DivIHN (pronounced "divine") is a CMMI ML3-certified Technology and Talent solutions firm. Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations. Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent. Visit us at to learn more and view our open positions. Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact one of our Talent Specialists Rakeshwar at Title: Medical Billing Specialist Location: Orlando, FL Duration: 6 Months Description: Collector play a vital role in order for us to meet our monthly goal. To succeed in this role, collections specialists need to have a range of skills and competencies that enable them to communicate, negotiate, analyze, and resolve issues with payers and patients. Attention to detail. Good communication skills. Listening skills. Document accounts with detail. Critical thinking. Be able to read an explanation of benefits (EOB). Analytical skills are crucial for a collections specialist. Need to be able to use various tools and systems. Problem solving skills. They have to face and overcome various challenges and difficulties in their work. Customer service skills. Maintain positive and long-term relationships with customers and payers. Time management skills. Attendance needs to be good. Nature of Work: Focused on Collections of patient accounts - patients using LVAD (Left Ventricular Assist Device), filing claims, reviewing EOBs (Explanation of Benefits) from Insurance companies with patient over the phone, taking numerous telephone calls per day that drop into queue, using proper Codes to bill Skills Needed: Good Listening, good communication, fine attention to detail, good telephone skills, good customer service, good time-management skills, good analytical skills, good problem solving skills Is part of Team with Monthly goal to bring-in Cash Collections (they do not handle cash directly) - the goal is 13 million to 16 million monthly in collections Will provide training on the systems used - LVAD Driveline, Dyson, and Patient CoVent - No need to come with experience in these systems Experience Needed: 3 to 5 years is preferred but not needed, however candidate should come with mid-level range of experience versus no experience Experience in: AR/Collections, Billing/Collections, Medicaid and Medicare Collections background, Accounting background Education: A minimum of a H.S. Diploma or GED is a must-have Interviews: 1 Hours: 8:30AM to 5:00PM Room for OT on weekends when needed About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond. The strategic characteristics of the organization are Standardization, Specialization, and Collaboration. DivIHN is an equal opportunity employer. DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.
04/18/2024
Full time
DivIHN (pronounced "divine") is a CMMI ML3-certified Technology and Talent solutions firm. Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations. Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent. Visit us at to learn more and view our open positions. Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact one of our Talent Specialists Rakeshwar at Title: Medical Billing Specialist Location: Orlando, FL Duration: 6 Months Description: Collector play a vital role in order for us to meet our monthly goal. To succeed in this role, collections specialists need to have a range of skills and competencies that enable them to communicate, negotiate, analyze, and resolve issues with payers and patients. Attention to detail. Good communication skills. Listening skills. Document accounts with detail. Critical thinking. Be able to read an explanation of benefits (EOB). Analytical skills are crucial for a collections specialist. Need to be able to use various tools and systems. Problem solving skills. They have to face and overcome various challenges and difficulties in their work. Customer service skills. Maintain positive and long-term relationships with customers and payers. Time management skills. Attendance needs to be good. Nature of Work: Focused on Collections of patient accounts - patients using LVAD (Left Ventricular Assist Device), filing claims, reviewing EOBs (Explanation of Benefits) from Insurance companies with patient over the phone, taking numerous telephone calls per day that drop into queue, using proper Codes to bill Skills Needed: Good Listening, good communication, fine attention to detail, good telephone skills, good customer service, good time-management skills, good analytical skills, good problem solving skills Is part of Team with Monthly goal to bring-in Cash Collections (they do not handle cash directly) - the goal is 13 million to 16 million monthly in collections Will provide training on the systems used - LVAD Driveline, Dyson, and Patient CoVent - No need to come with experience in these systems Experience Needed: 3 to 5 years is preferred but not needed, however candidate should come with mid-level range of experience versus no experience Experience in: AR/Collections, Billing/Collections, Medicaid and Medicare Collections background, Accounting background Education: A minimum of a H.S. Diploma or GED is a must-have Interviews: 1 Hours: 8:30AM to 5:00PM Room for OT on weekends when needed About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond. The strategic characteristics of the organization are Standardization, Specialization, and Collaboration. DivIHN is an equal opportunity employer. DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.
Connecticut Institute for Communities, Inc.
Danbury, Connecticut
Connecticut Institute for Communities, Inc. Description: CIFC Health is looking to fill the position of Front Desk Patient Registrar. Patient Registrars have direct patient interaction and must have excellent phone, communication and computer skills (late afternoon / early evenings & some Saturday morning hours required). Summary: This is the first person to greet patients at CIFC Health. This position is filled by employees who are comfortable interacting with the public, organized and able to assist patients in completing introductory information such as registration, insurance coverage and demographics. The Registration Specialist greets, instructs, directs and schedules patients and visitors. The Registration Specialist serves as a liaison between the patient and the medical support staff. The Registration Specialist answers calls, schedules appointments and maintains the schedule for the department. Unit: Administration Immediate Supervisor: Department Admin or designee Classification: Standard / Full Time (1.0 FTE) or Part-Time (Hourly) Status: Non-Exempt Directly Supervises: This position typically supervises no others. Essential Job Responsibilities: 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 abilities required. Responsible for greeting patients in cheerful manner. Assist patients in a way to make their visit to the Center relaxing and productive. Responsible for answering the telephone in a cheerful and polite manner. Responsible screening the incoming calls, taking appropriate messages, and transferring calls when appropriate. Responsible for screening phone calls to determine the appropriate scheduling of an appointment and how much time is needed. Responsible for accurately scheduling follow-up appointments, diagnostic testing, and referrals to other providers. Collect all deductibles and co pays from patients according to payer guidelines and discount levels. Ensure all encounter forms are accounted for at the end of the day by reconciling the day's schedule with encounter forms collected. Count and balance the day's collections with encounter forms. Provide outstanding comprehensive service to patients in the Health Center or over the telephone when registering, scheduling, or assisting them with health insurance and/or billing questions. Responsible for working with the patient to ensure accurate and complete demographic and insurance information into the computer database and for the patient's medical record. Collect copies of required identification and financial documents along with all required signatures. COMPLIANCE: This position requires compliance with CIFC Health's written standards, including its Compliance Program and all organizational policies and procedures (Written Standards). Such compliance will be considered as part of the employee's regular performance evaluation. Failure to comply with CIFC Health's Written Standards, which may include the failure to report any conduct or event that potentially violates legal or compliance requirements or CIFC Health's Written Standards, will be met by the enforcement of disciplinary action, up to and including possible termination, in accordance with the CIFC Compliance Policy & Plan and the CIFC Employee Manual. COMMITMENT: At CIFC Health, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We are recognized as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of the Center are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients. Requirements: Requirements: Minimum High School Diploma or equivalent, AA preferred. Previous medical office experience preferred. Computer experience is required, experience with electronic medical records are preferred. Applicants with multiple language capabilities (English, Spanish, and/or Portuguese) are preferred. Health Requirements: Recent documentation free of communicable diseases (i.e. TB and COVID); and Recent fit for duty examination. Competitive compensation, plus comprehensive fringe benefits package including health care coverage and retirement program. CIFC is an Equal Opportunity Employer/Provider. PIa49e8901cca6-0867
04/17/2024
Full time
Connecticut Institute for Communities, Inc. Description: CIFC Health is looking to fill the position of Front Desk Patient Registrar. Patient Registrars have direct patient interaction and must have excellent phone, communication and computer skills (late afternoon / early evenings & some Saturday morning hours required). Summary: This is the first person to greet patients at CIFC Health. This position is filled by employees who are comfortable interacting with the public, organized and able to assist patients in completing introductory information such as registration, insurance coverage and demographics. The Registration Specialist greets, instructs, directs and schedules patients and visitors. The Registration Specialist serves as a liaison between the patient and the medical support staff. The Registration Specialist answers calls, schedules appointments and maintains the schedule for the department. Unit: Administration Immediate Supervisor: Department Admin or designee Classification: Standard / Full Time (1.0 FTE) or Part-Time (Hourly) Status: Non-Exempt Directly Supervises: This position typically supervises no others. Essential Job Responsibilities: 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 abilities required. Responsible for greeting patients in cheerful manner. Assist patients in a way to make their visit to the Center relaxing and productive. Responsible for answering the telephone in a cheerful and polite manner. Responsible screening the incoming calls, taking appropriate messages, and transferring calls when appropriate. Responsible for screening phone calls to determine the appropriate scheduling of an appointment and how much time is needed. Responsible for accurately scheduling follow-up appointments, diagnostic testing, and referrals to other providers. Collect all deductibles and co pays from patients according to payer guidelines and discount levels. Ensure all encounter forms are accounted for at the end of the day by reconciling the day's schedule with encounter forms collected. Count and balance the day's collections with encounter forms. Provide outstanding comprehensive service to patients in the Health Center or over the telephone when registering, scheduling, or assisting them with health insurance and/or billing questions. Responsible for working with the patient to ensure accurate and complete demographic and insurance information into the computer database and for the patient's medical record. Collect copies of required identification and financial documents along with all required signatures. COMPLIANCE: This position requires compliance with CIFC Health's written standards, including its Compliance Program and all organizational policies and procedures (Written Standards). Such compliance will be considered as part of the employee's regular performance evaluation. Failure to comply with CIFC Health's Written Standards, which may include the failure to report any conduct or event that potentially violates legal or compliance requirements or CIFC Health's Written Standards, will be met by the enforcement of disciplinary action, up to and including possible termination, in accordance with the CIFC Compliance Policy & Plan and the CIFC Employee Manual. COMMITMENT: At CIFC Health, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We are recognized as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of the Center are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients. Requirements: Requirements: Minimum High School Diploma or equivalent, AA preferred. Previous medical office experience preferred. Computer experience is required, experience with electronic medical records are preferred. Applicants with multiple language capabilities (English, Spanish, and/or Portuguese) are preferred. Health Requirements: Recent documentation free of communicable diseases (i.e. TB and COVID); and Recent fit for duty examination. Competitive compensation, plus comprehensive fringe benefits package including health care coverage and retirement program. CIFC is an Equal Opportunity Employer/Provider. PIa49e8901cca6-0867
DivIHN (pronounced "divine") is a CMMI ML3-certified Technology and Talent solutions firm. Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations. Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent. Visit us at to learn more and view our open positions. Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact one of our Talent Specialists Divya at Rashi at Title: Medical Billing Specialist (2 Openings) Location: Gainesville, FL Duration: 7 Months Description Collector play a vital role in order for us to meet our monthly goal. To succeed in this role, collections specialists need to have a range of skills and competencies that enable them to communicate, negotiate, analyze, and resolve issues with payers and patients. Attention to detail. Good communication skills. Listening skills. Document accounts with detail. Critical thinking. Be able to read an explanation of benefits (EOB). Analytical skills are crucial for a collections specialist. Need to be able to use various tools and systems. Problem solving skills. They have to face and overcome various challenges and difficulties in their work. Customer service skills. Maintain positive and long-term relationships with customers and payers. Time management skills. Attendance needs to be good. Room for OT on weekends when needed Nature of Work: Focused on Collections of patient accounts - patients using LVAD (Left Ventricular Assist Device), filing claims, reviewing EOBs (Explanation of Benefits) from Insurance companies with patient over the phone, taking numerous telephone calls per day that drop into queue, using proper Codes to bill Skills Needed: Good Listening, good communication, fine attention to detail, good telephone skills, good customer service, good time-management skills, good analytical skills, good problem solving skills Is part of Team with Monthly goal to bring -in Cash Collections (they do not handle cash directly) -the goal is 13 million to 16 million monthly in collections Will provide training on the systems used - LVAD Driveline, Dyson, and Patient CoVent - No need to come with experience in these systems Experience Needed: 3 to 5 years is preferred but not needed, however candidate should come with mid-level range of experience versus no experience Experience in: AR/Collections, Billing/Collections, Medicaid and Medicare Collections background, Accounting background Education: A minimum of a H.S. Diploma or GED is a must-have Interviews: 1st a Video Conference call and then an On-site Interview About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond. The strategic characteristics of the organization are Standardization, Specialization, and Collaboration. DivIHN is an equal opportunity employer. DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.
