Amedisys Remote jobs

BAYADA Home Health Care is seeking a full time Insurance Confirmation Associate in our Insurance Confirmation Home Health office. This is a remote opportunity. Preferred location: Central or Pacific Time Zones | Hours: 8:30am - 5:00pm Responsibilities: Verifying home health care benefits for new home health and hospice clients Contacting insurance companies via phone and internet to obtain benefit & billing information timely Documenting benefits and communicating coverage info to internal service offices Assisting service offices with all benefits related correspondence Work with various departments to coordinate coverage, authorization, and contract status Able to work 10:30am - 7:30pm EST Qualifications: Bachelor's Degree preferred Minimum 1 year of benefit experience Must have Managed Medicare and Managed Medicaid experience Superb customer service and telephone skills Strong follow up skills and attention to detail Demonstrated ability to work independently, as well as part of a team "All hands-on deck" attitude Eager to learn Overall professional demeanor and presentation Strong PC skills Alignment with our core values of compassion , excellence , and reliability Base Pay: $20.67-$22.00 per hour WHY CHOOSE BAYADA? BAYADA offers the stability and structure of a national company with the values and culture of a family-owned business. ************************************************************************************ Newsweek's Best Place to Work for Diversity 2023 Newsweek Best Place to Work for Women 2023 Newsweek Best Place to Work (overall) 2024 Newsweek Best Place to Work for Women and Families 2023 Glassdoor Best Places to Work 2018 and 2019 Forbes Best Places to Work for Women 2020 Paid Weekly Mon-Fri work hours AMAZING culture Strong employee values and recognition Small team at a local office Growth opportunities BAYADA believes that our employees are our greatest asset: BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program To learn more about BAYADA Benefits, click here As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

The Educator is responsible for designing, delivering, and assessing training and educational programs to support the development of employees within the organization. This role works closely with department leaders to identify training needs, create curriculum, and ensure that educational initiatives align with organizational goals. The Educator delivers in-person and virtual training sessions, develops training materials, and evaluates program effectiveness to support continuous improvement in skills and knowledge across departments. Essential Functions Develops, implements, and evaluates training programs to meet departmental and organizational needs. Collaborates with department leaders and subject matter experts to identify training gaps and recommend educational solutions. Designs training materials, including presentations, handouts, manuals, and digital content to support effective learning. Facilitates training sessions, workshops, and orientations, using a variety of instructional methods to engage diverse learners. Assesses training effectiveness through participant feedback, assessments, and performance data, implementing improvements as necessary. Maintains accurate records of training activities, attendance, and participant progress, ensuring compliance with organizational policies. Adapts training content for different learning styles and department-specific needs to maximize knowledge retention. Supports onboarding and orientation programs to ensure new employees are equipped with essential knowledge and skills. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Bachelor's Degree in Education, Human Resources, Business, or a related field required 2-4 years of experience in training, instructional design, or education required ***25% Travel required*** Knowledge, Skills and Abilities Strong knowledge of adult learning principles and instructional design techniques. Excellent presentation and facilitation skills, with the ability to engage a variety of audiences. Strong written and verbal communication skills to create clear and effective educational materials. Analytical skills to evaluate training effectiveness and make data-driven improvements. Organizational skills to manage multiple training programs and maintain detailed records. Licenses and Certifications E-Learning Instructional Design Certification preferred

Are you interested in supporting children with autism to reach their fullest potential? Then this is the position for you! At BAYADA Home Health Care, our clients come first and our employees are our greatest asset. We are looking for dedicated employees who have their Registered Behavior Technician (RBT) credential or are interested in pursuing their Registered Behavior Technician (RBT) credential. The RBT credential is a professional credential for paraprofessionals offered through the Behavior Analyst Certification Board (BACB). The RBT credential is required for individuals providing services on any Applied Behavior Analysis (ABA) or insurance-based contracts in Hawaii. This position includes working 1:1 in the home and community with children and young adults diagnosed with autism. BAYADA will pay for your training as well as provide extensive supervision. We have current Registered Behavior Technician (RBT) openings in the following locations: Waipahu Scheduling: Must be available Monday through Friday Part time hours BAYADA Offers Registered Behavior Technicians (RBTs): Health Insurance Paid Time Off Scholarships Employee Appreciation Events Weekly Pay Schedule Qualifications for Registered Behavior Technician (RBT): One year experience working with children with developmental/ intellectual disabilities preferred CPR/FA Responsibilities for Registered Behavior Technician (RBT): Work