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Coal County General Hospital - Mary Hurley Hospital jobs

- 24 jobs
  • Patient Access Agent -Partially Remote, M-F 2:00-6:00, Days

    Umass Memorial Health 4.5company rating

    Remote or Worcester, MA job

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.32 - $32.87 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 2:00-6:00 Shift: 1 - Day Shift, 4 Hours (United States of America) Hours: 20 Cost Center: 99940 - 5492 Patient Access Center Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. The role of the Patient Access Scheduling Agent is the front door for patients to secure access to the right care, at the right time, with the right provider. The Patient Access Scheduling agent performs a variety of complex scheduling activities that ensures patients get access to the care they need by providing exceptional patient service. I. Major Responsibilities: 1. Handles incoming phone calls from patients, families and referring providers to schedule patient appointments. Scheduling scope includes multiple providers across multiple clinics/departments, practices across multiple campuses. 2. Makes outbound phone calls to patients to schedule appointments with specialists and subspecialists. 3. As part of the appointment scheduling process, secure the information needed to facilitate the financial aspects of medical care such as patient demographics (name, date of birth, etc.), insurance information, and account guarantor. Processes updates and corrections to patient insurance and demographic information. Collects patient liabilities prior to or on the date of service, as appropriate. 4. Based upon appointment visit type, secure medical records from outside health care organizations to ensure the provider has the necessary medical information to provide care. 5. Schedules in office procedures (such as biopsies, etc.), which often requires scheduling the appointment and scheduling the room where the procedure will take place. II. Position Qualifications: License/Certification/Education: Required: 1. High school diploma. Preferred: 1. Associate's degree in business or healthcare-related field. Experience/Skills: Required: 1. English speaking, reading and writing skills. 2. Strong intrapersonal and communication skills. Preferred: 1. Previous scheduling and/or phone customer services experience. 2. Previous experience in a health care organization. 3. Bilingual speaking, reading, and writing skills. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. III. Physical Demands and Environmental Conditions: Occasionally - [lifting, pushing, pulling 10lbs or less], standing, walking, pushing, pulling, bending, reaching, grasping. Frequently - [lifting, carrying, pushing, pulling 20lbs or less], kneeling, high level of stress. Constantly - sitting, performing repetitive movements, working indoors, precise motor skills, precise hearing required, precise vision required. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $20.3-32.9 hourly Auto-Apply 14d ago
  • Coding Specialist II-REMOTE

    Umass Memorial Health 4.5company rating

    Remote or Worcester, MA job

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Schedule Details: Monday through Friday Scheduled Hours: 8AM to 4:30PM Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5446 Professional Billing Coding Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for interpreting medical record data in order to process physician and/or facility charges. Assigns appropriate ICD-CM (current edition) and CPT codes and modifiers as appropriate. Individual Departments, (Emergency Medicine, Trauma Center, Endoscopy Suite, PBCBO, HIM, etc.) will have unique procedures, processes and/or focus, so responsibilities and tasks can differ depending on departmental needs. However, many of the core tasks, required experience and qualifications are similar among all Coding Specialists. I. Major Responsibilities: 1. Performs analysis on medical record documentation to include review of tests/reports, and determines appropriate codes, as defined by coding guidelines and other recognized reference materials. 2. Abstracts and enters all codes and required demographic information into the UMMHC computer system, the hospital's abstracting database, or onto encounter forms, where necessary. 3. Assists in resolving incomplete and missing chart documentation in order to expedite chart abstraction and billing. 4. May participate in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines. 5. May participate in quality assurance and performance measurement reviews and reporting. 6. Informs supervisor when backlog situations arise or necessary documents are either incorrect or are not being received in a timely manner. 7. Alerts management to any coding irregularities or trends contrary to policy/procedure so that corrective measures can be taken. 8. Maintains direct and ongoing communications with other coding and billing personnel to maximize overall effectiveness and efficiency of the operation. 9. Completes patient's abstracts mandated by Federal and State regulatory agencies, Physician Peer Review, and hospital planning for optimal facility utilization (i.e. Determination of Need, Quality Assurance, research studies and Utilization Review Program). Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School education, plus medical coding certification. Preferred: 1. Training in medical terminology from an accredited program. Recognized programs include: AHIMA, NHA, and AAPC. Experience/Skills: Required: 1. Three years of medical abstraction and coding experience or related work experience. 2. Knowledge of ICD-CM (current edition) and CPT, HCPCS coding systems, 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices. 3. Requires intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word. 4. Requires good interpersonal and communications skills and demonstrates professionalism when working with team members, management and other staff members. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $61k-76k yearly est. Auto-Apply 60d+ ago
  • PFRT Rev Integrity Specialist - REMOTE

