Remote Patient Registration & Scheduler
Insight Global · Centralia, WA
Job description
Patient Registration Specialist Interviews each patient or representative in order to obtain complete and accurate demographic, financial, and insurance information and accurately enters all patient information into the registration system. Reads physicians orders to determine services requested and to assure order validity. Obtains new medical record numbers for all new patients. Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by patients third-party payor. Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances clarifying special billing processes. Re-verifies all information at time of registration process. Understands and applies company philosophy and objectives and Rehab and PAS policies and procedures, as related to assigned duties. Understands the outpatient registration processes. Works with IT/ EMR on troubleshooting Registration interface errors. Maintains a working knowledge of the process to verify insurance coverage and benefits. Assist in verifying benefits as needed and all patients end of year. Professional and knowledgeable communication to patient regarding benefits. Completes all revenue collection efforts according to company and PAS policy. Contacts patients prior to initial visit to discuss co-pay and/or self-pay arrangements. Collects the co-pay amount at each visit and provides a receipt to the patient. Balances collection log and receipts at end of each business
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Retail Merchandiser
Grocery Outlet Holding · Centralia, WA
Retail Merchandiser Job Category: Sales & Merchandising Requisition Number: RETAI003245 San Diego, CA, USA Description About Grocery Outlet: • Our Mission: Touching lives for the better • Our Vision: Touching lives by being the first choice for bargain-minded consumers in the U.S. • Our Values & Behaviors: Achievement, Diversity, Entrepreneurship, Family, Fun, Integrity & Service About the Team: Our Sales and Merchandising team's mission is to build a strong foundation of Independent Operator talent, coach and develop our Independent Operators, and assist their efforts in maintaining overall productivity and success in their store. Our team is collaborative and authentic as we promote open and respectful relationships between Independent Operators and Grocery Outlet. Our team members thrive by leveraging their analytical skills, drive, and commitment to delivering exceptional service to our team, GOI employees, operators, and vendors. This role is a launchpad for anyone interested in operations, merchandising, project management and other corporate retail careers. About The Role: As a Retail Merchandiser you are a part of the team that is pivotal to Grocery Outlet's growth and success! You will assist in the setting up of all new stores across the US. You will travel to different locations weekly to help merchandise new stores and support existing store operators. You serve as a brand ambassador in the field to Independent Operators (IOs) and their store teams. The Retail Merchandiser will report to the Merchandising Manager. Flexibility and a love for travel are key, as this position offers an exciting opportunity to explore new places and engage with diverse teams. Responsibilities Include: • Demonstrating merchandising best practices to store employees. • Guiding Independent Operators and their store teams on merchandising and brand standards. • Constructing & deconstructing of store fixtures including shelving and racking. • Unpacking pallets with various types of food & products. • Merchandising and organizing product on the sales floor and in the stockroom. • Working efficiently and effectively on tight timelines. • Administrative tasks including but not limited to managing expenses, booking flights, submitting time sheets, checking email, etc. • Clear and consistent communication. • Other duties as assigned. About The Pay: • 401(k) Profit Sharing. • Medical, Dental, Vision & More! • All travel expenses (airfare, hotel, rental cars, and personal car mileage) are covered by the company. • Final compensation will be determined based upon experience and skills and may vary based on location. About You: • Self-motivated, respectful, professional, with a great attitude. • Able to travel away from home 4-5 nights at a time, including flights and/or driving (personal and rental cars) out of state. • Able to work 5-10 days in a row. • Ability to stand or walk up to 100% of your shift. • Organized and can meet deadlines, ensuring tasks are completed efficiently. • Able to travel weekly. • Willing to work a flexible schedule including nights, weekends and overnight shifts. • Ability to work overtime when needed. • You're eager to learn new skills, and work in new areas. • Strong verbal and written communication skills. What you will Learn: • About the grocery retail industry. • About an Independent Owner Operator Business Model. • How new stores are launched and how existing ones are updated. • How to execute merchandising strategies to ensure operational readiness. • How to solve problems in real-time. • How to thrive in a changing environment, balancing structure with flexibility. • How to build relationships with cross functional business partners.
$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. pay rate is $40/hour This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and medical and network management divisions. Collects clinical and non-clinical data. Verifies eligibility. Determines benefit levels in accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members, providers and facilities. Registered Nurse (RN) with valid, current, unrestricted license in the state of operations. * 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company. * Knowledge of medical terminology and procedures. * Verbal and written communication skills. PREFERRED JOB REQUIREMENTS: * Utilization management experience * MCG or InterQual experience
Utilization Review Nurse
Umpqua Health · Centralia, WA
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community. POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members. This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM Nurse collaborates with interdisciplinary teams and community providers to promote integrated, high-quality care. ESSENTIAL JOB RESPONSIBILITIES • Perform clinical assessments and prior authorizations to determine medical necessity • Escalate complex cases to Medical Directors and request additional documentation as needed • Collaborate with care coordinators, discharge planners, and interdisciplinary teams for care transitions • Liaise with internal departments to resolve eligibility, benefits, or service issues • Participate in discharge planning for members transitioning from acute, long-term, or residential care • Conduct audits and support quality improvement initiatives • Provide training and mentorship on UM protocols and workflows • Maintain relationships with community providers and service organizations • Ensure compliance with organizational policies, clinical standards, and federal/state regulations • Perform other nursing-related duties as assigned CHALLENGES • Working with a variety of personalities, maintaining a consistent and fair communication style. • Satisfying the needs of a fast-paced and challenging company. MINIMUM QUALIFICATIONS • Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state • Graduation from an accredited nursing program • Minimum 5 years of direct patient care experience • Proficiency with Microsoft Office, EHR systems, and UM software • Strong clinical knowledge, communication, and organizational skills • No suspension, exclusion, or debarment from federal healthcare programs PREFERRED QUALIFICATIONS • 2+ years of utilization review or case management experience in managed care • Oregon residency and license • Bilingual or translation skills a plus • Experience with quality improvement audits and diverse team collaboration • Ability to work independently in fast-paced environments SCHEDULE Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines. SALARY Wage Band: $85,000- $105,340 BENEFITS • Salary is dependent on skills, experience, and education • Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave • Medical, dental, and vision insurance • 401(k) with company match (fully vested immediately) • Company-sponsored life insurance and additional benefits • Fitness reimbursement program • Tuition reimbursement and more Why Umpqua Health? We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve. Inclusive Culture We foster a respectful, inclusive environment where employees feel valued, supported, and empowered. Growth & Development We support ongoing learning through mentorship, clear career pathways, and professional development opportunities. Work/Life Balance We promote flexibility and well-being so employees can thrive both professionally and personally. Equal Opportunity Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.