ensuring compliance, and driving efficient resolutions.

Key Responsibilities:

  • Utilize your EPIC expertise to maintain strict compliance with all relevant policies and procedures, enhancing our claims submission and follow-up processes.
  • Expertly manage claim denials and employ your EPIC knowledge to streamline resolutions and improve our billing operations.
  • Work closely with internal teams and external partners, leveraging your EPIC experience to optimize utilization management and maintain accurate documentation.
  • Keep abreast of the latest billing rules and regulations for providers and insurance companies, applying your EPIC skills to navigate various portals and communications effectively.

Requirements:

  • A minimum of 2 years of finance/healthcare experience, specifically within medical billing & reimbursement, and a strong emphasis on EPIC system proficiency.
  • Demonstrated ability in using Microsoft Office, Meditech, Salesforce highly preferred.
  • Exceptional communication skills, attention to detail, and the ability to work both independently and as part of a team.
  • A commitment to maintaining patient privacy in accordance with HIPAA guidelines and a flexible approach to adapt to change.

If your expertise in EPIC sets you apart and you’re ready to contribute to a leading team in the healthcare industry, we want to hear from you. Apply today to start your journey with us as a Medical Claims Specialist.

Job Types: Full-time, Contract

Salary: $19.00 per hour

Expected hours: 40 per week

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • Weekends as needed

Work Location: Remote

View Job Listing

Medical Payment Poster (REMOTE)

indiana

Position Summary: Reporting to the Revenue Cycle Supervisor, the Medical Payment Poster provides end-to-end revenue cycle responsibilities and account management. This individual will work in multiple systems based on the client’s needs. We are looking for an ambitious individual to impact and expand our rapidly growing team. As a Revenue Cycle Specialist, you will play a crucial role in supporting our clients.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Ensures compliance with all federal, state, local and internal policies, and procedures.
  • Ensures information obtained is complete and accurate.
  • Collaborates with internal departments and external providers on utilization management of authorizations.
  • Ensures up-to-date documentation in billing software.
  • Performs other duties as assigned with a comprehensive understanding of all functions on the entire revenue cycle.

Job Competencies

  • Understand essential functions Within the areas of Revenue Cycle Department:
  • Transaction Posting
  • Maintain current knowledge of billing rules for providers (hospital and physicians) and Insurance Providers
  • Reports discrepancies, admission errors, and coding questions to proper departments for ongoing process improvement.
  • Ability to work with Insurance Providers to drive resolutions via portals and telephone communication.
  • Follow-up on unpaid secondary or tertiary claims within assigned insurances.
  • Process credit balance accounts generating refunds to appropriate parties or correcting adjustments.
  • Ensures all claims are resolved in a timely manner.
  • Enhances billing department and organization reputation by accepting ownership for accomplishing new and different requests, exploring opportunities to add value to job accomplishments.

Job Qualifications, Skills, Abilities, Requirements: To perform this job successfully, an individual must be able to perform each essential duty to our current standards and meet expected KPI’s. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Knowledge of healthcare billing and reimbursement strategies.
  • Ability to effectively communicate both orally and in writing.
  • Demonstrates the ability to plan and prioritize work, coordinate with others, use time productively.
  • Provide excellent customer service to both internal and external customers.
  • Attention to detail is a must for researching and interpretation.
  • Ability to support HIPAA privacy rules and maintain strict confidentiality.
  • Self-Motivated with the ability to function as a team player and as an individual contributor.
  • Ability to adapt to change and be flexible.
  • Engages in all time sensitive tasks with level or urgency.
  • 2+ years of relevant experience in finance/healthcare, medical billing & reimbursement.
  • Experience with State and Federal (Medicare, Medicaid) and private insurance billing portals.
  • Proficiency in Microsoft products including Word and Excel.
  • Proficient in Epic, Meditech, Salesforce a plus
View Job Listing

Medical Receptionist

indiana

Networks Connect Professional Staffing, is currently seeking a dedicated and skilled Medical Receptionist in Indianapolis, IN. This in-office role is ideal for individuals eager to advance their careers in a dynamic healthcare setting. You will be the first point of contact in our facility, playing a crucial role in customer interaction, scheduling, insurance verification, and data entry. This position offers an opportunity to grow within a prominent healthcare network.

Key Responsibilities:

  • Engage in an extensive 3-4 week paid training program tailored to equip you for your role.
  • Provide high-quality face-to-face customer interactions.
  • Accurately enter data across multiple systems.
  • Efficiently handle patient registrations in a fast-paced environment.

Ideal Candidate Profile:

  • Minimum of two (2) years of experience in a customer service-oriented role.
  • Exceptional organizational and multitasking abilities.
  • A strong desire for career growth and development.

Ready to join our team as a Medical Receptionist? Apply now by submitting your resume!

Job Type: Full-time

Pay: $16.00 – $17.00 per hour

Benefits:

  • Paid training

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work Location: In person

View Job Listing

Medical Receptionist (REMOTE)

indiana

Remote Medical Receptionist – Indianapolis.

Networks Connect Professional Staffing is seeking a dedicated Remote Medical Receptionist to join our dynamic team, supporting Physician clinics across the state from the comfort of your home. This role offers the opportunity to engage with various service lines and requires initial onsite training for 4 weeks in a specific location before transitioning to a fully remote setup.

Key Responsibilities:

  • Handle incoming calls from patients regarding appointment scheduling, prescription refills, lab result inquiries, and more.
  • Maintain excellent communication with clinical business partners to ensure seamless patient support.
  • Adhere to strict schedule adherence and quality control measures as monitored by leadership and quality assurance teams.

Position Requirements:

  • Minimum one year of experience in a call center setting.
  • Demonstrated ability to manage urgent tasks, prioritize effectively, and adapt to changing situations.
  • Strong attention to detail, exceptional people skills, and proven de-escalation expertise are essential.

Equipment Provided:

  • All necessary computer equipment, including an Igel, dual monitors, headset, keyboard, and mouse, will be provided.

Home Office Requirements:

  • High-speed internet connection that meets departmental standards.
  • A private, secure home office environment to protect equipment and adhere to HIPAA policies. Note: Employees cannot be the primary caregiver during scheduled work hours.

Working Hours:

  • Full-time position, Monday to Friday, 8 AM to 5 PM.

If you are looking for a remote role where your skills can make a direct impact on patient care and support, we encourage you to apply for this position and join the team of dedicated healthcare professionals.

View Job Listing

Medical Records Specialist

florida

Networks Connect is conducting a search for a Medical Records Specialist on behalf of our client in Sarasota. The Medical Records Specialist is responsible for the day to day tasks related to the processing of health information to include but not limited to the following: chart pick-up, general HIM reception and transcription, release of information, indexing and quality assurance of medical records, analysis, amendments, audits, and birth certificate processing, emergency assistance program processing, and chart completion.

Main Responsibilities:

  • Analyzes outpatient & inpatient charts in accordance with department policy.
  • Runs chart reconciliation report, retrieves and locates any missing charts and resolves any issues on a daily basis.
  • Locates dictation in EMon using one of the following: Clinician Name, Patient Account, Dictation ID or Confirmation number.
  • Processes internal/external ROI requests from floors.
  • Reviews and determines if image should be deleted.
  • Reports and inconsistencies in the indexing/quality process to the scan center, and/or HIM quality when applicable.
  • Conducts follow-up with the patient to ensure they have completed and mailed forms back.
  • Process insurance audit request in accordance with the department policy.

Preferred qualification:

  • Experience in medical records or Health Information Management.
  • Ability to perform clerical duties, repetitive and detailed task.
  • Demonstrated strong interpersonal, communication and organizational skills.
  • High School Diploma, GED or Certificate Required

Job Type: Full-time

Salary: $17.00 – $20.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Weekends as needed

Work Location: In person

 

View Job Listing

Medical Scribe Specialist (MSS)

illinois

Networks Connect is hiring for a Medical Scribe Specialist position.  We are working with a thriving Internal Medicine practice that is seeking a full-time.  To be qualified for this position, you must be willing to travel between two local Chicago sites (Lincoln Park and Bridgeport).  As the Medical Scribe Specialist (MSS) the hope is that you will be committed to ongoing learning. This position is highly desirable for Pre-Med students, individuals with experience in Clinical Research or an experienced Medical Scribe (2+years) that is ready to move to the next level in their career.

This role will work directly with and assist the Chief Wellness Officer/Medical Director. There is HIGH patient volume (40+ patients/day) so the MSS must be high-energy and flexible. No two days are alike!! The MSS will manage clinical data during patient visits and maintain CWO’s day to day workflow. An individual in this position must have expertise in structured clinical assessments, accurate and specific documentation, population health workflows, and team- based healthcare. A major goal of this role is to facilitate efficient, seamless, and effective medical care for our patients.

The Medical Scribe Specialist will be responsible for:

  • Documenting structured clinical assessments.
  • Documenting accurate and specific documentation, population health workflows, and team-based healthcare.
  • Observing and recording patient encounters/examinations.
  • Documenting patient information, history, and diagnoses.
  • Assisting in medical management.
  • Documenting medical decision making.
  • Consultation with the care team and other providers on patient needs.
  • Assist MA’s as needed.
  • Other duties as assigned.

Position Requirements:

  • Experience in performing medical scribe tasks and an understanding of basic anatomy and physiology.
  • Advanced communication skills, both oral and written.
  • Tech savvy.
  • Experience with EMR systems (eClinicalWorks preferred).
  • Excellent interpersonal skills with an ability to work as part of a team or individually.
  • Ability and willingness to take direction and be a member of a team providing patient care.
  • Ability to type 60+ words per minute.
  • Ability and willingness to take direction and be a member of a team providing patient care.
  • Knowledge of and compliance with HIPAA.
  • A desire to create an unmatched patient experience.
  • Desire to help the organization drive clinical excellence.
  • An ability to take ownership and drive results.
  • Drive to be relentlessly determined.

Ability to work 40-48 hours per week with predictable hours.  Must be willing to work two a minimum of (2) Saturdays per month. An individual will have a choice of working 6/days per week with one day off OR 5/days per week with two days off.

Benefits include:

  • Paid time off/sick leave as well as health, vision, and dental benefits
  • Beautiful working environment
  • Supportive and fun culture
  • Elevated levels of responsibility and rapid advancement opportunities available

Job Type: Full-time

Pay: $19.00 – $20.00 per hour

Expected hours: 40 – 48 per week

View Job Listing

Network Claims Negotiation Specialist

Networks Connect is searching for an experienced Out of Network Claims Negotiation Specialist for one of our clients in Florida.

Job Description:

The Claims Negotiation Specialist would have had experience with maximizing revenue and negotiations with payers to help implement a strategic change for success. This individual should have extensive expertise in the analysis of payer fee schedules and the detailed review of payer contract language for providers across many specialties.

Key Responsibilities:

  • In-depth evaluation of the existing contracts along with the identification of current payers majorly dealt with.
  • Properly review and analyze all contract language, CPT Codes, billing software to ensure optimal terms for providers
  • Utilization and payment analysis by payer to compare reimbursements rates – Ensure maximization of revenues while delivering the best possible care to patients
  • An Identification of strengths, weaknesses, and improvement opportunities (SWOT) analysis of the medical practice to understand the top specialties billed the most.
  • Determine your reimbursement codes and review the Explanation of Benefits statements you receive from each of the payers you selected and note how much they allow for each code on your list
  • Calculate each payers’ reimbursement rates as a percentage of Out of Network reimbursement rates
  • Evaluate payer agreements and how they compare to regional market standards
  • Propose a contracting strategy based on your goals and the current insurance climate
  • Determine whether capitation, exclusivity, or preferred provider status is available with any payers
  • Consult with payers regarding pay-for-performance measures and what fee schedule works best for the group
  • Determine if you are losing referrals because you’re not participating with certain insurance plans
  • Develop and implement our plan to renegotiate your insurance agreements
  • Engage in negotiations with medical providers to secure the highest discounts and savings for in and out-of-network claims submitted to Remedial.
  • Provide regular updates as we move through the negotiation process.

 

Education:

A minimum of 10 years of experience in processing Contract Review , Claims Negotiation Services.

Preferrable experience with Behavioral Health.

View Job Listing

Nurse Auditor

maryland

Networks Connect is conducting a search for a Nurse Auditor position that will collaborate clinically with the patient care team and third parties to determine appropriateness and medical necessity of emergency care, admissions, and specialty referrals.