directly with clients and follow the established treatment plan/behavior support plan for implementing skill acquisition and behavior reduction procedures. Establish and maintain effective, supportive, and therapeutic relationships with clients & families. Respect the values, thoughts, beliefs, and attitudes of clients and families. Implement behavior therapy techniques as instructed by the Behavioral Services Manager and Behavior Specialist. Document interventions and progress towards goals accurately and in a timely manner. Collect behavior data as specified in client behavior support plan. Review data and progress reports with Behavioral Services Manager and Behavior Specialist in order to strategize program improvements. As applicable to the treatment plan, provide habilitation, training, instruction, and assistance to help the client acquire and maintain skills and to help meet identified goals. As applicable, provide transportation related to the implementation of activities as directed by the treatment plan. Provide training and/or support to the client in interpersonal skills, the development and maintenance of personal relationships, and in living in his/her community. Monitor health status and physical condition and reports any changes in the client's condition or other incidents to the office. BAYADA recognizes and rewards our RBTs who set and maintain the highest standards of excellence. Join our caring team today! Pay: $23 - $25 As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

The Quality Coordinator-Transitions of Care is dedicated to managing quality assurance processes and ensuring compliance with industry standards. This role involves coordinating with various departments to integrate quality systems, facilitating continuous improvement initiatives, and maintaining comprehensive documentation to support assessments and audits. The Quality Coordinator plays a crucial role in fostering a culture of quality and excellence within the organization, driving efforts to meet and exceed quality targets. Essential Functions Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements. Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures. Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports. Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps. Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders. Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities. Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation. Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives. Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking. Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements. Performs other duties as assigned. Complies with all policies and standards. Qualifications Associate Degree in Healthcare Administration, Nursing, Public Health, or a related field required Bachelor's Degree in Nursing or a related field preferred 2-4 years of experience in quality improvement, population health, or clinical operations within a healthcare setting required Experience in working with payer quality programs and regulatory reporting preferred Knowledge, Skills and Abilities Strong knowledge of quality improvement methodologies and healthcare regulatory requirements. Proficiency in electronic medical records (EMR) systems and quality reporting tools. Excellent communication and interpersonal skills to collaborate effectively with providers, staff, and leadership. Ability to analyze data, identify trends, and develop action plans for performance improvement. Strong organizational skills and attention to detail to ensure compliance with quality initiatives. Ability to adapt to evolving healthcare regulations and payer requirements. Strong problem-solving skills and the ability to drive accountability in a healthcare setting. Licenses and Certifications Certified Medical Assistant (CMA)-AAMA preferred or LPN - Licensed Practical Nurse - State Licensure preferred or RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred CPHQ - Certified Professional in Healthcare Quality preferred

The Manager of Patient Accounts position manages the cash process for the CBO. They also handle the support process for the Clinics to obtain necessary information from the AR system to reconcile their cash and clearing accounts. As a Patient Accounts Manager at Community Health Systems (CHS) - Physician Practice Support Inc. (PPSI), you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions Assists in continual development and deployment of a comprehensive solution to be utilized in the reconciliation of the Clinic Cash and Clearing Accounts. Monitors the clinic clearing accounts through reporting and work with sites as clearing account balance issues are identified. Manages a staff of professionals to audit clinic clearing account reconciliations. Evaluates additional process changes to assist in simplifying the cash and clearing reconciliation process. Serves as training and support for Clinics in their cash and clearing account reconciliation process. Completes additional special projects and reports as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. This is a fully remote position. Qualifications Bachelor's Degree in Accounting or Finance required Master's Degree in Business Administration preferred 3-5 years progressive work experience in general ledger and complex cash and clearing reconciliation preferred 3-5 years Prior experience in physician practice management, hospital or health plan cash and/or clearing reconciliations, or equivalent experience preferred 2-4 years of supervisory experience preferred Knowledge, Skills and Abilities Individual should have knowledge of Word Processing software; Spreadsheet software and Database software. Athena knowledge is a plus. Very high level of Excel proficiency necessary. Licenses and Certifications Certified Public Accountant (CPA) preferred We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The PPSI Team and Athena work alongside the Clinic Leaders and staff with the common goal of creating a clean and efficient revenue cycle. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

