Physician Family or Internal Medicine - ACCESS Doctors Medical Center
Access Community Health Network job in Chicago, IL
- Family/Internal Medicine Physician Provide the full scope of services which fall under provider's field of training, including but not limited to diagnosis, treatment, coordination of care, preventive care, and electronic health record (EHR) maintenance, while following guidelines contained within the quality management, risk management, infection control, customer service and safety programs for Access Community Health Network.
Benefits Overview:
Compensation Package
Guaranteed Annual Base Salary
Productivity and Quality Bonuses
$30,000 Sign-On Bonus
$10,000 Relocation Assistance
Loan repayment potential through National Health Service Corps (NHSC)
NHSC LRP: Up to $75,000 Full Time for 2 years
NHSC SUD-W LRP: Up to $75,000 Full Time for 3 years
NHSC LRP or SUD-W LRP: $5,000 award enhancement for clinicians who demonstrate Spanish-language proficiency.
HPSA Primary Care minimum score 19 for ACCESS Health Centers
Multiple ACCESS Health Centers have a HPSA Primary Care score of 21.
Comprehensive benefits package
232 Hours of Paid Time Off (PTO) per year & Paid Holidays
40 Hours of CME & $2,000 Reimbursement
Malpractice liability provided by the Federal Torts Claims Act (FTCA)
100% Outpatient Practice
Supports H-1B visa and J1 Waivers
Flexible schedules and much more…!
Clinical and Operational Responsibilities
General Clinical
Obtains health history and perform physical examinations.
Diagnoses, treats, counsels, and coordinate care for each patient.
Reviews and update problem list and longitudinal plan of care at every visit.
Meets documentation standards and completes all progress notes within 24 hours following the patient visit.
Fulfills on-call responsibilities in accordance with the schedule developed by ACCESS and responds to calls within 20 minutes.
Prescribe medication in accordance with Illinois statute and professional practice guidelines.
Performs all duties in conformity with the quality standards and clinical guideline established by ACCESS.
Meets Meaningful Use standards which is defined as using certified EHR technology to improve quality, safety, efficiency, and reduce health disparities, engage patients and families in their health care, improve care coordination, improve population and public health; all the while maintaining privacy and security.
Manages EHR In-Basket, transfers In-Basket responsibilities to colleagues when appropriate, and responds to messages (e.g. lab results, refills, patient calls, patient messages, co-sign orders, co-sign charts, and open charts) within 72 hours
Patient Support and Education
Provides culturally competent care
Recognizes patients' families as an integral part of patients' care teams.
Ensures that patients' and families' needs are met, and clinic policy is followed through.
Encourage patients and families to voice questions and/or concerns.
Works with patients and their families as appropriate to encourage care self-management
Conducts patient education activities, including pre and post instruction exams and procedures, instructions related to illness and treatment, and reinforcement of provider's follow-up instructions
Utilizes printed health education materials as appropriate and document all instructions given; while giving consideration to an individual varying level of understanding and adjusts level of presentation to ensure the patient is knowledgeable of medical condition and plan of care
Works with care team and case management to provide for coordinated delivery of case management services.
Ensures patients presenting with greater acuity than what is clinically appropriate within the health center are transferred appropriately
Meets intensity of service and/or severity of illness admission criteria
PCMH Requirements
Coordinates with health center staff at all levels to ensure patient needs are met
Participates in health center huddles and meets scheduled health center times and productivity standards.
Assures patients are seen in a timely and clinically appropriate manner and involves health center employees including medical assistants and front desk staff in this process.
Assures care teams properly carry out effective treatment, education and performs clinical tasks in accordance with acceptable policy and procedure.
Provider Development
Participates in the orientation and training of staff as needed.
Ensures care team meets internal certification requirements for patient education and the administration of medication.
Participates in proficiency testing as required by ACCESS to ensure that proper standards of care are being maintained.
May function as a preceptor in teaching programs including medical residents, medical students, advance practice nurse students as well as other allied health professions
Adheres to Health Resources and Services Administration (HRSA) and Federal Tort Claims Act (FTCA) regulations.
Other duties as assigned
Requirements/Preferences
Doctor Osteopathy (D.O.) or Doctor of Medicine (M.D.) required.