Minimum Education

Bachelor’s Degree RN, BSN preferred or extensive clinical experience in utilization management for healthcare. (Required)

Minimum Work Experience

3 years (Required)

Functional Accountabilities

  • Audits
  • Compare and analyze billed charges to clinical records by department and specific line item to ensure accurate billing and reimbursement.
  • Demonstrate clinical expertise by identifying all levels of care, treatments, pharmacological interventions, and ancillary services provided.
  • Coordinate chart reviews and problem identification and/or resolution with CNMC personnel and third-party payers.
  • Extract data from various sources to meet internal and external reporting requirements.
  • Develop comprehensive statistical analysis of findings for both external reporting purposes and internal education for overall improvement.
  • Service Authorization
  • Request and validate authorization of services from third party payers.
  • Obtain authorization and utilize established protocols and third-party payer contract requirements.
  • Communicate potential denials with health care team for problem resolution.
  • Document both services approved and denied.
  • Discharge Planning
  • Collaborate with case management and healthcare team regarding specific patient discharge needs and goals.
  • Contact third party payers to determine benefits and preferred providers for follow-up services outside the hospital.
  • Coordinate patient discharges with Case Management Team.
  • Communication
  • Communicate with payers in a clear, timely, accurate and professional manner to meet utilization management requirements.
  • Communicate with the healthcare team third party payer information.
  • Performance Improvement
  • Identify, implement, and improve processes which impact customer service.
  • Utilize agreed upon concurrent data collection techniques in Clinical Resource Management.
  • Organizational Accountabilities
  • Organizational Accountabilities (Staff)
  • Organizational Commitment/Identification
  • Anticipate and respond to customer needs; follows up until needs are met.
  • Teamwork/Communication
  • Demonstrate collaborative and respectful behavior.
  • Partner with all team members to achieve goals.
  • Receptive to others’ ideas and opinions
  • Performance Improvement/Problem-solving
  • Contribute to a positive work environment.
  • Demonstrate flexibility and willingness to change.
  • Identify opportunities to improve clinical and administrative processes.
  • Make appropriate decisions, using sound judgment.
  • Cost Management/Financial Responsibility
  • Use resources efficiently.
  • Search for less costly ways of doing things.

 

Position Status: R (Regular) – FT – Full-Time

Shift: Day

Work Schedule: 8:30am – 5pm

View Job Listing

Nurse Case Manager

RN Ambulatory Nurse Case Manager

Networks Connect is hiring for an Ambulatory Nurse Case Manager located in Washington D.C. In this position you will comprehensively and actively maintain the care management and coordination needs of payer defined and/or payer enrolled populations of patients who meet designated inclusion criteria. This includes activities such as assessments, formal Case Management care plan development, establishing goals and intervention and monitoring/tracking. Through these activities, the Ambulatory Nurse Case Manager will partner with physician practices and the care management team related to the clinical and care coordination needs of the patient, as well as work with payers and community resources to develop and facilitate effective, efficient care delivery options for the patient across the continuum of care.

Qualifications

 

Minimum Education

BSN (Required)

Master’s Degree (Preferred)

Minimum Work Experience

4 years Nursing experience in case management, ambulatory nursing or community/homecare experience (Required)

Required Skills/Knowledge

Ability to critically think and apply logic and reasoning to dynamically changing healthcare environment.

Requires superior verbal communication skills and service excellence approach with internal and external stakeholders.

Must have strong business writing skills.

Proficient at keyboarding and facile with Microsoft Office Excel, Access and Power Point.

Required Licenses and Certifications

Registered Nurse in District of Columbia (Required)

Licensed RN (Required)

Certification in Case Management preferred (Preferred)

If you are interested in this RN Ambulatory nurse Case Manager job, please apply today by submitting your resume. Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Nurse Practitioner

michigan

Networks Connect is seeking a qualified Nurse Practitioner (NP) on behalf of our client to provide top-tier primary health care in residential and assisted living facilities. This role involves managing daily in-person and telehealth consultations, requiring collaboration with multidisciplinary and support teams.

Key Responsibilities:

  • Delivering primary health care in residential and assisted living environments.
  • Handling a mix of face-to-face caseloads and telehealth visits.
  • Collaborating effectively with a multi-disciplinary team.
  • Ensuring compliance with Renovis Care policies and procedures.

Physical/Mental Demands:

  • Prolonged sitting, bending, and stooping.
  • Regular use of office equipment (computer, copier, fax, phone).
  • Normal corrected vision and hearing.

Working Conditions:

  • Work remotely or in an office setting.
  • Interact with patients, executives, staff, and medical professionals.

Essential Functions:

  • Provide compassionate, effective patient care to improve health outcomes.
  • Manage patient information and medical records in the EMR system.
  • Make informed decisions for diagnostic and therapeutic interventions.
  • Develop and execute patient care management plans.
  • Complete documentation as per practice guidelines.
  • Educate and counsel patients on treatment options.

Performance Requirements:

  • Knowledge of health industry regulations and standards.
  • Proficient in EMR utilization.
  • Highly organized and efficient.
  • Ability to maintain confidentiality.

Qualifications:

  • Michigan State Licensure for Nurse Practitioner.
  • Federal DEA License/Eligibility.
  • Active CPR/BLS Certification.

Experience:

  • Preferred experience with geriatric and complex patients.

Offerings:

  • Competitive salary: $75,000 – $115,000 per year.
  • Full-time, permanent position.
  • Benefits include 401(k), dental, health, vision insurance, PTO, tuition reimbursement.

Specialties:

  • Home Health, Internal Medicine, Primary Care.

Schedule:

  • Day shift, Monday to Friday.
  • No weekends.

Work Setting:

  • In-person at medical office, nursing home, outpatient, skilled nursing facility, telehealth.

Location:

  • Southfield, MI (Relocation required).

Join our team and make a significant impact on the lives of patients. Apply now!

View Job Listing

Orthopedic Surgery Medical Coder

florida

Networks Connect is hiring for a Orthopedic Surgery Medical Coder position on behalf of a client located in Gulf Coast of Florida. To be qualified for this position you will have had at least three (3) years of Surgery Coding experience and prior Orthopedics billing experience. In this position, you will work under the direction of the Revenue Cycle Manager, overseeing the orthopedic surgical coding, claim submission, claim denial follow-up, educating physicians and working with surgery schedulers on coding matters.

If you are interested in this Orthopedic Surgery Medical Coder position, please apply today by submitting your resume.

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Patient Access Manager

Networks Connect is conducting a search on behalf of our client, a local prominent healthcare system, for an experienced Patient Access Manager in Washington, DC! Under the direction of the Director of Patient Access, this pivotal role manages the operational and administrative functions of the 24/7 Patient Access Department. This includes supervision of staff in areas such as Admissions, Emergency Department, Laboratory and Radiology Registration and Scheduling, and Financial Counseling. Their focus is on providing excellent customer service, enhancing patient satisfaction, staff development, and achieving fiscal goals.

Key Responsibilities:

  • Oversee and ensure the smooth functioning of the Patient Access Department across various locations.
  • Handle hiring, training, evaluating, and day-to-day management of the Patient Access team.
  • Manage financial aspects of the department, including budgeting and financial analysis.
  • Collaborate with medical, nursing, and accounting staff for efficient patient placement.
  • Implement quality assurance practices and compliance with regulatory standards.
  • Drive patient registration and scheduling processes, maintaining high standards of service.
  • Supervise staff performance, providing ongoing feedback and development.

Qualifications:

  • Minimum Education: Bachelor’s Degree (Required).
  • Experience: Minimum of 5 years in healthcare, with at least 4 years in a leadership role (Strongly Preferred).
  • Required Skills: Strong interpersonal and communication skills, excellent consumer relations, analytical and problem-solving abilities, proficiency in Microsoft Office. Bilingual skills are a plus.

What They Offer:

  • Opportunity to make a significant impact in healthcare service delivery.
  • A supportive and dynamic work environment.
  • Competitive compensation and benefits package.
View Job Listing

Patient Access Representative

indiana

Networks Connect is conducting a search for a Patient Access Representative position which will work onsite. You are the perfect person for this position if you have a desire to grow in your career. In this position you must be comfortable working face to face with customers and being first point of contact in the facility while being able to help with scheduling, verifying insurance, and entering data. You will start the position with two (2) to three (3) weeks of paid training, and then move into the role full time. One (1) year of experience is required, and the position is a gateway to continued growth in your career with a large Healthcare network. Your working hours will be from 8am-5pm EST (Eastern Time).

If you are interested in this Patient Access Representative job, please apply today by submitting your resume.

View Job Listing

Patient Access Representative

Networks Connect is currently seeking an experienced Patient Access Representative with specialized Emergency Department (ED) experience to join a prominent Healthcare Network on a PRN basis. Reporting to the Patient Access Supervisor or Manager, this role provides essential patient services and administrative support in ancillary operations. The successful candidate will interact with parents, patients, physicians, and staff, demonstrating professionalism and courteousness. This position offers an excellent opportunity for career progression to a Senior Patient Access Representative role.

Responsibilities:

  • Accurately schedule and verify appointments, ensuring compliance with diagnostic codes and billing requirements.
  • Conduct professional and courteous computer-aided registration over the phone or in person.
  • Collect and verify demographic and insurance information, updating systems to maintain accuracy.
  • Float to various ancillary patient access areas for coverage as needed, including ED, RAD, LAB, AMSAC, etc.
  • Provide required notifications for scheduled and unscheduled services according to insurance provider requirements.
  • Ensure compliance with HIPAA Privacy Notice, Patient Rights, and other regulatory requirements.
  • Assist with cash collection, recording co-payments, deposits, and full payments efficiently.

Skills:

  • Comprehensive knowledge of administrative processes and customer service principles.
  • Proficiency in computer use and Microsoft Office (Word & Excel preferred).
  • Ability to type a minimum of 35 words per minute.
  • Completion of Patient Access training curriculum and successful passage of competency assessments.

Qualifications:

  • Minimum Education: High School Diploma or GED (Required).
  • Minimum Work Experience: 3 years of related experience and Emergency Department (ED) experience (Required).

Salary: $19.00 – $22.00 per hour

Job Types: Part-Time, PRN

If you are passionate about healthcare and possess the qualifications listed above, we encourage you to apply for this rewarding opportunity as a Patient Access Representative. Apply by submitting your resume today!

View Job Listing

Patient Access Representative (PRN or FT)

maryland

Patient Access Representative (PRN) – Full time

Register and schedule patients’ appointments by telephone utilizing the physician scheduler and individual departmental guidelines. Communicate with
parents, patients, physicians, community doctors/staff and other staff in a courteous manner . Responsible for obtaining and validating patient
information from various sources and to ensure information entered into the computer management system is accurate. Promote customer service
environment.

Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
1 year Experience performing patient registration and scheduling, medical insurance screening and verification. (Required)

Functional Accountabilities
Registration and Scheduling Services

  • Provide client support to parent/guardian via phone for any or all of the following: on-line registration help; scheduling, rescheduling and/or canceling of appointments whether by parent/guardian or department; inform patient/parent of any departmental scheduling guidelines associated with appointment; reschedule all appointments related to clinic maintenance cancellation.
  • Notify parent of the need for completed insurance referral form or any pre-authorization of treatment prior to scheduled appointment; discuss co-payment or payment in full requirements; counsel or refer parent to central business operation’s financial counseling or establish a payment plan.
  • Complete calls in an accurate and timely manner; transfer calls to appropriate areas as needed; notify manager/supervisor of difficult calls (clarification re insurance, problem callers, etc.); seek appropriate resources to solve problems effectively .
  • Anticipate customer service needs to “prevent fires.”
  • Enter appropriate notes in the system; obtain necessary information for accurate and complete documentation of all registration printouts, consent documents and other forms.
  • Anticipate customer service needs to “prevent fires.”

Verifying Insurance/Authorization and Process Improvement

  • Work with insurance companies to verify insurance eligibility and coverage for anticipated services using EVS, ENVOY , Mamsi-online, UHC and calling insurance; obtain authorization and benefit information from insurance companies as appropriate; document authorization and information in Account Notes and fields.
  • Collect and verify demographic, PCP/referring physician and insurance information.
  • Make recommendations for internal process improvements.

Safety

  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details – practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

  • Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

  • Use resources efficiently
  • Search for less costly ways of doing things

Safety

  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details – practicing Stop, Think, Act and Review in order to self-check behavior and performance

Work Locations

Washington DC

Position Status: R (Regular) – FT – Full-Time

Shift: Variable

Work Schedule: 8:00am – 5:00pm or 9:30am – 6:00pm

Job Type: Full-time

Salary: $18.76 – $23.82 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Paid training
  • Vision insurance

 

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

 

Work Location: In person

View Job Listing

Patient Financial Engagement Representative

Position Summary: The Patient Financial Engagement Representative role is responsible for answering billing inquiries in a professional, compassionate, and knowledgeable manner from the point of initial contact through account resolution. Primary functions include attentively listening, researching, educating, and resolving billing inquiries as efficiently and accurately as possible to ensure patient satisfaction. Maintains patient confidentiality and documentation appropriately for easy follow up. This role supports the mission and values of the organization by maintaining positive, honest, and productive relationships.