We are seeking a highly specialized and experienced Enterprise Data Scientist to drive data quality, standardization, and insight generation across our core Oracle operational suite. This role serves as the authoritative expert on translating complex, high-volume data from Oracle Supply Chain Management (SCM), Oracle Procurement, Oracle Revenue Cycle Management (RCM), and Oracle Inventory into actionable business intelligence. The successful candidate will be focused on ensuring absolute data integrity-a critical function in a regulated healthcare environment-and transforming raw transactional data into high-value operational reports, interactive dashboards, and predictive models that optimize cost-per-case, enhance inventory accuracy, and accelerate the revenue cycle. Essential Functions 1. Data Validation, Integrity, and Compliance (Critical Focus) Healthcare Data Quality Assurance: Design and implement automated data validation frameworks specific to healthcare operations, ensuring transactional data (e.g., supply usage, procedure charging, contract pricing) is accurate. Compliance Verification: Develop reports and monitoring tools to detect anomalies and discrepancies that could impact regulatory reporting, financial audits (e.g., SOX implications), or compliance with GPO contracts and payer rules. Revenue Leakage Identification: Specifically focus on validating the link between inventory consumption (SCM) and patient billing (RCM) data to prevent charge capture errors, ensuring accurate patient bills and maximizing appropriate reimbursement. Root Cause Analysis: Investigate and diagnose data errors originating in Oracle system configurations (EBS or Fusion), ensuring the integrity of critical data points like item master definitions, vendor codes, and pricing tiers. 2. Standardized Operational Analytics and Reporting KPI Development (Healthcare Specific): Define, standardize, and institutionalize critical operational metrics across the organization, such as: Inventory Accuracy Rate for Critical Supplies Procurement Compliance Rate (Off-Contract Spend) Days of Supply (DOS) for high-value pharmaceuticals and implants Cost-Per-Case Variance analysis (linking supply cost to procedure type) Claims Denial Rate Analysis linked to operational inputs High-Value Reporting: Develop and maintain standardized operational reports and interactive dashboards (e.g., Tableau, Power BI) focused on optimizing the efficiency and spend within the OR, Clinics, and centralized purchasing departments. Executive Insights: Create visually compelling and accurate reports for executive leadership on the overall health and financial performance driven by Oracle system outputs. 3. Advanced Modeling and Process Optimization Predictive Inventory Modeling: Develop sophisticated models to forecast demand volatility (e.g., flu season spikes, pandemic-related surges) for critical supplies and pharmaceuticals, minimizing shortages and excess waste. Revenue Cycle Modeling: Build predictive models to forecast cash flow, anticipate denials based on procurement/charging patterns, and prioritize RCM work queues based on expected return. Efficiency Optimization: Utilize machine learning techniques to optimize logistics (e.g., warehouse routing, supply replenishment schedules) and procurement processes (e.g., automated purchase order generation based on consumption velocity). 4. Collaboration and System Expertise Serve as the technical data expert for functional Oracle teams (Finance, Clinical Operations, Materials Management), bridging the gap between business needs and data structure. Document data lineage, metric definitions, and model methodologies to ensure transparency and trust in derived insights across the enterprise. Required Qualifications: Education: Master's degree in Data Science, Health Informatics, Statistics, Industrial Engineering, or a related quantitative field. Experience: 2+ years of experience in a specialized data science, BI, or analytics role, working within a large healthcare system, hospital, or payer environment. Deep Oracle Domain Expertise (Mandatory): Proven practical experience analyzing, querying, and understanding the complex data models within at least two of the following Oracle applications (EBS or Fusion): Oracle Supply Chain Management (SCM) & Inventory: Specific understanding of item masters, warehouse transactions, and consumption data. Oracle Procurement: Expertise in purchase order data, contract management, and vendor performance metrics. Oracle Revenue Cycle Management (RCM): Understanding of charge capture, billing, and the data linkage to operational inputs. Technical Proficiency: Expert-level SQL skills for complex database querying, including experience navigating Oracle tables/views. Proficiency in Python or R, with experience in statistical modeling, time series analysis, and machine learning libraries. Experience developing advanced visualizations using industry-leading tools (Tableau, Power BI). Demonstrable experience working with large-scale Enterprise Data Warehouses (EDW) in a regulated environment. Preferred Skills and Attributes Familiarity with clinical coding standards (CPT, ICD-10) as they relate to procedure costing and RCM data. Understanding of HIPAA, HITECH, and general healthcare data governance standards. Experience with advanced analytics applied to surgical services or procedural areas. Excellent collaboration and communication skills, with the ability to present complex analytical findings to clinical and executive audiences. Certification in Oracle applications or cloud platforms is a plus.

