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CoxHealth Remote jobs

- 24 jobs
  • System Vice President Revenue Cycle Management Operational Performance

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    **It's more than a career, it's a calling.** MO-SSM Health Mission Hill **Worker Type:** Regular **Job Highlights:** The SSM Revenue Cycle team is on a fast track to optimization and looking for a strategic thought leader with a proven track record in transformation. This executive role has high visibility within the organization and is a position considered for long term succession planning. Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare Named One of the Diversity Leaders 2024 - Modern Healthcare Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek Named One of America's Greatest Workplaces for Women 2024 - Newsweek Named One of America's Greatest Workplaces for Job Starters 2024 - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. This position IS remote work eligible. SSM Health currently offers remote work within the states of MO, WI, OK, AL, FL, GA, IA, IN, KS, KY, LA, MI, NC, SC, TN, TX, UT, VA, WV. To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact: Angela Jones Executive Talent Partner *************************** \#LI-Remote **Job Summary:** The Vice President for Revenue Cycle Management Operational Performance is responsible for the strategic leadership, oversight and optimization of hospital and ambulatory revenue cycle operations. Provide visionary leadership while fostering strong partnerships to ensure the accuracy and integrity of revenue processes. Partners with the Chief Revenue Cycle Officer to establish and deliver on the Revenue Cycle strategic vision. **Job Responsibilities and Requirements:** Job Responsibilities and Requirements: + Develop and implement strategic initiatives to enhance revenue cycle operations while ensuring the accuracy and integrity of revenue processes. + Oversight and management of coding, coding education, Health Information Management (HIM), Revenue Integrity to include CDM, Accounts Receivable, Cash Management, and Denial Management to ensure compliance with regulatory standards and optimize reimbursement. + Develop and implement strategies for denial management to minimize revenue loss. + Foster strong partnerships with internal and external stakeholders to drive revenue cycle improvements. + Analyze and report on revenue cycle performance, identifying areas for improvement, and implementing corrective actions. + Thought partner with Net Revenue, Information Technology, Finance, Clinical Operations and other stakeholders in continuous revenue improvement. + Exhibits superior management skills that emphasize team building and strong leadership with the ability to provide clear vision and direction. + Leadership development and career pathing to ensure next level leadership readiness. + Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention + Develops and manages the operating and capital budgets for operations, analyzes variances, develops plans and takes appropriate actions for productivity and performance improvements. EDUCATION + Master's degree in business or healthcare administration + OR + Bachelor's degree with equivalent experience EXPERIENCE + Ten years of experience within the area of revenue management, specifically experience with billing and collections at a multi-entity healthcare organization or large complex revenue cycle services with five year's leadership experience. **Department:** 8700000033 RCM Leadership **Work Shift:** Day Shift (United States of America) **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)_
    $132k-215k yearly est. Easy Apply 60d+ ago
  • Call Center Representative Senior

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    **It's more than a career, it's a calling.** MO-SSM Health 7980 Clayton RD **Worker Type:** Regular **Job Highlights:** + **Schedule:** Monday - Friday 8:30 am - 5:00 pm The Senior Call Center Representative will work in a high volume call center department and orient new staff during the onboarding process. While this team does offer some remote work from home opportunities, employees must work in office for the first 90 days minimum. Prior to working from home all employees must be able to meet and maintain all performance expectations. This standard of work must be maintained while working remote. Senior Call Center Representatives will also need to be available to complete onsite training for new hires on an ongoing basis. **Job Summary:** Answers incoming calls and performs triage of inquiries. Responds to escalated telephone and internet inquiries from customers seeking information or resources, with limited to no supervision. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Performs tasks using standards or knowledge acquired through experience. Serves as a resource to those with less experience. + Collects relevant caller data to assist with measurement, tracking and reporting activities. Tracks inquiries, questions and answers and provides resolution. Identifies issues and offers solutions. + Assigns, monitors and reviews progress of work. Monitors and reports compliance with policies and/or procedures. + Oversees and evaluates orientation and training of assigned associates. May provide input in the review and evaluation of staff performance. + Handles escalated calls using defined protocols and independent judgement to escalate more complex issues to the appropriate resource in order to rapidly resolve customer issues. + Performs other duties as assigned. EDUCATION + High School diploma/GED or 10 years of work experience EXPERIENCE + Two years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS + None **Department:** ********** STLPO Centralize Contact Center **Work Shift:** Day Shift (United States of America) **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)_
    $31k-36k yearly est. 26d ago
  • Revenue Cycle Instructional Designer