Completed residency in primary care specialty and Board Certification is required
Minimum two (2) years of working experience in the practice of primary care medicine in an outpatient setting preferred.
Current licensure in the State of Illinois, DEA, Controlled Substance and maintain CME requirements
Knowledge of applicable rules, regulations and standards relative to quality assurance, safety and infection control required
Electronic Health Records competency; EPIC knowledge preferred.
Competencies/Behaviors
Cultural Competency; ability to provide care and address needs and concerns of patients in alignment with their culture
Interpersonal Skills; ability to effectively work with diverse populations of patients, colleagues and outside agencies
Administrative and organizational skills; ability to organize diverse information
Working Conditions/Equipment
Clinical/Health Center environment
Ability to concentrate and communicate in an environment with frequent interruptions
Ability to stand, sit and walk for up to eight hours within Health Center environment
Ability to lean and stretch in context of patient exam
Computer/laptop
Phone/Fax/Copier/Scanner
Physician Family or Internal Medicine - ACCESS Kedzie
Access Community Health Network job in Chicago, IL
- Family/Internal Medicine Physician Provide the full scope of services which fall under provider's field of training, including but not limited to diagnosis, treatment, coordination of care, preventive care, and electronic health record (EHR) maintenance, while following guidelines contained within the quality management, risk management, infection control, customer service and safety programs for Access Community Health Network.
Benefits Overview:
Compensation Package
Guaranteed Annual Base Salary
Productivity and Quality Bonuses
$30,000 Sign-On Bonus
$10,000 Relocation Assistance
Loan repayment potential through National Health Service Corps (NHSC)
NHSC LRP: Up to $75,000 Full Time for 2 years
NHSC SUD-W LRP: Up to $75,000 Full Time for 3 years
NHSC LRP or SUD-W LRP: $5,000 award enhancement for clinicians who demonstrate Spanish-language proficiency.
HPSA Primary Care minimum score 19 for ACCESS Health Centers
Multiple ACCESS Health Centers have a HPSA Primary Care score of 21.
Comprehensive benefits package
232 Hours of Paid Time Off (PTO) per year & Paid Holidays
40 Hours of CME & $2,000 Reimbursement
Malpractice liability provided by the Federal Torts Claims Act (FTCA)
100% Outpatient Practice
Supports H-1B visas and J-1 Waivers
Flexible schedules and much more…!
Clinical and Operational Responsibilities
General Clinical
Obtains health history and perform physical examinations.
Diagnoses, treats, counsels, and coordinate care for each patient.
Reviews and update problem list and longitudinal plan of care at every visit.
Meets documentation standards and completes all progress notes within 24 hours following the patient visit.
Fulfills on-call responsibilities in accordance with the schedule developed by ACCESS and responds to calls within 20 minutes.
Prescribe medication in accordance with Illinois statute and professional practice guidelines.
Performs all duties in conformity with the quality standards and clinical guideline established by ACCESS.
Meets Meaningful Use standards which is defined as using certified EHR technology to improve quality, safety, efficiency, and reduce health disparities, engage patients and families in their health care, improve care coordination, improve population and public health; all the while maintaining privacy and security.
Manages EHR In-Basket, transfers In-Basket responsibilities to colleagues when appropriate, and responds to messages (e.g. lab results, refills, patient calls, patient messages, co-sign orders, co-sign charts, and open charts) within 72 hours
Patient Support and Education
Provides culturally competent care
Recognizes patients' families as an integral part of patients' care teams.
Ensures that patients' and families' needs are met, and clinic policy is followed through.
Encourage patients and families to voice questions and/or concerns.
Works with patients and their families as appropriate to encourage care self-management
Conducts patient education activities, including pre and post instruction exams and procedures, instructions related to illness and treatment, and reinforcement of provider's follow-up instructions
Utilizes printed health education materials as appropriate and document all instructions given; while giving consideration to an individual varying level of understanding and adjusts level of presentation to ensure the patient is knowledgeable of medical condition and plan of care
Works with care team and case management to provide for coordinated delivery of case management services.