    Umass Memorial Health Care 4.5company rating

    Remote or Worcester, MA job

    Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $64,084.80 - $115,336.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-5 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5452 RI and Charge Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Serves as a Charge Generation Tracker (CGT) and regulatory gatekeeper to ensure compliance with coding and billing guidelines. Reviews all assigned edits within prescribed timeframe and routes to appropriate owner for resolution. Provides regulatory (coding and billing) support to clinical charge capture specialists to address CGT, coding, charge capture and billing questions. Acts as primary resource for providers, clinical and administrative staff for coding questions and research related to revenue enhancement and correct coding. I. Major Responsibilities: 1. Serves as a gatekeeper to ensure that regular and annual CGT updates compliant with third party regulatory and coding billing guidelines and reflect clinical practice. 2. Collaborates with clinical / ancillary departments to facilitate proper use of CGT files as well as synchronization of preference lists and orders in IT applications. 3. Ensures system wide compliance with federal, state and local regulations with regard to charge codes and related information in the CGT. 4. Ensures standardized CGT request processes are followed. 5. Reviews all assigned edits within prescribed timeframe and routes to appropriate owner for resolution. 6. Provides support and guidance to clinical and RI / Charge Capture staff to resolve outstanding edits. 7. Monitors daily edits reports and alerts clinical departments of delinquencies. 8. Provides regulatory (coding and billing) support to clinical charge capture specialists to address CGT, coding, charge capture and billing questions. 9. Utilizes subject matter knowledge to support proper interpretation and analysis of performance report(s). 10. Utilizes reporting and data analysis in combination with standard benchmarks and criteria to identify and follow-up on potential revenue integrity issues. 11. Ensures the CGT structure supports effective capture of all chargeable services based on a thorough knowledge of the regulatory requirements, IT applications and charge capture processes. 12. Provides subject matter knowledge related to the CGT for clinical departments, revenue cycle team, finance, compliance and administrative staff. 13. Provides accurate feedback and documentation to support educational needs. 14. Develops and conducts educational courses and seminars focusing on professional documentation, coding and billing for physicians, clinicians, administrative staff and Professional Billing Central Billing Office (PBCBO) staff. 15. Develops training programs and supporting materials relative to physician coding and billing guidelines and protocols to ensure that specific areas of need are addressed and that all materials comply with applicable rules and regulations. 16. Participates in PBCBO staff training on coding and billing guidelines. 17. Monitors CMS and applicable third party coding and billing publications, and abstracts key information relative to established coding and billing policies and procedures for distribution to UMMMG stakeholders (clinical, administrative, compliance, PFS, finance). 18. Researches third party coding and billing guidelines and ensures timely and accurate compliance with federal, state, local payer requirements as well as UMMMG contracts specific to charging, coding, bundling and unbundling, modifier reporting requirements. 19. Leads annual review process by providing updates regarding CPT, CMS regulatory updates, professional society publications (e.g., ASA) for clinical, administrative, compliance, revenue cycle, and finance. 20. Performs quality audits and reviews of focused patient accounts to identify improvement opportunities in clinical documentation, charge capture and coding. 21. Provides audit feedback to key clinical and revenue cycle stakeholders for continuous improvement. 22. Monitors downtime forms for each billing area. 23. Collaborates with clinical charge capture analyst to ensure that downtime procedure is maintained. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Associate's degree. 2. Certification in Professional Coding. (CPC) Certified Professional Coder. 3. EPIC Credentialed in Ambulatory within 12 months of hire date. Experience/Skills: Required: 1. Three to five (3-5) years of work experience related to professional billing and coding. 2. Knowledge of industry standard practices, including CPT / HCPCS codes and third-party reimbursement policies. 3. Knowledge of coding and billing requirements based on third party publications, including Blue Shield, Medicare, Medicaid, commercial insurers and HMOs / PPOs. 4. Strong interpersonal and communication skills required. Ability to speak and present in front of groups required. 5. Detail oriented, strong analytical skills with the ability to multi task and prioritize required. 6. A working knowledge of Microsoft Office applications, ability to develop reports and create presentations. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. Travel required based on business need from campus to campus All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $64.1k-115.3k yearly Auto-Apply 53d ago
  • Community Healthlink Intern - Behavioral Health

    Umass Memorial Health 4.5company rating

    Remote or Worcester, MA job

    Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Scheduled Hours: Shift: Hours: 0 Cost Center: This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position engages in a program of field training to observe and provide therapeutic interventions in a variety of placement settings. Observes, learns, and uses basic skills for behavioral health interventions consistent with the requirements of their academic institution.About Internships at Community Healthlink 1. CHL interns are those looking for their first field placement 2. Interns at CHL work in supportive roles, closely with supervisors. 3. They assist with comprehensive assessment activities, collaborate on treatment plans, provide brief therapeutic 1:1 interventions, milieu management, case management to support aftercare referrals and discharge planning, as well as crisis intervention and de-escalation. 4. Generally, these interns are placed within programs that have a therapeutic milieu, and interns are not completing directly billable activities. Hiring Range: $15.00 - $15.50 Please note that the final offer may vary within this range based on the candidate's experience, skills, qualifications and internal equity considerations. I. Major Responsibilities: 1. Provides clinical support as defined by the level of care and service needs of the population served. Specific treatment expectations are defined by licensing and accreditation standards for each level of care and internship expectations as agreed upon between the student, school, and program. 2. Assists with comprehensive assessments consistent with needs of the population served. 3. Collaborates on the development of treatment plans consistent with regulations as required by the funder/licensor. Participates in treatment planning conferences. 4. Provides case management through brief therapeutic 1:1 interventions to coordinate aftercare referrals and discharge planning consistent with regulations and the level of care. Consults and collaborates with collateral contacts and providers as appropriate for the level of care. 5. Coordinates and facilitates individual or group interventions to address the clinical needs of the needs of the population served. II. Position Qualifications: License/Certification/Education: Required: 1. Undergraduate student must be in a Bachelor's degree program in social work, counseling, public health, or related field. Or may be a practicum student in a Masters or Doctoral degree level program in Mental Health Counseling, Social Work, Marriage and Family Therapy, Clinical Psychology, or related program. 2. Some positions require a current valid US-issued driver's license and a registered, inspected, and insured automobile for work related purposes. 3. For MCI programs, a current valid US-issued driver's license and reliable transportation for work related purposes. Experience/Skills: Required: 1. Strong communication and organizational skills. 2. Detail oriented. 3. Willingness to learn. 4. Able to effectively work alone, and as part of a team. III. Physical Demands and Environmental Conditions: 1. Work is considered medium. May have to lift up to 10 lbs. frequently and up to 50 lbs. occasionally. 2. Work occurs in an indoor, patient-focused environment. ADDENDUM CCBHC-IA Intern Job Summary: Assists the CCBHC IA team in improving access to evidence-based services for behavioral health clients from diverse communities. Major Responsibilities: 1. Assists in tracking grant goals. 2. Gathers information from clients and data entry per grant requirements. 3. Contributes to infrastructure development to support sustainability. 4. Participates in training opportunities. 5. Participates on a CHL committee. 6. Identifies and carries out a special project. 7. Performs other related duties. License/Certification/Education: Required: 1. Undergraduate student must be in their 3rd or 4th year of completing a bachelor's degree in social work, counseling, public health, or related field. Experience/Skills: Required: 1. Interest in health equity and serving marginalized communities. 2. Strong communication and organizational skills. 3. Detail oriented. 4. Willingness to learn. 5. Able to effectively work alone, and as part of a team. 6. Available during business hours (9 a.m. to 5 p.m.)- number of hours per week are negotiable. 7. We will be working in a hybrid model with some time onsite and remote work from home. 8. Community Healthlink (CHL) recognizes the power of a diverse community and seeks applications from individuals with varied experiences, perspectives, and backgrounds. III. Physical Demands and Environmental Conditions: 1. Must be able to remain seated for extended periods of time. 2. Must be able to hear, understand, and distinguish speech and/or other sounds (e.g., machinery alarms, medicals codes or alarms). 3. Must be able to work on a computer 80% of the shift. 4. The characteristics above are representative of those encountered while performing the essential functions of the position. Reasonable accommodations may be made if necessary in order to perform the essential functions. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $15-15.5 hourly Auto-Apply 16d ago
  • Director - Reimbursement & Managed Care (Remote)