Patient Financial Engagement Representative

  • Resolve patient complaints or explain why certain services are not covered.
  • Articulate options to patients\guarantors around payment plans, financial assistance, and additional third-party options by primary insurer
  • For patients with coverage by more than one insurer, prepares and submits secondary claims upon processing.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Understanding client’s policies and procedures regarding payment plan and financial assistance options.
  • Interpret EOB’s and insurance claims.
  • Navigate client Electronic Medical Record (EMR) systems.
  • Follow communication procedures, guidelines, and policies.
  • Processing credit card and ACH payments
  • Take the extra mile to engage patients.
  • Elevate patient’s concerns to managers and supervisors as needed.
  • Maintains patient confidentiality and documentation appropriately for easy follow-up.
  • Verify insurance eligibility utilizing the appropriate tools based on the client’s policies and procedures.
  • Handling payments for services not covered by insurance.
  • Explaining coverages to patients
  • Updating patient information/keeping records
  • Filling out documentation required for billing.
  • Must understand Insurance companies, claims, and claims terminology.
  • Answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc.

Job Competencies

  • Proficiency with technology, especially computers, software applications, and phone systems.
  • Exceptional verbal and written communication skills
  • Strong phone contact handling skills and active listening.
  • Ability to multi-task, prioritize, and manage time effectively.
  • Working math aptitude and critical thinking skills.
  • Supports an environment of teamwork.
  • Manage the status of accounts and balances and identify inconsistencies.
  • Follows HIPAA guidelines in handling patient information.
  • Communicate with team members and management in a professional manner.

Key Performance Indicators: The KPI’s that will be used to measure the performance of the individuals in this role include, but are not limited to:
1)Customer Service
•AHT talk time, hold time, after call work
•Customer Effort Score (CES): escalations and status progression

2)Call Totals
•Inbound & Outbound

Job Qualifications, Skills, Abilities, Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Functions

  • Intermediate computer skills
  • Proficient in Microsoft Office
  • Ability to maintain confidentiality
  • Excellent verbal and written communication skills
  • Ability to work independently, being detail oriented and organized
  • Ability to meet multiple competing deadlines

 

View Job Listing

Patient Scheduling Representative

ohio

Networks Connect is conducting a search on behalf of a client for a Patient Scheduling Representative position which will work onsite. You are the perfect person for this position if you have a desire to grow in your career. In this position you must be comfortable communicating over the phone with customers and being first point of contact in the facility while being able to help with scheduling, verifying insurance, and entering data. You will start the position with two (2) to three (3) weeks of paid training, and then move into the role full time. One (1) year of customer service experience, scheduling, or patient registration is required, and the position is a gateway to continued growth in your career with a large Healthcare network. Your working hours will be from 7:30am – 4:00pm OR 8:00am – 4:30pm OR 8:30am – 5:00pm EST (Eastern Time).

If you are interested in this Patient Scheduling Representative job, please apply today by submitting your resume.

View Job Listing

Payor Clearance Associate (Patient Access)

maryland

Payor Clearance Associate

 

Networks Connect LLC is conducting a search for a Payor Clearance Associate job located in the greater Washington D.C. area.  To be qualified for this position, you must have 2 years of healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes.   In this position, you will be a member of the Patient Access team dedicated to completing patient access workflows related to navigating insurance prior authorization processes for assigned services.  You will facilitate increasing patient’s access into the care continuum. You will decrease payor-related barriers and increase financial outcomes for scheduled services.  You will work directly with referring physician offices, payers, and patients to ensure full payor clearance prior to the provision of care.

 

Qualifications

 

Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
2 years Healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes. (Required)
2 years Comprehensive medical and insurance terminology as well as working knowledge of medical insurance plans, and managed care plans. (Required)

Required Skills/Knowledge
Ability to communicate with physicians’ offices, patients and insurance carriers in a professional and courteous manner.
Superior customer service skills and professional etiquette.
Strong verbal, interpersonal, and telephone skills.
Experience in healthcare setting and computer knowledge necessary.
Attention to detail and ability to multi-task in complex situations.
Demonstrated ability to solve problems independently or as part of a team.
Knowledge of and compliance with confidentiality guidelines and policies and procedures.
Knowledge of insurance requirements and guidelines for Governmental and non-Governmental carriers.
Previous experience with Cerner, Experian, or other related software programs and EMRs preferred.
Bilingual abilities preferred.
Successful completion of all Patient Access training assessments required.

Functional Accountabilities
Pre-Service Payor Clearance

  • Navigate and address any payor COB issues prior to services being rendered to ensure proper claims payments; obtain and ensure all authorizations are on file prior to services being rendered; work collaboratively with assigned department (s)/service(s) of the Hospital to ensure all scheduled patients have undergone payor clearance prior to service; pre-register patients, verify insurance eligibility and benefits, obtain pre-certification or referral status, and collect patient responsibility amounts for services provided throughout the health system meeting departmental standards for productivity and quality.
  • Obtain authorizations for add-on cases and procedures to ensure proper and timely claims payment; follow-up on all cases to ensure procedures authorized were performed, update authorizations as needed.
  • Provide supporting clinical information to insurance payors; outcomes should decrease the need for peer-to-peer review.
  • Work with the Payor Nurse Navigators to decrease delays in patients access to care.
  • Review clinical documentation to ensure clinicals provided support desired outcomes prior to submitting to payor; must document proven outcomes of decreased peer-to-peer trends.
  • Establish contact with patients via inbound and outbound calls, as needed, to pre-register patients for future dates of service.
  • Verify insurance eligibility and benefits by utilizing integrated real-time eligibility tool, payer websites, and telephone calls to payers; document payer verification responses in designated fields within the registration pathway; validate insurance referral status, if applicable, and communicate with PCP office to obtain referrals.

Patient Navigation and Notification

  • Interpret insurance verification information to estimate patient financial responsibility amounts for scheduled services and inpatient stays.
  • Act as a liaison to ensure all the appropriate custodial issues are resolved prior to the patient’s arrival.
  • Work as a patient advocate along with legal and other entities to remove any barriers prior to service.
  • Review and determine insurance plan benefit information for scheduled services, including co-insurance and deductibles; compare and communicate in and out of network benefits accordingly.
  • Communicate patient financial responsibility amounts and initiate the point of service (POS) collections process; determine patient liability based on service levels and make necessary recommendations.
  • Identify patients requiring payment assistance options and facilitate communication between patients and Financial Information Center (FIC).

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

  • Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

  • Use resources efficiently
  • Search for less costly ways of doing things

Safety

  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details – practicing Stop, Think, Act and Review in order to self-check behavior and performance

 

 

If you are interested in this Payor Clearance Associate job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

 

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Payor Clearance Specialist

maryland

Payor Clearance Associate

Networks Connect LLC is conducting a search for a Payor Clearance Associate job located in the greater Washington D.C. area. To be qualified for this position, you must have 2 years of healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes. In this position, you will be a member of the Patient Access team dedicated to completing patient access workflows related to navigating insurance prior authorization processes for assigned services. You will facilitate increasing patient’s access into the care continuum. You will decrease payor-related barriers and increase financial outcomes for scheduled services. You will work directly with referring physician offices, payers, and patients to ensure full payor clearance prior to the provision of care.

Qualifications

Minimum Education

High School Diploma or GED (Required)

 

Minimum Work Experience

2 years Healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes. (Required)

2 years Comprehensive medical and insurance terminology as well as working knowledge of medical insurance plans, and managed care plans. (Required)

Required Skills/Knowledge

Ability to communicate with physicians’ offices, patients and insurance carriers in a professional and courteous manner.

Superior customer service skills and professional etiquette.

Strong verbal, interpersonal, and telephone skills.

Experience in healthcare setting and computer knowledge necessary.

Attention to detail and ability to multi-task in complex situations.

Demonstrated ability to solve problems independently or as part of a team.

Knowledge of and compliance with confidentiality guidelines and policies and procedures.

Knowledge of insurance requirements and guidelines for Governmental and non-Governmental carriers.

Previous experience with Cerner, Experian, or other related software programs and EMRs preferred.

Bilingual abilities preferred.

Successful completion of all Patient Access training assessments required.

Functional Accountabilities

Pre-Service Payor Clearance

  • Navigate and address any payor COB issues prior to services being rendered to ensure proper claims payments; obtain and ensure all authorizations are on file prior to services being rendered; work collaboratively with assigned department (s)/service(s) of the Hospital to ensure all scheduled patients have undergone payor clearance prior to service; pre-register patients, verify insurance eligibility and benefits, obtain pre-certification or referral status, and collect patient responsibility amounts for services provided throughout the health system meeting departmental standards for productivity and quality.
  • Obtain authorizations for add-on cases and procedures to ensure proper and timely claims payment; follow-up on all cases to ensure procedures authorized were performed, update authorizations as needed.
  • Provide supporting clinical information to insurance payors; outcomes should decrease the need for peer-to-peer review.
  • Work with the Payor Nurse Navigators to decrease delays in patients access to care.
  • Review clinical documentation to ensure clinicals provided support desired outcomes prior to submitting to payor; must document proven outcomes of decreased peer-to-peer trends.
  • Establish contact with patients via inbound and outbound calls, as needed, to pre-register patients for future dates of service.
  • Verify insurance eligibility and benefits by utilizing integrated real-time eligibility tool, payer websites, and telephone calls to payers; document payer verification responses in designated fields within the registration pathway; validate insurance referral status, if applicable, and communicate with PCP office to obtain referrals.

Patient Navigation and Notification

  • Interpret insurance verification information to estimate patient financial responsibility amounts for scheduled services and inpatient stays.
  • Act as a liaison to ensure all the appropriate custodial issues are resolved prior to the patient’s arrival.
  • Work as a patient advocate along with legal and other entities to remove any barriers prior to service.
  • Review and determine insurance plan benefit information for scheduled services, including co-insurance and deductibles; compare and communicate in and out of network benefits accordingly.
  • Communicate patient financial responsibility amounts and initiate the point of service (POS) collections process; determine patient liability based on service levels and make necessary recommendations.
  • Identify patients requiring payment assistance options and facilitate communication between patients and Financial Information Center (FIC).

Organizational Accountabilities

Organizational Accountabilities (Staff)

Organizational Commitment/Identification

  • Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

  • Use resources efficiently
  • Search for less costly ways of doing things

Safety

  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details – practicing Stop, Think, Act and Review in order to self-check behavior and performance

If you are interested in this Payor Clearance Associate job, please apply today by submitting your resume. Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Payor Reimbursement Analyst (RN)

maryland

Networks Connect Professional Staffing is conducting a search on behalf of our client for a Payor Reimbursement Analyst. This leader will support the financial sustainability of the organization through timely , accurate and thorough research of reimbursement issues related to Medicaid and Commercial payors. Responsible to track, trend and reconcile data and report to the Revenue Cycle. Develop and maintain collaborative relationships with payors, Access, Clinics, Managed Care, Business Operations, Leadership and Legal departments.

Responsibilities/Skills/Knowledge:

  • Provide timely, comprehensive and accurate review of authorizations/denials to determine appropriate course of action.
  • Provide clear direction to others to resolve authorization/denial issues.
  • Provide timely appeals which are based on standardized criteria (Interqual and MCG) and follow appropriate escalation processes.
  • Monitor payor response to appeals to ensure timely claim payment or write-off.
  • Function as a subject matter expert for CRM, Revenue Cycle and the organization.
  • Ability to critically think and apply logic and reasoning to dynamically changing healthcare environment.
  • Requires superior verbal communication skills and service excellence approach with internal and external stakeholders.
  • Must have strong business writing skills.
  • Proficient at keyboarding and facile with Microsoft Office Excel, Access and Power Point.

Qualifications:

  • Bachelor’s Degree in Nursing (BSN) Required, Masters preferred
  • 5 Years experience with 3 years of Utilization Review
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Pediatric Sonographer (Echo Tech)

indiana

Networks Connect is hiring for a Pediatric Sonographer to join our team in South Bend, IN. This role offers a regular weekday schedule with no on-call duties or weekend shifts, ideal for those seeking a work-life balance while pursuing a career in pediatric healthcare.

Role Overview:

As a Pediatric Sonographer, you will be performing echocardiography procedures to help diagnose both congenital and acquired heart diseases in pediatric and adult patients. Our clinic upholds the highest standards of care, ensuring that each procedure is conducted according to our detailed policies and protocols.

Key Responsibilities:

  • Conduct detailed echocardiographic evaluations to identify normal and abnormal cardiac anatomy.
  • Generate high-quality imaging and provide pertinent patient data for timely analysis and diagnosis.
  • Engage with a pediatric patient population to assist in the diagnostic process of complex congenital heart diseases.

Preferred Qualifications:

  • Experience in pediatric cardiology or a strong willingness to train in pediatric echocardiography.
  • Certification or eligibility for certification as a Cardiac Sonographer through ARDMS or CCI within 18 months of hire.
  • Basic Life Support (BLS) certification; Advanced Life Support (ALS) certification is required.
  • Strong communication and patient-handling skills, with the ability to adapt to varied patient conditions.

Why Join Us?

  • Competitive salary and benefits package.
  • Professional development opportunities and certification support.
  • Supportive team environment in a leading pediatric cardiology clinic.