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    **It's more than a career, it's a calling.** MO-REMOTE **Worker Type:** Regular **Job Highlights:** Shape the Future of Revenue Cycle Operations - Join Us as an Instructional Designer! **this is a remote role** We're looking for a Revenue Cycle Instructional Designer to create innovative learning experiences that drive operational excellence. If you have a passion for instructional design, healthcare systems like Epic, and continuous improvement, this is your chance to shine! Apply now and help us transform the way we learn and work! What you will do: + **Design & Develop** : Create engaging learning content and programs that improve Revenue Cycle performance, including leadership development and team-building initiatives. + **Deliver Training:** Facilitate instructor-led, teachbacks, train the trainer, and virtual classes on technical tools such as Epic, OnBase, vendor platforms, and electronic eligibility verification systems. + **Analyze Needs** : Conduct training needs assessments to identify skill gaps and tailor solutions that align with business objectives. + **Support Transformation** : Drive adoption during new system implementations and process changes. + **Evaluate & Improve:** Monitor learner progress, conduct post-training evaluations, and continuously refine curricula using best practices and emerging technologies. + **Collaborate:** Partner with management and subject matter experts to design solutions that meet operational goals. + **Innovate:** Stay ahead of learning trends and apply adult learning principles to create impactful experiences. What We're Looking For + Education: Bachelor's degree or equivalent combination of education and experience. + Experience: Minimum of 3 years in instructional design, training, or education-preferably within Revenue Cycle or healthcare operations. Skills: + Strong knowledge of adult learning principles + Expertise in instructional design and curriculum development + Proficiency with Epic and related Revenue Cycle tools + Excellent communication and facilitation skills + Ability to manage multiple projects and adapt to evolving priorities Why Join Us? + Be part of a team that values innovation, collaboration, and continuous improvement. + Make a measurable impact on operational efficiency and staff development. + Enjoy opportunities for professional growth in a dynamic healthcare environment. Ready to transform learning and drive success? Apply today! **Remote work:** This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. ***Candidates must reside in MO, IL, OK, or WI** **Job Summary:** Designs, develops, and delivers content programs that improve Revenue Cycle organizational effectiveness including transformation for a department or entity, leadership development, team building, and continuous improvement. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Collaborates with departments to provide continuous improvement through training and education. + Responsible for planning, developing, and presenting effective skills training, technical instruction, and education materials for staff members within Revenue Cycle (technical instruction includes efficient use of Epic, On-Base, vendor websites, electronic eligibility verification or other tools that support the revenue cycle process). + Conducts training needs analysis based on job tasks and skills, to ascertain training needs. + Develops and delivers training curriculum to support revenue cycle operations and business processes using a variety of delivery formats including traditional instructor-led training, and virtual classes. + Supports new system implementations. + Conducts ongoing evaluations and assessments to ensure program effectiveness and recommends and implements modifications. Monitors course participants' progress throughout assigned courses. Conducts post-training evaluations and analyzes results. Updates curricula and explores new materials for program participants. + Applies knowledge of adult learning principles to create various types of learning content. + Collaborates with management and subject matter experts to understand desired performance, assess learning needs, and develop appropriate training solutions. + Stays current on best practices, evolving learning trends, instructional methods/techniques, and emerging technologies. + Performs other duties as assigned. EDUCATION + Bachelor's degree or equivalent combination of education and experience EXPERIENCE + Three years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS + None **Department:** 8700000033 RCM Leadership **Work Shift:** Day Shift (United States of America) **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)_
    $50k-60k yearly est. 60d+ ago
  • Coder, Hospital Outpatient