    Mainegeneral Health 4.5company rating

    Remote or Waterville, ME job

    Job Summary:MaineGeneral Health is a leading health care system proud of the culture of excellence, compassion, and collaboration that extends to our patients and their families. We are committed to attracting talented, ambitious people who share our values and strive to provide excellent customer service. We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed care contracts, and payer enrollment. The successful candidate will have a deep understanding of healthcare finance, regulatory requirements, and a proven track record in a similar role. Additionally, they will have a strong work ethic, intuitive problem-solving skills, and the drive to meet evolving organizational needs.Job Description: The Work: Manage and oversee the Charge Description Master (CDM) rate setting Lead contract negotiations and manage payer relationships Utilize Soarian and StrataJazz contracting modules Perform contract modeling and troubleshoot payer issues Oversee contract management and reporting Ensure compliance with price transparency regulations Support the revenue budget process, including revenue/statistical variance analysis Prepare monthly and ad-hoc net revenue reporting Assist in service line analysis with FP&A Oversee cost reporting for most companies and conduct regulatory research Analyze government reimbursement and assist with provider and payer enrollment Manage professional enrollment, facility credentialing and re-credentialing, including CAQH processes Lead PHO contract negotiations and planning You have: Bachelor's degree in Finance, Accounting, Business Administration, or related field (Master's preferred) Minimum of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is preferred Extensive knowledge of healthcare finance, reimbursement methodologies, and regulatory requirements Experience with Soarian, StrataJazz, and other relevant software systems preferred Strong analytical, problem-solving, and decision-making skills Excellent communication and negotiation abilities Demonstrated ability to lead and manage a team effectively Ready to join our team? Apply today! This position is available immediately and we're excited to welcome passionate individuals who share our commitment to providing exceptional healthcare services. Scheduled Weekly Hours: 40 Travel Requirement: To stay connected with our teams and operations, this role includes up to 10% travel to on-site locations. Travel is planned in advance whenever possible to support work-life balance. Scheduled Weekly Hours:40Scheduled Work Shift:Job Exempt: YesBenefits: Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future. Physical Wellness: We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs. Employees have access to industry-leading leave for new parents. A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves. Emotional Wellness: When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household. Financial Wellness: An employee discount program is available to all employees for services provided by MaineGeneral Medical Center. Tuition Reimbursement is available to all employees to further develop skills and career. We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan. Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident. We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time. Career Mobility: Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community. Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at ************** .
    $78k-101k yearly est. Auto-Apply 60d+ ago
  • Contract Analyst - Hybrid (Maine Residency Required)

    Mainegeneral Health 4.5company rating

    Remote or Augusta, ME job

    MaineGeneral Health. We're With You. Be With Us MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families and our communities. If you are looking for the opportunity to support your friends, family, and your community through your work at MaineGeneral Health...Come be with us. Job Description: The Role: Contract Analyst - Supply Chain Contracts This position is responsible for evaluating, compiling, and analyzing data in supporting Group Purchasing Organization (GPO) contracts for supplies and purchased services. While this role is hybrid, candidates will need to reside in Maine for on-site work requirements in Augusta, Maine. The Work: * Performs opportunity analyses, benchmark evaluations and market share reports utilizing and meshing both internal and external databases, analytical tools and techniques and uses comparative data, market data, and other key contract drivers requiring the analysis of significant issue identification and resolution to present opportunity, cost/benefit analysis reports. * Develops and tracks metrics via dashboard to implement, track, and report the performance metrics for conversions, savings and contracting- must Maintain reporting and analysis documentation to ensure accurate analysis and reporting. Interprets financial trends and business/economic forecasts in relation to the performance metrics and provides recommendations to leadership * Reviews proposals against previous history, actual and estimated expenditures, and established rates to determine price reasonableness or to determine a negotiation position. * Processes complex rebates with monitoring of abnormal patterns. Analyze performance of rebate offerings against anticipated performance. You Have: * Proficiency with MMIS system, GPO contract database, Benchmark databases, and Implant database. * Experience with Contract/Data Analyst related work. * Ability to consistently be on time and contribute to a team. * Ability to work collaboratively. Scheduled Weekly Hours: 40 Scheduled Work Shift: Job Exempt: No Benefits: Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future. Physical Wellness: * We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs. * Employees have access to industry-leading leave for new parents. * A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves. Emotional Wellness: When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household. Financial Wellness: * An employee discount program is available to all employees for services provided by MaineGeneral Medical Center. * Tuition Reimbursement is available to all employees to further develop skills and career. * We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan. * Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident. * We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time. Career Mobility: Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community. Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at ************** .
    $45k-52k yearly est. Auto-Apply 37d ago
  • ED RADIOLOGIST- ALL SHIFTS, HYBRID REMOTE READS