Application Process:

Applicants must be eligible for registry at the time of hire and successfully pass it within one year. Experience in echocardiography is preferred, but we are open to training highly motivated candidates with less experience.

Join our team and contribute to the health and well-being of children and adults with congenital heart conditions. Apply today to become a part of a leading health system’s Pediatric Cardiology outpatient setting in South Bend!

Job Types: Full-time, Contract

Pay: $42.00 – $50.00 per hour

Ability to Commute:

  • South Bend, IN (Required)

 

Work Location: In person

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Physical Therapist (PT)

arizona

Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist (PT) to our team. We are looking for a compassionate and dependable Physical Therapist (PT) for an outpatient clinic.

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Physical Therapist (PT)

texas

Networks Connect Healthcare Staffing is a healthcare staffing company that offers PRN, contract, temporary-to-hire, and direct-hire employment opportunities to prospective candidates in Indiana.

 

Job Description:    Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist (PT) to our team. We are looking for a compassionate and dependable Physical Therapist (PT) for an outpatient clinic specializing in manual therapy.

 

Responsibilities:

  • They can manage a variety of patient conditions (primarily orthopedic) and direct clinical staff.
  • Assesses patient needs, plans for, evaluates, and modifies care to meet goals of Physical Therapy interventions.
  • Collaborates with all disciplines to plan and evaluate team goals for each patient.
  • Other Physical Therapist / PT duties as assigned.

 

 

Benefits:

At Networks Connect Healthcare Services, we firmly believe that our employees are the key to our success, and we are happy to offer the following benefits:

  • Competitive pay and weekly paychecks
  • Health, Dental, and Vision insurance
  • Competitive overtime rates
  • Benefit eligibility is dependent on employment status

 

If you are interested in this Physical Therapist job, please apply today by submitting your resume.  We are excited to be a part of your next career move!

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Physical Therapist (PT)

illinois

Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist (PT) to our team. We are looking for a compassionate and dependable Physical Therapist (PT) for an orthopedic clinic including diagnosis such as, sports injuries, fractures, rotator cuff repairs, hip arthroscopies, total joint replacements, spine conditions, work injuries and foot and ankle diagnosis.

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Physical Therapist Assistant (PTA)

texas

Networks Connect Healthcare Staffing is a healthcare staffing company that offers PRN, contract, temporary-to-hire, and direct-hire employment opportunities to prospective candidates in Indiana.

Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist Assistant (PTA) to our team. We are looking for a compassionate and dependable Physical Therapist (PTA) for an outpatient clinic specializing in manual therapy.

Responsibilities:

  • The Physical Therapist Assistant provides physical therapy services in accordance with a written plan of care and under the advisement of a supervising Physical Therapist
  • Activities of this position are patient focused in accordance with physical therapy standards, physician orders, and affiliate policies and procedures
  • Provides treatment techniques to facilitate and restore optimal functioning performance specific to physical therapist assistant’s patient care area
  • Provides adequate feedback to Physical Therapist regarding patient’s progress and reports any unusual reaction or response to therapeutic program
  • Documents the patient/family/caregiver response to treatment and changes in patient condition per affiliate documentation policies and/or standards and in compliance with regulatory agencies
  • Promotes process improvement
  • Other duties as assigned

Qualifications:

  • Graduate of an accredited Physical Therapy Assistant program culminating in an associate degree
  • Current and valid state PTA license or equivalent in the states where services are rendered
  • CPR certification (when required)
  • NEW Graduates are welcome to apply
  • Maintain current CPR certification
  • Great time management skills

If you are interested in this Physical Therapist Assistant job, please apply today by submitting your resume. We are excited to be a part of your next career move!

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Physical Therapy Assistant (PTA)

illinois

Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist Assistant (PTA) to our team. We are looking for a compassionate and dependable Physical Therapist Assistant (PTA) for an orthopedic clinic including diagnosis such as, sports injuries, fractures, rotator cuff repairs, hip arthroscopies, total joint replacements, spine conditions, work injuries and foot and ankle diagnosis.

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Physician Advisor

florida

Physician Advisor – Integrated Case Management – Sarasota, FL (Relocation Assist/Sign On $)

Networks Connect is hiring for a full-time Physician Advisor position. In this role, you will provide physician administrative support and leadership to the utilization and resource management areas of Integrated Case Management including mentoring and coaching Care Coordinators, Utilization Review staff, and Social Workers. This position will require 80% Physician Advisory work, and 20% (3-5) shifts clinical work per month.

Required Qualifications

  • MD or DO from an accredited school of medicine
  • Board Certification
  • Qualified as a provider under Medicare and Medicaid
  • Current medical staff privileges or the ability to be credentialed for staff privileges
  • Minimum three (3) years of hospital acute care experience with exposure to utilization management and documentation initiatives
  • Experience in case management, care coordination, and utilization management
  • Maintains current knowledge of federal, state, and payor regulatory and contract requirements
  • Demonstrated teamwork, performance analysis, presentation, facilitation, planning, and communication skills
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Plan Administrator

Job Overview:   

Provide exceptional customer service to our broad client base of Plan Sponsors/Employers, Financial Advisors, CPA’s, Recordkeeper Contacts, and other partnerships), while performing technical plan administration at a high level of quality.  Continue developing and sustaining partnership relationships with our entire client base.

Responsibilities and Duties:

  • Responsible for servicing a plan book of business of 70 to 90 plans. From solo plans to +100 participant plans to plan’s that require no 5500 series filings.
  • Provide clear communication that conveys the right information to our client base, while performing routine compliance administration.
  • Utilize current, standardized administration and tools (excel templates etc.) to perform all administrative reports.
  • Sort through obtained data to meet timely testing deadlines that meet client expectations for such deliveries.
  • Able to understand Plan Documents and how they relate to ongoing administration.
  • Work with Recordkeeper data that is most likely received in varied formats and systems to reconcile Plan Assets.
  • Understand the intricacy of plan asset reconciliations, document distributions, including Required Minimum Distribution calculations, contributions, earnings, transfers, adjustments etc. that may have transpired throughout the Plan year.
  • Provide timely contribution calculations and monitor IRS maximums and limits.
  • Accurate and timely completion of IRS Forms (5500 series, 5330, 1099R’s and others)
  • Ability to provide our client with the necessary direction and resources that assist Plan needs (payroll questions, corrections or adjustments and any other plan related items).
  • Continue to seek ways to improve our processes and services. Maintain client and plan data according to set administrative electronic path (Box…).

Qualifications:

  • Prefer college graduate, but not required.
  • 2 to 3 years of TPA compliance and administration
  • Seeking QKA, QPA, APA, CEBS or other retirement plan designations
  • Proficient in excel, working knowledge of Outlook, word etc.
  • Ability to quickly learn ASC, Retirement Data base.
  • Detail oriented, ability to multitask, adapt quickly to changes, exceptional organizational skills, adapt to changed priorities necessary to meet new deadlines.
  • Maintain a positive outlook and attitude.
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Plan Compliance Analyst/Administrator

Our client is a growing financial services company, and we’re searching for an experienced Retirement Plan Administrator. This role is a associate level position within the Third-Party Administration Department. Each associate works directly with a manager to learn aspects of retirement plan administration, compliance, and accounting.

About You

You enjoy a challenge and have an aptitude for math and logic. You enjoy helping customers and take pride in delivering quality work. You enjoy learning and improving your skills.

About Us

Our client is a leading franchise and small business funding provider. They help businesses get their doors open and then get bigger. It’s a big job, and we need people with big goals, big ideas, and big hearts to do it. Our team is small but mighty. We work hard to get the job done but take time to incorporate fun to help us stay connected and energized.

You will learn about a dynamic industry, while having the opportunity to make contributions from day one. Our teamwork-focused culture encourages collaboration, creative problem-solving, and delivery of top-notch services.

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Prior Authorization Specialist

maryland

Join Networks Connect LLC, a leading staffing agency, as we seek a skilled Prior Authorization Specialist for an exciting opportunity in the healthcare sector in the Silver Spring, MD area. This role is perfect for individuals with extensive experience in healthcare insurance processes, looking to leverage their expertise in a dynamic environment.

Responsibilities:

  • Full Cycle Payor Navigation: Bring your 3+ years of healthcare experience into play, managing claims, billing, healthcare registration, and more.
  • Patient Access Workflows: As part of the Patient Access team, you’ll be instrumental in navigating insurance prior authorization processes for various services, ensuring patient care continuity.
  • Insurance Liaison: Work directly with physician offices, insurance carriers, and patients, ensuring complete insurance clearance prior to care provision.

Qualifications:

  • Educational Background: High School Diploma/GED required.
  • Experience: 3 years in healthcare, covering full cycle payor navigation, and 2 years in medical/insurance terminology. CPT and ICD coding experience also essential.
  • Skills: Excellent communication, customer service, problem-solving, and computer skills.
  • Software Proficiency: Experience with Cerner, Experian, or similar EMR systems preferred.
  • Language Skills: Bilingual abilities are a plus.
  • Training: Completion of all Patient Access training assessments.

Functional Accountabilities:

  • Pre-Service Payor Clearance: Ensure pre-registration accuracy, verify insurance, and manage patient financial responsibilities efficiently.
  • Patient Navigation and Notification: Act as a liaison for patients, managing insurance and financial aspects with clarity and empathy.

Organizational Accountabilities:

  • Embrace a customer-focused approach.
  • Foster teamwork and communication.
  • Identify and implement process improvements.
  • Manage resources efficiently and responsibly.
  • Prioritize safety and accuracy in all tasks.

Benefits:

  • Competitive salary ($50,000 – $60,000 per year).
  • Full benefits package including 401(k), health, dental, life, and vision insurance.
  • Paid time off.

Work Schedule:

  • Monday to Friday, full-time on-site role.

If this Prior Authorization Specialist role aligns with your career aspirations, apply now at www.networks-connect.com and be part of a team that values making a difference in the healthcare sector!

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Private Equity Analyst / Associate (HYBRID)

indiana

Private Equity Analyst / Associate (HYBRID)

Networks Connect LLC is conducting a search for a Private Equity Analyst or Associate job located in downtown Indianapolis.  In this position, you will evaluate new investment opportunities and monitor existing portfolio investments.  This is an excellent opportunity for an early career professional with strong analytical and communication skills interested in building their career in private equity.

As the Private Equity Analyst or Associate, your job duties will include:

  • Evaluating investment opportunities
  • Performing financial modeling and analysis
  • Conducting due diligence of potential investment opportunities
  • Monitoring of existing investment portfolio
  • Developing relationships with and working with management
  • Evaluating add-on opportunities

You are the perfect person if you have a:

  • Bachelor’s Degree in finance, accounting, or similar field
  • Minimum of two PE, VC, or IB internships or one year of full-time experience
  • Strong work ethic and initiative
  • Strong verbal and written communication skills
  • Ability to work effectively in a small team environment
  • Strong financial modeling, accounting, and due diligence skills

If you are interested in this Private Equity Analyst or Associate job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

 

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Qualified Medication Administration Personnel

colorado

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Medication Aide to our team. We have full-time, part-time, and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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Qualified Medication Aide

indiana
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Qualified Medication Aide

kansas

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Qualified Medication Aide to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Radiologic Technologist

indiana

Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add talented Radiological Technologists to our team. We offer full-time or part-time opportunities for Radiological Technologists. Facilitate and oversee all operations within our procedure rooms, including educating and preparing the patient, preparing sterile fields and trays, assisting the physician, and operating the c-arm and other necessary equipment.

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Registered Medical Assistant (RMA)

indiana

We are looking to add talented Registered Medical Assistants – RMA to our team. We have full-time opportunities available in the area for Registered Medical Assistant – RMA who desires to work in a primary care office. You are a qualified candidate for this position if you have at least 1 year of Medical Assistant experience but not required.

Position:

  • Full-Time – Days
  • Monday- Friday
  • No Weekends
  • No Holidays

Qualifications:

  • High School Diploma or Equivalent
  • Medical Assistant Certification or Registration (RMA)
  • Knowledge of standard laboratory and medical procedures
  • Basic math, accurate data collection and data entry skills

Responsibilities:

  • A MA is responsible for assisting in the delivery of patient care through the gathering of information during the clinical process under supervision of Registered Nurses
  • Participates in gathering information on patient history
  • Verifies medications
  • Assists in maintaining working areas, supplies, and equipment in good working order
  • Perform other duties as assigned
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Registered Nurse

colorado

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

Networks Connect Healthcare Staffing is looking to add talented Registered Nurses- RN to our team. We offer full-time or part-time opportunities for Registered Nurses- RN who desire to work in long-term care or assisted living facilities, and you can select any shift that works best with your schedule! Please see below for more information about our Registered Nurse- RN positions! Full Medical, Dental, Vision Benefits Available!

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Registered Nurse – RN

vermont

Who We Are: Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add talented Registered Nurse – RN to our team. We offer part-time and PRN opportunities for Registered Nurse – RN who desire to work in long term care or assisted living facilities, and you can select any shift that works best with your schedule!