Ensures patients presenting with greater acuity than what is clinically appropriate within the health center are transferred appropriately
Meets intensity of service and/or severity of illness admission criteria
PCMH Requirements
Coordinates with health center staff at all levels to ensure patient needs are met
Participates in health center huddles and meets scheduled health center times and productivity standards.
Assures patients are seen in a timely and clinically appropriate manner and involves health center employees including medical assistants and front desk staff in this process.
Assures care teams properly carry out effective treatment, education and performs clinical tasks in accordance with acceptable policy and procedure.
Provider Development
Participates in the orientation and training of staff as needed.
Ensures care team meets internal certification requirements for patient education and the administration of medication.
Participates in proficiency testing as required by ACCESS to ensure that proper standards of care are being maintained.
May function as a preceptor in teaching programs including medical residents, medical students, advance practice nurse students as well as other allied health professions
Adheres to Health Resources and Services Administration (HRSA) and Federal Tort Claims Act (FTCA) regulations.
Other duties as assigned
Requirements/Preferences
Doctor Osteopathy (D.O.) or Doctor of Medicine (M.D.) required.
Completed residency in primary care specialty and Board Certification is required
Minimum two (2) years of working experience in the practice of primary care medicine in an outpatient setting preferred.
Current licensure in the State of Illinois, DEA, Controlled Substance and maintain CME requirements
Knowledge of applicable rules, regulations and standards relative to quality assurance, safety and infection control required
Electronic Health Records competency; EPIC knowledge preferred.
Competencies/Behaviors
Cultural Competency; ability to provide care and address needs and concerns of patients in alignment with their culture
Interpersonal Skills; ability to effectively work with diverse populations of patients, colleagues and outside agencies
Administrative and organizational skills; ability to organize diverse information
Working Conditions/Equipment
Clinical/Health Center environment
Ability to concentrate and communicate in an environment with frequent interruptions
Ability to stand, sit and walk for up to eight hours within Health Center environment
Ability to lean and stretch in context of patient exam
Computer/laptop
Phone/Fax/Copier/Scanner
Dental Customer Care Representative
Rockford, IL job
The Dental Customer Care Representative is responsible for a variety of patient centered customer care activities. This will include; review of all dental appointments, scheduling follow up and missed appointments, Managed Care Organization (MCO) claims work, obtaining DCFS consents for all dental sites and managing patient traffic flow at the Broadway front desk.
This position reports to the Dental Unit Manager
Behavioral Health Case Manager
Loves Park, IL job
Make a Meaningful Impact Every Day - Join Our Team as a Behavioral Health Case Manager at Crusader!
This is a direct service position with Crusader Community Health (CCH) that provides services in the clinic and in the community and within the context of the Integrated Primary Care model. The Behavioral Health Case Manager works with patients (child, adolescent, adult) with behavioral health needs, including mental health, substance use, and psychosocial issues. The Behavioral Health Case Manager works in conjunction with the provider(s), patient, family, specialty services, community entities and managed care organizations. The Case Manager will be responsible for the provision of services including comprehensive case management, behavioral health counseling and education, patient and family skills training and support, health promotion, transitional care, as well as advocacy, linkage, coordination, collaboration and referral to/with community services and agencies. This position reports to the Chair of Behavioral Health.
EDUCATION/EXPERIENCE REQUIREMENTS:
Bachelor's degree from an accredited college/university in the human services field (i.e. psychology, social work, sociology, nursing, human development and family services) required
Master's degree in Social Work, Counseling, Psychology or Human Service related field preferred
Certified Alcohol and Other Drug Counselor (CADC) certification or successful completion of CADC certification preferred
Previous experience working with populations with substance use disorders required
Previous experience working with populations with mental health issues required
Case management/care management experience preferred
Previous experience in ambulatory care preferred
Electronic Health Record experience preferred
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long Term Disability, paid Holidays, Personal Days, accrued Paid Time Off hours (PTO)- 18 days in the first year, and continuing medical education time and financial reimbursement. Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
To review the full job description, please visit the Crusader Community Health website.
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, family responsibilities, reproductive health rights, or any other status protected under federal, state, or local law.