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    **It's more than a career, it's a calling** MO-REMOTE **Worker Type:** Regular **Job Highlights:** **$1,000 sign on bonus available ( Check with recruiter for eligibility)** Come join us as a Coder, Hospital Outpatient at SSM Health! Your expertise in coding will ensure that our organization maintains compliance with all coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. + Department: Coding + Schedule: Full Time, Day Shift + Location: Remote + Certification in coding (CPC, CPC-A, CCS, CCA, RHIT, RHIA) + Infusion/InjectionExperience with emergency room and Infusion/Injection coding on the hospital side **Remote work:** This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. ***Candidates to reside in MO, IL, OK, or WI (additional states my be considered)** **Job Summary:** Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts. + Reviews HCPCS charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits. Enters in accurate charge information, when appropriate + Monitors assigned work queues to ensure all records are charged in a timely matter. + Generates coding queries for clarification regarding physician documentation as needed + Stays abreast of all changes in coding conventions and coding updates + Performs other duties as assigned. EDUCATION + High School diploma/GED or 10 years of work experience EXPERIENCE + No experience required PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA) And Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA) And Certified Professional Coder (CPC ) - American Academy of Professional Coders (AAPC) And Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) And Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA) And Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA) **Work Shift:** Day Shift (United States of America) **Job Type:** Employee **Department:** ********** HB Coding **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law._ Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)
    $44k-52k yearly est. 60d+ ago
  • 340B Analyst

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    **It's more than a career, it's a calling** MO-REMOTE **Worker Type:** Regular **Job Highlights:** **Qualifications** : Experienced with 340B program operations and audits and Advanced 340B Operations Certificate within 18-months of hire date - Apexus At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. **Remote work:** This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI **Job Summary:** Development and execution of the operational activities of the 340B Center of Excellence functional areas. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Performs recurring internal audits and oversight of 340B contract pharmacy programs, inpatient pharmacy programs, child sites and entity-owned pharmacies. + Supports for implementation of new child sites, shipping addresses and/or contract pharmacies. + Assists with Office of Pharmacy Affairs (OPA) database changes and updates. + Monitors and audits state Medicaid claims to ensure compliance. + Reconciles contract pharmacy payments against revenue posted by Finance. + Evaluates patient eligibility in mixed use areas and clinics in electronic medical records (EMR). + Develops and updates 340B Program reporting packets for SSM ministries. + Reviews ordering, negative and positive accumulations and unmapped items in third-party administrator's (TPA) portal. + Ensures compliant setup for secondary suppliers and wholesaler accounts. + Performs other duties as assigned. EDUCATION + Bachelor's degree or equivalent combination of experience and education EXPERIENCE + Five years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin + Advanced 340B Operations Certificate within 18-months of hire date - Apexus **Work Shift:** Day Shift (United States of America) **Job Type:** Employee **Department:** ********** 340B_Center_of_Excellence **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law._ Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)
    $53k-72k yearly est. 5d ago
  • USPI Manager, Operations Excellence - Hybrid/must reside in St. Louis, MO