    Umass Memorial Health 4.5company rating

    Remote or Worcester, MA job

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Hiring Range: $365,000 - $435,000 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Day/Evening Emergency Radiologist at UMass Memorial Medical Group Worcester, MA Are you seeking a role that combines a fulfilling clinical practice with opportunities for academic growth, cutting-edge innovation, and a supportive work-life balance? UMass Memorial Medical Group invites you to join our dynamic emergency radiology division as a day and evening emergency radiologist (working every other week). Your Role As a day/evening emergency radiologist, you'll enjoy a flexible schedule and opportunities to make a significant impact on patient care and education: Flexible Schedule: Work every other week with a mix of on-site and remote shifts (at least 3/5 of assignments can be remote). Each shift is 7 or 8 hours in length, ranging as early as 7a-3p and as late as 4p-11p. Physician run scheduling with ample moonlighting opportunities Collaborative Learning: Partner with students, residents and fellows while interpreting diverse imaging modalities, including CT, X-Ray, Ultrasound, basic MRI, and nuclear medicine. Supportive Environment: Access an ER reading room assistant during most hours and 24/7 IT support. What We're Looking For Fellowship training is preferred but not required. Proficiency across a range of imaging modalities and a passion for working in a high-acuity, fast-paced environment. What We Offer Comprehensive Benefits: Robust retirement plans (401(k), 401(a), 403(b)), tuition reimbursement, student loan payment assistance, and more. Academic Growth: Faculty appointments at UMass Chan Medical School with professional development opportunities tailored to your goals. Work-Life Balance: PSLF-eligible employer and a culture that values physician well-being. Diversity, Equity, Inclusion& Belonging: We are committed to fostering a culture of equity, belonging, and inclusion, reflecting the communities we serve. Why Choose UMass Memorial? Located in the heart of Massachusetts, UMass Memorial is the region's premier health care system and academic leader. Here's what sets us apart: Reputation for excellence: As a Level 1 Trauma Center and Comprehensive Stroke Center serving over 1 million lives, our Emergency Department handles more than 230,000 visits annually. Collaborative Culture: Work alongside a robust team of ~100 Radiologists, 28 residents, 10 fellows, and 15 PhDs, including 17 emergency radiology FTE's dedicated to excellence in emergency imaging. Cutting-Edge Technology: We use state-of-the-art imaging equipment, including Sectra, PACS, EPIC EMR, AiDoc lesion detection, Powerscribe one, Syngio.Via and Tera-Recon image processing software, and other AI-enhanced diagnostic tools. Commitment to Research: With over $6M annually in research funding, we actively encourage and support academic pursuits in education and innovation. How to Apply Ready to advance your career with us? Send your CV to Shane Cox, at *************************** or call ************ for more information. Join Our Mission At UMass Memorial, we're not just hiring; we're building a community of caregivers who share a relentless pursuit of healing through clinical excellence, education, and innovation. Be part of our story. Be part of our future. Be part of UMass Memorial. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $365k-435k yearly Auto-Apply 51d ago
  • Payment Variance Specialist - REMOTE

    Umass Memorial Health 4.5company rating

    Remote or Worcester, MA job

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Scheduled Hours: Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5416 Payment Variance and Contracts Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for processing payment discrepancies (under/overpayments). Reviews, analyzes and initiates appropriate action for discrepancy resolution. Responsible for processing payment discrepancies (under/overpayments). Reviews, analyzes and initiates appropriate action for discrepancy resolution. Major Responsibilities: Prioritizes standards and guidelines to perform payment variance follow up utilizing assigned work queue. Analyzes and researches overpayments and underpayments with payers. Determines and executes the best approach for resolution. Validates payment discrepancies using Hospital Billing Revenue Cycle management system calculations. Identifies and isolates payment variance trends and discrepancies, escalates as appropriate. Corresponds with third party payers, hospital departments, and patients to obtain information required for payment variance resolution. Clearly documents all actions taken during the resolution process. Applies reimbursement concepts while researching and triaging payment variance. Position Qualifications: License/Certification/Education: Required: High School diploma Experience/Skills: Required: Two or more years of experience in health care billing functions. Knowledge and experience with health care revenue cycle systems and billing tools. Proven track record of successful performance and goal achievement. Ability to perform assigned tasks efficiently and in timely manner. Ability to work collaboratively and effectively with people. Exceptional communication and interpersonal skills. Strong analytical skills. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $20.9-33.6 hourly Auto-Apply 6d ago
  • Licensed Therapist (LICSW/LMFT/LMHC), Adult Mental Health - Remote, Fee For Service, Various Shifts

    Umass Memorial Health 4.5company rating

    Remote or Northbridge, MA job

    Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $30.76 - $55.36 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: Flexible Shift: 4 - Mixed Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 25080 - 4263 Outpatient Mental Health Svcs This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Provide quality treatment to patients within Behavioral Health Services. I. Major Responsibilities: 1. Provide individual & group therapy to patients with varied mental health/ co-occurring disorders. 2. Responsibilities include completing initial assessments, counseling, group therapy, case presentations to the treatment team, treatment planning, and aftercare planning. 3. Clinicians are also responsible for identifying the need for medication evaluations and making referrals to the on-site providers. 4. Complete all documentation and paperwork specific to the department and in compliance with hospital requirements, DMH, BSAS, The Joint Commission, and insurance providers. 5. Responsible for managing caseload which may include consultations, collateral contact, and following up with the patient on missed appointments. 6. Maintain independent professional licensure and maintain credentialing necessary for specific role. Standard Staffing Level Responsibilities: (STANDARD UMMH) 1. Complies with established departmental policies, procedures, and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Graduation and training from an accredited graduate (Masters) program. 2. Active unrestricted independent license by the Massachusetts Board of Registration: LICSW/LMHC/LMFT/Licensed Clinical Psychologist. Experience/Skills: Required: 1. 2+ years of experience working within the Human Services field. 2. Strong diagnostic skills and abilities. 3. Must have strong and effective communication, organization and time management skills. 4. Must be able to work as part of a robust multi-disciplinary clinical team. Preferred: 1. 2+ years of experience working within behavioral health and/ or addictions treatment. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $30.8-55.4 hourly Auto-Apply 50d ago
  • Manager, system engineering