Director of Clinical Operations
Rockford, IL job
The Director of Clinical Operations provides operational leadership for clinical and business functions within the organization's clinics. This position is responsible for ensuring high-quality, patient centered care through oversight of clinical processes, regulatory compliance, business functions, and performance improvement initiatives.
The Director of Clinical Operations oversees a team of Managers who are responsible for the direct supervision and day to day management of clinical support staff.
This position collaborates closely with medical leadership, administrative teams and other ancillary departments to optimize patient flow, enhance the patient experience and maintain operational excellence across clinical units.
The Director of Clinical Operations reports to the Chief Operating Officer.
Behavioral Health Provider
Rockford, IL job
This is a professional, direct service position which utilizes an integrated care model of treatment. The Behavioral Health Provider is located within the primary care medical unit and provides behavioral health treatment to patients as part of the primary care health team.
The Behavioral Health Provider works across the age range to deliver a broad array of warm hand-off and scheduled services including assessment, therapy (brief and long-term), crisis intervention, and coordination.
The Behavioral Health Provider provides consultation services to primary care providers and collaborates with community organizations to ensure whole-person, patient-centered care.
This position reports directly to the Lead Behavioral Health Provider.
Systems Engineer
Rockford, IL job
This position participates in the planning of infrastructure to support new applications and supports Crusader employees with their critical technology needs.
Behavioral Health Consultant
Rockford, IL job
Make a Meaningful Impact Every Day - Join Our Team as a Behavioral Health Consultant at Crusader!
The Behavioral Health Consultant (BHC) is co-located on the clinical unit and collaborates as part of the health care team providing treatment to patients with behavioral health needs (mental health, substance use, behaviors impacting overall health and functioning) utilizing an integrated care model. The Behavioral Health Consultant provides behavioral health services via warm hand-off while the patient is in-clinic and at scheduled visits with patients. Behavioral health services are provided to children, adolescents, and adult patients. This position will provide direct coordination and collaboration with other behavioral health staff, the patient's primary care provider, and other members of the patient's care team. This position responds to urgent and emergent behavioral health issues that arise in the clinic. The Behavioral Health Consultant provides services under the supervision of an LCSW or LCPC. This position reports to the Lead Behavioral Health staff.
EDUCATION/EXPERIENCE REQUIREMENTS:
Master's degree in Social Work, Counseling, Psychology, or related field from an accredited university/college
Ability to test for state licensure (LCSW or LCPC) once state requirements are met, preferred.
At least three years of experience in mental health clinical service delivery
Training in a variety of therapeutic interventions (such as Cognitive Behavioral Therapy, Solution Focused Brief Therapy, Motivational Interviewing, Dialectical Behavior Therapy).
Previous work experience in a multicultural setting preferred and willingness to enroll in multicultural training if necessary
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long Term Disability, paid Holidays, Personal Days, accrued Paid Time Off hours (PTO)- 18 days in the first year, and continuing medical education time and financial reimbursement. Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
To view a complete job description, please visit Crusader Community Health's website.
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, family responsibilities, reproductive health rights, or any other status protected under federal, state, or local law.
Dental Assistant
Rockford, IL job
The Dental Assistant provides patient care under the direct supervision of the dentist or dental hygienist. This position reports to the Dental Unit Manager.
EDUCATION/OTHER REQUIREMENTS:
High school diploma or equivalent
Current CPR certification
Dental Assistant Expanded Functions Certification (Will assist with obtaining)
Bilingual (Spanish) preferred but not required
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long-Term Disability, paid Holidays, Personal Days, accrued Paid Time Off hours (PTO)- 12 days in the first year, and access to CE Direct (to receive some of your continuing education credits required to maintain your licensure). Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
For a complete job description, please visit Crusaderhealth.org.
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
Care Team Supervisor
Harvey, IL job
Job Description
Reporting to the Associate Medical Director, the Care Team Supervisor provides oversight for the functions required to assist Physicians, Physician Assistants, and Advanced Practice Nurses in providing medical care and treatment to patients in the clinic setting. Supervisory duties include staffing, training, performance evaluation, corrective action and separations.
PRINCIPAL RESPONSIBILITIES AND DUTIES:
Perform all Medical Assistant duties.