04/16/2024
Full time
DivIHN (pronounced "divine") is a CMMI ML3-certified Technology and Talent solutions firm. Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations. Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent. Visit us at to learn more and view our open positions. Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact one of our Talent Specialists Divya at Rashi at Title: Medical Billing Specialist (2 Openings) Location: Gainesville, FL Duration: 7 Months Description Collector play a vital role in order for us to meet our monthly goal. To succeed in this role, collections specialists need to have a range of skills and competencies that enable them to communicate, negotiate, analyze, and resolve issues with payers and patients. Attention to detail. Good communication skills. Listening skills. Document accounts with detail. Critical thinking. Be able to read an explanation of benefits (EOB). Analytical skills are crucial for a collections specialist. Need to be able to use various tools and systems. Problem solving skills. They have to face and overcome various challenges and difficulties in their work. Customer service skills. Maintain positive and long-term relationships with customers and payers. Time management skills. Attendance needs to be good. Room for OT on weekends when needed Nature of Work: Focused on Collections of patient accounts - patients using LVAD (Left Ventricular Assist Device), filing claims, reviewing EOBs (Explanation of Benefits) from Insurance companies with patient over the phone, taking numerous telephone calls per day that drop into queue, using proper Codes to bill Skills Needed: Good Listening, good communication, fine attention to detail, good telephone skills, good customer service, good time-management skills, good analytical skills, good problem solving skills Is part of Team with Monthly goal to bring -in Cash Collections (they do not handle cash directly) -the goal is 13 million to 16 million monthly in collections Will provide training on the systems used - LVAD Driveline, Dyson, and Patient CoVent - No need to come with experience in these systems Experience Needed: 3 to 5 years is preferred but not needed, however candidate should come with mid-level range of experience versus no experience Experience in: AR/Collections, Billing/Collections, Medicaid and Medicare Collections background, Accounting background Education: A minimum of a H.S. Diploma or GED is a must-have Interviews: 1st a Video Conference call and then an On-site Interview About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond. The strategic characteristics of the organization are Standardization, Specialization, and Collaboration. DivIHN is an equal opportunity employer. DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.
The Mount Sinai Health System is currently seeking a full-time Medical Director to lead its multi-specialty practice at Mount Sinai Doctors Staten Island. This multi-specialty practice is located at 1441 South Avenue in Staten Island, NY. Staten Island is the southernmost of New York City's 5 boroughs. It is connected to Lower Manhattan via the Staten Island Ferry, which runs across New York Harbor. With easy access to Brooklyn and Central New Jersey, Staten Island is a residential community, with many attractions for families, such as the Snug Harbor Cultural Center, Zoo, Botanical Garden, and the Staten Island Children's Museum. The large patient community typically stays on Staten Island for their routine care. Mount Sinai Doctors Staten Island offers comprehensive care where patients can see a variety of specialties. Additionally, the site has a comprehensive support team, including medical assistants. The Medical Director will play an instrumental role in ensuring excellent patient care, quality outcomes, and patient satisfaction. The successful candidate will lead by example, actively participating in patient care and bringing out the best in his/her colleagues. In addition, we would like our talented physician candidates to have a passion for growing a multi-specialty practice and be fully committed to mission of Mount Sinai Health System. The chosen candidates will have the opportunity to partner with world renowned, Icahn School of Medicine. Mount Sinai's Department of Medicine is strongly committed to caring for the whole patient and places special emphasis on providing patient-centered care. The division embraces the mission of Icahn School of Medicine by pursuing an integrated approach to patient care, research, and education. Pursuit of all dimensions of these three components, are considered inseparable elements of the art and science of medicine. Clinical Responsibilities: Provide care to a panel of patients who live and or work in the Staten Island area (60% clinical - 40% Administrative) Lead by example, sets high personal and professional standards, serves as positive change agent, and brings out best in colleagues Applicant may be a Primary Care Provider, or a specialist with a strong interest in leadership Administrative Responsibilities: Lead quality assurance and quality improvement activities for the practice in order to continuously raise the standard of care Oversee clinical operations - maintain optimal patient flow and provider access Develops strategic recommendations in partnership with practice and Network leadership Ensure strong connectivity to overall health system and good working relationship with Departmental Leadership Identify clinical staffing needs and assist with recruitment Ensure appropriate physician behavior, competence, and fitness for duty Address issues related to patient complaints and grievances Risk management Develop, implement and monitor protocols, processes and metrics to meet goals of the practice and health system Schedule regular meetings with physicians in the practice to address performance Other Activities: Work with Administration and Clinical Leadership to grow the practice Regularly present performance metrics and active initiatives to improve performance to Hospital leadership Compensation range from 300K to 600K based on experience and specialty (not including bonuses / incentive compensation or benefits) Position Qualifications: Medical Degree from an Accredited University New York State Medical License Board Certification in Primary Care or Sub-specialty area of expertise Prior Medical Practice leadership experience Salary Disclosure Information: Mount Sinai Health System provides a salary range to comply with the New York City law on Salary Transparency in Job Advertisements. Actual salaries depend on a variety of factors, including experience, specialties, historical productivity, historical collections, and hospital/community need. As such, an actual salary may fall closer to one or the other end of the range, and in certain circumstances, may wind up being outside of the listed salary range. The salary range listed is for full-time employment and does not include bonuses / incentive compensation or benefits. About Staten Island: Staten Island abounds with architectural landmarks, beaches and parkland that you can explore. Many reach the borough via the free Staten Island Ferry, an attraction in its own right. It provides views of the Statue of Liberty, Ellis Island, and Lower Manhattan. Other highlights include shopping at Empire Outlets in St. George and wandering the gorgeous grounds of Snug Harbor and Historic Richmond Town. Motor traffic can reach the borough from Brooklyn via the Verrazzano-Narrows Bridge and from New Jersey via the Outerbridge Crossing, Goethals Bridge and Bayonne Bridge. Staten Island has Metropolitan Transportation Authority (MTA) bus lines and an MTA rapid transit line, the Staten Island Railway, which runs from the ferry terminal at St. George to Tottenville. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. EOE Minorities/Women/Disabled/Veterans Compensation Information: $300000.0 / Annually - $300000.0 / Annually Starting At: 300000.0 Annually Up To: 600000.0 Annually
04/16/2024
Full time
The Mount Sinai Health System is currently seeking a full-time Medical Director to lead its multi-specialty practice at Mount Sinai Doctors Staten Island. This multi-specialty practice is located at 1441 South Avenue in Staten Island, NY. Staten Island is the southernmost of New York City's 5 boroughs. It is connected to Lower Manhattan via the Staten Island Ferry, which runs across New York Harbor. With easy access to Brooklyn and Central New Jersey, Staten Island is a residential community, with many attractions for families, such as the Snug Harbor Cultural Center, Zoo, Botanical Garden, and the Staten Island Children's Museum. The large patient community typically stays on Staten Island for their routine care. Mount Sinai Doctors Staten Island offers comprehensive care where patients can see a variety of specialties. Additionally, the site has a comprehensive support team, including medical assistants. The Medical Director will play an instrumental role in ensuring excellent patient care, quality outcomes, and patient satisfaction. The successful candidate will lead by example, actively participating in patient care and bringing out the best in his/her colleagues. In addition, we would like our talented physician candidates to have a passion for growing a multi-specialty practice and be fully committed to mission of Mount Sinai Health System. The chosen candidates will have the opportunity to partner with world renowned, Icahn School of Medicine. Mount Sinai's Department of Medicine is strongly committed to caring for the whole patient and places special emphasis on providing patient-centered care. The division embraces the mission of Icahn School of Medicine by pursuing an integrated approach to patient care, research, and education. Pursuit of all dimensions of these three components, are considered inseparable elements of the art and science of medicine. Clinical Responsibilities: Provide care to a panel of patients who live and or work in the Staten Island area (60% clinical - 40% Administrative) Lead by example, sets high personal and professional standards, serves as positive change agent, and brings out best in colleagues Applicant may be a Primary Care Provider, or a specialist with a strong interest in leadership Administrative Responsibilities: Lead quality assurance and quality improvement activities for the practice in order to continuously raise the standard of care Oversee clinical operations - maintain optimal patient flow and provider access Develops strategic recommendations in partnership with practice and Network leadership Ensure strong connectivity to overall health system and good working relationship with Departmental Leadership Identify clinical staffing needs and assist with recruitment Ensure appropriate physician behavior, competence, and fitness for duty Address issues related to patient complaints and grievances Risk management Develop, implement and monitor protocols, processes and metrics to meet goals of the practice and health system Schedule regular meetings with physicians in the practice to address performance Other Activities: Work with Administration and Clinical Leadership to grow the practice Regularly present performance metrics and active initiatives to improve performance to Hospital leadership Compensation range from 300K to 600K based on experience and specialty (not including bonuses / incentive compensation or benefits) Position Qualifications: Medical Degree from an Accredited University New York State Medical License Board Certification in Primary Care or Sub-specialty area of expertise Prior Medical Practice leadership experience Salary Disclosure Information: Mount Sinai Health System provides a salary range to comply with the New York City law on Salary Transparency in Job Advertisements. Actual salaries depend on a variety of factors, including experience, specialties, historical productivity, historical collections, and hospital/community need. As such, an actual salary may fall closer to one or the other end of the range, and in certain circumstances, may wind up being outside of the listed salary range. The salary range listed is for full-time employment and does not include bonuses / incentive compensation or benefits. About Staten Island: Staten Island abounds with architectural landmarks, beaches and parkland that you can explore. Many reach the borough via the free Staten Island Ferry, an attraction in its own right. It provides views of the Statue of Liberty, Ellis Island, and Lower Manhattan. Other highlights include shopping at Empire Outlets in St. George and wandering the gorgeous grounds of Snug Harbor and Historic Richmond Town. Motor traffic can reach the borough from Brooklyn via the Verrazzano-Narrows Bridge and from New Jersey via the Outerbridge Crossing, Goethals Bridge and Bayonne Bridge. Staten Island has Metropolitan Transportation Authority (MTA) bus lines and an MTA rapid transit line, the Staten Island Railway, which runs from the ferry terminal at St. George to Tottenville. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. EOE Minorities/Women/Disabled/Veterans Compensation Information: $300000.0 / Annually - $300000.0 / Annually Starting At: 300000.0 Annually Up To: 600000.0 Annually