    Rochester Regional Health 4.3company rating

    Remote job

    The Systems Engineering Manager Manages daily operations for the System Engineering team and provides oversight within Rochester Regional Health of all tactical and strategic infrastructure projects. Drives the planning, design, implementation, organization, and operation of the IS & T, System Engineering Team. Ensures that hardware and/or software are designed and installed in a manner that meets the needs of the organization Key Responsibilities: • Manage the System Engineering team while providing technical support for hardware and systems within the RRH infrastructure. • Coaches team members as required to develop their skills and improve their productivity. • Ensures that all direct reports are familiar with, trained on and follow all Rochester Regional's procedures and process related to their to our customers and that changes to procedures are reviewed, approved and validated prior to implementation. • Provide advanced technical assistance to IT and System Eng. staff. • Works with the Project Manager and other stakeholders to establish project timeline and report on progress. • Establish processes, procedures and policies related to System Eng. responsibilities at Rochester Regional. • Provide incident tracking for outages and system failures. • Responsible for management reporting in conjunction with system activities, capacity, performance, and other important issues. • Identify and implement both technology and re-engineering processes to improve workflow efficiencies, and operational capabilities within Rochester Regional Data Center environments. • Develop the processes, tools, and models required to effectively track and forecast data center capacities related to hardware/storage. • Provide input into the annual capital and expense budgeting process related to system engineering infrastructure. • Ensure the system engineering infrastructure is documented thoroughly. • Analyze project needs/requirements and recommend systems to enable enterprise integration of systems and hardware. • Develop, maintain and communicate project plans and status updates. • Interface with equipment vendors and service providers to obtain system configurations, quoting and support. • Resolve trouble tickets assigned to provide exceptional customer service. Minimum Qualifications: • Bachelor's Degree in Computer Science or equivalent work experience in Information Technology. • Experience with implementation of complex infrastructure. • Positive attitude with high focus on customer satisfaction. • Able to work independently as well as part of a team. • Strong verbal and written communication skills. • Advanced customer service skills. EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: L - Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly; requires occasional walking, standing or squatting. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $110,000.00 - $130,000.00 CITY: Rochester POSTAL CODE: 14617 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
    $110k-130k yearly Auto-Apply 36d ago
  • Medical Assistant Coordinator - Telehealth

    Rochester Regional Health 4.3company rating

    Remote job

    As an essential part of the care team, the Medical Assistant Coordinator acts as a ‘Telehealth Concierge'. In a customer service-oriented manner, interviews patients and/or their representative to collect required data, to include but is not limited to; demographic and financial data as well as obtain required signatures, communicates mandated patient information and verifies all information for accuracy. STATUS: Per Diem LOCATION: Riedman- Remote DEPARTMENT: Telehealth Department SCHEDULE: Day/Evening/Night EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $17.85 - $19.50 CITY: Rochester POSTAL CODE: 14617 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
    $17.9-19.5 hourly Auto-Apply 5d ago
  • Clinical Pharmacist - Ambulatory Care - Primary Care

    Novant Health 4.2company rating

    Remote or Charlotte, NC job

    What We Offer AMBULATORY CARE Clinical Pharmacist - Ambulatory Care - Primary Care - North Charlotte Monday- Friday, 8:00am-5:00pm (Hybrid role) / Charlotte Potential relocation assistance for qualified applicants & locations! Novant Health is seeking a Clinical Pharmacist, to join our ambulatory pharmacy team, to deliver optimal medication management across all dimensions of care, every time. Preferred Experience/Credentials Providing patient care as a Clinical Pharmacist Practitioner (CPP) or equivalent Direct patient care experience of 1-2 years in an ambulatory or primary care setting with emphasis on diabetes, lipids, and obesity PGY2 Ambulatory residency or equivalent experience Current BCPS or BCACP (board certification will be required post-employment for credentialing) Essential functions include: Partnership with NHMG providers and clinical staff to provide remarkable patient care. Medication therapy management and patient counseling. Promotes high quality, evidence-based, cost-effective pharmaceutical care. Precepting of residents (PGY1/PGY2) and students. Participation in pharmacy and NHMG committees and shared governance. Have a clear understanding of quality improvement principles. Contributes to process improvement projects. Supports the educational and professional development of the department and system. Ability to communicate effectively both orally and in writing. Demonstrating proficiency with equipment and software. Remote opportunity within our approved hiring footprint. Will need to come on-site as needed. Onboarding will require in person relationship building with clinics Additional onsite presence may be required to maintain relationships and build referral volume Why Novant Health? Come join a remarkable team where quality care meets quality service, in every dimension, every time. Let Novant Health be the destination for your professional growth, as you take advantage of the opportunities, to advance your practice to other roles and responsibilities in the clinical pharmacist profession! 8 Magnet Designated Hospitals LeapFrog Grade "A" Ratings at Novant Health facilities What We're Looking For Education: 4 Year / Bachelors Degree in Pharmacy, Foreign Pharmacy Graduate Equivalency Committee (FPGEC) Certification, required. PharmD, preferred. Experience: Postgraduate year 1 residency or fellowship OR two years of experience as a registered pharmacist in health system pharmacy. Oncology experience preferred for oncology roles, required. For Infectious Diseases/Antimicrobial Stewardship roles: ASHP - accredited PGY2 Infectious Disease residency OR minimum of 2 years of equivalent clinical pharmacy experience in infectious diseases/antimicrobial stewardship, required. Licensure/Certification: Current Pharmacy licensure in appropriate state(s) or must be completed within 30 days of start date by either examination or reciprocity, required. Board of Pharmacy Specialties Certification or other approved certification must be obtained and continuously maintained within 2 years of start date as applicable to the role, required. Additional Skills Required: Other duties as outlined in Novant Health and facility specific policies and procedures. Ability to drive/travel to multiple facilities/locations as needed. Ability to work as part of a high performing, change ready and resilient team. Why Choose Novant Health? At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves. Job Opening ID 124083
    $105k-148k yearly est. Auto-Apply 42d ago
  • Nurse Practitioner or Physician Assistant - Thayer Internal Medicine