Collaborate with the Director to achieve patient, employee and provider satisfaction.
Determines appropriate staffing for clinical operations and ensure all areas are covered.
Post weekly staff schedules in Paylocity.
Available for MA's, Director, and Provider's calls before and after hours.
Provide MA Supervisor coverage and MA support for other suites.
Provide clinical coverage in the absence of MA staff.
Train and provide suite orientation to new employees and students so that continuity and quality of patient care is provided.
Assist the Director with issues involving the medical office during office hours and outside office hours via phone or email.
Provides new hire evaluations.
Writes and delivers MA performance evaluations.
Provide constrictive criticism to the Medical Assistant for inappropriate behavior, document conversation on the Record of Conversation form and provide to the Director, Clinical Operations.
Oversees the daily workflow and functions of the clinical staff and ensures that patient flow is smooth and satisfactory.
Ensure that the schedule for daily huddle with Care Team is completed.
Ensure all Medical Assistant's provide quality patient care and treatment.
Builds a professional, courteous and positive team environment for the assigned Suite and between Suites in which team members respect each other.
Train Medical Assistant's to continually improve performance and skills.
Liaison for the Medical Assistants.
Maintain Medical Assistant schedules, assign lunches, lunch coverage and provide schedule to the MA's weekly.
Coordinates scheduled pharmaceutical rep visits and lunches.
Assist provider's to complete medical forms and letters (i.e. FMLA, Disability Forms and Letters of Medical Necessity, etc.).
Conduct Prior Authorizations.
Assist and complete Insurance and IPG Projects (i.e. Asthma Action, Diabetic, Cardiovascular, Immunizations and Wellness etc.).
Attend all mandatory staff meetings.
E-scribing medication to the pharmacy.
Obtain immunization records from I-Care.
Record refrigerator temperatures in the I-Care System.
Ensures that Revenue Cycle Clinic Close Reports are printed at the end of clinic.
Conduct, participate and provide all pertinent information during the daily huddles with the Medical Assistants/Patient Service Associates and Providers.
Anticipate and communicate the needs of the suite to all staff and providers.
Maintain general appearance and cleanliness of center suites.
Greet walk in patients, determine needs and respond appropriately.
Order and inventory all suite medical and clerical supplies.
Delegate assignments needed to ensure the suite operates efficiently.
Ensure suite equipment is working properly and to report malfunctioning equipment to appropriate person.
Ensure proper disposal of contaminated and disposable items.
Report patient and employee concerns to the Director, Clinical Operations.
Randomly review log book documentation.
Ensure that STI reports are completed and faxed to the Board of Health.
The MA Supervisor must be able to uphold the standards and mission of FCHC with a good attitude and compassion towards patients and staff members.
Ensures all work will be performed according to company policies, procedures and standards in the employee handbook and ongoing policy changes.
Will hold all team members to a high standard of performance.
Ensures that all staff in the suite maintains patient confidence and protects operations by keeping patient care information confidential as required by Health Insurance Portability and Accountability Act
Ensures that all Medical Assistants practice and adhere to the Blood Borne Pathogen Policy as required by the Occupational Safety and Hazard Administration.
Perform other duties as assigned.
Education, Training and Skills:
High School Diploma or equivalent
CPR Certified.
Medical Assistant certification from an accredited program
Minimum of three years work experience in clinical office setting
Minimum two years of experience as a supervisor, preferably in a clinical setting
Experience working with EMR.
Medical Terminology.
Demonstrate competence in performing specific Medical Assistant skills such as: vital signs and administering injections.
Proven ability to provide excellent customer service such as: having a positive attitude towards patients, co-workers, direct reports and providers, being adaptable in stressful situations in all verbal and written communications.
Ability to interpret and apply administrative policies and procedures.
Excellent verbal and written communication skills.
Ability to maintain effective and organized systems to ensure timely patient flow.
Ability to prioritize and manage multiple tasks and responsibilities.
Proficient in Microsoft Office (i.e. Outlook, Word and Excel).
Working Conditions:
Exposure to blood, bodily fluids and tissues.