Description: Goodside Health is seeking Revenue Cycle Management Specialists with expertise and dedication to play a vital role in ensuring the financial health of our organization. Our RCM team members are instrumental in managing the intricate process of revenue generation, from the initial patient encounter to the final payment collection. At the heart of our RCM department lies the commitment to efficiency, accuracy, and excellence. Our RCM team collaborates with various stakeholders, including clinicians, administrative staff, and insurance providers, to optimize revenue streams while maintaining compliance with regulatory standards. Our RCM team is a key contributor to the organization's success. Attention to detail and the ability to adapt to evolving industry trends are essential in navigating the complexities of healthcare reimbursement. The team's efforts impact the organization's ability to provide high quality care to our patients while sustaining the financial viability of our organization. ABOUT GOODSIDE HEALTH Our pediatric urgent care line of business, Urgent Care for Kids, was founded in 2011 and operates thirteen clinic locations throughout Texas. We launched our novel SchoolMed offering in 2019 with the aim to advance the delivery of pediatric care. Today, SchoolMed proudly serves more than 1.1 million eligible students and their campus communities though our telehealth and well care programs. At Goodside Health, we are driven to provide excellent patient care and customer service. Our purpose is to close the gaps in children's healthcare through innovation and execution. The ideal candidate is initiative-taking, innovative, and passionate about our purpose as well as our core values of Passion, Humility, Adaptability, Nurture, and Experience. Join us for a career where you can grow professionally in a nurturing environment that values innovation and a collaborative approach. We offer competitive benefits, opportunities for professional development, and a dynamic workplace culture aligned with our core values. Available positions: Billing Specialists, Payment Posting Specialists, and Accounts Receivable Specialists. Requirements for ALL Positions • High school diploma or equivalent • Competency in Microsoft Office 365 (especially Excel) and electronic medical record (EMR) software • Ability to read, understand, and interpret explanation of benefits (EOB) documents • Ability to define challenges, analyze problems, and suggest solutions in a proactive and positive manner • Ability to effectively communicate with patients, insurance companies, and team members within organization using excellent both verbal and written communication skills • Ability to manage and prioritize multiple tasks through excellent time management and organizational skills • High attention to detail in fast paced and dynamic environment • Ability to adapt to change quickly and rebound well • Ability to handle repetitive tasks • Regular and reliable attendance is a core requirement of this position as it affects quality and organizational cash flow BILLING SPECIALIST ESSENTIAL FUNCTIONS • Create accurate billing by reviewing CPT, ICD-10 and Modifier guidelines by insurance • Audit patient demographics and insurance information prior to billing • Generate and send electronic claims • Manage and correct rejected claims • Review prior months to be sure all billing has been sent out REQUIRED SKILLS AND ABILITIES • Proficient in HMO, PPO, and governmental insurances • Understanding of CMS-1500 forms, Clearinghouse claim submission, CPT, ICD-10, and HCPCS • Proficiency in healthcare terminology and medical procedure coding EXPERIENCE • 1 - 2 years' experience in medical insurance billing and/or collections. PAYMENT POSTING SPECIALIST ESSENTIAL FUNCTIONS • Reviewing Electronic Remittance Advice for proper payment • Daily cash reporting and posting using Excel and company software programs • Reconcile bank deposits to ERA & Credit card deposits received • Scanning EOB's into system • Applying patient credits/insurance denials/zero payers to patient accounts • Preparing Refund Requests • Posting Account adjustments • Daily Balancing • Month End reporting • Other duties as required REQUIRED SKILLS AND ABILITIES • Ability to search within insurance websites such as Availity, TMHP, Optum EDUCATION & EXPERIENCE • 1-2 years insurance payment posting with multiple payers. • Must have experience in posting from Bank Lockbox • Experience in Microsoft Excel with sorting/filtering with large sets of data to optimize and streamline workflow • Experience working with eMDs/Epic/Centricity is a plus ACCOUNTS RECEIVABLE SPECIALIST ESSENTIAL FUNCTIONS • Accurate processing of accounts receivable transactions including payments and adjustments • Determining appropriate reimbursement on all assigned insurance claims • Regularly calling insurance plans on work list to update claims statuses • Reviewing patient accounts to determine necessary follow-up action including filing appeals on claim denials and underpayments, corrections, and/or adjustments • Reaching out to patients and clinics to edit or add necessary claims information • Responding to insurance company claim inquiries REQUIRED SKILLS AND ABILITIES • Expertise in querying within insurance websites including Availity, TMHP, and Optum • Proficiency in healthcare terminology and medical procedure coding EDUCATION AND EXPERIENCE • At least 2 years of experience in insurance payment posting with multiple payors • Working experience with Medicare/Medicaid • Experience working with eMDs, Epic, and/or Centricity is a plus COMPENSATION & BENEFITS The base hourly pay rate range for these positions is $18/hour to $24/hour. At Goodside Health, compensation is determined based on factors that may include geographic location, skills, education, and experience. In addition to these factors, we believe in the importance of pay equity and consider the internal equity of our current team members as a part of any offer. The salary range listed is just one component of Goodside Health's total compensation and rewards programs, which also include: • Competitive compensation & incomparable company culture • Certain revenue-generating positions may be eligible for incentive compensation • Medical, Dental, Vision • Basic Life, Voluntary Life, Short-Term and Long-Term Disability • Accident, Hospital Indemnity, Critical Illness, Legal and ID Theft Insurance • Pet Insurance • Employee Assistance Program • Corporate Discount Program • Team Member Recognition Program • Swag Store • 401k Retirement Savings Plan • Paid Time Off (PTO) & Holidays • Free In-Clinic & Telemedicine Visits for Team Members & Dependents EQUAL OPPORTUNITY STATEMENT Goodside Health sincerely embraces diversity and equal opportunity. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that diverse teams make the strongest teams, and we encourage people from all backgrounds to apply. Requirements: Compensation details: 18-24 Hourly Wage PI9da3eb69df63-0682
04/13/2024
Full time
Description: Goodside Health is seeking Revenue Cycle Management Specialists with expertise and dedication to play a vital role in ensuring the financial health of our organization. Our RCM team members are instrumental in managing the intricate process of revenue generation, from the initial patient encounter to the final payment collection. At the heart of our RCM department lies the commitment to efficiency, accuracy, and excellence. Our RCM team collaborates with various stakeholders, including clinicians, administrative staff, and insurance providers, to optimize revenue streams while maintaining compliance with regulatory standards. Our RCM team is a key contributor to the organization's success. Attention to detail and the ability to adapt to evolving industry trends are essential in navigating the complexities of healthcare reimbursement. The team's efforts impact the organization's ability to provide high quality care to our patients while sustaining the financial viability of our organization. ABOUT GOODSIDE HEALTH Our pediatric urgent care line of business, Urgent Care for Kids, was founded in 2011 and operates thirteen clinic locations throughout Texas. We launched our novel SchoolMed offering in 2019 with the aim to advance the delivery of pediatric care. Today, SchoolMed proudly serves more than 1.1 million eligible students and their campus communities though our telehealth and well care programs. At Goodside Health, we are driven to provide excellent patient care and customer service. Our purpose is to close the gaps in children's healthcare through innovation and execution. The ideal candidate is initiative-taking, innovative, and passionate about our purpose as well as our core values of Passion, Humility, Adaptability, Nurture, and Experience. Join us for a career where you can grow professionally in a nurturing environment that values innovation and a collaborative approach. We offer competitive benefits, opportunities for professional development, and a dynamic workplace culture aligned with our core values. Available positions: Billing Specialists, Payment Posting Specialists, and Accounts Receivable Specialists. Requirements for ALL Positions • High school diploma or equivalent • Competency in Microsoft Office 365 (especially Excel) and electronic medical record (EMR) software • Ability to read, understand, and interpret explanation of benefits (EOB) documents • Ability to define challenges, analyze problems, and suggest solutions in a proactive and positive manner • Ability to effectively communicate with patients, insurance companies, and team members within organization using excellent both verbal and written communication skills • Ability to manage and prioritize multiple tasks through excellent time management and organizational skills • High attention to detail in fast paced and dynamic environment • Ability to adapt to change quickly and rebound well • Ability to handle repetitive tasks • Regular and reliable attendance is a core requirement of this position as it affects quality and organizational cash flow BILLING SPECIALIST ESSENTIAL FUNCTIONS • Create accurate billing by reviewing CPT, ICD-10 and Modifier guidelines by insurance • Audit patient demographics and insurance information prior to billing • Generate and send electronic claims • Manage and correct rejected claims • Review prior months to be sure all billing has been sent out REQUIRED SKILLS AND ABILITIES • Proficient in HMO, PPO, and governmental insurances • Understanding of CMS-1500 forms, Clearinghouse claim submission, CPT, ICD-10, and HCPCS • Proficiency in healthcare terminology and medical procedure coding EXPERIENCE • 1 - 2 years' experience in medical insurance billing and/or collections. PAYMENT POSTING SPECIALIST ESSENTIAL FUNCTIONS • Reviewing Electronic Remittance Advice for proper payment • Daily cash reporting and posting using Excel and company software programs • Reconcile bank deposits to ERA & Credit card deposits received • Scanning EOB's into system • Applying patient credits/insurance denials/zero payers to patient accounts • Preparing Refund Requests • Posting Account adjustments • Daily Balancing • Month End reporting • Other duties as required REQUIRED SKILLS AND ABILITIES • Ability to search within insurance websites such as Availity, TMHP, Optum EDUCATION & EXPERIENCE • 1-2 years insurance payment posting with multiple payers. • Must have experience in posting from Bank Lockbox • Experience in Microsoft Excel with sorting/filtering with large sets of data to optimize and streamline workflow • Experience working with eMDs/Epic/Centricity is a plus ACCOUNTS RECEIVABLE SPECIALIST ESSENTIAL FUNCTIONS • Accurate processing of accounts receivable transactions including payments and adjustments • Determining appropriate reimbursement on all assigned insurance claims • Regularly calling insurance plans on work list to update claims statuses • Reviewing patient accounts to determine necessary follow-up action including filing appeals on claim denials and underpayments, corrections, and/or adjustments • Reaching out to patients and clinics to edit or add necessary claims information • Responding to insurance company claim inquiries REQUIRED SKILLS AND ABILITIES • Expertise in querying within insurance websites including Availity, TMHP, and Optum • Proficiency in healthcare terminology and medical procedure coding EDUCATION AND EXPERIENCE • At least 2 years of experience in insurance payment posting with multiple payors • Working experience with Medicare/Medicaid • Experience working with eMDs, Epic, and/or Centricity is a plus COMPENSATION & BENEFITS The base hourly pay rate range for these positions is $18/hour to $24/hour. At Goodside Health, compensation is determined based on factors that may include geographic location, skills, education, and experience. In addition to these factors, we believe in the importance of pay equity and consider the internal equity of our current team members as a part of any offer. The salary range listed is just one component of Goodside Health's total compensation and rewards programs, which also include: • Competitive compensation & incomparable company culture • Certain revenue-generating positions may be eligible for incentive compensation • Medical, Dental, Vision • Basic Life, Voluntary Life, Short-Term and Long-Term Disability • Accident, Hospital Indemnity, Critical Illness, Legal and ID Theft Insurance • Pet Insurance • Employee Assistance Program • Corporate Discount Program • Team Member Recognition Program • Swag Store • 401k Retirement Savings Plan • Paid Time Off (PTO) & Holidays • Free In-Clinic & Telemedicine Visits for Team Members & Dependents EQUAL OPPORTUNITY STATEMENT Goodside Health sincerely embraces diversity and equal opportunity. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that diverse teams make the strongest teams, and we encourage people from all backgrounds to apply. Requirements: Compensation details: 18-24 Hourly Wage PI9da3eb69df63-0682
Financial Additions has partnered with a leading healthcare provider in search of a Patient Billing Specialist. Position will be in-office daily. Company offers: Value driven workplace The goal is to develop leadership qualities in all employees. Patient Billing Specialist responsibilities will include: Ensuring that all processes are performed in a timely and efficient manner. Performing assigned duties such as, cash posting, customer service, data entry and reviewing of claims for proper billing/collections. Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals supported by the RCBS. Ensuring that all claims billed and collected meet all government mandated procedures for Integrity and Compliance. Performing billing, collections, and reimbursement services in a prompt and efficient manner. Providing thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence. Documenting, forwards, resolves incoming mail and correspondence. Ensuring all Compliance errors are reported to the Director and maintain records and files of documentation supporting bill changes that are directed by Director and/or Integrity Officer. Ensuring daily productivity standards are met and daily EOB'S, reports and appeal files are cleared within 48 hours of receipt Patient Billing Specialist background should include: High School Diploma and 1 year of experience MS Excel (intermediate)