    Mainegeneral Health 4.5company rating

    Remote or Waterville, ME job

    Job Summary:Provides primary or acute healthcare services for certain acute or chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization.Job Description: Thayer Internal Medicine, a hospital-employed outpatient practice Internal Medicine practice is looking for an experienced Nurse Practitioner or Physician Assistant to join their incredible team. This position in located in the growing city of Waterville, Maine where opportunities for shopping, dining, outdoor adventures and cultural activities continue to grow, offering something for everyone. If you have experience in primary care, enjoy variety, teamwork, and have a passion for providing high-quality, comprehensive and compassionate care, this may be the position for you! Join this team in providing a full range of health care services for adult patients. Manage your own panel of patients, providing team-based care in collaboration with the practice medical staff and care management . Once established within the practice, there may be potential for partial remote work responsibilities. This is dependent upon the needs of the practice and patient care. Although direct clinical experience as a NP or PA is strongly preferred, a new graduate with extensive related experience will be considered. In addition to joining a thriving practice and traditional employment benefits, enjoy the following: Generous Earned Time Off: At MaineGeneral, we recognize the importance of time for rest and rejuvenation. Enjoy generous earned time off, ensuring you have ample opportunity to recharge and achieve work-life balance. Continuing Medical Education (CME): Your growth and development are essential to us. We provide CME time and support to empower you to expand your skill sets and stay at the forefront of medical advancements. Educational Loan Assistance Program: We understand the financial burden of education and are committed to supporting your career journey with a substantial educational loan assistance benefit. At MaineGeneral Medical Center, we take pride in offering an exceptional work environment that empowers our teams to thrive. When you join, you will become an integral part of a team committed to providing quality, compassionate patient care. Certifications:Advanced Practice Registered Nurse (APRN) - Maine State Board of Nursing, Nurse Practitioner (NP) - Maine State Board of NursingScheduled Weekly Hours:40Scheduled Work Shift:Benefits: Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future. Physical Wellness: We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs. Employees have access to industry-leading leave for new parents. A generous earned time/paid time off plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves. Emotional Wellness: When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household. Financial Wellness: An employee discount program is available to all employees for services provided by MaineGeneral Medical Center. Tuition Reimbursement is available to all employees to further develop skills and career. Educational Loan Reimbursement is available to pay down outstanding eligible medical education debt. Eligible medical staff receive both leave days, as well as reimbursement amounts for Continuing Medical Education. We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan. Eligible physicians are also provided the opportunity to participate in a 457(b) retirement plan should they meet their contribution limits of their 403(b) plan. Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident. Malpractice is provided, to include tail coverage to all eligible medical staff. We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time. Career Mobility: Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community. Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at ************** . MaineGeneral Medical Center has an internal referral bonus program for all employed medical staff. Please contact physician recruitment for more details of this program.
    $117k-196k yearly est. Auto-Apply 60d+ ago
  • Interventional/Invasive Cardiology Hybrid Position APP (Inpatient/Outpatient)

    Novant Health 4.2company rating

    Remote or Winston-Salem, NC job

    What We Offer Are you looking to join a remarkable team where quality care meets quality service, in every dimension, every time? Novant Health Medical Group Novant Health Cardiology is looking for a compassionate, caring Advanced Practice Provider in our Winston Salem Market to provide primary health care and perform selective medical services under the direction of practice physicians. #NHMGAPPs Our specialists are committed to working with you and the rest of your care team to create a personalized treatment plan that is designed with you in mind. Novant Health benefits: NH Medical Group employed Medical and Retirement Benefits CME Allowance System wide EHR-Epic Malpractice Work-Life balance Novant Health Medical Group: One of the largest medical groups in the nation. Offers resiliency training for providers and team members to prevent burnout. Established the ODYSSEY program to enhance the new physician and APP experience by empowering our providers to connect, explore and evolve within a culture of continuous learning and teamwork to build a high performing provider network. Instituted an APP Council that partners with leaders to improve APP clinical performance and consistency, create a community of practice that enhances experience, engagement, and growth, fully integrate APPs into the care team, and set standards for APP practice. Is nationally recognized for advanced care and one of the largest community based, non-profit healthcare systems. Is well known for being physician-led and physician-driven. For example, our physicians are in every area of leadership across the organization. That means every strategic discussion has physicians at the table, and every market partners a physician leader with an administrator. The result is a focus on the details that are important to physicians. What does it mean to be a part of Novant Health? A commitment to patient centered care and our model of spending more time with each patient, and creating a seamless system of care for our patients are the foundations of our success Sharing a philosophy of putting high value on the patient experience Novant Health is an integrated network of physician clinics, outpatient facilities and hospitals that delivers a seamless and convenient healthcare experience to communities in North Carolina, South Carolina, and Georgia. The Novant Health network consists of more than 1,800 physicians and over 35,000 employees who provide care at nearly 800 locations, including 15 hospitals and hundreds of outpatient facilities and physician clinics. In 2022, Novant Health was included on Forbes' Best Employers for Diversity, Best Employers and America's Best-in-State Employers list. The Disability Equality Index also named Novant Health on its Best Places to Work list. In 2021, Novant Health reported $1. 1 billion in total community benefit, including $192. 7 million in financial assistance to members of the communities we serve. At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities. Join us, and let's transform healthcare together. #MakeHealthcareRemarkable #NHMGAPPs What You'll Do It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time. Our team members are part of an environment that fosters teamwork, team member engagement and community involvement. The successful team member has a commitment to leveraging diversity and inclusion in support of quality care. All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm". Manage both inpatient and outpatient interventional/invasive cardiology patients. Subspecialize in a broad range of interventional/invasive cardiology care: ACS, PCI, CTO, structural heart disease, renal denervation, and PE program. Manage medication management, peri-procedural care, post-procedural outpatient follow-up, and long-term outpatient follow-up. Cross-coverage in general cardiology will be involved, with training provided. Hours: Full-time, with occasional weekend and holiday coverage on a rotational basis among the cardiology APP group. Supporting Locations: Forsyth Medical Center, NH Cardiology Kimel Park, NH Cardiology Kimel Annex, NH Cardiology Highland Oaks What We're Looking For Education: Master's Degree Required. Graduate of an NCCPA accredited Physician Assistant or Nurse Practitioner program required. Experience: No prior experience required; extensive on-the-job training provided. Licensure/Certification/Registration: Current PA license in appropriate state Required. NCCPA Certification and current DEA registry Required. BLS and ACLS certification required (training available). Additional Skills Required: Ability to successfully complete generic and department-specific skills validation and competency testing. Ability to work with management team and physicians; demonstrated customer service skills, interpersonal skills and communication skills. Will receive on-the-job training on administering cardiac stress testing. Why Choose Novant Health? At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves. Job Opening ID 85648
    $89k-113k yearly est. Auto-Apply 32d ago
  • AR Specialist II - REMOTE