This job is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Plans, conducts and evaluates reviews and audits of clinical documentation and billing practices for conformity with applicable regulatory requirements. Identifies proactive opportunities to strengthen charge capture processes, enhance regulatory compliance and facilitate appropriate revenue capture. Responds to third-party audits as well as charge recovery vendor solution audits. Provide training and education to clinical/charging staff & management on appropriate documentation and charge capture processes. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Conducts reviews/audits to identify potential charging & billing issues including lost revenue opportunities; prepares reports based on findings, and provides summary of findings to impacted departments. * Works with clinical departments and other impacted departments to ensure audit findings are addressed and to assist in implementing best charging practice moving forward. * Identifies, researches and analyzes billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner. * Provides training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented. * Stays current with CMS, AHA & state coding/charging & reimbursement guidelines. * Other duties as assigned to meet client expectations that would include root cause analysis, research of complex charging issues, implementation of corrective actions & provide subject matter expertise during system upgrades & implementations. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Knowledge of audit principles and guidelines. * Knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement. * Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance. * Knowledge of CPT/HCPCS codes. * Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in 'Coding Clinics' and/or other nationally recognized coding guidelines. * Ability to recognize, research and correct charging/documentation discrepancies. * Knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues. * Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems. * Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency. * Ability to establish and maintain effective working relationships as required by the duties of the position. * Strong communication skills. * Strong Excel/Powerpoint/Outlook Skills Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * Five years recent directly related work experience in a healthcare environment with significant exposure to healthcare coding/billing/reimbursement or completion of a recognized course of study for health information practitioners or coding specialists and three years coding experience in an acute hospital health information management department * Applicable clinical or professional certifications and licenses such as LVN/LPN and RN highly desirable * Hospital charge audit experience highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Opportunities for you! Consecutively recognized as a top employer by Forbes Vacation time starts building on Day 1, and builds with your seniority 403(b) retirement plan with up to 7% matching contributions Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more? Click here. Responsibilities This role serves the entire Community Health System as part of a team of over 30 people made up of coders, clerical support and educators. This team works together to meet and exceed common goals. In this remote position, you will assign ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. We use the most current and up-to-date technology and software, meaning you will have the constant opportunity to grow and learn in your role! Review charts thoroughly to ascertain all diagnosis and procedures. Code all diagnoses and procedures in accordance to ICD-10-CM/PCS and CPT-4 coding practices, rules and guidelines for all inpatient services, observation and ambulatory accounts. Maintains 99% rate of information correctly abstracted. Completes abstract competency annually. Maintain the knowledge base necessary for current coding practices and remain up to date with the following manuals: Administration, Health Information Management Services, Emergency Management and Safety. Whether working independently or alongside teammates, you'll contribute to a standard of excellence that defines the Community experience from day one! Qualifications Education & Experience High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate Completion of courses in Medical Terminology, Anatomy and Physiology 5 years of recent inpatient coding experience in an acute care setting Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment Licenses and Certifications CCS - Certified Coding Specialist Fully Remote Disclaimers • Pay ranges listed are an estimate and subject to change. • If any bonuses are noted, they are only applicable to external hires meeting criteria.

Regional Corporate Coding Supervisor (Remote based in US) Reporting to the Corporate Coding Director, the Regional Corporate Coding Supervisor will be responsible for supervising coding, data abstraction and associated coding activities. Ensures accurate and timely coding of records according to Tenet Health policies and procedures. Manages workflow related to coding and abstracting, provides direction for coding activities and productivity standards required to reach unbilled targets at all hospitals in the region. Performs duties as necessary to support the coding quality improvement process both in the region and at corporate. Position will support Tenet corporate located in Texas. Required: Must have a comprehensive knowledge of ICD-10-CM/PCS coding classification systems. The analytical abilities necessary to prepare various reports and records. The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside the Hospital. Must have above average general office and computer skills. Associate degree in HIM related field RHIT Certification 5+ Years Coding Experience Preferred: Experience managing large teams and driving process improvement activities at the corporate level in a complex healthcare organization. Bachelor's Degree in HIM Related field RHIA Certification 2+ Years of Leadership Experience Compensation Pay: $66,768- $106,704 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Paid time off (vacation & sick leave) Discretionary 401k match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM2

Company: Compassus The People Development Partner strengthens the learning, performance, and leadership capacity of our teams across the country. This role brings learning to life for our Growth, VBE, and clinical partners through engaging training, practical coaching, and consistent support for enterprise priorities. This role delivers high-impact learning experiences that support Growth onboarding, VBE education, leadership development, and broader People Experience initiatives. It partners closely with Instructional Designers, Multimedia Specialists, People Business Partners, Clinical Education, Operations, and Growth leaders to build a learning experience that supports both immediate business needs and long-term talent development. The People Development Partner ensures every training touchpoint reflects the Compassus values, advances our Care Model, and supports the success of team members in hospice, home health, infusion, and palliative care settings. Key Responsibilities Learning Facilitation Deliver engaging, practical training for Growth, VBE, Leadership, and enterprise programs. Facilitate virtual and in-person learning sessions that support both clinical and