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Registered Nurse (RN)

indiana

Networks Connect is seeking a skilled and compassionate Registered Nurse to join our team in Indianapolis, IN. As a Registered Nurse, you will provide high-quality patient care and support to individuals in need. This is a rewarding opportunity to make a difference in the lives of patients and their families.

Job Responsibilities:

  • Perform physical examinations and assessments of patients
  • Administer medications and treatments as prescribed by physicians
  • Utilize aseptic technique to ensure infection control
  • Conduct sonography procedures as needed
  • Phlebotomize patients for laboratory testing
  • Provide education and counseling on family planning and reproductive health
  • Utilize Athenahealth or similar electronic medical record systems for documentation and record keeping
  • Monitor and ventilate patients in critical care settings
  • Collaborate with interdisciplinary healthcare team members to develop and implement patient care plans
  • Assist with coding and billing processes as required

Qualifications:

  • Valid Registered Nurse (RN) license in the state of Indian
  • Bachelor’s degree in Nursing (BSN) preferred, but not required
  • Proven experience in providing direct patient care
  • Strong knowledge of medical terminology, procedures, and protocols
  • Excellent communication and interpersonal skills
  • Ability to work effectively in a fast-paced environment

Benefits:

  • Competitive salary based on experience and qualifications
  • Comprehensive healthcare benefits package including medical, dental, and vision insurance
  • Retirement savings plan with employer match
  • Paid time off and holiday pay

If you are a dedicated Registered Nurse looking for an opportunity to make a positive impact on the lives of patients, we encourage you to apply. Join our team of healthcare professionals who are committed to delivering exceptional care. Apply today!

Job Types: Full-time, Travel nursing, Contract, Permanent

Pay: $42.00 – $55.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Relocation assistance
  • Tuition reimbursement
  • Vision insurance

 

Medical specialties:

  • Hematology
  • Medical-Surgical
  • Oncology
  • Primary Care

Physical setting:

  • Clinic
  • Outpatient

Standard shift:

  • Day shift
  • Weekly schedule:
  • Monday to Friday
  • No weekends

License/Certification:

  • RN License (Required)

Indianapolis, IN: Relocate before starting work (Required)

Work Location: In person

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Registered Nurse RN Hematology/Oncology (Telephone Triage)

indiana

Job Title: Registered Nurse RN Hematology/Oncology (Telephone Triage)

Location: Indianapolis, IN

Type: Temporary-to-Hire (16-week contract)

Hourly: $40 – $52/hr

Company Overview:
Join a leading health system in Indiana known for its commitment to providing exceptional patient care and fostering a supportive work environment. This top-rated institution offers a temporary-to-hire opportunity for a Telephone Triage Hematology/Oncology RN in Indianapolis, IN.

Position Overview:
The Telephone Triage Hematology/Oncology RN serves as a vital link between patients and healthcare providers, utilizing clinical expertise to assess patient needs and provide timely and accurate guidance over the phone. This role is pivotal in ensuring patients receive appropriate care, support, and resources, particularly within the specialized fields of hematology and oncology.

Key Responsibilities:

  • Telephonic Assessment: Conduct comprehensive assessments of patients’ symptoms, medical histories, and treatment plans over the phone to determine appropriate care pathways.
  • Clinical Decision Making: Utilize nursing judgment and evidence-based practice to triage patient concerns, providing recommendations for symptom management, medication administration, and follow-up care.
  • Patient Education: Offer clear and concise instructions to patients and their caregivers regarding treatment protocols, medication regimens, potential side effects, and when to seek urgent medical attention.
  • Documentation: Maintain accurate and thorough documentation of all patient interactions, assessments, and recommendations in electronic health records (EHR) systems, ensuring compliance with regulatory standards and institutional policies.
  • Collaboration: Communicate effectively with healthcare providers, including physicians, nurse practitioners, and pharmacists, to coordinate patient care and facilitate referrals as needed.
  • Resource Referral: Identify and connect patients with community resources, support services, and educational materials to enhance their overall well-being and quality of life.
  • Quality Improvement: Participate in ongoing quality improvement initiatives, contributing insights and feedback to enhance the efficiency and effectiveness of telephonic triage services.

Qualifications:

  • Registered Nurse (RN) License: Active RN license in the state of Indiana.
  • Specialized Knowledge: Background in hematology/oncology nursing preferred.
  • Clinical Experience: Minimum of 2 years of clinical nursing experience, with prior experience in telephone triage or remote patient care highly desirable.
  • Communication Skills: Excellent verbal and written communication skills, with the ability to convey complex medical information in a clear and empathetic manner.
  • Critical Thinking: Strong critical thinking and problem-solving abilities, with a focus on delivering safe and effective patient care.
  • Technology Proficiency: Comfortable using electronic health records (EHR) systems and other digital healthcare tools.
  • Team Player: Collaborative mindset with a willingness to work closely with interdisciplinary teams to achieve common goals.

Benefits:

  • Competitive hourly rates
  • Opportunity for permanent employment with a top-rated health system in Indiana
  • Comprehensive benefits package upon conversion to permanent employee status
  • Professional development opportunities and career advancement potential

Application Process:
If you’re a compassionate and skilled RN seeking an exciting opportunity to make a difference in the lives of patients with hematology/oncology needs, we invite you to apply for this Telephone Triage Hematology/Oncology RN position in Indianapolis, IN. Submit your resume and cover letter today to join our dynamic team and embark on a rewarding career journey with our esteemed health system.

Job Types: Full-time, Contract

Pay: $40.00 – $52.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Medical specialties:

  • Hematology
  • Oncology

Physical setting:

  • Outpatient

Standard shift:

  • Day shift

Weekly schedule:

  • 5×8
  • Monday to Friday

Work Location: In person

View Job Listing

Retirement Plan Administrator

Retirement Plan Administrator

If you enjoy multi-tasking, have a positive attitude, and have the experience and skill set described below, we look forward to speaking with you!

Primary Responsibilities

  • Review plan documents and ensure provisions are being adhered to properly. Explain plan document provisions to plan sponsors clearly and precisely.
  • Perform annual plan administration for an assigned caseload of small to mid size complex plans (this will have some large plan Form 5500’s as well) including:
    • asset reconciliation and trust accounting
    • data reconciliation
    • calculation of employer contributions (Safe Harbor, Cross-tested, Integrated)
    • annual allocation,  testing, and reporting
  • Work closely with plan sponsor, accountants, payroll vendors, to resolve any compensation and/or contribution discrepancies between the census and the investment firm.
  • Prepare required governmental filings for assigned caseload.
  • Main point of contact for plan sponsors, payroll vendors, investment firms and plan advisors.

Desired Skills and Experience

  • College Degree or equivalent work experience showing levels of responsibility.
  • Demonstrated excellent written and verbal communication skills
  • Proven strong analytical skills, including experience identifying problems and providing effective resolutions.
  • Effectively establish priorities as related to deadlines.
  • Experience with Relius Administration required
  • Experience with FT Williams and PensionPro a plus (not required)
View Job Listing

Retirement Plan Administrator

Details:  Our client is an aggressively growing boutique firm. They offer a positive work environment that focuses on creating successful outcomes for their staff and clients.

Responsibilities include but are not limited to:

  • Defined Contribution Plan Service
  • Review/interpret Plan Document, amendments, notices and SPD’s
  • Analysis of Census
  • Timely and accurate completion of annual testing and reporting
  • Coverage and other non-discrimination tests
  • Identify key and highly compensated employees
  • Form 5500 and related report preparation
  • Loan calculations
  • Responsible for day to day client interaction

Qualifications:

  • Retirement plan administration experience with TPA
  • Excellent Microsoft Excel and Word skills
  • Excellent analytical and decision-making skills
  • Independently manage workload and prioritization of duties
  • Meeting internal and external deadlines
  • Superior communications skills, both oral and written
  • Understanding of ERISA compliance requirements
  • Commitment to excellence in providing a positive client experience
  • ASPPA designation is a plus but not required at time of application

Benefits:

  • Health Insurance
  • Life Insurance
  • 401(k) & Cash Balance Plan
  • Personal/Vacation and Flex Time
  • Competitive Compensation based on level of experience
View Job Listing

Retirement Plan Administrators

Networks Connect is conducting a search for a Retirement Plan Administrator (Remote).  In this position you will provide exceptional customer service to our broad client base of Plan Sponsors/Employers, Financial Advisors, CPA’s, Recordkeeper Contacts, and other partnerships), while performing technical plan administration at a high level of quality.  Continue developing and sustaining partnership relationships with our entire client base.

Responsibilities and Duties:

  • Responsible for servicing a plan book of business of 70 to 90 plans. From solo plans to +100 participant plans to plan’s that require no 5500 series filings.
  • Provide clear communication that conveys the right information to our client base, while performing routine compliance administration.
  • Utilize current, standardized administration and tools (excel templates etc.) to perform all administrative reports.
  • Sort through obtained data to meet timely testing deadlines that meet client expectations for such deliveries.
  • Able to understand Plan Documents and how they relate to ongoing administration.
  • Work with Recordkeeper data that is most likely received in varied formats and systems to reconcile Plan Assets.
  • Understand the intricacy of plan asset reconciliations, document distributions, including Required Minimum Distribution calculations, contributions, earnings, transfers, adjustments etc. that may have transpired throughout the Plan year.
  • Provide timely contribution calculations and monitor IRS maximums and limits.
  • Accurate and timely completion of IRS Forms (5500 series, 5330, 1099R’s and others)
  • Ability to provide our client with the necessary direction and resources that assist Plan needs (payroll questions, corrections or adjustments and any other plan related items).
  • Continue to seek ways to improve our processes and services. Maintain client and plan data according to set administrative electronic path (Box…).

Qualifications:

  • Prefer college graduate, but not required.
  • 2 to 3 years of TPA compliance and administration
  • Seeking QKA, QPA, APA, CEBS or other retirement plan designations
  • Proficient in excel, working knowledge of Outlook, word etc.
  • Ability to quickly learn ASC, Retirement Data base.
  • Detail oriented, ability to multitask, adapt quickly to changes, exceptional organizational skills, adapt to changed priorities necessary to meet new deadlines.
  • Maintain a positive outlook and attitude.
View Job Listing

Retirement Plan Consultant

Networks Connect LLC is conducting a search for a remote 403(b) Account Manager on behalf of a industry leading client. You are the perfect candidate if you maintain client/advisor relationships, perform compliance testing and contribution calculations, prepare Form 5500, and enjoy working with auditors.

If you are interested in this 403(b) Account Manager job, please apply today by submitting your resume.

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Retirement Plan Consultant

Are you an experienced Retirement Plan Consultant or Administrator looking for a new remote career opportunity? We have multiple positions available with our rapidly growing clients that are fully remote and designed to help businesses maximize their corporate retirement plan through creative plan design, consistent plan monitoring, and compelling client service.

Responsibilities may include:

  • A-Z retirement plan administration.
  • Single point of contact and ownership for assigned clients and financial advisors.
  • Census scrubbing and eligibility determination.
  • Compliance Testing: HCE/ Key determination, Top Heavy, ADP/ACP, 410(b), 401(a)(4), and 415.
  • Ensure compliance with DOL and IRS requirements.
  • Calculation of contribution allocations.
  • Self-Employment Income calculations.
  • Reconciliation of plan trust assets.
  • Completion of annual valuation reports.
  • Preparation of required government filings, including Form 5500 series.

Preferred Skills and Experience:

 

  • Retirement administration in a remote environment.
  • Experience with FT William software, Relius, ASC, Datair and Pension Pro.
  • Strong competency with Microsoft Excel.
  • ASPPA QKA or QPA certified.
  • Knowledge of ERISA, combined plan testing, DB/DC administration.
  • Outstanding client relationship management skills, service, and support.
View Job Listing

Retirement Plan Consultant (DC/DB)

A rapidly growing Third Party Administration firm has an immediate opening for Defined Contribution & Defined Benefit retirement plan administrator/consultants.

Our client offers a team approach where employees are encouraged to share ideas, be open to change, and work together to create a fun and productive work environment.

Responsibilities include:

  • A-Z retirement plan administration.
  • Consulting with clients to achieve their desired retirement plan goals.
  • Census scrubbing and eligibility determination.
  • Compliance Testing: HCE/ Key determination, Top Heavy, ADP/ACP, 410(b), 401(a)(4), and 415.
  • Calculation of contribution allocations.
  • Self-Employment Income calculations.
  • Reconciliation of plan trust assets.
  • Completion of annual valuation reports.
  • Preparation of required government filings, including Form 5500 series.

Qualifications:

  • 5+ Years of plan administration experience is preferred.
  • Excellent client service and communication skills.
  • Strong organizational skills and attention to detail.
  • Software skills: Excel, Word, Outlook, Adobe.
  • Ability to work as a part of a team or independently.
  • Knowledge of FT Williams and/or Pension Pro software is a plus.
  • Defined Contribution and/or Defined Benefit Experience is a must.