04/12/2024
Full time
Financial Additions has partnered with a leading healthcare provider in search of a Patient Billing Specialist. Position will be in-office daily. Company offers: Value driven workplace The goal is to develop leadership qualities in all employees. Patient Billing Specialist responsibilities will include: Ensuring that all processes are performed in a timely and efficient manner. Performing assigned duties such as, cash posting, customer service, data entry and reviewing of claims for proper billing/collections. Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals supported by the RCBS. Ensuring that all claims billed and collected meet all government mandated procedures for Integrity and Compliance. Performing billing, collections, and reimbursement services in a prompt and efficient manner. Providing thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence. Documenting, forwards, resolves incoming mail and correspondence. Ensuring all Compliance errors are reported to the Director and maintain records and files of documentation supporting bill changes that are directed by Director and/or Integrity Officer. Ensuring daily productivity standards are met and daily EOB'S, reports and appeal files are cleared within 48 hours of receipt Patient Billing Specialist background should include: High School Diploma and 1 year of experience MS Excel (intermediate)
General Summary The Billing Specialist I is responsible for collecting and entering claims, post insurance, submit claims, and answer patient inquiries on accounts. Reports to the Billing Supervisor. Essential Duties and Responsibilities Enters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate. Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form. Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. resolves patient's complaints or explains why certain services are not covered. Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims. Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter. Work with patient to establish payment plan for past due accounts in accordance with provider policies, as needed. Follows HIPAA guidelines in handling patient information. Provides necessary information as needed to collection agencies for delinquent or past due accounts. Post insurance and patient payments using medical claim billing software. May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail. Prepares and submits secondary claims upon processing by primary insurer. Understand managed care authorizations and limits to coverage such as number of visits. Verify patient benefits eligibility and coverage as needed. Look up ICD10 diagnosis and CPT treatment codes from online service or using traditional coding references. Job Qualifications Education High School Diploma or GED required. Work Experience Medical billing experience highly preferred. Experience in billing software and electronic data submission preferred. Mental/Physical Requirements Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds. . Working Conditions Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.
02/18/2022
Full time
General Summary The Billing Specialist I is responsible for collecting and entering claims, post insurance, submit claims, and answer patient inquiries on accounts. Reports to the Billing Supervisor. Essential Duties and Responsibilities Enters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate. Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form. Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. resolves patient's complaints or explains why certain services are not covered. Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims. Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter. Work with patient to establish payment plan for past due accounts in accordance with provider policies, as needed. Follows HIPAA guidelines in handling patient information. Provides necessary information as needed to collection agencies for delinquent or past due accounts. Post insurance and patient payments using medical claim billing software. May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail. Prepares and submits secondary claims upon processing by primary insurer. Understand managed care authorizations and limits to coverage such as number of visits. Verify patient benefits eligibility and coverage as needed. Look up ICD10 diagnosis and CPT treatment codes from online service or using traditional coding references. Job Qualifications Education High School Diploma or GED required. Work Experience Medical billing experience highly preferred. Experience in billing software and electronic data submission preferred. Mental/Physical Requirements Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds. . Working Conditions Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.
Iona is pleased to announce that we are hiring a full-time Billing Specialist to undertake a variety of financial and non-financial tasks to support the organization's finance department. We are a nonprofit organization that directly helps 3,000 older adults and families with the challenges and opportunities of aging in the greater Washington D.C. area. Since 1975, we have educated, advocated and provided community-based programs and services to help people age well and live well. Iona's suite of services includes Consultation, Care Management and Counseling (CCMC), our adult day centers in Tenleytown and Congress Heights, support groups, food and nutrition services including home-delivered meals, and more. For more information about Iona, please visit . Iona is a warm and collegial workplace that promotes excellence in client services and is committed to diversity, inclusion, and the professional growth of employees. SUMMARY: This position will ensure all revenue types are being captured and that all billing is submitted and accounted for properly. This includes posting, collecting, and managing accounts, submitting claims, posting payments & adjustments, following up with insurance companies and individuals in arrears, reconciling accounts, daily balancing controls & reporting, issuing client statements and preparing monthly reports. RESPONSIBILITIES: Prepares and submits clean claims to various insurance companies and individuals, either electronically or by paper. Posts payments, adjustments, transfer of responsibility and refunds, as necessary. Answers questions from clinical staff, insurance companies and individuals billed for services. Identifies and resolves client billing problems and manages client inquiries. Prepares, reviews, and sends patient statements, as necessary. Reviews accounts and makes recommendations regarding non collectible accounts. Performs various collection actions including contacting insurance company, contacting patients by phone, correcting and resubmitting claims to third party payers. Calls individuals in arrears to collect payments and/or work out payment plans. Prepares, reviews, and posts daily deposits received from customers. Processes payments and denials from insurance companies and individuals either electronically or manually. Maintains knowledge of payer requirements, including but not limited to authorizations per specific codes for claims submission, timely filing limits, and coverage limitations. Ensures accurate submission of all claims and timely collections in accordance with all third-party contract terms including Medicaid, Medicare, commercial insurance, and private pay. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Support Director of Finance in other finance/accounting related duties Other duties as assigned. REQUIREMENTS : BA/BS in accounting, business management, commerce or finance preferred Knowledge of accounting, billing / collection practices Strong keyboard skills. Works well in environment with firm deadlines; results oriented. Performs multiple tasks effectively. Able to work both independently and as part of a team. Strong detail and analytical skills. Capable of making timely, independent decisions. Excellent oral, written, and interpersonal communications skill. Experience working with medical payers such as Medicaid, Medicare, and commercial insurance. Excellent organizational skills Previous medical billing experience preferred, along with knowledge of billing related reporting 2+ years' experience in health-care billing & insurance billing practices preferred Fully vaccinated against Covid-19
01/30/2022
Full time
Iona is pleased to announce that we are hiring a full-time Billing Specialist to undertake a variety of financial and non-financial tasks to support the organization's finance department. We are a nonprofit organization that directly helps 3,000 older adults and families with the challenges and opportunities of aging in the greater Washington D.C. area. Since 1975, we have educated, advocated and provided community-based programs and services to help people age well and live well. Iona's suite of services includes Consultation, Care Management and Counseling (CCMC), our adult day centers in Tenleytown and Congress Heights, support groups, food and nutrition services including home-delivered meals, and more. For more information about Iona, please visit . Iona is a warm and collegial workplace that promotes excellence in client services and is committed to diversity, inclusion, and the professional growth of employees. SUMMARY: This position will ensure all revenue types are being captured and that all billing is submitted and accounted for properly. This includes posting, collecting, and managing accounts, submitting claims, posting payments & adjustments, following up with insurance companies and individuals in arrears, reconciling accounts, daily balancing controls & reporting, issuing client statements and preparing monthly reports. RESPONSIBILITIES: Prepares and submits clean claims to various insurance companies and individuals, either electronically or by paper. Posts payments, adjustments, transfer of responsibility and refunds, as necessary. Answers questions from clinical staff, insurance companies and individuals billed for services. Identifies and resolves client billing problems and manages client inquiries. Prepares, reviews, and sends patient statements, as necessary. Reviews accounts and makes recommendations regarding non collectible accounts. Performs various collection actions including contacting insurance company, contacting patients by phone, correcting and resubmitting claims to third party payers. Calls individuals in arrears to collect payments and/or work out payment plans. Prepares, reviews, and posts daily deposits received from customers. Processes payments and denials from insurance companies and individuals either electronically or manually. Maintains knowledge of payer requirements, including but not limited to authorizations per specific codes for claims submission, timely filing limits, and coverage limitations. Ensures accurate submission of all claims and timely collections in accordance with all third-party contract terms including Medicaid, Medicare, commercial insurance, and private pay. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Support Director of Finance in other finance/accounting related duties Other duties as assigned. REQUIREMENTS : BA/BS in accounting, business management, commerce or finance preferred Knowledge of accounting, billing / collection practices Strong keyboard skills. Works well in environment with firm deadlines; results oriented. Performs multiple tasks effectively. Able to work both independently and as part of a team. Strong detail and analytical skills. Capable of making timely, independent decisions. Excellent oral, written, and interpersonal communications skill. Experience working with medical payers such as Medicaid, Medicare, and commercial insurance. Excellent organizational skills Previous medical billing experience preferred, along with knowledge of billing related reporting 2+ years' experience in health-care billing & insurance billing practices preferred Fully vaccinated against Covid-19
Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We'll look to you to maintain our reputation for service, accuracy and a positive claims experience. We'll back you with great training, support and opportunities. This position is full-time (36 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of Monday - Thursday 8:00am - 4:30pm and Friday 8:00am - 12:00pm and during peak season hours will be 8:00am - 4:30pm CST). It may be necessary, given the business need, to work occasional overtime. Our office is located at 601 Visions Parkway, Adel, Iowa 50003 Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims Analyze and identify trends and provide reports as necessary Consistently meet established productivity, schedule adherence and quality standards This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims, and dependent care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School diploma / GED (or higher) OR equivalent years of work experience 2+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications Ability to work any of our 8-hour shift schedules during our normal business hours of Monday - Thursday 8:00am - 4:30pm and Friday 8:00am - 12:00pm and during peak season hours will be 8:00am - 4:30pm CST). It may be necessary, given the business need, to work occasional overtime Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance. Preferred Qualifications: 1+ years of experience processing medical, dental, prescription or mental health claims UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status. Making claims a positive experience for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work. SM Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. SM Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: Healthcare, health care, Managed Care, Billing Representative, Billing, Collections, Claims, Customer Service, Medical Billing, hiring immediately, #RPO
