Difference Between Professional Llc And Llc Jobs in Usa

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

• A Bachelor's degree or equivalent combination of education and related experience

• The availability to work full-time, hybrid in Schenectady, NY or Rochester, NY

• 2+ years claim processing/system configuration experience required
• FACETS experience required. Data Analysis experience preferred
• Customer focus and demonstrated experience working with business users to solve issues and develop requirements to support process improvements.
• Microsoft Office Suite: Excel, Outlook Word
• Curiosity to foster innovation and pave the way for growth

• Humility to play as a team

• Commitment to being the difference for our customers in every interaction

• Develop solutions leveraging claims automation and system enhancements to enable faster, more accurate execution of repetitive tasks in production environments.
• Work collaboratively with the RPA team and other business units across the organization developing requirements, analyzing data, performing process review, creating workflows. and developing recommendations for improvement.
• Maintain detailed documentation as it relates to projects and departmental initiatives following program standards.
• Analyze data to perform root cause analysis focusing on increasing accuracy and/or delivering ROI.
• Work in an Agile environment to elicit, record and develop Business Requirements; work with the RPA team to convert Business Requirements to System Requirements.
• Present and provide status on program initiatives.
• Execute tasks timely and escalates roadblocks to success to OPS Leadership for resolution.
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

• Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered.
• Coding certification, such as AAPC CPC, CIC, COC, CCS is required.
• The availability to work full-time, virtual
• A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience.
• Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies.
• Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details.
• Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable.
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

• Manage recurring audit inventories, ensuring timely progression and completion of existing audits.
• Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews.
• Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types.
• Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education.
• Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization.
• Assist in the reporting of monthly metrics and participate in cross-functional audit operations.
• Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts.
• Participate in training and development activities within the department and corporation.
• Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy.
• Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature.

• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

• Work with the business to understand needs, goals, strategies, and challenges, and how to help prioritize opportunities for improvement
• Support the business in developing accurate budget and forecast projections for expense, capital, and headcount
• Track actual performance versus budget/forecast and ensure business and finance leadership understand significant variances
• Support business in ROI analysis while always constructively reviewing and refining business partner assumptions
• Actively participate in month/year-end close processes to ensure accurate internal and external financial reporting
• Effectively communicate the story behind the numbers in terms business partners understand
• Proactively make recommendations based on data and analysis, and identify opportunities for efficiencies and improvements
• Maintain strong partnerships with FP&A reporting team and senior business leaders across finance organization
• Effectively prioritize business problems based on urgency and relevance
• Clarify decision trade-offs to internal customers
• Other duties as assigned

• A curious and strategic mindset that drives a proactive and data-driven approach to problem solving
• Excellent verbal and written communication skills
• Advanced MS Excel, Word, and PowerPoint skills
• Advanced financial modelling skills
• Strong knowledge of GAAP and Financial principles
• Ability to develop a strong understanding of the business
• Ability to build partnerships, influence decisions and work in a collaborative style
• Takes initiative and executes independently

Join the MercyOne Family! We are looking to hire a Clinic Medical Assistant at the Rockford Clinic.

As a Clinic Medical Assistant at MercyOne, you will Provide support in the medical field by performing various medical and clerical activities to assure quality care and a more efficient work place.

• Escorts patient to exam room. Obtains and documents data to include but not limited to chief complaint, allergies, vital signs, pain level, medication history, and fall risk. Obtains and reviews basic health history information. Anticipates and prepares exam room with equipment and supplies required for the visit. Assists with exams/procedures as requested. .
• Utilizes written Mercy Medical Center – North Iowa policies/procedures and universal precautions when performing lab/diagnostic tests or procedures. Reports and documents all critical lab/diagnostic test values to provider. Performs, maintains and documents quality controls as applicable/requested, i.e., logs, proficiency tests, maintenance records, etc.
• Assists in scheduling patients for office appointments, lab/diagnostic tests/referrals. Reviews written test preparation handout with patient and documents in medical record. Refers patient to provider/registered nurse if patient education is required.
• Completes charge ticket/submits charges in electronic health record to include and obtain the diagnosis from the provider, identifying and initialing all billable supplies and services. Obtains ABN per e-LMRP as necessary.
• Utilizes proper procedure for administering medications with emphasis on patient safety. Documents administration of medications.
• Maintains competency in administering medications via the following routes: IM, SQ, ID, oral, inhalation, ocular, optic, topical, sublingual, and nasal.
• Documents notification/follow-up of phone messages under direct supervision of a provider.

Schedule: 

• Full Time

• Days M-F, 8am-5pm

General Requirements: 

• A minimum of six months work experience in a health care facility performing duties relating to patient care is preferred.

• Additional experience involving computer knowledge.