We will happily entertain working with remote employees, and offer a flexible work schedule, benefits, and personal time off.  We are confident our firm provides a dynamic, flexible, and personable work environment, in which our employees are treated as unique individuals.  Contact us if you’d like to learn more!

 

Please email resume to SMinor@ncstaffing.com

View Job Listing

Revenue Cycle Operations and Quality Assurance Trainer

Networks Connect is conducting a search on behalf of our client, a local prominent healthcare system, for a Revenue Cycle Operations and Quality Assurance Trainer. Join this team to play a pivotal role in shaping the future of healthcare services. This position requires a passionate individual to develop, facilitate, and enhance training and development programs within the Revenue Cycle domain.

Key Responsibilities:

  • Design and Develop Training Programs: Create engaging training materials for revenue cycle management, ensuring an impactful learning experience.
  • Facilitate Training Sessions: Deliver powerful presentations and orientation sessions, utilizing strong communication skills.
  • Manage Training Logistics: Coordinate all aspects of training, including registration, documentation, and logistics.
  • Conduct Competency Tests: Develop and administer tests to measure training effectiveness.
  • Collaborate on Quality Outcomes: Work with teams to implement, monitor, and measure quality improvements in revenue cycle processes.

Qualifications:

  • Bachelor’s Degree in a relevant field (Required).
  • 3+ Years of Experience in developing training materials, performance improvement, and program management within the revenue cycle sector.
  • Certifications: ATD or DDI certification (to be completed within the first year of hire).
  • Technical Proficiency: Experience with Microsoft Publisher, Office, Adobe Captivate, or Articulate Storyline is highly desirable.
  • –          Exceptional Analytical and Presentation Skills: Strong ability to communicate complex concepts effectively.

Why Join?

  • Impactful Work: Make a difference in the healthcare sector with your expertise.
  • Growth Opportunities: Continuous professional development in a supportive environment.
  • Inclusive Culture: Be part of a team that values diversity and innovation.

 

View Job Listing

RN Case Manager – Utilization Management

RN Case Manager – Utilization Management

Description

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, our Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. We support the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large.

Qualifications

  • Minimum Education
  • Bachelor’s Degree (Required)
  • Minimum Work Experience
  • 5 years With at least three in clinical nursing. At least one year experience in Utilization Management with knowledge of utilization review criteria. Experience in one or more of the following areas: case management, designated/pediatric specialty (Required)
  • Functional Accountabilities
  • Professional Practice/Research
  • Participate in Shared Leadership.
  • Contribute to the MAGNET Journey
  • Ensure that nursing practice is based on evidence of best practice.
  • Accountable for participating in the Nursing Division’s Performance Improvement process (division or unit level).
  • Participate in community activities.

Job Type: Full-time

 

Salary: $90,000.00 – $115,000.00 per year

 

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Healthcare setting:

  • Acute care
  • Inpatient

Schedule:

  • 8 hour shift
  • Monday to Friday
  • No weekends

Ability to Relocate:

  • Washington, DC: Relocate before starting work (Required)

Work Location: In person

View Job Listing

RN Case Manager – Utilization Review

RN Case Manager – Utilization Management

Description

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, our Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. We support the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large.

Qualifications

Minimum Education

Bachelor’s Degree (Required)

Minimum Work Experience

5 years With at least three in clinical nursing. At least one year experience in Utilization Management with knowledge of utilization review criteria. Experience in one or more of the following areas: case management, designated/pediatric specialty (Required)

Functional Accountabilities

  • Professional Practice/Research
  • Participate in Shared Leadership.
  • Contribute to the MAGNET Journey
  • Ensure that nursing practice is based on evidence of best practice.
  • Accountable for participating in the Nursing Division’s Performance Improvement process (division or unit level).
  • Participate in community activities.

Job Type: Full-time

Salary: $90,000.00 – $110,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Healthcare setting:

  • Acute care
  • Inpatient

Schedule:

  • 8 hour shift
  • Monday to Friday
  • No weekends

Ability to Relocate:

  • Washington, DC: Relocate before starting work (Required)

Work Location: In person

View Job Listing

RN Case Manager | Discharge Planner – Ambulatory Care

RN Case Manager | Discharge Planner – Ambulatory Care

Description

The Case Manager II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of services. Engage in outreach activities in the community. Assist with administrative tasks, as needed. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, our Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. We supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large.

Qualifications

Minimum Education: BSN

Minimum Work Experience

5 years With at least three in a pediatric setting. (Required)

Required Licenses and Certifications

Registered Nurse (Required) Current certification in Case Management (Preferred)

Responsibilities:

– Provide direct patient care and case management services to assigned patients

– Conduct comprehensive assessments of patients’ medical, social, and emotional needs

– Develop and implement individualized care plans in collaboration with the healthcare team

– Coordinate and facilitate communication between patients, families, and healthcare providers

– Monitor patient progress and adjust care plans as necessary

– Educate patients and families on disease management, treatment options, and available resources

– Ensure compliance with HIPAA regulations and maintain patient confidentiality

– Collaborate with other healthcare professionals to optimize patient outcomes

– Utilize medical terminology and knowledge of diagnostic evaluation to assess patient needs

Qualifications:

– Valid RN license in the state of employment

– Minimum of 2 years of experience in acute care or pediatric setting

– Strong knowledge of hospital policies, procedures, and protocols

– Experience in utilization management and managed care preferred

– Familiarity with HIPAA regulations and ability to maintain patient confidentiality

– Proficient in conducting vital signs assessments and interpreting results

– Excellent communication skills, both verbal and written

– Ability to work independently and as part of a multidisciplinary team

We offer competitive compensation packages, including benefits such as:

– Health insurance coverage

– Retirement savings plan with employer match

– Paid time off and holidays

If you are a compassionate and dedicated Registered Nurse with experience in case management, we invite you to apply for this position. Join our team of healthcare professionals who are committed to providing high-quality care to our patients. Apply today!

Job Type: Full-time

 

Salary: $90,000.00 – $110,000.00 per year

 

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday
  • No weekends

Work setting:

  • Acute care
  • Inpatient

Ability to Relocate:

  • Washington, DC: Relocate before starting work (Required)

Work Location: In person

View Job Listing

RN Case Manager | Utilization Management

maryland

Networks Connect Professional Staffing is conducting a search on behalf of our client for an RN Case Manager/Utilization Management.

Responsibilities:

  • Conduct timely clinical reviews drawing upon appropriate resources and apply nationally recognized criteria to support medical necessity of patient observation admission or inpatient admission and continued hospitalization.
  • Address treatment delay, potential and actual denials with the Attending physician and other relevant members of the healthcare team.
  • Provide clinical reviews to third party payers and validates authorization or denial of services from them.
  • Document approved and denied services in STAR to facilitate meaningful data analysis.
  • Communicate verbally and/or written e.g., email) with payers and healthcare team in a clear, timely, accurate and professional manner and/or organized in a professional format.

Qualifications:

  • BSN (required), MSN (preferred)
  • 5 years With at least three in clinical nursing. At least one year experience in Utilization Management with knowledge of utilization review criteria. Experience in one or more of the following areas: case management, designated/pediatric specialty

Job Type: Full-time

Pay: $100,000.00 – $125,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Work setting:

  • Hospital

Work Location: In person

View Job Listing

Sales Account Manager (Remote)

indiana, illinois, ohio

Networks Connect is conducting a search on behalf of our client, a company with over 41 years of expertise in the promotional products and customized apparel industry. They are seeking a motivated and experienced Sales Account Manager to join their team. The ideal candidate will have a background in the promotional products industry and a proven track record of success in sales. This role involves prospecting new business opportunities, building and maintaining client relationships, and achieving sales targets.

Responsibilities:

  • Prospect and identify new business opportunities within commercial and retail businesses.
  • Develop and maintain strong relationships with existing and potential clients.
  • Present and promote company promotional products and services to prospective customers.
  • Prepare and deliver sales presentations and proposals.
  • Negotiate contracts and close sales.
  • Meet or exceed sales targets and objectives.
  • Understand and effectively communicate the design, production, and customization aspects of promotional products to clients.
  • Stay updated on industry trends and competitor activities.
  • Maintain accurate records of sales activities and client interactions in the CRM system.

Qualifications:

  • Sales experience within the promotional products and customized apparel industry is required.
  • Established book of business and strong network within the industry is strongly preferred.
  • Excellent communication, negotiation, and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Strong organizational and time-management skills.
  • Valid driver’s license and willingness to travel as needed.

What We Offer:

  • Competitive compensation structure
  • Remote work
  • Full Benefits Package
  • Mileage reimbursement
  • Cell Phone reimbursement
  • Opportunities for professional growth and development.
  • A supportive and collaborative work environment.
View Job Listing

Sales Account Manager (Remote)

illinois

Networks Connect is conducting a search on behalf of our client, the largest custom sign company in Chicago and Northwest Indiana. They are seeking a motivated and experienced Sales Account Manager  to join their team. The ideal candidate will have a background in the sign industry and a proven track record of success in sales. This role involves prospecting new business opportunities, building and maintaining client relationships, and achieving sales targets.

Responsibilities:

  • Prospect and identify new business opportunities within commercial businesses and contractors.
  • Develop and maintain strong relationships with existing and potential clients.
  • Present and promote company products and services to prospective customers.
  • Understand and effectively communicate the design, installation, and electrical components of signage solutions to clients.
  • Prepare and deliver sales presentations and proposals.
  • Negotiate contracts and close sales.
  • Meet or exceed sales targets and objectives.
  • Stay updated on industry trends and competitor activities.
  • Maintain accurate records of sales activities and client interactions in the CRM system.

Qualifications:

  • Sales experience within the sign industry is required.
  • Established book of business and strong network within the industry is strongly preferred.
  • Excellent communication, negotiation, and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Strong organizational and time-management skills.
  • Valid driver’s license and willingness to travel as needed.

What We Offer:

  • Competitive commission structure
  • Remote work
  • Opportunities for professional growth and development.
  • A supportive and collaborative work environment.
View Job Listing

Sales Manager

indiana

Sales Manager job in Columbus, IN area:

Networks Connect LLC is hiring a Sales Manager to be located in the Columbus, IN area. You are a great candidate for this position if you have sales experience in the manufacturing or industrial business sector. In this position you will play a pivotal role in driving revenue growth by overseeing the major existing accounts promoting products and services.

As the Sales Manager, your job duties will include:

  • Develop and implement strategic sales plans to achieve company targets and objectives.
  • Providing guidance, training, and performance evaluations.
  • Identify new business opportunities and develop relationships with prospective clients.
  • Accurately forecast sales projections and monitor market trends to capitalize on emerging opportunities.
  • Collaborate with cross-functional teams, including production, engineering, and customer service, to ensure customer satisfaction and successful project delivery.
  • Utilize your industry knowledge to stay informed about market trends, competitors, and customer needs.

You are the perfect person if you have:

  • Bachelor’s degree in business administration, sales, or a related field preferred.
  • Proven track record of success in sales, preferably in the metal fabrication manufacturing industry.
  • Experience in managing and leading a sales team.
  • Strong communication, negotiation, and interpersonal skills
  • Exceptional ability to build and maintain long-term client relationships.
  • Proficiency in Microsoft Office Suite.
  • Self-motivated, proactive, and results-driven individual with a passion for sales.

If you are interested in this Sales Manager job, please apply today by submitting your resume.

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Senior Accountant

indiana

Senior Accountant position in Indianapolis, IN

Networks Connect is conducting a search for a Senior Accountant position to be in Indianapolis, IN. You may be a great candidate for this position if you have a bachelor’s degree in accounting and a minimum of 6 years of accounting experience. In this position, you will be responsible for the month-end-close process, preparing journal entries, biweekly payroll review, account reconciliations and maintenance of fixed assets system and schedules. Additionally, you will assist with the Medicare Cost Report, various ad hoc audits, reviews and surveys, the preparation of annual property taxes, coordination and insurance of K-1 tax documents to owners, preparing and reviewing month-end reports, the preparation of monthly budget variance reports and associated notifications, and participation in the annual budget process.

Your duties will include:

  • Maintains financial records and the general ledger for the hospital and its subsidiary. Prepares and executes the month-end close process by preparing monthly general and standard journal entries, prepares quarterly distribution schedules, maintains fixed asset schedules, and performs account reconciliations for assigned companies on a recurring basis. Responsible for maintaining chart of accounts as needed by adding accounts, inactivating accounts, etc.
  • Maintains the hospital Cost Accounting system.
  • Prepares the annual budget for various entities of the organization with oversight and guidance from accounting leadership. Assists with the preparation and compilation of monthly budget variance reports. Responsible for the coordination of budget compilation both annual and monthly, by working with interdepartmental contacts within the organization to ensure timely, accurate completion.
  • Assists independent auditors within interim and year-end audit and Medicare Cost Report for the hospital.
  • Assists in training assigned staff including Staff Accountants and Accounts Payable. Supports department by answering questions and providing guidance on policies and procedures.
  • Maintain working knowledge of all governmental regulations and practices (GAAP) affecting accrual-based hospital finance and accounting procedures.
  • Actively participates in annual, quarterly, and cyclical financial requirements and processes, such as property taxes, distributions, K-1 reconciliations, audits/reviews, and property tax return preparations.