Medical Unit Manager
Rockford, IL job
in Crusader Community Health (CCH). The Medical Unit Manager is a registered nurse who provides support to the patient care teams under the direction of the Director of Clinical Operations. The Medical Unit Manager (MUM) monitors medical support staff to ensure optimal patient care, patient care team coverage and assignment completion.
The MUM participates in a team approach to patient care by attending and contributing in regular team meetings and education sessions.
Dentist
South Beloit, IL job
Transform Smiles, Inspire Confidence - Your Future Awaits as a Dentist at Crusader!
Crusader Community Health Dentists provide comprehensive and superior dental care to a diverse demographic of children and adults at seven sites in Rockford and the surrounding areas. Our dentists perform a broad range of dental procedures using a fully integrated medical/dental electronic record and digital radiography in a clean, modern and comfortable setting. Our dentists work with knowledgeable and experienced support staff members. Each of our clinics also has medical services on site, offering our providers the ability to deliver fully integrated care to their patients. Dental care may be provided to any program or site of Crusader Community Health. The general dentist will collaborate and consult, when necessary, with patients, families, Crusader support staff, advanced practice providers, and physicians in order to provide the appropriate high level of care. Must be comfortable seeing pediatrics. This position reports to the Dental Department Chair.
EDUCATION REQUIREMENTS:
Graduate of United States accredited Dental School DDS or DMD degree, new graduates must pass licensing exam
Unrestricted Illinois Dental license, Illinois Controlled Substance License, Federal DEA, Illinois DDS or DMD license
Current CPR Certification (responsible for maintaining certification)
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, and Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long Term Disability, paid Holidays, Personal Days, Paid Time Off hours (PTO) - 18 days in the first year, as well as continuing medical education days and monies. Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
To review the full job description, please Click Here: Dentist.
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, family responsibilities, reproductive health rights, or any other status protected under federal, state, or local law.
Billing Specialist
Harvey, IL job
Job Description
The Billing Specialist is responsible for FCHC's third party medical claims processing. Medical claims are prepared and submitted to Medicaid, Medicare, and private insurance companies. This position will handle questions, complaints, or problems from insurance companies, Medicaid offices and their associated Managed Care Plans, Medicare regions and their associated Health Maintenance Organizations, and families regarding insurance payments. Research, resolves, and resubmits denied claims and takes timely and routine action to collect unpaid claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The Billing Specialist job duties also include, but are not limited to:
Claim Submission
:
• Create and process medical claims
• Verify compliance of all medical claims
• Maintain constant communication with insurance carriers to ensure a clear and concise claim process for claims to be processed quickly and efficiently.
• Issue Explanation of Bill to patients and interpret balances in which the patient is responsible for payment
• Accurately documents patient accounts of all actions taken.
• Educates clinic management and staff regarding changes to insurance and regulatory requirements.
• Actively participates in practice management meetings.
Completes additional projects and duties as assigned. •
Job duties are subject to change based on company needs
Claim Follow-up
:
• Research and resolve rejected, incorrectly paid, and denied claims within an established time frame.
• Researches and resolves unpaid accounts receivable and makes any corrections in practice management system necessary to ensure maximum reimbursement for Family Christian Health Center services.
• Resubmits claim forms as appropriate.
• Professionally responds to all billing-related inquiries from patients, staff, and payors in a timely manner.
• Utilizes available resources to identify reasons for payment discrepancies.
Review denial report and correct claims and resubmit to insurance.
• Verify and update additional billing information and resubmit claims as requested by customer service, collectors or payers.
• Assists in resolving denied claims within framework of payer specifications.
• Tracks denial data and reports trends to reduce future denials.
• Assists with monitoring claim status follow-up.
• Remains current on all changes in legislative regulations that affect the reimbursement area.
• Review and correct failed claims report daily.
Administrative & Miscellaneous
:
• Assist with external and/or internal audits as requested.
• Maintain current knowledge of government regulations pertaining to billing and collection for Medicare/Medicaid.
• Educates clinic management and staff regarding changes to insurance and regulatory requirements.
• Establishes and maintains a professional relationship with all FCHC staff in order to resolve problems and increase knowledge of account management.
• Completes additional projects and duties as assigned.
• Job duties are subject to change based on company needs
• Bring any system issues to the Billing Supervisor's attention immediately.