Education: 

Medical Assistant

• Graduate of an approved school for medical assistant required. 

• Credentialed as a medical assistant is required (CMA, RMA, NCMA). CCMA certification is accepted with successful completion of a training program

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system! 

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care. 

a disability and would like to request an accommodation in order to apply for a currently open position with MercyOne North Iowa Medical Center, please call Human Resources at (641) 428-7287 or email us at

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Compensation details: 15-20 Hourly Wage

PIca3203956d47-26289-37375291

Looking for a rewarding career as a Direct Support Professional (DSP) in Lowell, Michigan?

Join Hope Network, a leading integrated care provider, and make a difference as a DSP caregiver supporting individuals with personal care, medication administration, daily living activities (ADLs), and community engagement. This is your chance to work in a supportive residential care environment while helping people live fulfilling, independent lives.

We are helping people overcome. Join us.

Now Hiring for All Shifts (Full-Time & Part-Time):

• 
  
• 1st Shift: 6:00 AM – 2:00 PM
  
• 2nd Shift: 2:00 PM – 10:00 PM
  
• 3rd Shift: 10:00 PM – 6:00 AM
  

Base pay starts at $18.20/hr and increases with experience.
Immediate openings — start making a difference right away.

Why Work as a Direct Support Professional at Hope Network:

• 
  
• Pay based on experience
  
• Immediate Medical, Vision, & Dental benefits
  
• HealthBar wellness program
  
• Paid training 
  
• Tuition Reimbursement
  
• Employee referral bonuses and generous PTO
  
• Supportive team culture in residential care
  

Your Role as a DSP Caregiver:

• 
  
• Assist with personal care, hygiene, and ADLs
  
• Support medication administration and health monitoring
  
• Prepare meals and provide dietary support
  
• Provide transportation and support community activities
  
• Promote socialization, independence, and positive relationships
  

Requirements:

• 
  
• High school diploma or equivalent preferred
  
• Valid Michigan driver’s license required
  
• Ability to lift up to 50 lbs
  
• CPR/First Aid certification (or willingness to obtain)
  
• Compassion, teamwork, and flexibility
  

Why Hope Network:
Every year, 2,800+ professionals serve over 34,000 individuals across 280 Michigan locations. At Hope Network, we empower you to help people overcome challenges, break barriers, and make meaningful comebacks.

Start your career as a DSP caregiver in Lowell, MI, and help people overcome challenges. Apply today!

• We hire at all experience levels.

• High School Graduate or better

• - Driver's License

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Join the Beacon Specialized Living Services Team: Make a Real Impact!

Are you looking for a meaningful career where you can make a difference in the lives of others? Do you have a passion for supporting individuals with intellectual and developmental disabilities, mental health challenges, and autism? If so, it’s time to LEAP forward in your career at Beacon Specialized Living Services!

At Beacon, we’re dedicated to providing exceptional care and support to individuals, empowering them to live their fullest lives. Whether you’re new to healthcare or experienced, we offer the training, support, and opportunities to help you grow professionally. NO experience is required to join our team — we’ll train you!

What Can I Expect as a Direct Support Professional (DSP)?

As a Direct Support Professional (DSP) at Beacon, you will support individuals with intellectual and developmental disabilities, autism, and mental health challenges. Your role will be instrumental in helping residents live independently, achieve personal goals, and improve their quality of life.

Daily Responsibilities Include:

• 
  
• Provide Support & Care: Encourage and guide individuals throughout the day to meet their goals, following person-centered and behavior plans.
  
• Foster a Safe Environment: Create a trust-filled space where individuals feel safe, supported, and respected, ensuring their rights are upheld.
  
• Meal Prep & Housekeeping: Cook meals based on dietary specifications and assist with laundry and cleaning to maintain a safe and organized home environment.
  
• Transportation & Advocacy: Transport individuals to appointments, advocate on their behalf, and assist with documentation.
  
• Medication Administration: Administer medications as prescribed and ensure the correct dosage is provided.
  
• 24/7 Availability: Remain awake and accessible in homes requiring round-the-clock care.
  
• Supervise Daily Activities: Support individuals with personal care, life skills, and social activities.
  

What We’re Looking For:

• 
  
• Passion for Helping Others: You’re committed to making a positive difference in the lives of individuals with disabilities and mental health challenges.
  
• Team Player: You’ll work closely with a team of compassionate professionals who share your dedication to providing quality care.
  
• Reliable & Dependable: You’re someone others can count on, whether it’s for coming to work on time, completing tasks efficiently, or providing consistent care.
  
• Willingness to Learn: We provide on-the-job training, and we value candidates who are eager to learn and grow with us.
  
• Physical & Emotional Resilience: The role requires physical activity and the ability to work in environments with occasional challenging behaviors.
  