Qualifications and Required Skills:

  • Bachelor’s degree in accounting required.
  • 6-8 years of experience required 8-10 years of experience preferred.
  • Previous healthcare experience preferred.
  • Intermediate to Expert Level of proficiency in Microsoft Excel
View Job Listing

Senior Accountant (HYBRID)

indiana

Networks Connect Professional Staffing is conducting a Senior Accountant search on behalf of our client which will have a hybrid work schedule…. Reporting to the CFO, this crucial position entails leading and supervising all aspects of the client’s accounting practices, including but not limited to, the development and analysis of financial reports, maintaining a robust accounting record system, and establishing a series of controls and budgets to reduce risk, improve financial result accuracy, and guarantee compliance with standard accounting principles.

Responsibilities:

  • Prepare and review financial statements in accordance with GAAP and relevant regulations.
  • Manage monthly bank, credit card, and general ledger reconciliations.
  • Reconcile balance sheet accounts
  • Assist in the monthly closing cycle, including journal entries and variance analysis.
  • Support budget preparation and review, including forecasting and cash management.
  • Ensure compliance with internal controls, accounting policies, and external audits.
  • Develop and maintain financial records, including fixed assets and amortization schedules.
  • Coordinate and assist with tax filings, payroll processing, and accounts payable/receivable as needed.
  • Communicate effectively with internal and external stakeholders, including auditors and other departments.
  • Recommend improvements to enhance efficiencies and accuracy of financial reporting.

Qualifications:

  • Bachelor’s degree in Accounting, Finance, or a related field; CPA or MBA preferred.
  • Minimum of 3-5 years of experience in accounting. Public accounting experience is a plus.
  • Strong understanding of accounting principles, financial statement preparation, and compliance requirements.
  • Proficient in Microsoft Office, especially Excel, and familiarity with accounting software such as Oracle, Sage Intacct, or Microsoft Dynamics.
  • Excellent analytical, organizational, and communication skills.
  • Ability to work independently and as part of a team, manage multiple tasks, and meet deadlines.
  • Commitment to maintaining high accuracy and attention to detail.
View Job Listing

Senior Analyst – Managed Care

florida

Managed Care Senior Analyst

Networks Connect LLC is conducting a search for a Managed Care Senior Analyst job located in Sarasota, FL.  In this position, you will support all contracting activities and serve as the contract modeling expert responsible for complex, accurate modeling of proposed contracts in organization’s managed care software, as well as, loading finalized contracts into the system, in addition to ongoing maintenance and updates to contract terms.

As the Managed Care Senior Analyst, your job duties will include:

  • Reviewing and analyzing managed care contracts.
  • Performing Rate Management analysis.
  • Communicating complicated financial data to all levels of management and staff.
  • Working heavily in spreadsheet programs, word processing, database programs, and various Microsoft applications.
  • Managing multiple functions and responsibilities simultaneously and problem solving and thinking both creatively and analytically.

You are the perfect person if you have a:

  • Bachelor’s Degree in related field required.
  • Minimum of Two (2) to eight (8) years of healthcare financial/analytical responsibilities at a medium or large health care organization or large payor requiring a high use of critical thinking, complex analytical skills, and complex modeling
  • Master’s Degree preferred.
  • SQL experience a plus
  • Power BI experience a plus

If you are interested in this Managed Care Senior Analyst job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

 

View Job Listing

Senior Medical Coder (Remote – Florida)

florida

Senior Medical Coder (Remote – Florida)

Senior Inpatient Medical Coder (REMOTE – must live in Florida)

Networks Connect Professional Staffing is conducting a search for a Senior Inpatient Medical Coder on behalf of a Florida client. The coder applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval and analysis and claims processing for inpatient and outpatient encounters.

Requirements for Senior Inpatient Medical Coder

  • Require a minimum of three (3) years of work experience as a coder with a portion of the coding experience inpatient focused.
  • Require certification by American Health Information Management Association (AHIMA) certification as a Certified Coding Specialist (CCS) – OR – certification by American Academy of Professional Coders (AAPC) as a Certified Inpatient Coder (CIC).
  • MUST live in Florida
View Job Listing

Senior Medical Economics Analyst

florida

Senior Medical Economics Analyst

Networks Connect LLC is conducting a search for a Senior Medical Economics Analyst job located in the Ocala, FL area.  To be qualified for this position, you must be experienced in writing SQL queries.  In this position, you will provide analysis of medical costs as well as revenue via reporting packages, metrics, and dashboards.  You will be a key go to team member for financial and operational analytics.

As the Senior Medical Economics Analyst, your job duties will include:

  • Acting as the team lead for the Medical Economics department and assisting the Supervisor of Medical Economics in developing the team and department.
  • Assisting in training , onboarding, and orienting the new Medical Economic team members to the department.
  • Enhancing current processes and developing new processes to increase reporting capabilities across the Medical Economics team.
  • Analyzing Medicare Advantage medical claims data provided by health plan partners.
  • Collaborating with colleagues to determine information needs, assessing information availability, accessing, and analyzing appropriate data and finalizing reports.
  • Assisting with the maintenance of business-critical information systems in presentation format for the Executive Team and Board of Directors.
  • Working with membership files from health plan(s) to ensure proper payments are received from health plan(s) on Medicare Advantage risk population.
  • Providing analytics to organization regarding Medicare Advantage population cost trends.

You are the perfect person if you have a:

  • Bachelor’s degree in management of Information Systems, Health Care Administration, Business Analytics, or related field
  • Must have experience working with SQL and Microsoft Office
  • Experience with Power BI is desired.
  • Strong analytical ability for solving complex financial, organizational, and departmental issues

If you are interested in this Medical Economics Analyst job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

View Job Listing

Senior Patient Access Operations Coordinator

Networks Connect Professional Staffing is conducting a search on behalf of our client for a Senior Patient Access Operations Coordinator. This leader will be responsible for coordination of business operations of the Patient Access Department. Supervise, train, mentor, and develop staff to ensure departmental objectives are met.

As the Senior Patient Access Operations Coordinator your job duties will include:

  • Responsible to coordinate the business and administrative operations of the 24/7 Patient Access Department.
  • Perform supervisory duties which include hire, train, and evaluate the Patient Access team. (Admissions, Emergency Department, Laboratory and Radiology Registration and Scheduling, and Financial Clearance).
  • Emphasis is placed on customer service, patient satisfaction, staff development, and fiscal goals. Responsible to assist in managing the financial aspects of the department and the quality assurance activities.
  • Work with medical, nursing, and accounting staff to ensure appropriate patient placement. This position will rotate call, weekend and shift coverage as needed.
  • In addition, will float between the different locations within Patient Access as needed.

You are the perfect person if you have:

  • 4 years Related and progressive experience (Required)
  • 7 years Without degree; related and progressive experience, preferably in healthcare field (Required)
  • 1 year Supervisory or leadership experience in healthcare operations (Required)
  • Associate’s Degree Business Administration or health care preferred (Required)
  • Bachelor’s Degree (Preferred)
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Senior Patient Access Operations Coordinator

Networks Connect is seeking a dedicated and experienced Senior Patient Access Operations Coordinator, on behalf of our client, a prominent local healthcare system, to oversee our Patient Access Department’s operations. This role is crucial for maintaining the highest standards of customer service, patient satisfaction, and efficient departmental functionality.

Key Responsibilities:

  • Lead and manage the Patient Access team, which includes Admissions, Emergency Department, Laboratory and Radiology Registration, Scheduling, and Financial Clearance.
  • Drive excellence in customer service and patient satisfaction while achieving fiscal goals.
  • Coordinate the business and administrative operations of our 24/7 Patient Access Department.
  • Supervise, train, mentor, and develop staff to meet departmental objectives.
  • Manage financial aspects and quality assurance of the department.
  • Collaborate with medical, nursing, and accounting teams for optimal patient placement.
  • Rotate call, weekend, and shift coverage; float between various Patient Access locations.

Qualifications:

  • -Education: Associate’s Degree in Business Administration or Healthcare (Required), Bachelor’s Degree (Preferred).
  • Experience: 4+ years of related experience in healthcare operations, including at least 1 year in a supervisory or leadership role.
  • -Skills: Computer literacy, strong problem-solving, critical thinking, ability to work independently, professional handling of public and hospital staff.
  • -Certifications: Must obtain CHAA Certification within the first year of hire.
  • -Other Requirements: Proficiency in typing (35-40 WPM), passing typing and Microsoft proficiency assessment, knowledge of medical insurances, terminology, and CPT-4/ICD-10 coding.

Why Join Us?

  • Opportunity to work in a dynamic and supportive environment.
  • Competitive salary and benefits.
  • Be part of a team that makes a difference in patient care and services.

Apply Now:

Become a key player in our renowned healthcare facility. Apply today to contribute your skills and experience to our Patient Access team!

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Senior Plan Administrator – Relius Expert

Our client understands that any goal is achieved based on the effectiveness of the team. That’s why team development, leadership, and personal effectiveness are cornerstones of their vision. By promoting a culture that fosters self-improvement, upward mobility, and continued education, they commit to strive for excellence every day. Their highly-trained team is prepared to help clients with any obstacles they may face.

They are honored to receive recognition as one of the top firms in the nation, a Best of the Best CPA firm, and one of the best firms in the nation for women. Though these honors are prestigious, they are side effects of their chief goal: client success. When their clients win, they win. This has been their driving force for 90 years, and it will continue to be for the next 90.

Position Summary:

The Senior Retirement Plan Administrator is responsible for accurately and professionally administering the plan sponsors’ retirement plans. The Senior Retirement Plan Administrator will manage the assigned plans and will be responsible for meeting all plan filing deadlines and plan requirements.  This position also includes daily consultation with investment advisors, investment providers, plan sponsors, and tax professionals, along with providing leadership and supervision to the Retirement Plan Administrators on the team.

Specific Responsibilities:

  • Subject matter expert for the Relius recordkeeping software
  • Supervision of the day to day activities of the Retirement Plan Administrators
  • Prepare annual reports to include the following:
    • Employee Census Eligibility Calculations.
    • Nondiscrimination, Coverage, and Top Heavy testing.
    • Employer Match and Non-elective Contribution calculations.
  • Process participant distributions and loans.
  • Reconciliation of plan assets and participant loans.
  • Preparation of form 5500 and applicable schedules.

Qualifications:

  • Associates Degree or higher required.
  • 5+ years of Retirement Plan Administration experience required.
  • Experience with Relius recordkeeping software required.
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Senior Program Manager (Revenue Cycle- Healthcare)

Networks Connect is conducting a search on behalf of our client, a local prominent healthcare system, for a **Senior Program Manager in Revenue Cycle Management** in Washington, DC! In this pivotal role, you’ll work under the guidance of the director, providing essential project management and financial oversight across departmental activities. Your mission will be to streamline operations and contribute to strategic planning in line with national standards and their organizational policies.

Key Qualifications:

  • Master’s Degree (Required): Equivalent professional experience may substitute for education on a 1-to-1 basis.
  • Minimum of 5 Years’ Experience in Healthcare: Strong focus on program development, process improvement, and project leadership.
  • Skills: Expertise in Revenue Cycle management, leadership abilities, exceptional communication skills, analytical and problem-solving capabilities, budget and financial management knowledge, and proficiency in Microsoft Access & Excel.

Responsibilities:

  • Strategic Planning: Develop departmental strategies, analyze stakeholder feedback, and adapt communication and program plans accordingly.
  • Program Administration: Oversee program development, ensure operational excellence within budget, and maintain compliance with regulatory standards.
  • Human Resources and Relationship Management: Lead and develop a skilled team, ensuring effective performance management and building professional networks.
  • Budget and Financial Planning: Participate in budget planning, manage departmental finances, and track financial performance.
  • Operations Management: Innovate operational methods, engage with various stakeholders for implementation, and communicate progress effectively.

Why Join Them?

  • Impactful Role: Influence healthcare delivery through effective revenue cycle management.
  • Growth Opportunities: Develop professionally in a supportive, forward-thinking environment.
  • Teamwork and Innovation: Collaborate with a team committed to excellence and innovation in healthcare.

Apply Now!

Become a key player for their healthcare team and drive essential change in revenue cycle management. We’re looking for a leader like you!

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Senior Retirement Plan Administrator

Networks Connect is conducting a search for a Senior Retirement Plan Administrator.  In this position you will provide exceptional customer service to our broad client base of Plan Sponsors/Employers, Financial Advisors, CPA’s, Recordkeeper Contacts and other partnerships), while performing technical plan administration at a high level of quality.  Continue developing and sustaining partnership relationships with our entire client base.  Provide a level of interpersonal skills that demonstrate leadership while performing select training to interoffice colleagues.  Share expertise and confidence while mentoring peers to achieve company goals.