non-clinical audiences. Support onboarding for leaders, Growth team members, VBE team members, and staff in patient access roles. Adapt content to meet the needs of different service lines, markets, and audiences. VBE & Growth Alignment Support training and coaching for VBE initiatives including patient access workflows, critical thinking for intake, customer experience, and value-based care outcomes. Partner with Growth leadership to deliver sales-readiness and field-based coaching. Reinforce performance expectations, referral experience standards, and outcomes-driven behaviors. Learning Event Management Coordinate all aspects of training events including scheduling, logistics, communication, technology, and follow-up. Maintain smooth operations for virtual classrooms and in-person workshops. Manage readiness for enterprise rollouts and large learning initiatives. Coaching & Feedback Provide real-time coaching and feedback to learners. Share observations with leaders to support performance, development, and application of new skills. Support new hire ramp-up through structured follow-up and coaching touchpoints. Program Quality & Continuous Improvement Collect and analyze learner feedback to guide content improvements. Provide insights to Instructional Designers on what resonates, what needs refinement, and where gaps exist. Use data, patterns, and learner engagement trends to improve training quality. Cross-Functional Collaboration Work closely with People Business Partners, Operations, Growth, and Clinical Education to ensure training aligns with operational priorities and care delivery. Represent the People Experience team in projects, committees, and enterprise initiatives. Ensure learning reinforces Compassus values, belonging, leadership expectations, and culture. Other Responsibilities Support the Enterprise Learning Calendar. Assist with documentation, communication, and reporting related to learning programs. Serve as a facilitator for leadership development programs. Education and Experience Required Bachelor's degree. Ten or more years of combined experience in sales, leadership development, adult learning, or performance coaching. At least five years of facilitating leadership, sales, clinical-adjacent, or professional development programs. Experience delivering virtual and hybrid learning. Preferred (Clinical/Home Health/Hospice Experience) Experience working in home health, hospice, palliative, or other home-based care settings. Familiarity with clinical workflows, interdisciplinary care teams, regulatory or compliance considerations, and the unique realities of caring for patients at home. Prior collaboration with clinical leaders, Growth teams, or patient access teams. Understanding of value-based care models and how quality, experience, and outcomes shape performance. Experience supporting onboarding or training for clinicians or clinical-adjacent roles. Clinical licensure or certification helpful but not required. Skills Strong facilitation skills with the ability to create a safe, engaging, and practical learning environment. Excellent communication and relationship-building skills. Ability to translate complex clinical or operational concepts into clear, approachable learning. Comfortable presenting to groups of all sizes in both virtual and in-person settings. Skilled in reading dynamics and adjusting in the moment. Familiar with adult learning principles and performance-based facilitation. Ability to manage multiple learning events across different service lines. Comfortable with virtual platforms (Teams, Adobe Connect). Strong planning, organization, and follow-through. Certifications Master Facilitator certification preferred. Certification in personality or behavioral assessments preferred. Adult learning, coaching, or clinical certifications are a plus. Physical Demands and Work Environment Requirements align with a fast-paced learning and development role. Reasonable accommodations available. Some travel may be required for field-based learning support. #LI-JE1 Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development. • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Community Health Systems is seeking an Application Systems Programming Specialist to join its Integration Services team. This advanced technical role is responsible for leading the analysis, design, development, and support of complex system interfaces within a healthcare environment. The specialist will demonstrate expertise in industry trends, best practices, and interface programming using tools such as Mirth, Intersystems, and Rhapsody. Key responsibilities include ensuring seamless data integration, maintaining comprehensive documentation, and providing proactive solutions to optimize system performance. This role requires collaboration with internal and external stakeholders to achieve business objectives and the ability to manage complex technical projects in dynamic environments. Essential Functions Mirth Connect (Primary Focus) Develop, maintain, and monitor HL7/FHIR interfaces using Mirth Connect. Manage channels, transformations, filters, and communication protocols (TCP, SFTP, REST, etc.). Handle Mirth upgrades, performance tuning, and participate in Disaster Recovery/High Availability (DR/HA) documentation and validation. Collaborate with platform specialists to ensure high availability and platform integrity. Troubleshoot production issues and lead root cause analysis across a diverse ecosystem of clinical systems and vendors. Coordinate with offshore/onshore teams for 24x7 support coverage. InterSystems HealthShare (Strategic Focus) Participate in the pilot deployment of HealthShare Health Connect. Build and configure message routes, transformations, and business processes using HealthShare components (IRIS, Ensemble). Support platform consolidation planning across fragmented integration engines. Assist in evaluating cloud-hosted options (e.g., Google Cloud Platform) for future-state deployment. Interoperability & Standards Work closely with the Technical Integration Manager and enterprise architecture team. Implement and support workflows involving HL7 v2/v3, FHIR R4, X12, Continuity of Care Document (CCD), and Clinical Document Architecture (CDA). Contribute to roadmap planning for advanced Health Information Exchange (HIE) participation, API adoption, and care coordination use cases. Documentation & Communication Develop and maintain documentation including design specifications, test cases, support runbooks, and DR plans. Communicate effectively with hospital IT teams, vendors (Cerner, Medhost, Athena), and state agencies. Qualifications Bachelor's degree in Computer Science or Information Technology. 8+ years of hands-on integration engine experience in a healthcare integration environment. 5+ years of hands-on Mirth Connect experience in a healthcare integration environment. Strong working knowledge of HL7 v2.x, FHIR, CCD/CDA, and interfacing protocols. At least 2 years of experience with InterSystems HealthShare (Health Connect or Ensemble). Experience supporting production interfaces in mission-critical hospital or HIE environments. Familiarity with EMRs such as Cerner, Athena, Medhost, or Epic. Basic scripting experience (JavaScript, XSLT, or Python preferred). Ability to contribute to a 24x7 on-call rotation. Preferred Qualifications: Experience with cloud-based integration (Google Cloud Platform preferred). Familiarity with Carequality/CommonWell networks, immunization registries, and HIE frameworks. Understanding of HIPAA, HITECH, and healthcare compliance.