11/10/2021
Full time
Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We'll look to you to maintain our reputation for service, accuracy and a positive claims experience. We'll back you with great training, support and opportunities. This position is full-time (36 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of Monday - Thursday 8:00am - 4:30pm and Friday 8:00am - 12:00pm and during peak season hours will be 8:00am - 4:30pm CST). It may be necessary, given the business need, to work occasional overtime. Our office is located at 601 Visions Parkway, Adel, Iowa 50003 Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims Analyze and identify trends and provide reports as necessary Consistently meet established productivity, schedule adherence and quality standards This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims, and dependent care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School diploma / GED (or higher) OR equivalent years of work experience 2+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications Ability to work any of our 8-hour shift schedules during our normal business hours of Monday - Thursday 8:00am - 4:30pm and Friday 8:00am - 12:00pm and during peak season hours will be 8:00am - 4:30pm CST). It may be necessary, given the business need, to work occasional overtime Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance. Preferred Qualifications: 1+ years of experience processing medical, dental, prescription or mental health claims UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status. Making claims a positive experience for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work. SM Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. SM Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: Healthcare, health care, Managed Care, Billing Representative, Billing, Collections, Claims, Customer Service, Medical Billing, hiring immediately, #RPO
Overview: From our Dallas corporate headquarters to our clinics and onsite locations, Concentra colleagues remain focused on our driving purpose: Improving the health of America's workforce, one patient at a time. Our commitment is that every patient is treated the Concentra Way: quality clinical care and a positive customer experience from welcoming, respectful and skillful colleagues. We do this by putting all customers first and by displaying: A healing focus A selfless heart A tireless resolve Responsibilities: In addition to performing accounts receivable duties performs various lead duties for a group of accounts receivable representatives to ensure timely and accurate collection of payments, daily reconciliation of cash and accurate reporting of receivables in accordance with Concentra policies, practices and procedures. RESPONSIBILITIES Resolves escalated problems via communications with various customers including employers, insurance companies, TPAs and labs Processes rebills and composes correspondence to customers Monitors and reviews account aging reports to ensure timely collection Reviews documents and reconciles discrepancies and makes needed adjustments Performs account payment reconciliations with incoming receipts Prepares and distributes periodic reports on A/R and past due accounts for management and clients Negotiates with clients' repayment terms on past due accounts Makes decisions on referring accounts for collection or writing off Trains new employees and assist peers Other duties as assigned. Duties, responsibilities and activities may change at any time with or without notice A/R Aging Report Determines when adjustments are appropriate and necessary and applies Resolves Employer Issues when necessary, such as misapplied or missing payments Documentation Interacts with clinics when necessary to resolve invoice charges or issues and secures supporting documentation Rebills Monitors rebills for open balances and takes appropriate action Schedules and distributes work to meet deadlines and facilitate efficient workflows. Qualifications: QUALIFICATIONS High school diploma or GED equivalent Some college courses, preferred Customarily has at least three or more years of demonstrated collection experience (occupational health, preferred) Medical billing courses may take the place of on-the-job experience Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Familiarity with Microsoft Excel, Outlook, Word experience required Ability to communicate effectively and professionally Excellent time management skills Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism Excellent writing and documentation skills Ability to work independently Ability to handle multiple tasks, projects, duties, and priorities, when assigned Additional Data: 401(k) with Employer Match Medical/Vision/Prescription/Dental Plans Life Insurance/Disability Paid Time Off Colleague Referral Bonus Program This position is eligible to earn a base compensation rate in the range of $17 to $20 hourly depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. Concentra is an Equal Opportunity Employer, including disability/veterans
11/07/2021
Full time
Overview: From our Dallas corporate headquarters to our clinics and onsite locations, Concentra colleagues remain focused on our driving purpose: Improving the health of America's workforce, one patient at a time. Our commitment is that every patient is treated the Concentra Way: quality clinical care and a positive customer experience from welcoming, respectful and skillful colleagues. We do this by putting all customers first and by displaying: A healing focus A selfless heart A tireless resolve Responsibilities: In addition to performing accounts receivable duties performs various lead duties for a group of accounts receivable representatives to ensure timely and accurate collection of payments, daily reconciliation of cash and accurate reporting of receivables in accordance with Concentra policies, practices and procedures. RESPONSIBILITIES Resolves escalated problems via communications with various customers including employers, insurance companies, TPAs and labs Processes rebills and composes correspondence to customers Monitors and reviews account aging reports to ensure timely collection Reviews documents and reconciles discrepancies and makes needed adjustments Performs account payment reconciliations with incoming receipts Prepares and distributes periodic reports on A/R and past due accounts for management and clients Negotiates with clients' repayment terms on past due accounts Makes decisions on referring accounts for collection or writing off Trains new employees and assist peers Other duties as assigned. Duties, responsibilities and activities may change at any time with or without notice A/R Aging Report Determines when adjustments are appropriate and necessary and applies Resolves Employer Issues when necessary, such as misapplied or missing payments Documentation Interacts with clinics when necessary to resolve invoice charges or issues and secures supporting documentation Rebills Monitors rebills for open balances and takes appropriate action Schedules and distributes work to meet deadlines and facilitate efficient workflows. Qualifications: QUALIFICATIONS High school diploma or GED equivalent Some college courses, preferred Customarily has at least three or more years of demonstrated collection experience (occupational health, preferred) Medical billing courses may take the place of on-the-job experience Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Familiarity with Microsoft Excel, Outlook, Word experience required Ability to communicate effectively and professionally Excellent time management skills Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism Excellent writing and documentation skills Ability to work independently Ability to handle multiple tasks, projects, duties, and priorities, when assigned Additional Data: 401(k) with Employer Match Medical/Vision/Prescription/Dental Plans Life Insurance/Disability Paid Time Off Colleague Referral Bonus Program This position is eligible to earn a base compensation rate in the range of $17 to $20 hourly depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. Concentra is an Equal Opportunity Employer, including disability/veterans
Are you are looking for a fast-paced environment where you can make a difference every day? Then this is the opportunity for you! CSI PROFESSIONAL is a national professional recruiting firm that is currently seeking a RECEPTIONIST/REFERRAL COORDINATOR to support one of our clients, a healthcare provider specializing in Geriatric care, in APOPKA, FL Title of Job: Referral Coordinator/Receptionist Pay: $16-$17/HR Hours: Full Time; 8a-5p Status: Contract to Hire Location: Apopka, FL Effective Date / Tentative Start Date: ASAP The Collections Specialist performs all functions related to the timely follow-up and collection of third-party patient accounts, in accordance with State and Federal rules and regulations and hospital policy and procedure WHO SHOULD APPLY? If you are/have: 1+ years of prior healthcare collections/billing experience Reception or front desk experience Verifiable High School diploma/GED We would love for you to apply to become part of the team that is not only changing people's lives for the better but changing the health care system for the next generations to come. Job Requirements: REQUIRED JOB DUTIES: Reviews reports from insurance companies/government payers for possibility of resubmission Resubmits, bills patient, or writes-off as appropriate Files appeals on rejected services within filing deadline Follows-up on unpaid third-party accounts by telephone and/or tracer within time frames and guidelines set forth in hospital policies and procedures Prepares rebilling as necessary Reviews correspondence received from third party carriers, and responds before insurance company deadlines Makes request for medical records when necessary Reviews payments on accounts for accuracy Contacts insurance carriers if payment is less than quoted benefits to resolve balance responsibility Calculates or recalculates contractual allowances and corrects as necessary Corrects Managed Care discounts, employee discounts, etc. as necessary after recalculating discount Documents all insurance activity in computer system Demonstrates competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of members served by the department Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age specific and other developmental needs of each member served About Us CSI PROFESSIONAL is a recruiting firm established in 1994 that has been awarded "Best of Staffing" for 6 years in a row. We provide outstanding services to the world's leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Benefits Offered: Weekly Pay Medical, dental, and vision coverage Voluntary Life and AD&D coverage Paid Training For additional information, please apply!
09/11/2021
Full time
Are you are looking for a fast-paced environment where you can make a difference every day? Then this is the opportunity for you! CSI PROFESSIONAL is a national professional recruiting firm that is currently seeking a RECEPTIONIST/REFERRAL COORDINATOR to support one of our clients, a healthcare provider specializing in Geriatric care, in APOPKA, FL Title of Job: Referral Coordinator/Receptionist Pay: $16-$17/HR Hours: Full Time; 8a-5p Status: Contract to Hire Location: Apopka, FL Effective Date / Tentative Start Date: ASAP The Collections Specialist performs all functions related to the timely follow-up and collection of third-party patient accounts, in accordance with State and Federal rules and regulations and hospital policy and procedure WHO SHOULD APPLY? If you are/have: 1+ years of prior healthcare collections/billing experience Reception or front desk experience Verifiable High School diploma/GED We would love for you to apply to become part of the team that is not only changing people's lives for the better but changing the health care system for the next generations to come. Job Requirements: REQUIRED JOB DUTIES: Reviews reports from insurance companies/government payers for possibility of resubmission Resubmits, bills patient, or writes-off as appropriate Files appeals on rejected services within filing deadline Follows-up on unpaid third-party accounts by telephone and/or tracer within time frames and guidelines set forth in hospital policies and procedures Prepares rebilling as necessary Reviews correspondence received from third party carriers, and responds before insurance company deadlines Makes request for medical records when necessary Reviews payments on accounts for accuracy Contacts insurance carriers if payment is less than quoted benefits to resolve balance responsibility Calculates or recalculates contractual allowances and corrects as necessary Corrects Managed Care discounts, employee discounts, etc. as necessary after recalculating discount Documents all insurance activity in computer system Demonstrates competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of members served by the department Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age specific and other developmental needs of each member served About Us CSI PROFESSIONAL is a recruiting firm established in 1994 that has been awarded "Best of Staffing" for 6 years in a row. We provide outstanding services to the world's leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Benefits Offered: Weekly Pay Medical, dental, and vision coverage Voluntary Life and AD&D coverage Paid Training For additional information, please apply!