    Tenet Healthcare 4.5company rating

    Saint Louis, MO jobs

    Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas, TX with more than 100,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 58 hospitals and approximately 640 other healthcare facilities, including surgical hospitals, ambulatory surgery centers imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve. For more information, please visit ******************** Job Description The Manager, Operations Excellence is responsible for ensuring center operations meets USPI's gold standard processes, practices and customer service levels to deliver USPI's differentiated value proposition. This role will conduct comprehensive reviews, including stakeholder feedback, to prioritize and develop continuous improvement action plans by center to enhance overall operational effectiveness. This role will also be responsible for providing in-person training and education to facility staff to support consistent adoption of best practices. Additionally, the role will provide recommendations to regional and corporate leadership on performance improvement initiatives as well as resources which may be needed. The Manager, Operations Excellence will demonstrate a commitment to quality, safety, compliance, and patient experience, aligned with USPI's operating expectations. The ideal candidate will have a proven track record of identifying operational improvement opportunities and delivering on core responsibilities to support organizational goals. The Manager, Operations Excellence should possess strong project management skills, be highly organized and detail-oriented, and capable of working independently. This is an exempt status position that often requires work outside of normal business hours, including travel. Responsibilities and Expectations The following description of the job responsibilities and performance expectations are intended to reflect the major responsibilities of the job and is not intended to describe the minor duties or other responsibilities as may be assigned from time to time. Growth and Physician Relationships Engage with physicians for customer feedback on service levels to inform a continuous improvement plan specific to the center. Apply analytical and observational skills to identify performance improvement opportunities related to scheduling, PAT, etc. to increase the ease of accessing the center. Promote USPI's value proposition through transparent communication to support alignment and build stakeholder trust. Operational Performance Analyze operational metrics to uncover improvements in areas such as OR utilization, case scheduling, turnover times, cancellations, and staffing models. Identify performance gaps relative to benchmarks and recommend best practices to improve efficiency and outcomes. Collaborate cross-functionally with internal USPI departments to support resource optimization, cost management, and operational alignment. Demonstrate accountability by following through on recommendations, monitoring trends, and communicating impact to stakeholders. Clinical, Quality and Safety Evaluate clinical workflows and team dynamics to identify opportunities for improved quality, compliance, and staff engagement. Identify key drivers of staff turnover and provide insights to help facility leadership strengthen culture and retention. Partner with clinical operations to promote accountability by recommending and tracking measurable KPIs and reinforcing high-quality outcomes. Travel Expectation is 75% travel. Selected candidate will be required to pass a Motor Vehicle Records check. Required Skills Qualifications Bachelor's degree in healthcare administration, Business, Nursing, or related field (equivalent experience will be considered). High school diploma/GED required. Minimum of five years of experience in healthcare operations and business development, with at least 3 years in an ASC or surgical services environment. Deep understanding of operating room workflows, compliance standards, and performance benchmarks. Proven ability to take ownership of projects and deliver measurable results. Skilled in data analysis and interpretation, with the ability to provide actionable recommendations. Strong communication skills with demonstrated ability to engage key stakeholders through verbal, written, presentation, and digital formats. Experience working effectively with C-level executives, physicians, frontline staff, and external partners. Advanced proficiency in Microsoft Office, particularly Excel and PowerPoint. Solid financial acumen and ability to explain business drivers and key performance metrics. Strong mathematical aptitude to support reporting and analytical tasks. Self-motivated, highly organized, and detail-oriented with the ability to work independently. #LI-JR2
    $81k-99k yearly est. Auto-Apply 23d ago
  • Scheduler - Internal Medicine

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    It's more than a career, it's a calling. MO-SSM Health 7980 Clayton RD Worker Type: Regular Job Highlights: Sign-on Bonus Eligible (Sign-on bonuses are for external qualified candidates. Internal candidates - check with your recruiter to see what options are available for you) This is a full-time, day-shift position working Mon-Fri from 8am-4:30pm. There is a training period of up to 4 months that you must attend onsite and then can be fully remote. Must live within 1 hour of onsite location which is 7980 Clayton Road St. Louis, MO 63117 to attend meetings and to work onsite if you are having internet/technical issues. Experience with EPIC, patient registration, insurance verification, call center or customer service preferred. Call volume is approximately 60-80 calls per day. Job Summary: Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Coordinates scheduling and referrals to other healthcare providers and services. Obtains approval for schedule changes or cancellations as appropriate. Assists with maintenance and updating of provider contact information. Ensures that all medical appointments, special instructions and patient information is entered into electronic medical system. Follows site-specific protocols and maintains up-to-date documentation to ensure compliance. Performs other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE No experience required PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS None Department: ********** SLUCare Centralized Contact Ctr Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $30k-35k yearly est. Auto-Apply 55d ago
  • Release of Information Quality Auditor