    Umass Memorial Health 4.5company rating

    Remote or Worcester, MA job

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex surgical/procedural/multidisciplinary specialty claims for payments including coding and analyzing claims and claim payments/rejections. I. Major Responsibilities: 1. Contacts insurance companies, while working detailed reports, to secure outstanding payments, i.e. telephone calls, websites, written appeals. 2. Reviews complex rejections in assigned payors and plans to determine validity of rejections and take appropriate action to resolve. 3. Monitors changes in reimbursement policies, including payor fee schedule reconciliation. 4. Performs special projects as assigned by manager or supervisor defining problems, determining work sequence and summarizing findings. 5. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 6. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 7. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Two years of previous Revenue Cycle knowledge including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party reimbursement. 2. Knowledge of multiple third-party regulations, ICD, CPT and HCPCS coding and modifier assignment. Knowledge of billing and reimbursement practices/requirements of major third-party payors in Massachusetts. 3. Knowledge of medical terminology, anatomy& physiology and disease process. 4. Ability to organize and prioritize work to meet strict deadlines. 5. Computer skills to include mainframe, PC applications and excel. 6. Must be self-motivated, service oriented and have excellent communication skills (written and oral). 7. Physician coding certification is desired. Preferered: 1. Three years of physician or medical billing experience involving complex surgical/procedural/multidisciplinary specialties. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $20.9-33.6 hourly Auto-Apply 7d ago
  • Women's Health Psychiatrist | Excellent Career Opportunity | Charlotte NC

    Novant Health 4.2company rating

    Remote or Charlotte, NC job

    What We Offer Novant Health is seeking a dedicated and compassionate experienced Psychiatrist to join our SouthPark office, serving as a key member of the Women's Center for Mental Health. This position is uniquely focused on women's mental health, supporting patients ages 16 and older through a holistic, evidence-based approach. The ideal candidate will have expertise in women's mental health and an interest in community engagement, and education. In addition to direct patient care, responsibilities include, contributing to data-driven program development, and participating in public speaking engagements to promote awareness and advocacy for women's mental wellness. Opportunity Highlights: Elevate your psychiatry career with opportunities to engage in data-driven program development, contribute to public education, and take on meaningful administrative and strategic initiatives within a center focused on women's mental health Hybrid work schedule with 2-3 days in office, remaining days remote work with video visits; in-person availability must be flexible Team support of a psychologist, APPs and therapist Supervision of APPs Candidate Qualifications: Board-certified or board-eligible in Psychiatry Responsibilities & Duties: Outpatient clinic hours, Monday - Friday 8:00am-5:00pm to include occasional work beyond the 8-5 schedule Patient Population: women ages 16+ On-Call Duty: Up to 2 weeks per year Benefits & Perks: Comprehensive medical and retirement benefits Paid leave benefits Malpractice coverage Emphasis on work-life balance Employment with NH Medical Group Additional Compensation Details Two-year salary guarantee Relocation allowance Continuing Medical Education (CME) allowance Novant Health is a not-for-profit integrated system of 19 medical centers and more than 2,000 physicians in over 850 locations, as well as numerous outpatient surgery centers, medical plazas, rehabilitation programs, diagnostic imaging centers and community health outreach programs. Novant Health's nearly 40,000 team members and physician partners care for patients and communities in North Carolina and South Carolina. Why Novant Health? Recognized for Excellence - Nationally ranked health system with Magnet-recognized hospitals Physician-Led & Patient-Centered - Strong commitment to provider well-being and work-life balance Innovative & Team-Based - Advanced technology and collaborative care model Growth & Development - Leadership pathways, mentorship, and continuing education Charlotte, NC Experience the dynamic energy and cosmopolitan charm of Charlotte, NC, where Southern hospitality meets urban sophistication. Enjoy a thriving job market, top-notch healthcare facilities, and diverse neighborhoods catering to all lifestyles. Discover world-class dining, cultural attractions, and professional sports teams while exploring green spaces like Freedom Park and the nearby Carolina Thread Trail. Charlotte offers a vibrant blend of Southern charm, modern amenities, and endless opportunities for career growth and leisure activities, making it an ideal place to call home. #NHpsychiatry #NHMGphysicians Why Choose Novant Health? At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves. Job Opening ID 94742
    $210k-303k yearly est. Auto-Apply 60d+ ago
  • Community Healthlink Intern - Behavioral Health