Children's Hospital & Medical Center - Omaha
Omaha, Nebraska
**$1,500 REFERRAL BONUS** We re searching for a Patient Access Specialist who's responsible for greeting and checking in families and other customers in a professional manner consistently exceeding customer service expectations. Monitor, maintain, and verify all required patient information with consistency and accuracy. Work with clinical team to ensure a team based approach to care. Ensure accurate and consistent point of service collections. Ensure a positive interaction in each patient and family encounter. May be expected to work in either the clinic location and/or in the Centralized Scheduling Center. ESSENTIAL FUNCTIONS Registers new patients with complete and accurate demographics according to procedure. Checks patients in and out. Verifies all patient/family demographic information and enters accurately in the computer at each visit. May need to electronically verify address. Provides, collects and accurately documents all required patient paperwork according to procedure. Schedules patients accurately using the automated appointment system following office protocols. Maintains the daily physician appointment templates at the direction and approval of the office manager and lead receptionist. Contacts patients/families with future appointments to confirm appointments and verify demographic and insurance information. Verifies patient s insurance eligibility and benefits using established automated process at each visit. Initiates the Children s Connect sign up process for all new or inactive patients at the beginning of each visit. Responds to Children s Connect appointment messaging within defined timeframes. Pulls patient s charts as needed, releases information as needed in accordance with organizational protocols. Scans documents into the electronic medical record as directed. Appends the document to the appropriate section of the record following organizational protocol. Collects co-pays and balances on past due accounts following organizational protocol. Posts payments collected directly into the computer. Completes end-of-day balancing and accurately prepares bank deposit. Answers patient/family questions about owed balances and/or refers to Primary Care Physician Billing as appropriate. Completes work queues daily to compile missing demographic and insurance information for billing purposes. Supports patient care quality initiatives as directed. Completes miscellaneous reports and letters as needed. Opens and distributes mail in a timely manner. Assembles patient packets as directed. Pulls and processes all fax transmittals as directed, scans patient reports as directed. Prepares and sends hospital charges as directed. Performs opening and closing duties as assigned by the office manager or designee. Assists in the orientation and training of new employees as requested. Facilitates handling of pharmaceutical representatives and vendors in accordance with office policy. Monitors hourly and maintains clean, organized clutter-free lobby and clean patient restrooms KNOWLEDGE, SKILLS AND ABILITIES Excellent skills in communication, listening, customer service, organization Basic computer skills and knowledge of Microsoft operating environment Ability to read, write and perform arithmetic calculations Ability to operate basic office equipment: personal computer, automated telephone systems, scanning technology, e-signature, 10 key adding machine, copier, shredder and facsimile Knowledge of billing and insurance programs Knowledge of patient appointment scheduling systems in a medical office EDUCATION AND EXPERIENCE High school diploma or GED equivalent required Minimum one year customer service experience required One year experience working in a health care or insurance setting preferred CERTIFICATIONS/LICENSURE REQUIREMENTS Basic Life Support Certification from the American Heart Association preferred within 6 months of hire date Based on departmental need bilingual may be required Based on position medical interpretation certificate may be required EOE/Vets/Disabled
09/08/2021
Full time
**$1,500 REFERRAL BONUS** We re searching for a Patient Access Specialist who's responsible for greeting and checking in families and other customers in a professional manner consistently exceeding customer service expectations. Monitor, maintain, and verify all required patient information with consistency and accuracy. Work with clinical team to ensure a team based approach to care. Ensure accurate and consistent point of service collections. Ensure a positive interaction in each patient and family encounter. May be expected to work in either the clinic location and/or in the Centralized Scheduling Center. ESSENTIAL FUNCTIONS Registers new patients with complete and accurate demographics according to procedure. Checks patients in and out. Verifies all patient/family demographic information and enters accurately in the computer at each visit. May need to electronically verify address. Provides, collects and accurately documents all required patient paperwork according to procedure. Schedules patients accurately using the automated appointment system following office protocols. Maintains the daily physician appointment templates at the direction and approval of the office manager and lead receptionist. Contacts patients/families with future appointments to confirm appointments and verify demographic and insurance information. Verifies patient s insurance eligibility and benefits using established automated process at each visit. Initiates the Children s Connect sign up process for all new or inactive patients at the beginning of each visit. Responds to Children s Connect appointment messaging within defined timeframes. Pulls patient s charts as needed, releases information as needed in accordance with organizational protocols. Scans documents into the electronic medical record as directed. Appends the document to the appropriate section of the record following organizational protocol. Collects co-pays and balances on past due accounts following organizational protocol. Posts payments collected directly into the computer. Completes end-of-day balancing and accurately prepares bank deposit. Answers patient/family questions about owed balances and/or refers to Primary Care Physician Billing as appropriate. Completes work queues daily to compile missing demographic and insurance information for billing purposes. Supports patient care quality initiatives as directed. Completes miscellaneous reports and letters as needed. Opens and distributes mail in a timely manner. Assembles patient packets as directed. Pulls and processes all fax transmittals as directed, scans patient reports as directed. Prepares and sends hospital charges as directed. Performs opening and closing duties as assigned by the office manager or designee. Assists in the orientation and training of new employees as requested. Facilitates handling of pharmaceutical representatives and vendors in accordance with office policy. Monitors hourly and maintains clean, organized clutter-free lobby and clean patient restrooms KNOWLEDGE, SKILLS AND ABILITIES Excellent skills in communication, listening, customer service, organization Basic computer skills and knowledge of Microsoft operating environment Ability to read, write and perform arithmetic calculations Ability to operate basic office equipment: personal computer, automated telephone systems, scanning technology, e-signature, 10 key adding machine, copier, shredder and facsimile Knowledge of billing and insurance programs Knowledge of patient appointment scheduling systems in a medical office EDUCATION AND EXPERIENCE High school diploma or GED equivalent required Minimum one year customer service experience required One year experience working in a health care or insurance setting preferred CERTIFICATIONS/LICENSURE REQUIREMENTS Basic Life Support Certification from the American Heart Association preferred within 6 months of hire date Based on departmental need bilingual may be required Based on position medical interpretation certificate may be required EOE/Vets/Disabled
Physicians Independent Management Services, Inc.
Tampa, Florida
The Customer Service & Collections Specialist's primary job function is to make outbound and receive inbound calls for the purpose of collecting on open medical balances. Functions include: Taking inbound calls from patients to discuss their account balance, process payments, offer discounts/settlements as necessary, or set up payment plans. Duties may also include updating and rebilling insurance claims or referring accounts to appropriate internal departments. The preferred applicant will have at least 2 years of experience collecting in a call center or healthcare environment dealing specifically with patient/consumer collections. Medical and remittance/ EOB terminology and familiarity is a plus. Bilingual (Spanish) candidate preferred, but not required. Excellent attendance is a requirement of this position. An excellent benefits package is offered, including a NO COST-TO-YOU MEDICAL PLAN! Dental, vision, 401k & long and short-term disability plans are available as well. Generous holiday and Paid Time Off (PTO) provided in your first year! A great, casual dress work environment with many tenured employees. M-F 8 am-5 pm. Applicants offered a position are required to take a drug test and submit to a background screening. Job Type: Full-time; non-exempt. 1 year call center or collections experience required, 2 years preferred PI
09/06/2021
Full time
The Customer Service & Collections Specialist's primary job function is to make outbound and receive inbound calls for the purpose of collecting on open medical balances. Functions include: Taking inbound calls from patients to discuss their account balance, process payments, offer discounts/settlements as necessary, or set up payment plans. Duties may also include updating and rebilling insurance claims or referring accounts to appropriate internal departments. The preferred applicant will have at least 2 years of experience collecting in a call center or healthcare environment dealing specifically with patient/consumer collections. Medical and remittance/ EOB terminology and familiarity is a plus. Bilingual (Spanish) candidate preferred, but not required. Excellent attendance is a requirement of this position. An excellent benefits package is offered, including a NO COST-TO-YOU MEDICAL PLAN! Dental, vision, 401k & long and short-term disability plans are available as well. Generous holiday and Paid Time Off (PTO) provided in your first year! A great, casual dress work environment with many tenured employees. M-F 8 am-5 pm. Applicants offered a position are required to take a drug test and submit to a background screening. Job Type: Full-time; non-exempt. 1 year call center or collections experience required, 2 years preferred PI
This position is responsible for the entire client billing revenue cycle including invoicing, collections, cash posting, customer follow‑up and accounts receivable management for a clinical reference laboratory. QUALIFICATIONS: High school graduate or equivalent. Experience in client and third-party insurance billing. Excellent written and verbal communication skills that translates into proactive updates to management internally and positive interaction with customers Excellent analytical and problem solving skills Proficient in Microsoft Office programs ESSENTIAL FUNCTIONS: Exercise independent judgment and discretion in regard to customer collection duties. Manage the invoice and collection lifecycle from invoice creation to payment by the customer. Process monthly invoice runs and send invoices to clients. Assist clients in resolving questions and/or problems regarding their invoices and accounts. Lead customer collection activities by contacting customers on outstanding balances. Perform day to day financial transactions including verifying, classifying, computing, posting and recording accounts receivable data. Create and maintain AR Client Management Report detailing the status of all aged receivables. Escalate significantly aged or problematic customer receivables to management. Manage Client Request WQ ensuring that all client requests are performed in a timely manner and all transactions are processed through the Error WQ. Manage transactions in the CIM WQ and make certain that all transactions are billed appropriately. Process all transactions in the Held Transaction WQ in a timely manner. Enter all reference testing as instructed by the Send-Out department. Liaison with third party insurance carriers to ensure proper collection and client reimbursement accounting. Maintains physician/client and patient/client accounting to ensure proper billing and collection. Coordinates with appropriate laboratory personnel on proper computer data entry and current prices of laboratory services to ensure accurate and up-to-date client billing. Maintain confidentiality of all laboratory information according to laboratory policy. Physicians Laboratory Services, Inc is an Affirmative Action/EEO Employer - qualified applicants will be considered for employment without regard to protected veteran or disability status, race/color, religion, gender, national origin or any other legally protected basis. Contact Kacey Moreland with questions at .
09/05/2021
Full time
This position is responsible for the entire client billing revenue cycle including invoicing, collections, cash posting, customer follow‑up and accounts receivable management for a clinical reference laboratory. QUALIFICATIONS: High school graduate or equivalent. Experience in client and third-party insurance billing. Excellent written and verbal communication skills that translates into proactive updates to management internally and positive interaction with customers Excellent analytical and problem solving skills Proficient in Microsoft Office programs ESSENTIAL FUNCTIONS: Exercise independent judgment and discretion in regard to customer collection duties. Manage the invoice and collection lifecycle from invoice creation to payment by the customer. Process monthly invoice runs and send invoices to clients. Assist clients in resolving questions and/or problems regarding their invoices and accounts. Lead customer collection activities by contacting customers on outstanding balances. Perform day to day financial transactions including verifying, classifying, computing, posting and recording accounts receivable data. Create and maintain AR Client Management Report detailing the status of all aged receivables. Escalate significantly aged or problematic customer receivables to management. Manage Client Request WQ ensuring that all client requests are performed in a timely manner and all transactions are processed through the Error WQ. Manage transactions in the CIM WQ and make certain that all transactions are billed appropriately. Process all transactions in the Held Transaction WQ in a timely manner. Enter all reference testing as instructed by the Send-Out department. Liaison with third party insurance carriers to ensure proper collection and client reimbursement accounting. Maintains physician/client and patient/client accounting to ensure proper billing and collection. Coordinates with appropriate laboratory personnel on proper computer data entry and current prices of laboratory services to ensure accurate and up-to-date client billing. Maintain confidentiality of all laboratory information according to laboratory policy. Physicians Laboratory Services, Inc is an Affirmative Action/EEO Employer - qualified applicants will be considered for employment without regard to protected veteran or disability status, race/color, religion, gender, national origin or any other legally protected basis. Contact Kacey Moreland with questions at .