The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties in addition to full scheduling duties. Upon occasion, the PSC REP II may be only assigned to complex pre-registration. The PSC REP II is expected to develop a thorough understanding of assigned function(s). ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call: * Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.) * Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts * If assigned to Order Management: verifies order is complete and matches scheduled procedure. Includes indexing and exporting physicians orders to correct account number. If assigned to complex Pre-Reg: * Collect and verify required patient demographic and financial data elements, including determining a patient's financial responsibility and securing pre-payment for future services/performing collection efforts * Create a complete pre-registration account for an upcoming inpatient/surgical admission * Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility * Other duties as assigned based on departmental needs KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to work in a production driven call-center environment * Familiarity with working with dual computer monitors (may be required to use dual monitors) * Must have basic typing ability * Must have working knowledge of Windows based computer environment * Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously * Extensive multitasking ability * Strong written and verbal communication skills Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * Required: High school diploma or GED * Preferred: Two plus years of college (two years in a professional, customer service-driven environment may substitute for two years of college), completion of related medical certification program * Preferred: Telephone/call center experience * Preferred: Pre-registration and/or scheduling experience * Preferred: 2-3 years of customer service experience PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment TRAVEL * Approximately 0% travel may be required As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Support Databases. Ensure Security. Drive Technical Excellence. As a Database Systems Engineer, You Will: + Support database technology systems, projects, and acquisitions/divestitures + Manage database architecture and security + Design administrative processes + Oversee server backups and recovery processes + Develop systems design and documentation + Manage Azure and on-prem hosted databases + Lead disaster recovery planning and execution + Document processes, procedures, business continuity, and disaster recovery plans + Provide IT support activities including ticket remediation and incident resolution + Monitor and maintain technology for maximum access + Identify, evaluate, assess, procure, deploy, and recover database application environments + Participate in and lead special projects, working groups, councils, and committees + Maintain compliance with federal, state, and organizational policies and procedures + Build strong relationships with outside vendors and make technology resource recommendations About You Qualifications - What You'll Bring: + High school diploma or equivalent + 3-5 years of progressively responsible experience supporting SQL server-based applications + Broad and in-depth experience in a Windows environment, VMware, and basic networking skills + Enterprise SQL server experience including disaster recovery and systems restoration knowledge + SQL Always On experience, plus SSRS and SSIS installation/troubleshooting + Quest LiteSpeed knowledge and recovery processes + Log shipping for applications + Strong organizational skills with the ability to manage multiple priorities + Excellent communication skills with a collaborative and professional approach + Ability to work independently and in a team environment + Strong written, oral, and interpersonal communication skills + Detail- and deadline-oriented with ability to prioritize and multi-task + Flexible and responsive to changing business needs + Commitment to courteous, efficient, and accurate issue resolution + Ability to handle confidential information responsibly + Leadership mindset with the ability to participate in committees, special projects, and process improvement Preferred Qualifications (Not Required): + Bachelor's degree in Management Information Systems or Computer Science + Experience in a health care environment We Offer Benefits for All Hospice Associates (Full-Time & Per Diem): * Competitive Pay * 401(k) with Company Match * Career Advancement Opportunities * National & Local Recognition Programs * Teammate Assistance Fund Additional Full-Time Benefits: * Medical, Dental, Vision Insurance * Mileage Reimbursement or Fleet Vehicle Program * Generous Paid Time Off + 7 Paid Holidays * Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) * Education Support & Tuition Assistance * Free Continuing Education Units (CEUs) * Company-paid Life & Long-Term Disability Insurance * Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Apply today and help support compassionate care that makes every moment count. Legalese + This is a safety-sensitive position + Employee must meet minimum requirements to be eligible for benefits + Where applicable, employee must meet state specific requirements + We are proud to be an EEO employer + We maintain a drug-free workplace Related Job Titles Database Systems Engineer jobs, SQL Server engineer, database administrator healthcare, Azure database jobs, SSRS SSIS SQL jobs, IT infrastructure database engineer, VMware SQL systems support, healthcare IT careers, database security engineer, disaster recovery SQL engineer. ReqID: 2025-131658 Category: Corporate Position Type: Full-Time Company: Gentiva

may qualify for a sign-on bonus. Performs imaging procedures with the use of radioactive isotopes. Responsible for preparation, calculations, and administration of isotope products in various diagnostic and therapeutic procedures. Performs under the direction of the physician during therapeutic procedures. Minimum Education: Completion of an accredited educational program in nuclear medicine or radiologic technology. Minimum Experience: 1-year radiologic technology diagnostic and/or nuclear medicine experience Required Certification: BLS Required Licensure: TDH (MRT), NMTCB FLSA Status: Salary Grade: Skills: ** Note - Required certifications are to be completed by 3 months of employment. #LI-NS1