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Seeking experienced Release of Information Quality Auditor. Must have strong Release of Information (ROI) experience, EPIC ROI experience (preferred), and knowledge of HIPPA, State and Federal laws. RHIA or RHIT is required. Location: Remote - reside in MO, IL, OK, or WI At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI Job Summary: Responsible for reviewing the quality of work produced by the release of information (ROI) staff for all acute care, post acute care, and ambulatory releases. Ensures the accuracy and quality of release of information disclosures within the entire department. Assists ROI leader in analyzing audit results to identify training needs, prepare audit reports, provide guidance and training to health information management (HIM) staff. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Audits requests for release of information (ROI) (e.g.: Continuation of Care (CoC), patient, attorney, insurance, audits) in compliance with Health Insurance Portability and Accountability Act (HIPAA). Applies federal and state laws to each review to ensure appropriate disclosure of protected health information (PHI). Demonstrates proficiency of the electronic health record to analyze ROI disclosures for all facilities across the enterprise. Assists in analyzing audit results to identify necessary training needs for the team. Assesses and maintains audit compliance logs. Assists in creating training material. Provides training support as needed which may include facilitating instructor-led training. Reports audit results to the management team. Provides accurate and consistent feedback to the management team on quality assurance findings via reporting. Responsible for unauthorized disclosure reporting. Performs other duties as assigned. EDUCATION Bachelor's degree in health information management/technology or in a related field or equivalent combination of education and experience EXPERIENCE Four years' experience in Release of Information (RIO) REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA) or Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA) PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8701490033 HB HIMScheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $50k-59k yearly est. Auto-Apply 60d+ ago
  • 340B Program Manager

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    **It's more than a career, it's a calling.** MO-REMOTE **Worker Type:** Regular **Job Highlights:** **Qualifications** : Experienced with 340B program operations and Advanced 340B Operations Certificate within 18-months of hire date - Apexus At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. **Remote work:** This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI **Job Summary:** Serves as a subject matter expert and provides oversight to all 340B Program covered entities, ensuring program integrity and optimization. Maintains software systems and relationships with external vendors. Responsible for implementation oversight for new registrations and day-to-day management of medication procurement, billing, and inventory management in compliance with system policies and procedures. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Maintains integrity of the 340B split-billing software and reviews applicable reports to identify areas for optimization and efficiency. + Works with the pharmacy department and informatics teams to ensure that the organization's clinical information system is coordinated and integrated into the work with the 340B Program including electronic interfaces between the Electronic Medical Records (EMR) and the virtual accumulator and interfaces between the organization and contract pharmacy providers and/or administrators. + Responsible for implementation of newly registered child sites and contract pharmacies, including owned-retail pharmacies. + Assists the primary contact and authorizing official with ensuring that Health Resource and Services Administration (HRSA) 340B Office of Pharmacy Affairs Information System (OPAIS) is accurate for all covered entities. + Ensures that policies and procedures are reviewed, updated, and approved. + Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions fulfilled by a contract 340B pharmacy. + Provides oversight for audits performed by independent external auditors. + Develops, executes, and documents internal audits of the 340B Program in conjunction with the 340B analysts. Coordinates and ensures remediation of findings. Assists with development and implementation of action plans to correct 340B compliance deficiencies. + Ensures maintenance of a central repository of all fully executed 340B contracts. + Shares expertise and assists with training, education, and communication to staff and program participants regarding updates to 340B policies and procedures. + Performs other duties as assigned. EDUCATION + Bachelor's degree or equivalent years of experience and education EXPERIENCE + Seven years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin + Advanced 340B Operations Certificate within 18-months of hire date - Apexus **Department:** ********** 340B_Center_of_Excellence **Work Shift:** Day Shift (United States of America) **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)_
    $46k-62k yearly est. 5d ago
  • Trainer - Revenue Cycle