    Umass Memorial Health Care 4.5company rating

    Remote or Worcester, MA job

    Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Scheduled Hours: Shift: Hours: 0 Cost Center: This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position engages in a program of field training to observe and provide therapeutic interventions in a variety of placement settings. Observes, learns, and uses basic skills for behavioral health interventions consistent with the requirements of their academic institution. About Internships at Community Healthlink 1. CHL interns are those looking for their first field placement 2. Interns at CHL work in supportive roles, closely with supervisors. 3. They assist with comprehensive assessment activities, collaborate on treatment plans, provide brief therapeutic 1:1 interventions, milieu management, case management to support aftercare referrals and discharge planning, as well as crisis intervention and de-escalation. 4. Generally, these interns are placed within programs that have a therapeutic milieu, and interns are not completing directly billable activities. Hiring Range: $15.00 - $15.50 Please note that the final offer may vary within this range based on the candidate's experience, skills, qualifications and internal equity considerations. I. Major Responsibilities: 1. Provides clinical support as defined by the level of care and service needs of the population served. Specific treatment expectations are defined by licensing and accreditation standards for each level of care and internship expectations as agreed upon between the student, school, and program. 2. Assists with comprehensive assessments consistent with needs of the population served. 3. Collaborates on the development of treatment plans consistent with regulations as required by the funder/licensor. Participates in treatment planning conferences. 4. Provides case management through brief therapeutic 1:1 interventions to coordinate aftercare referrals and discharge planning consistent with regulations and the level of care. Consults and collaborates with collateral contacts and providers as appropriate for the level of care. 5. Coordinates and facilitates individual or group interventions to address the clinical needs of the needs of the population served. II. Position Qualifications: License/Certification/Education: Required: 1. Undergraduate student must be in a Bachelor's degree program in social work, counseling, public health, or related field. Or may be a practicum student in a Masters or Doctoral degree level program in Mental Health Counseling, Social Work, Marriage and Family Therapy, Clinical Psychology, or related program. 2. Some positions require a current valid US-issued driver's license and a registered, inspected, and insured automobile for work related purposes. 3. For MCI programs, a current valid US-issued driver's license and reliable transportation for work related purposes. Experience/Skills: Required: 1. Strong communication and organizational skills. 2. Detail oriented. 3. Willingness to learn. 4. Able to effectively work alone, and as part of a team. III. Physical Demands and Environmental Conditions: 1. Work is considered medium. May have to lift up to 10 lbs. frequently and up to 50 lbs. occasionally. 2. Work occurs in an indoor, patient-focused environment. ADDENDUM CCBHC-IA Intern Job Summary: Assists the CCBHC IA team in improving access to evidence-based services for behavioral health clients from diverse communities. Major Responsibilities: 1. Assists in tracking grant goals. 2. Gathers information from clients and data entry per grant requirements. 3. Contributes to infrastructure development to support sustainability. 4. Participates in training opportunities. 5. Participates on a CHL committee. 6. Identifies and carries out a special project. 7. Performs other related duties. License/Certification/Education: Required: 1. Undergraduate student must be in their 3rd or 4th year of completing a bachelor's degree in social work, counseling, public health, or related field. Experience/Skills: Required: 1. Interest in health equity and serving marginalized communities. 2. Strong communication and organizational skills. 3. Detail oriented. 4. Willingness to learn. 5. Able to effectively work alone, and as part of a team. 6. Available during business hours (9 a.m. to 5 p.m.)- number of hours per week are negotiable. 7. We will be working in a hybrid model with some time onsite and remote work from home. 8. Community Healthlink (CHL) recognizes the power of a diverse community and seeks applications from individuals with varied experiences, perspectives, and backgrounds. III. Physical Demands and Environmental Conditions: 1. Must be able to remain seated for extended periods of time. 2. Must be able to hear, understand, and distinguish speech and/or other sounds (e.g., machinery alarms, medicals codes or alarms). 3. Must be able to work on a computer 80% of the shift. 4. The characteristics above are representative of those encountered while performing the essential functions of the position. Reasonable accommodations may be made if necessary in order to perform the essential functions. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $15-15.5 hourly Auto-Apply 15d ago
  • Nurse Practitioner (Experienced) - Virtual Urgent Care

    Rochester Regional Health 4.3company rating

    Remote job

    The Nurse Practitioner in this role will play a pivotal role in delivering high-quality healthcare services to patients in a virtual, urgent care setting. This position combines clinical expertise with the convenience of telehealth technology to provide accessible and timely care to individuals seeking immediate medical attention. You will be responsible for conducting virtual consultations, diagnosing and treating a wide range of acute and minor medical conditions, and offering guidance to patients, all while adhering to established clinical protocols and standards of care. STATUS: Full Time LOCATION: Remote DEPARTMENT: Virtual Urgent Care SCHEDULE: Day/Evening; Every Other Weekend ATTRIBUTES Preference is for the NP to be local Rochester, NY or surrounding areas At least 3 years of experience in urgent care or emergency medicine preferred; primary care and virtual medicine experience also considered Compassionate, kind and patient focused Excellent communication and interpersonal skills Strong attention to detail and superior customer service RESPONSIBILITIES Diagnosis. Assess and diagnose acute illnesses and minor injuries; and implement treatment plan; monitor response for acute and chronic medical conditions; select and order appropriate diagnostic and health maintenance procedures Treatment. Prescribe medication, provide health education and guidance regarding treatment; recommend community resources and refer patients to collaborating physician or specialist Administrative Assistance. Perform administrative responsibilities such as updating patient charts, billing codes and completing required documents from outside agencies. Performs in-basket responsibilities such as reviewing test results, medication refills, returning patient calls and completing related clinical follow-up EDUCATION: MS: Nursing (Required) LICENSES / CERTIFICATIONS: NP - Nurse Practitioner Certification - New York State Education Department (NYSED) New York State Education Department (NYSED) New York State Education Department (NYSED), RN - Registered Nurse - New York State Education Department (NYSED) New York State Education Department (NYSED) New York State Education Department (NYSED) PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $100,000.00 - $150,000.00 CITY: Rochester POSTAL CODE: 14617 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
    $100k-150k yearly Auto-Apply 23d ago
  • AR Specialist I - REMOTE

    Umass Memorial Health 4.5company rating

    Remote or Worcester, MA job

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $19.7-30.8 hourly Auto-Apply 7d ago
  • Physician Assistant (Experienced) - Virtual Urgent Care

    Rochester Regional Health 4.3company rating

    Remote job

    The Physician Assistant in this role will play a pivotal role in delivering high-quality healthcare services to patients in a virtual, urgent care setting. This position combines clinical expertise with the convenience of telehealth technology to provide accessible and timely care to individuals seeking immediate medical attention. You will be responsible for conducting virtual consultations, diagnosing and treating a wide range of acute and minor medical conditions, and offering guidance to patients, all while adhering to established clinical protocols and standards of care. STATUS: Full Time LOCATION: Remote DEPARTMENT: Virtual Urgent Care SCHEDULE: Day/Evening; Every Other Weekend ATTRIBUTES Preference is for the PA to be local Rochester, NY or surrounding areas At least 3 years of experience in urgent care or emergency medicine preferred; primary care and virtual medicine experience also considered Compassionate, kind and patient focused Excellent communication and interpersonal skills Strong attention to detail and superior customer service RESPONSIBILITIES Diagnosis. Assess and diagnose acute illnesses and minor injuries; and implement treatment plan; monitor response for acute and chronic medical conditions; select and order appropriate diagnostic and health maintenance procedures Treatment. Prescribe medication, provide health education and guidance regarding treatment; recommend community resources and refer patients to collaborating physician or specialist Administrative Assistance. Perform administrative responsibilities such as updating patient charts, billing codes and completing required documents from outside agencies. Performs in-basket responsibilities such as reviewing test results, medication refills, returning patient calls and completing related clinical follow-up EDUCATION: BS: Physician Assistant (Required) LICENSES / CERTIFICATIONS: PA-C - Certified Physician Assistant - National Committee on Certification of Physician Assistants (NCCPA), RPA - Registered Physician Assistant - New York State Education Department (NYSED) PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $100,000.00 - $150,000.00 CITY: Rochester POSTAL CODE: 14617 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
    $100k-150k yearly Auto-Apply 23d ago

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