The Reimbursement Coordinator Team Lead is responsible for collecting and managing account payments related to home health billing. The Team Lead will be responsible for submitting claims, following up with insurance companies for payment fulfillment, and providing training to Reimbursement Coordinator as needed. This is a fully remote position but the person hired for this role should reside in a state we do business in. Responsibilities Serve as a mentor to reimbursement coordinator of collections. Plan and execute training opportunities for the Non-Medicare billing and collection team; includes group and individual training. Complete daily billing tasks to minimize reimbursement write-offs. Monitor and manage assigned accounts for accuracy and efficiency. Collect necessary information for insurance claims preparation. Submit clean claims to insurance companies in a timely manner and according to guidelines. Research, correct, and resubmit rejected or denied claims promptly. Responsible for incoming patient calls regarding self pay billing/collect payments. All other duties as assigned. Qualifications Must have a high school diploma or equivalent. Must have two years demonstrated experience with Medicare or related billing functions. Must have demonstrated experience in planning and presenting trainings, individual or large group settings. Must have demonstrated experience in project management. Experience with home health & hospice billing and collections is highly preferred. Additional Information At Enhabit, we firmly believe our people are our greatest asset! Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Some benefits, tools and resources include: Comprehensive insurance plans - medical, dental, and vision Generous paid time off - Up to 30 paid days off per year 401k retirement savings plan with match Basic life insurance at no cost to eligible employees Employee scholarship program Promote-from-within philosophy Compensation Range $20-$28 per hour Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

Company: Compassus The People Systems Analyst is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. This position is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The People Systems Analyst serves as a strategic business partner to internal stakeholders by providing system recommendations, leading improvements, and ensuring the effective use of Workday and other People Systems. This role is responsible for developing, testing, implementing, and maintaining data, workflows, and processes that align with company practices and evolving business needs. A key focus is the ongoing support, configuration, and optimization of Workday Human Capital Management (HCM), particularly within the Recruiting and Talent modules. Operating in a fully remote, full-time capacity, the People Systems Analyst collaborates closely with the People Team, Payroll, and other business stakeholders to drive system efficiency, accuracy, and compliance. This position supports internal users, leads system enhancements, develops reports and dashboards to inform business decisions, and acts as a primary escalation point for complex system issues. Additionally, the People Systems Analyst plays a critical role in user testing, training, and long-term systems planning, contributing strategically to both day-to-day operations and the broader People technology roadmap. Lead configuration, testing, release management, and maintenance of Workday, specifically in Recruiting and Talent modules. Serve as a Workday subject matter expert and primary point of contact for production support and issue resolution. Drive Workday updates and semi-annual feature release testing, partnering with People Systems, People Analytics, People Partner, and Recruiting teams. Monitor system performance and proactively identify and resolve configuration issues or process inefficiencies. Collaborate with stakeholders to analyze requirements, translate business needs into system solutions, and implement those solutions through configuration or reporting. Develop, maintain, and deliver custom Workday reports, dashboards, and calculated fields where necessary. Recommend and implement process improvements by leveraging new Workday features or best practices. Perform root cause analysis on system issues and incidents, developing preventive solutions. Support integrations between Workday and third-party systems where applicable (e.g., background check, candidate messaging). Maintain clear documentation of configurations, business processes, and training materials. Provide training and support to end users and internal teams to promote Workday adoption and efficiency. Participate in and sometimes lead cross-functional projects, including mergers, acquisitions, audits, and compliance initiatives. Required Qualifications Bachelor's Degree in Information Systems, Human Resources, Business, or related field; or equivalent work/military experience. Minimum of 2 years' experience supporting Workday as a systems analyst, administrator or consultant. Experience with Workday Recruiting and Talent modules (configuration and support). Proven ability to manage configuration changes, testing cycles, and production deployments in Workday. Proficiency in Workday reporting tools, calculated fields, condition rules, advanced reporting and matrix reporting. Preferred Qualifications Workday Pro certification in Recruiting, Talent, or other relevant modules. Familiarity with Agile methodology, JIRA, or similar tools for tracking work and managing enhancements. Advanced Excel or Google Sheets skills, including formulas, data transformation, and reporting. Experience with Workday integrations (EIBs, Core Connectors, or Studio) is a plus. Key Skills Deep understanding of Workday's structure, configuration, and data relationships. Ability to effectively translate business problems into Workday solutions. Detail-oriented with strong analytical and problem-solving skills. Excellent communication skills and the ability to collaborate across functional areas. A continuous improvement mindset and commitment to process optimization. Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization. At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development. • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Company: Compassus The Revenue Cycle Manager is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Revenue Cycle Manager coordinates the daily functions of the Patient Accounts staff, preparing weekly reports and reconciliation of revenue cycle to the general ledger each month in a timely manner and performing aging reviews. S/he is responsible for applying the rules and regulations of state and federal regulatory agencies and other certified agencies. Position Specific Responsibilities Regularly reviews charging practices, protocols, and system usage for compliance to all government and corporate regulatory standards. Provides education on process and procedures to assure uniform application and compliance to policies and procedures. Maintains findings/issues/action plans for the revenue producing departments. Provides training where needed to implement action plans. Monitors and trends gross revenue on a daily and monthly basis. Investigate variances and resolves any issues. Communicate issues and resolutions to the Director of Revenue Cycle. Provides focus and direction to process improvement with billing functions. Helps develop and implement training processes to improve cash collections and reduction of denials. Understands and communicates contract specific issues related to discount and allowance calculations for a variety of payers such as Medicare, Medicaid, HMO's, PPO's, IPA's, employers, etc. Meets billing operational standards by implementing production, productivity, quality, and customer-service standards; resolving problems; identifying billing system improvements. Accomplishes billing departmental objectives by measuring billing results against plans; evaluating and improving methods. Oversees management of personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where needed. Establishes the concept of high performance work teams where applicable. Ensures professional verbal and written communication with facilities, clients and co-workers. Reports on the status of the accounts receivable aging. Assists in year-end financial statement audit. Assists with regulatory reporting. Performs other duties as assigned. Education and/or Experience Bachelor's degree required. Seven (7) to ten (10) years of progressive, relevant experience and/or training highly preferred; preferably in home health, hospice, palliative, or infusion. Equivalent combination of education and experience may be considered. Knowledge of Commercial, Third-Party Insurance Accounts, including but not limited to Medicaid, Managed Care, HMO, PPO, Auto and Work Comp. rules and guidelines governing collection activities. Proven commitment to exceling in collections, dedication to company standards, and growth. Skills Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization. At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. #LI-JE1 Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development. • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital staff, and clinical specialists to secure timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process improvement initiatives, and serves as a key liaison to reduce denials and optimize patient outcomes. Essential Functions Submits initial assessments, continued stay reviews, and payer-requested documentation, ensuring compliance with policies, regulations, and payer requirements to establish medical necessity. Communicates with commercial payers to provide concise and accurate information to secure timely authorizations and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist. Monitors and updates case management software with documentation of escalations, avoidable days, authorization numbers, denials, and payer interactions to ensure accurate records. Coordinates Peer-to-Peer discussions for unresolved concurrent denials, ensuring the process aligns with hospital, corporate, and payer requirements. Documents outcomes in case management systems. Reviews and closes out cases after patient discharge, ensuring all required documentation is complete and understandable for billing and future audits. Places cases on hold as necessary to resolve pending authorizations or reviews. Maintains performance metrics aligned with Key Performance Indicators (KPIs) for the Utilization Review Service Line. Serves as a key contact for facility and payer representatives, fostering effective communication and collaboration to resolve issues promptly. Participates in training initiatives within the department, supporting onboarding and skill development for team members. Responds promptly to phone calls, faxes, and insurance portal requests, providing high standards of customer service and satisfaction. Escalates issues to the manager as appropriate and provides recommendations for improving operational efficiency and outcomes. Ensures accurate and timely communication of hospital stay authorizations, denials, and delays to all relevant stakeholders. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Bachelor's Degree preferred 0-2 years of work experience in utilization review, hospital admissions or registration required 1-3 years of work experience in an office, processing center, or similar environment preferred Knowledge, Skills and Abilities Strong knowledge of utilization management principles, payer requirements, and healthcare regulations. Proficiency in case management systems and technology resources for authorization tracking and documentation. Excellent communication and interpersonal skills to interact effectively with payers, clinicians, and administrative staff. Critical thinking and problem-solving skills to analyze and resolve authorization and denial issues. Strong organizational skills to manage multiple priorities and meet deadlines. Attention to detail for accurate documentation and process adherence. Ability to train and support team members, fostering a collaborative and productive environment.

The Underpayment & Overpayment Collector - Healthcare (REMOTE) is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements. As a Payment Compliance Collector at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution. Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms. Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies. Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements. Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance. Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management. Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections. Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures. Performs other duties as assigned. Complies with all policies and standards. This is a fully remote position Qualifications H.S. Diploma or GED required Associate Degree or higher preferred 1-2 years of experience in healthcare collections, revenue cycle, or contract management required Familiarity with payer contracts and healthcare reimbursement methodologies preferred Experience in hospital insurance collections strongly preferred UB-O4 experience strongly preferred Knowledge, Skills and Abilities Strong analytical and problem-solving skills. Proficient in understanding and interpreting payer contracts and reimbursement terms. Effective communication and negotiation skills. Ability to work independently and manage multiple priorities in a fast-paced environment. Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel. Attention to detail and high degree of accuracy in reconciliation and analysis. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.