Responsibilities and Duties:

  • Responsible for servicing a plan book of business of 90 to 95 plans. From solo plans to +100 participant plans to plan’s that require no 5500 series filings.
  • Assist with colleague training as needed.
  • Undertake more complex projects as needed.
  • Provide clear communication that conveys the right information to our client base, while performing routine compliance administration.
  • Utilize current, standardized administration and tools (excel templates etc.) to perform all administrative reports.
  • Must be detailed oriented in all aspects of administration; including detailed, notes, cell links and documentation.
  • Sort through obtained data to meet timely testing deadlines that meet client expectations for such deliveries.
  • Able to understand Plan Documents and how they relate to ongoing administration.
  • Work with Recordkeeper data that is most likely received in varied formats and systems in order to reconcile Plan Assets.
  • Understand the intricacy of plan asset reconciliations, document distributions, including Required Minimum Distribution calculations, contributions, earnings, transfers, adjustments etc. that may have transpired throughout the Plan year, including recordkeeping conversions.
  • Provide timely contribution calculations and monitor IRS maximums and limits.
  • Accurate and timely completion of IRS Forms (5500 series, 5330, 1099R’s and others)
  • Assist colleagues with their questions by providing insight and options.
  • Ability to provide to our clients, necessary direction and resources that assist Plan needs (payroll questions, corrections or adjustments, Plan design questions and any other plan related items).
  • Continue to seek ways to improve our processes and services. Maintain client and plan data according to set administrative electronic path (Box…).
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Social Worker, LMSW

ohio

Who We Are

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry. Full Medical, Dental, Vision Benefits Available!

Job Description

We are looking to add talented Social Worker – master’s to our team. We have full-time and part-time opportunities available in the area, for those who desire to work in long-term care and assisted living facilities. Extremely flexible scheduling and Competitive pay.

Responsibilities

  • Identify and participate in process improvement initiatives that improve the customer experience, enhance workflow, and/or improve the work environment
  • Assist in collecting social history data and in the development of a comprehensive discharge plan, including the MDS and Care Plan for new admits, as directed by the Director
  • Orient and assist new residents in adjusting to the facility
  • Assist residents and families with adjustment to changes, including room changes
  • Assist families with the engraving and/or marking of resident’s personal items

Qualifications

  • At least one year experience in social work, preferably in a long-term care facility
  • Bachelors or Master’s degree in social work, sociology or psychology or in a related human services field, including but not limited to, special education, rehabilitation and counseling
  • Effective verbal and written English communication skills
  • Highest level of professionalism with the ability to maintain confidentiality
  • Ability to communicate at all levels of organization and work well within a team environment in support of company objectives
  • Customer service oriented with the ability to work well under pressure
  • Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity

Benefits

  • Competitive pay and weekly paychecks
  • Health, Dental and Vision insurance
  • Overtime rates over 40 hours
  • Benefit eligibility is dependent on employee status
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State Registered Nurse Aide (SRNA)

kentucky

Job Description

We are looking to add talented State Registered Nurse Aide (SRNA) to our team. We have full-time, part-time, and PRN opportunities available in the area for State Registered Nurse Aide (SRNA) who desire to work in long term care and assisted living facilities. Extremely flexible scheduling and a wide range of facilities to choose from for State Registered Nurse Aide (SRNA).

Benefits

  • Competitive pay and weekly paychecks
  • Health, Dental and Vision insurance
  • Overtime rates over 40 hours
  • Benefit eligibility is dependent on employee status

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State Tested Nursing Assistant (STNA)

kentucky

State Tested Nursing Assistant 

Networks Connect is conducting a search for a State Tested Nursing Assistant- STNA job to be in the Ft. Thomas area.  We offer part-time or PRN opportunities for State Tested Nursing Assistants- STNAs who desire to work in long term care or assisted living facilities, and wish to select the shifts that work best for your schedule! Please see below for more information on our STNA positions!

You are the perfect person if you have:

  • 1 year of experience in any healthcare field (preferred)
  • Long Term Care Experience (preferred)
  • Current, valid Licensed Practical Nurses – STNA license or certification in the state of OH and Kentucky
  • Certification in CPR (BLS)
  • Excellent communication skills

If you are interested in this Certified Nursing Assistant job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Training Specialist (Patient Access)

Networks Connect is conducting a search on behalf of our client, a prominent healthcare system, for a Training Specialist FT/PRN. As a Training Specialist, you will be instrumental in enhancing the professional skills of the employees. You will design, develop, and coordinate comprehensive training and development programs tailored to meet the company’s needs. This role involves delivering engaging training and orientation sessions, maintaining meticulous documentation of training activities, and managing all aspects of training logistics. Additionally, you will prepare and administer competency tests to ensure the effectiveness of the training provided.

Key Responsibilities:

  • Training Development: Assist in the creation and refinement of training sessions and materials. Maintain a deep understanding of our business environment to align training with our strategic goals.
  • Training Implementation: Lead training sessions, manage competency testing, and conduct orientations for new staff.
  • Training Logistics: Oversee the training calendar, coordinate resources, and handle logistics for all training activities.
  • Safety and Compliance: Ensure all training activities comply with safety standards and organizational policies.
  • Continuous Improvement: Collect and analyze feedback to enhance the quality and relevance of training programs.

Qualifications:

  • Education: Bachelor’s degree or equivalent in a related field (Required).
  • Experience: Minimum of 2 years in a similar role, with a strong background in developing and implementing employee training programs.
  • Skills: Proficiency in Microsoft Office, Microsoft Publisher, and digital communication tools.
  • Personal Traits: Excellent communication skills, ability to facilitate groups, detail-oriented, and a commitment to promoting safety and quality within the workplace.

Organizational Commitments:

  • Uphold the mission and core principles of the organization.
  • Foster a diverse, inclusive, and respectful workplace.
  • Demonstrate integrity and confidentiality in all interactions.
  • Deliver outstanding customer service and collaborate effectively with team members.

Why Join Us?

Our client organization is dedicated to making a difference through their people. They offer a dynamic work environment where you can truly impact the team’s growth and success. They support your professional development and provide opportunities to advance within the organization.

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Withdrawal Management Medical Assistant (MA)

indiana

Networks Connect is hiring a Withdrawal Management Medical Assistant position for one of our clients based in Indianapolis, IN.  Our client is a mission driven organization with its message based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.

Job Objective

The Withdrawal Medical Assistant provides basic monitoring of clients’ physical and medical status. Assist with admission assessments and discharges. Facilitate in providing a caring and safe environment for each client. Teach education classes as scheduled. Assist the medical staff on duty and ensure the Mission is effectively carried out.

Responsibilities

  • Conduct Intake Assessments:
    • Collect medical, social, emotional, and demographic data to assess for appropriate admissions into Withdrawal Management based on written policies and the Utilization Review manual.
  • Record Keeping:
    • Record information and details relating to chronic or acute illnesses, incidents, known withdrawal complications, and all prescribed medications taken by the clients in their records.
  • Scheduling and Monitoring:
    • Schedule and arrange for physical examinations by the physician and nursing staff.
    • Conduct ongoing monitoring of medical and physical status as instructed by the primary physician.
    • Follow standard time regimens for taking and recording vital signs.
  • Observation and Charting:
    • Observe and chart clients for withdrawal signs, unusual activities or behaviors, verbal complaints of physical or psychological problems, and report to the Licensed Practical Nurse, Clinical Director, and/or Physician.
    • Chart all pertinent data including medical/health conditions, physician’s orders, complications related to withdrawal, and general health vital signs.
  • Client Care:
    • Provide for the physical, medical, and emotional needs of all clients as needed.
    • Perform technical treatment as indicated and/or directed by written physician orders and instructed by nursing staff or Clinical Director.
    • Accurately prepare, pass, check, observe, supervise, and record all medications taken.
    • Provide emergency First Aid care to clients who exhibit the need.
  • Facilitate Referrals:
    • Facilitate referrals for clients to provide community resources not provided by SAHLC.
  • Unit Maintenance:
    • Keep the refreshment table clean and stocked for clients.
    • Assist in keeping the unit clean and orderly by performing necessary cleaning duties.
    • Wipe mattress and pillows with viro-check after each client has been discharged and change linens as needed.
  • Confidentiality and Communication:
    • Maintain client confidentiality in accordance with CFR-42 Federal Law and The policies.
    • Facilitate seamless and comprehensive transfer of information from one shift to the next.
    • Cooperate and communicate with other clinical staff in the transfer process of the client to different levels of care.
  • Meetings and Reporting:
    • Attend Withdrawal and agency-wide staff as well as monthly in-service meetings as scheduled.
    • Report maintenance repairs and services to the Clinical Director and Business Operations Director.
  • Public Relations:
    • Promote positive public relations by using professional telephone manners, presenting a pleasant and supportive attitude toward clients, their family members, or friends, and cooperating with personnel from other outside agencies.
  • Additional Tasks:
    • Perform other tasks as assigned by leadership.

Minimum Qualifications

  • Education: High School Diploma required; associate degree preferred. Medical Assistant license or certification required.
  • Background Checks: Position requires a CPS history check, a Local Law Enforcement, and background check. Findings may disqualify an individual for this position.
  • Experience: Experience in a social service setting providing services to persons in crisis, homeless persons, domestic violence, or mental health preferred.
  • Certifications: Valid driver’s license and maintain our Driver’s qualification standard; complete Safe From Harm training within the first 90 days of employment.

Skills/Abilities

  • Proficiency in English for effective communication with leadership, field personnel, and clientele.
  • Computer proficiency with Microsoft products and ability to learn electronic reporting systems.
  • If in recovery, must demonstrate a minimum of 2 years sobriety, including emotional and social stability.

Physical Requirements

  • Good speaking, hearing, and vision ability.
  • Excellent manual dexterity.
  • Ability to lift, pull, and push materials up to 25 pounds.
  • May require bending, squatting, walking, and standing for extended periods.

Travel

No travel required.

Working Conditions

  • Work is performed in a unit environment.
  • May require some weekend and evening work.

All employees recognize that we are a church and agree to do nothing as an employee to undermine its religious mission.

 

 

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Withdrawal Management Unit Nurse (LPN or RN)

indiana

Networks Connect is looking for a dedicated Withdrawal Management (WM) Unit Nurse to join our team in Indianapolis, IN. In this role, you will work closely with the WM Supervisor and Medical Director to monitor the WM Unit, ensuring compliance with accrediting certification licensing and funding requirements. Your primary responsibility will be to provide basic nursing care, monitor clients’ medical status, and address their physical, medical, and emotional needs. This position aligns with our client’s mission to preach the gospel of Jesus Christ and meet human needs without discrimination.

Key Responsibilities:

  • Conduct admission interviews by collecting medical, social, emotional, and demographic data to assess appropriateness for admission.
  • Maintain and audit client case records according to CARF procedures, ensuring all documentation is accurate and current.
  • Dispense medications as directed and prescribed by the physician, and document all related information.
  • Monitor and document clients for withdrawal signs, unusual activity, or behaviors, and report to the Medical Director or WM Supervisor.
  • Provide emergency First Aid and CPR care when necessary.
  • Facilitate referrals for clients to community resources not provided by The Salvation Army Harbor Light Center (SAHLC).
  • Promote positive public relations by maintaining a professional attitude toward clients and their families.
  • Ensure compliance with CFR-42 Federal Law and The Salvation Army policies regarding consumer confidentiality.
  • Participate in agency staff meetings and in-service training sessions as scheduled.
  • Monitor and document clients’ physical and medical status by providing direct nursing care.
  • Carry out Medical Director orders and support Medical Assistants.
  • Maintain up-to-date TB records for all staff to ensure annual compliance.
  • Perform other tasks as assigned by leadership.

Minimum Qualifications:

  • Education: Registered Nurse (RN) or Licensed Practical Nurse (LPN) required.
  • Background Checks: Must pass a background check; findings may disqualify an individual for this position.
  • Experience: CPR certified; experience working with a vulnerable population.
  • Certifications: TB certified; valid driver’s license and completion of Safe From Harm training within the first 90 days of employment.
  • Skills/Abilities: Proficient in English for effective communication, computer proficiency with Microsoft products, and ability to learn electronic reporting systems.

Physical Requirements:

  • Good speaking, hearing, and vision abilities; excellent manual dexterity.
  • Ability to lift, pull, and push materials up to 25 pounds.
  • May require bending, squatting, walking, and standing for extended periods.

Working Conditions:

  • Full-time position with some weekend and alternate scheduling of first, second, and third shifts to meet business needs.
  • Work performed in a typical facility unit environment with some travel required.

Why Join The Team?

Be part of a mission-driven organization that makes a difference in the community. Our client offers a supportive work environment where your contributions have a meaningful impact.

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