• Use Excel and/or Word to prepare and maintain reports
• Provide excellent customer service while maximizing all duties.
• Other duties assigned.
EDUCATION, TRAINING AND EXPERIENCE
Minimum Qualifications:
• Certified Professional Biller preferred.
• Associate degree preferred.
• 5 years of experience working in a multispecialty group practice, healthcare system with an ambulatory focus, or academic medical center.
• 5 years of experience in working with a medical office/hospital accounts receivable system.
• Extensive knowledge of insurance payor reimbursement, collection practices, and accounts receivable follow-up.
• Basic computer skills, including Microsoft Windows programs.
• Good keyboard skills with high accuracy rate.
• Knowledge of ICD-10, CPT and HCPCS coding.
• Ability to communicate effectively in written and spoken English.
Demonstrates overall knowledge of claims processing for various insurances both private and governed.
• Demonstrates effective communication and interpersonal skills with a diverse population.
• Demonstrates the ability to carry out assignments independently, work from procedures, and exercise good judgment.
• Demonstrates the ability to maintain the confidentiality of all records.
• Demonstrates knowledge of Medicare, Medicaid, and third-party coding requirements.
Certified Medical Coder
Rockford, IL job
The Certified Medical Coder is responsible for timely, accurate and comprehensive abstraction of provider services from the medical record, utilizing appropriate CPT-4 procedure and ICD-10 diagnosis codes. The Certified Medical Coder reviews the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.
Certified Medical Assistant
Rockford, IL job
The Clinical Medical Assistant I performs various service duties and routine technical patient care tasks in accordance with agency policies and procedures, and within the scope of education of a Medical Assistant. This position reports to the Medical Unit Manager or Site Manager.
EDUCATION REQUIREMENTS:
High school diploma or equivalent
Graduate of an accredited Medical Assistant Training Program
Training programs in process of accreditation will be evaluated on a case-by-case basis
Graduates of a non-accredited Medical Assisting Training Program will be evaluated on a case-by-case basis and must have one year of experience as a Medical Assistant in a direct patient care setting
Current CPR certification
Active Medical Assistant Certification through AAMA, NHA or AMT
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long-Term Disability, paid Holidays, Personal Days, accrued Paid Time Off hours (PTO)- 15 days in the first year, and access to CE Direct (to receive some of your continuing education credits required to maintain your licensure). Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
To review the complete job description, please Click Here: Clinical Medical Assistant I
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, family responsibilities, reproductive health rights, or any other status protected under federal, state, or local law.
Physician Assistant
Loves Park, IL job
Provide exceptional care, make a lasting impact-join us as a Physician Assistant!
The Physician Assistant gives primary care services to children and/or adults as part of the provider team at Crusader Community Health collaborating with licensed MD/DO physicians. The Physician Assistant will collaborate and consult, when necessary, with patients, families, Crusader support staff, other advanced practice providers, OBGYN physicians, as well as internal and external consultants in order to provide the appropriate high level of care. This position reports to the Lead Advanced Practice Provider of the Adult and Family Medicine Department and subsequently the Chair of the Adult and Family Medicine Department and Chief Medical Officer.
EDUCATION REQUIREMENTS:
Graduate (or soon to be) of United States accredited Physician Assistant Program
Unrestricted Illinois Physician Assistant license, Illinois Controlled Substance License, and Federal DEA license
Current CPR Certification
Spanish fluency highly desired
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long-Term Disability, paid Holidays, Personal Days, accrued Paid Time Off hours (PTO)- 18 days in the first year, and continuing medical education time and financial reimbursement. Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
To review the complete job description, please visit Crusader Community Health's website.
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, family responsibilities, reproductive health rights, or any other status protected under federal, state, or local law.
Women's Health Nurse Practitioner
Belvidere, IL job
Job Description
The Women's Health Nurse Practitioner provides primary care services to children and/or adults as part of the provider team at Crusader Community Health collaborating with licensed MD/DO physicians. Care may be provided to any program or site of Crusader Community Health. The Women's Health Nurse Practitioner will collaborate and consult when necessary with patients, families, Crusader support staff, other midlevel providers, OBGYN physicians as well as internal and external consultants in order to provide the appropriate high level of care. This position reports to the Women's Health Services Department Chair.