Children's Hospital & Medical Center - Omaha
Omaha, Nebraska
We re searching for a Patient Access Specialist who's responsible for greeting and checking in families and other customers in a professional manner consistently exceeding customer service expectations. Monitor, maintain, and verify all required patient information with consistency and accuracy. Work with clinical team to ensure a team based approach to care. Ensure accurate and consistent point of service collections. Ensure a positive interaction in each patient and family encounter. May be expected to work in either the clinic location and/or in the Centralized Scheduling Center. ESSENTIAL FUNCTIONS Registers new patients with complete and accurate demographics according to procedure. Checks patients in and out. Verifies all patient/family demographic information and enters accurately in the computer at each visit. May need to electronically verify address. Provides, collects and accurately documents all required patient paperwork according to procedure. Schedules patients accurately using the automated appointment system following office protocols. Maintains the daily physician appointment templates at the direction and approval of the office manager and lead receptionist. Contacts patients/families with future appointments to confirm appointments and verify demographic and insurance information. Verifies patient s insurance eligibility and benefits using established automated process at each visit. Initiates the Children s Connect sign up process for all new or inactive patients at the beginning of each visit. Responds to Children s Connect appointment messaging within defined timeframes. Pulls patient s charts as needed, releases information as needed in accordance with organizational protocols. Scans documents into the electronic medical record as directed. Appends the document to the appropriate section of the record following organizational protocol. Collects co-pays and balances on past due accounts following organizational protocol. Posts payments collected directly into the computer. Completes end-of-day balancing and accurately prepares bank deposit. Answers patient/family questions about owed balances and/or refers to Primary Care Physician Billing as appropriate. Completes work queues daily to compile missing demographic and insurance information for billing purposes. Supports patient care quality initiatives as directed. Completes miscellaneous reports and letters as needed. Opens and distributes mail in a timely manner. Assembles patient packets as directed. Pulls and processes all fax transmittals as directed, scans patient reports as directed. Prepares and sends hospital charges as directed. Performs opening and closing duties as assigned by the office manager or designee. Assists in the orientation and training of new employees as requested. Facilitates handling of pharmaceutical representatives and vendors in accordance with office policy. Monitors hourly and maintains clean, organized clutter-free lobby and clean patient restrooms KNOWLEDGE, SKILLS AND ABILITIES Excellent skills in communication, listening, customer service, organization Basic computer skills and knowledge of Microsoft operating environment Ability to read, write and perform arithmetic calculations Ability to operate basic office equipment: personal computer, automated telephone systems, scanning technology, e-signature, 10 key adding machine, copier, shredder and facsimile Knowledge of billing and insurance programs Knowledge of patient appointment scheduling systems in a medical office EDUCATION AND EXPERIENCE High school diploma or GED equivalent required Minimum one year customer service experience required One year experience working in a health care or insurance setting preferred CERTIFICATIONS/LICENSURE REQUIREMENTS Basic Life Support Certification from the American Heart Association preferred within 6 months of hire date Based on departmental need bilingual may be required Based on position medical interpretation certificate may be required EOE/Vets/Disabled
09/04/2021
Full time
We re searching for a Patient Access Specialist who's responsible for greeting and checking in families and other customers in a professional manner consistently exceeding customer service expectations. Monitor, maintain, and verify all required patient information with consistency and accuracy. Work with clinical team to ensure a team based approach to care. Ensure accurate and consistent point of service collections. Ensure a positive interaction in each patient and family encounter. May be expected to work in either the clinic location and/or in the Centralized Scheduling Center. ESSENTIAL FUNCTIONS Registers new patients with complete and accurate demographics according to procedure. Checks patients in and out. Verifies all patient/family demographic information and enters accurately in the computer at each visit. May need to electronically verify address. Provides, collects and accurately documents all required patient paperwork according to procedure. Schedules patients accurately using the automated appointment system following office protocols. Maintains the daily physician appointment templates at the direction and approval of the office manager and lead receptionist. Contacts patients/families with future appointments to confirm appointments and verify demographic and insurance information. Verifies patient s insurance eligibility and benefits using established automated process at each visit. Initiates the Children s Connect sign up process for all new or inactive patients at the beginning of each visit. Responds to Children s Connect appointment messaging within defined timeframes. Pulls patient s charts as needed, releases information as needed in accordance with organizational protocols. Scans documents into the electronic medical record as directed. Appends the document to the appropriate section of the record following organizational protocol. Collects co-pays and balances on past due accounts following organizational protocol. Posts payments collected directly into the computer. Completes end-of-day balancing and accurately prepares bank deposit. Answers patient/family questions about owed balances and/or refers to Primary Care Physician Billing as appropriate. Completes work queues daily to compile missing demographic and insurance information for billing purposes. Supports patient care quality initiatives as directed. Completes miscellaneous reports and letters as needed. Opens and distributes mail in a timely manner. Assembles patient packets as directed. Pulls and processes all fax transmittals as directed, scans patient reports as directed. Prepares and sends hospital charges as directed. Performs opening and closing duties as assigned by the office manager or designee. Assists in the orientation and training of new employees as requested. Facilitates handling of pharmaceutical representatives and vendors in accordance with office policy. Monitors hourly and maintains clean, organized clutter-free lobby and clean patient restrooms KNOWLEDGE, SKILLS AND ABILITIES Excellent skills in communication, listening, customer service, organization Basic computer skills and knowledge of Microsoft operating environment Ability to read, write and perform arithmetic calculations Ability to operate basic office equipment: personal computer, automated telephone systems, scanning technology, e-signature, 10 key adding machine, copier, shredder and facsimile Knowledge of billing and insurance programs Knowledge of patient appointment scheduling systems in a medical office EDUCATION AND EXPERIENCE High school diploma or GED equivalent required Minimum one year customer service experience required One year experience working in a health care or insurance setting preferred CERTIFICATIONS/LICENSURE REQUIREMENTS Basic Life Support Certification from the American Heart Association preferred within 6 months of hire date Based on departmental need bilingual may be required Based on position medical interpretation certificate may be required EOE/Vets/Disabled
**Description:** **Providence St. Joseph Health is calling a Patient Access Representative** **(Part-Time, Days) to our location in Orange, CA.** + **_Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system._** We are seeking a Patient Access Representative to be responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for unscheduled visits by collecting accurate demographic information, insurance information, and collecting patient liability (if known) at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. In addition, this individual is responsible for miscellaneous client service activities including valuables collection and providing basic customer service. The Patient Access Representative greets and serves patients in a professional, friendly, and respectful manner to promote positive encounters. The incumbent performs all duties in a manner that promotes the PJSH mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organizations. **In this position you will have the following responsibilities:** + Activate patients in the system of record upon arrival on the date of service and assist patients and customers in navigating throughout the hospital facility. + Verify patient insurance; read and understand responses from automated financial clearance tool and take appropriate action, including referrals to Patient Access Specialist or Financial Counselor, as appropriate. + Ensure that required/applicable forms and documents are presented and explained at time of registration (e.g., Patient Rights and Responsibilities, Advance Directives, Important Patient Information, etc.). + Obtain all necessary patient signatures at time of arrival. + Perform collections and cashiering functions when appropriate. + Ensure that financially cleared patients go directly to the area of service in order to receive treatment; refer patients to Financial Counseling when appropriate. + Obtain all information necessary to perform benefits verification for unscheduled visits. + Coordinate with bed placement and ensure appropriate patient type and status changes are performed in a timely manner. + Confirm and document insurance eligibility of patient coverage benefits, including coverage limits, number of days, patient responsibility, effective dates, and follow-up with patient and/or referring physician office in the event of failed eligibility. + Daily focus on attaining productivity standards; recommend new approaches for enhancing performance and productivity when appropriate. + Coordinate discharge processing with financial counseling, Case Management, and clinicians. + Assist patients with on-site customer service functions (e.g., billing, medical record, and collection inquiries) by coordinating with other revenue cycle functions and departments. + Collect, log, and store patient valuables in accordance with SJHS security policies prior to patient service + Act as a knowledgeable resource on Registration and Financial Clearance functions for department staff. (e.g., answer account questions, assist with new staff training, etc.) **Qualifications:** **Required qualifications for this position include:** + 3 years of hospital patient access experience or similar experience in a healthcare environment. **Preferred qualifications for this position include:** + High School Diploma or GED. + 5 years registration experience. + Familiarity with basic financial clearance functions. + Bilingual English/Spanish. **About the department you will serve.** One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC's objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise. **For information on our comprehensive range of benefits, visit:** **Our Mission** As expressions of God's healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable. **About Us** Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. **Schedule:** Part-time **Shift:** Day **Job Category:** Patient Services **Location:** California-Orange **Req ID:** 290238
08/31/2021
Full time
**Description:** **Providence St. Joseph Health is calling a Patient Access Representative** **(Part-Time, Days) to our location in Orange, CA.** + **_Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system._** We are seeking a Patient Access Representative to be responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for unscheduled visits by collecting accurate demographic information, insurance information, and collecting patient liability (if known) at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. In addition, this individual is responsible for miscellaneous client service activities including valuables collection and providing basic customer service. The Patient Access Representative greets and serves patients in a professional, friendly, and respectful manner to promote positive encounters. The incumbent performs all duties in a manner that promotes the PJSH mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organizations. **In this position you will have the following responsibilities:** + Activate patients in the system of record upon arrival on the date of service and assist patients and customers in navigating throughout the hospital facility. + Verify patient insurance; read and understand responses from automated financial clearance tool and take appropriate action, including referrals to Patient Access Specialist or Financial Counselor, as appropriate. + Ensure that required/applicable forms and documents are presented and explained at time of registration (e.g., Patient Rights and Responsibilities, Advance Directives, Important Patient Information, etc.). + Obtain all necessary patient signatures at time of arrival. + Perform collections and cashiering functions when appropriate. + Ensure that financially cleared patients go directly to the area of service in order to receive treatment; refer patients to Financial Counseling when appropriate. + Obtain all information necessary to perform benefits verification for unscheduled visits. + Coordinate with bed placement and ensure appropriate patient type and status changes are performed in a timely manner. + Confirm and document insurance eligibility of patient coverage benefits, including coverage limits, number of days, patient responsibility, effective dates, and follow-up with patient and/or referring physician office in the event of failed eligibility. + Daily focus on attaining productivity standards; recommend new approaches for enhancing performance and productivity when appropriate. + Coordinate discharge processing with financial counseling, Case Management, and clinicians. + Assist patients with on-site customer service functions (e.g., billing, medical record, and collection inquiries) by coordinating with other revenue cycle functions and departments. + Collect, log, and store patient valuables in accordance with SJHS security policies prior to patient service + Act as a knowledgeable resource on Registration and Financial Clearance functions for department staff. (e.g., answer account questions, assist with new staff training, etc.) **Qualifications:** **Required qualifications for this position include:** + 3 years of hospital patient access experience or similar experience in a healthcare environment. **Preferred qualifications for this position include:** + High School Diploma or GED. + 5 years registration experience. + Familiarity with basic financial clearance functions. + Bilingual English/Spanish. **About the department you will serve.** One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC's objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise. **For information on our comprehensive range of benefits, visit:** **Our Mission** As expressions of God's healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable. **About Us** Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. **Schedule:** Part-time **Shift:** Day **Job Category:** Patient Services **Location:** California-Orange **Req ID:** 290238
Dana-Farber Cancer Institute
Boston, Massachusetts
The QA/QI Specialist is responsible for monitoring operations and developing and managing quality improvement initiatives to ensure that systems are safe, effective, appropriate, compliant, current and adhered to by staff in the assigned unit or department. Expected to understand and apply principles of quality management practices to the monitoring and improvement of the operations for the unit(s) assigned. Key areas of focus may include patient and staff safety, clinical laboratory, cell processing, donor blood product collections, tissue banking, clinical operations, and other specified departmental procedures and policies as assigned. Plays key role in supporting preparation and on site support during site surveys and audits by regulatory agencies. Works with multidisciplinary teams and may be assigned to work under the direction of physician or nursing staff for assigned initiatives. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow's physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. * Applying significant knowledge of area assigned, carries out or leads monitoring efforts and populates dashboard and key indicator data sets * Develops, supports, and/or leads quality improvement initiatives; develops approaches to linking quality improvement to outcomes reported through dashboard or key indicator data or surveys and observation studies * Works with institutional leadership to develop improvement efforts * Reviews documentation and assesses effectiveness of documentation review approaches; analyses causes and develops solutions for documentation failures * Gathers data and/or develops research and data analysis projects * Develops and carries out complex audits requiring content and operational knowledge of activity being audited * Maintains employee records of training and credentialing as required by unit activity assigned and associated regulatory standards * Can perform audits to ensure compliance against standards, regulations, procedures, policies, IND/IDE and clinical trials. * Perform trending and analyzing of data using appropriate quality and statistical tools. Assist in reporting data within and external to the department, institution, across institutions, and to governmental agencies * Assist / develop training documentation, review/audit competency assessments and training documentation to ensure that employee record corresponds with tasks employee is performing * CAPA - Assist with correction and preventative action plans based on audit findings, deviations and events. Plan follow up audits to assess if the desired effect / change was achieved * BS/BA degree in science, medical technology (MT,SBB,etc) or related field required. Minimum of 6 years of experience in related field (clinical laboratory, blood bank, clinical setting, biologic/pharma industry), plus 3 years of related quality and regulatory experience, or advance degree in related field and 3 years in quality of regulatory experience. * Maintain basic knowledge of applicable standards and regulations to ensure department / institution ongoing compliance with accreditation standards (FACT, JC) and inspection regulations (FDA, DPH,CMS, DOT) * Outcome analysis - Review / interpret / report relevant information as assigned or to present to physician or other investigator * Subject matter expertise - provide assistance in a given area of expertise (microbiology, immunohematology, cell processing, informatics, clinical operations etc) to help the department / program achieve its stated objectives and goals for the overall improvement of the program * Strong Excel skills required. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.