What We offer:

• 
  
• Competitive Pay & Benefits
  We offer competitive pay and a comprehensive benefits package that includes:
  
  • 
    
  • Medical, Dental, and Vision (starting 1st of the month after 60 days)
    
  
  
  

• 
  
• First Stop Health Telehealth – FREE for employee & Family
  

• 
  
• 
  
  • 
    
  • 24/7 care via the app Virtual Urgent Care, Primary Care and Mental Health Care.
    
  
  
  
• Life Insurance and 401k (with employer match)
  
• Paid Training — including CPR, De-Escalation Training, and Medication Administration Certification
  
• DailyPay — Make any day PayDay!
  
• Advancement Opportunities with our LEAP Program!
  

Beacon’s Leadership, Excellence, Advancement, and Promotion (LEAP) program is designed to help you grow professionally and advance in your career.

• 
  
• LEAP to Leadership: The LEAP program is a structured development program designed to prepare you for leadership roles and increased compensation.
  

• 
  
• Advance Quickly: You can progress through the Leveling System within your first 90 days based on developing skills, demonstrating leadership potential, and advancing in your role.
  
• Be a Part of a Growth-Focused Organization: Join a company that values your contributions and supports your career development every step of the way.
  

Qualifications:

• 
  
• Required:
  
  • 
    
  • High school diploma or GED.
    
  • Must be 18 years of age or older.
    
  • Valid driver’s license.
    
  • Compassionate and patient demeanor when working with individuals who have mental illness and co-occurring disorders.
    
  
  
  
• Preferred:
  
  • 
    
  • 1-2 years of experience in healthcare, social services, or a related field (but not required).
    
  • Excellent communication skills (both verbal and written).
    
  • Ability to work in environments with potential exposure to physical aggression and infectious disease.
    
  
  
  

Why Beacon?

At Beacon, we don’t just offer jobs — we offer fulfilling careers. Join our team and become a part of a compassionate, mission-driven company that truly values its team members. You’ll receive the training and support you need to succeed, and you’ll experience the joy of knowing that your work is helping others live better lives.

Beacon Specialized Living Services is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

• Conduct comprehensive reviews of medical records and treatment plans to determine if the requested services are appropriate based on established guidelines and medical criteria across multiple lines of business.
• Utilize your clinical expertise to evaluate medical necessity and collaborate with MVP Medical Directors to determine the effectiveness of proposed treatments/equipment.
• Document clinical summations, recommendations and send appropriate correspondences accurately and within regulatory timeframes.
• Communicate with healthcare providers and members to collect pertinent information, discuss review outcomes and provide appropriate referrals within MVP.
• Remain up to date with industry standards and guidelines, complete required competency training and proficiency examinations to ensure compliance and best practice.
• Participate in team meetings and training sessions to enhance your knowledge and skills.
• Contribute to process improvement initiatives to streamline the prospective review process.
• Other duties as assigned by leadership.

• Education, Licensures, & Certifications
  • Current RN (NY or VT)
• Years of Experience (Required & Preferred)
  • Minimum of 3-5 years clinical experience required
  • Case management certification preferred
• Required Job Skills
  • Able to manage multiple tasks in a fast-paced environment.
  • Strong clinical knowledge, critical thinking skills and understanding of medical terminology, procedures, concepts.
  • Ability to work independently to analyze complex medical information.
  • Effective communication skills, both written and verbal.
  • Ability to work independently and collaboratively in a team environment.
  • Proficiency in using computer systems and software for documentation, data entry and day-to-day work functions.
• Preferred Job Skills
  • Prior Utilization review experience
  • Knowledge of Government Insurance Programs (Medicare, Medicaid)

• Virtual based out of Schenectady NY

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

• Under the supervision of the Leader of Internal Audit, the Professional, Internal Auditor would be responsible for:
• Audit Execution - Execute audit program steps in accurate and thorough manner while maintaining workpapers of the highest quality.
• MAR / Other Audits - Assist in the annual execution of the Model Audit Rule (MAR) business process cycle testing, as well as any specific internal audits or consulting engagements.
• External Audits - Assist in the coordination of external audits and regulatory exams such as the New York State Department of Financial Service (DFS) and New York State Department of Health (DOH), other regulatory bodies, and MVP's external audits. Provide direct audit assistance to MVP's external audit firm, as needed.
• MAR ITGC's - Support the IT Auditor to execute MAR Information Technology General Controls (ITGC's) testing for in-scope entities, providing work in a timely and efficient manner.
• Knowledge Sharing - Stay current on major regulatory developments impacting the insurance industry; share training topics with Internal Audit team.
• Maintaining personal proficiency by obtaining an adequate amount of continuing education.