EDUCATION REQUIREMENTS:
Graduate of United States accredited Nurse Practitioner Program, new graduates must pass licensing exam
Unrestricted Illinois Nurse Practitioner license, Illinois Controlled Substance License, Federal DEA, Illinois RN license
Current CPR Certification (responsible for maintaining certification)
Spanish fluency highly desired
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, and Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short-Term Disability and Long-Term Disability, paid Holidays, Personal Days, Paid Time Off hours (PTO) - 18 days in the first year, as well as continuing medical education days and monies. Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
Behavioral Health Consultant
Rockford, IL job
providing team-based, holistic patient care. The Behavioral Health Consultant (BHC) is co-located on the clinical unit and collaborates as part of the health care team providing treatment to patients with behavioral health needs (mental health, substance use, behaviors impacting overall health and functioning) utilizing an integrated care model.
Behavioral health services are provided to children, adolescents, and adult patients and their families.
The Behavioral Health Consultant provides services including assessment, therapy brief or longer-term), and crisis intervention via warm hand-off while the patient is in-clinic and/or at scheduled visits with patients.
This position provides direct coordination and collaboration with other behavioral health staff, the patients primary care provider, and other members of the patients care team.
The Behavioral Health Consultant provides services under the supervision of the LCSW or LCPC.
The Behavioral Health Consultant compensation will increase once the LCSW or LCPC licensure is successfully completed and obtained.
This position reports to the Chair of the Department of Behavioral Health.
Clinical Documentation Improvement Specialist
Rockford, IL job
Clinical Documentation Improvement (CDI) Specialist
Educates providers and serves as the subject matter expert for any topic related to provider documentation in the organization. Is an advisor to providers regarding complete and accurate outpatient documentation and functions as a liaison between providers and coders with the goal of creating mutual understanding of the many uses of medical record documentation. Working independently, the Clinical Documentation Improvement (CDI) Specialist performs audits of the medical record to ensure the capture of complete and accurate provider documentation and coding. The CDI Specialist will develop collaborative relationships and possess excellent interpersonal skills in building and maintaining crucial relationships so that the most complete and accurate provider documentation can be achieved.
EDUCATION REQUIREMENTS:
At least one of the following certifications is required: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-Based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS, Certified Documentation Improvement Practitioner (CDIP), or Clinical Documentation Improvement Specialist (CDIS)
Knowledge Of:
Expert level of knowledge and ability to apply medical documentation guidelines and practices.
Knowledge of, but not limited to, current coding guidelines and methodologies, MS-DRG, APR-DRG, HCCs; ICD-10-CM coding guidelines and conventions.
Extensive knowledge of medical terminology, anatomy and pathophysiology and ancillary test results.
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long-Term Disability, paid Holidays, Personal Days, accrued Paid Time Off hours (PTO)- 18 days in the first year, and continuing medical education time and financial reimbursement. Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
To view a complete job description, please click here: Clinical Documentation Improvement (CDI) Specialist.pdf
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
Certified Medical Assistant
Belvidere, IL job
The Clinical Medical Assistant I performs various service duties and routine technical patient care tasks in accordance with agency policies and procedures, and within the scope of education of a Medical Assistant. This position reports to the Medical Unit Manager or Site Manager.
EDUCATION REQUIREMENTS:
High school diploma or equivalent
Graduate of an accredited Medical Assistant Training Program
Training programs in process of accreditation will be evaluated on a case-by-case basis
Graduates of a non-accredited Medical Assisting Training Program will be evaluated on a case-by-case basis and must have one year of experience as a Medical Assistant in a direct patient care setting
Current CPR certification
Active Medical Assistant Certification through AAMA, NHA or AMT
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long-Term Disability, paid Holidays, Personal Days, accrued Paid Time Off hours (PTO)- 15 days in the first year, and access to CE Direct (to receive some of your continuing education credits required to maintain your licensure). Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
To review the complete job description, please Click Here: Clinical Medical Assistant I
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, family responsibilities, reproductive health rights, or any other status protected under federal, state, or local law.