01/26/2021
Full time
The QA/QI Specialist is responsible for monitoring operations and developing and managing quality improvement initiatives to ensure that systems are safe, effective, appropriate, compliant, current and adhered to by staff in the assigned unit or department. Expected to understand and apply principles of quality management practices to the monitoring and improvement of the operations for the unit(s) assigned. Key areas of focus may include patient and staff safety, clinical laboratory, cell processing, donor blood product collections, tissue banking, clinical operations, and other specified departmental procedures and policies as assigned. Plays key role in supporting preparation and on site support during site surveys and audits by regulatory agencies. Works with multidisciplinary teams and may be assigned to work under the direction of physician or nursing staff for assigned initiatives. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow's physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. * Applying significant knowledge of area assigned, carries out or leads monitoring efforts and populates dashboard and key indicator data sets * Develops, supports, and/or leads quality improvement initiatives; develops approaches to linking quality improvement to outcomes reported through dashboard or key indicator data or surveys and observation studies * Works with institutional leadership to develop improvement efforts * Reviews documentation and assesses effectiveness of documentation review approaches; analyses causes and develops solutions for documentation failures * Gathers data and/or develops research and data analysis projects * Develops and carries out complex audits requiring content and operational knowledge of activity being audited * Maintains employee records of training and credentialing as required by unit activity assigned and associated regulatory standards * Can perform audits to ensure compliance against standards, regulations, procedures, policies, IND/IDE and clinical trials. * Perform trending and analyzing of data using appropriate quality and statistical tools. Assist in reporting data within and external to the department, institution, across institutions, and to governmental agencies * Assist / develop training documentation, review/audit competency assessments and training documentation to ensure that employee record corresponds with tasks employee is performing * CAPA - Assist with correction and preventative action plans based on audit findings, deviations and events. Plan follow up audits to assess if the desired effect / change was achieved * BS/BA degree in science, medical technology (MT,SBB,etc) or related field required. Minimum of 6 years of experience in related field (clinical laboratory, blood bank, clinical setting, biologic/pharma industry), plus 3 years of related quality and regulatory experience, or advance degree in related field and 3 years in quality of regulatory experience. * Maintain basic knowledge of applicable standards and regulations to ensure department / institution ongoing compliance with accreditation standards (FACT, JC) and inspection regulations (FDA, DPH,CMS, DOT) * Outcome analysis - Review / interpret / report relevant information as assigned or to present to physician or other investigator * Subject matter expertise - provide assistance in a given area of expertise (microbiology, immunohematology, cell processing, informatics, clinical operations etc) to help the department / program achieve its stated objectives and goals for the overall improvement of the program * Strong Excel skills required. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.
We have immediate needs for an Admin Processor . This is to join a leading national organization located in Atlanta, GA 30122 . The duration of the contract is 6 months with a possibility for an extension. Please send me an updated resume to and please call me at . Title: Admin Processor ( Medical Billing Specialist) Location: 74 Southwoods Pkwy Suite 700 Atlanta, GA 30122 Duration: 6+Months Part-time Job Pay rate: 14$ per hour Qualifications: High school diploma or equivalent. Experience: One to two years experience in medical billing claims. Ability to handle multiple tasks. Strong communication and customer service skills. Intermediate knowledge of MS Outlook, Excel, and Data Entry. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus. Responsibilities: Responsibilities include but are not limited to: following up with customers, verifying the client's information, scheduling installations, sending emails, creating customer accounts, utilizing product and pricing information to assist in answering questions, and provide quotes. Assisting in Medical Billing Claims for government and MCO's, Ability to process claims accurately, follow up with denials. Working closely with a team, collaborating, being adaptable, follow policies and procedures, provide support in other departments if needed when requested by management, and provide superior customer service to internal and external customers. Job Requirements: Maintain client billing profiles in billing system Provide records of billing, payments and billing adjustments Preparing all billing reports and maintain all billing and accounts receivable files Enter patient demographics and billing information into billing system Assisting billing coordinators with various billing-related projects Resolve customer account billing issues Reconcile any billing or payment discrepancies Ensure timely billing and collections Maintain the client-billing accounts receivables Interpret reports regarding billing and payments Understanding billing procedures and payment Address and resolve billing discrepancies Answering customer billing questions and troubleshooting billing issues and inquiries Ensure timely billing and collection Maintain all billing information submitted and entered into billing database Streamline billing and collections processes
01/21/2021
Full time
We have immediate needs for an Admin Processor . This is to join a leading national organization located in Atlanta, GA 30122 . The duration of the contract is 6 months with a possibility for an extension. Please send me an updated resume to and please call me at . Title: Admin Processor ( Medical Billing Specialist) Location: 74 Southwoods Pkwy Suite 700 Atlanta, GA 30122 Duration: 6+Months Part-time Job Pay rate: 14$ per hour Qualifications: High school diploma or equivalent. Experience: One to two years experience in medical billing claims. Ability to handle multiple tasks. Strong communication and customer service skills. Intermediate knowledge of MS Outlook, Excel, and Data Entry. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus. Responsibilities: Responsibilities include but are not limited to: following up with customers, verifying the client's information, scheduling installations, sending emails, creating customer accounts, utilizing product and pricing information to assist in answering questions, and provide quotes. Assisting in Medical Billing Claims for government and MCO's, Ability to process claims accurately, follow up with denials. Working closely with a team, collaborating, being adaptable, follow policies and procedures, provide support in other departments if needed when requested by management, and provide superior customer service to internal and external customers. Job Requirements: Maintain client billing profiles in billing system Provide records of billing, payments and billing adjustments Preparing all billing reports and maintain all billing and accounts receivable files Enter patient demographics and billing information into billing system Assisting billing coordinators with various billing-related projects Resolve customer account billing issues Reconcile any billing or payment discrepancies Ensure timely billing and collections Maintain the client-billing accounts receivables Interpret reports regarding billing and payments Understanding billing procedures and payment Address and resolve billing discrepancies Answering customer billing questions and troubleshooting billing issues and inquiries Ensure timely billing and collection Maintain all billing information submitted and entered into billing database Streamline billing and collections processes
Kforce Finance and Accounting
Nashville, Tennessee
RESPONSIBILITIES: Kforce has a client in search of a Claims Specialist 3 in Donelson, TN. Key Tasks: Initiate outbound calls to patients to complete accident interviews via telephone Investigate and confirm any medical coverage related to auto, general liability, and/or worker compensation insurance available to the patient, updating the patient file in Pace and the hospital system Contact Auto/Work Comp insurance carriers and attorneys via telephone to identify available accident insurance coverage for the patient Verify patient's eligibility for coverage and obtain billing contact information for the insurance adjuster and/or attorney Send hospital bill to no-fault, third party and workers' compensation insurances via fax, mail and e-mail Follow up for with insurance carriers and attorneys for expedited resolution and payment on patient's account Request documentation where applicable or payment and account status from insurance adjuster or attorney Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system Job Requirements: REQUIREMENTS: Minimum of one-year revenue cycle (ex: insurance billing, collections) experience Property and Casualty (Auto Insurance, Workers' Compensation) experience preferred Health Insurance Appeals experience preferred Subrogation and Coordination of Benefits experience preferred Strong Communication skills Excellent Customer Service skills Ability to work collaboratively with a team Ability to communicate effectively with patients, hospital staff, adjusters and attorneys General knowledge of commercial health, Medicare, Medicaid, Auto, Work Comp Insurance Assertive and proactive attitude towards claims resolution Strong attention to detail Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
01/21/2021
Full time
RESPONSIBILITIES: Kforce has a client in search of a Claims Specialist 3 in Donelson, TN. Key Tasks: Initiate outbound calls to patients to complete accident interviews via telephone Investigate and confirm any medical coverage related to auto, general liability, and/or worker compensation insurance available to the patient, updating the patient file in Pace and the hospital system Contact Auto/Work Comp insurance carriers and attorneys via telephone to identify available accident insurance coverage for the patient Verify patient's eligibility for coverage and obtain billing contact information for the insurance adjuster and/or attorney Send hospital bill to no-fault, third party and workers' compensation insurances via fax, mail and e-mail Follow up for with insurance carriers and attorneys for expedited resolution and payment on patient's account Request documentation where applicable or payment and account status from insurance adjuster or attorney Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system Job Requirements: REQUIREMENTS: Minimum of one-year revenue cycle (ex: insurance billing, collections) experience Property and Casualty (Auto Insurance, Workers' Compensation) experience preferred Health Insurance Appeals experience preferred Subrogation and Coordination of Benefits experience preferred Strong Communication skills Excellent Customer Service skills Ability to work collaboratively with a team Ability to communicate effectively with patients, hospital staff, adjusters and attorneys General knowledge of commercial health, Medicare, Medicaid, Auto, Work Comp Insurance Assertive and proactive attitude towards claims resolution Strong attention to detail Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.