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    **It's more than a career, it's a calling.** MO-REMOTE **Worker Type:** Regular **Job Highlights:** Empower Teams. Drive Excellence. Become Our Next Revenue Cycle Trainer! We're seeking a Revenue Cycle Trainer to deliver engaging classroom and virtual training programs that strengthen our Revenue Cycle operations. This role is key to ensuring our teams have the skills and knowledge to provide exceptional service and maintain operational excellence. What You'll Do + **Facilitate Training** : Lead classroom and virtual sessions on Revenue Cycle processes, including patient inquiries, insurance handling, payment collection, and claim resolution. + **Teach Technical Skills** : Provide instruction on tools such as Epic, OnBase, vendor websites, and electronic eligibility verification systems. + **Apply Adult Learning Principles** : Create interactive and effective learning experiences tailored to diverse audiences. + **Collaborate:** Work with management and subject matter experts to assess needs and develop targeted training solutions. + **Evaluate & Improve** : Monitor learner progress, conduct post-training evaluations, and continuously update curricula to reflect best practices and emerging technologies. + **Stay Current** : Keep up with evolving instructional methods and trends to deliver innovative training programs. What We're Looking For + Education: Bachelor's degree or equivalent combination of education and experience. + Experience: Minimum of 5 years in training, education, or instructional design-preferably within Revenue Cycle or healthcare operations + Strong facilitation and communication skills + Expertise in adult learning principles + Proficiency with Epic and related Revenue Cycle tools + Ability to manage multiple training programs and adapt to change Why Join Us? + Make a direct impact on team performance and patient experience. + Collaborate in a supportive, growth-oriented environment. + Enjoy opportunities for professional development in a dynamic healthcare setting. Ready to inspire and lead through learning? Apply today! **Remote work:** This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.* *Candidates must reside in MO, IL, OK, or WI **Job Summary:** Facilitates classroom training and development programs within Revenue Cycle. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Responsible for planning, developing and presenting effective skills training, technical instruction and education materials for staff members within Revenue Cycle. + Skills training includes proper handling of inquiries for patients and insurance companies, obtaining payment on outstanding balances, effective and efficient resolution of denied and outstanding claims and applying payment and denial information to patient accounts. + Technical instruction includes efficient use of Epic, On-Base, vendor websites, electronic eligibility verification or other tools that support the revenue cycle process. + Applies knowledge of adult learning principles to teach various types of learning content. + Works collaboratively with management and subject matter experts to understand desired performance, assess learning needs, and develop appropriate training solutions. + Monitors course participants' progress throughout assigned courses. Conducts post-training evaluations and analyzes results. Updates curricula and explores new materials for program participants. + Takes action to stay abreast of current and evolving learning trends, instructional methods/techniques and emerging technologies. + Performs other duties as assigned. EDUCATION + Bachelor's degree or equivalent combination of education and experience EXPERIENCE + Five years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS + None **Department:** 8700000033 RCM Leadership **Work Shift:** Day Shift (United States of America) **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)_
    $28k-49k yearly est. 60d+ ago
  • Director Revenue Cycle Operational Integrity

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Responsible for overseeing all aspects of Revenue Cycle Organization (RCO) employee training and quality assurance, including but not limited to designing and implementing training programs, monitoring performance against quality standards, partnering with operational leaders in identifying areas for improvement, and ensuring compliance with relevant regulations as identified by the Revenue Cycle Regulatory team, all while driving a culture of continuous learning and quality excellence across the RCO. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Develops, implements and maintains a robust feedback system between quality assurance, training, and revenue cycle operations to ensure continuous learning and process enhancement. Oversees the design, development, implementation and management of comprehensive revenue cycle training programs for new hires and existing staff. Ensures training content aligns with regulatory requirements, organizational goals and industry best practices. Directs the monitoring and analysis of training effectiveness, partnering with revenue cycle operations to make data-driven decisions to refine programs and improve staff performance. Oversees revenue cycle quality audit process, ensuring accuracy for front and back revenue cycle. Identifies root causes of revenue cycle errors and responsible for communication and collaboration with operational leaders to implement corrections as needed. Recruits, engages, develops, leads, and manages assigned staff. Performs other duties as assigned. EDUCATION Bachelor's degree or equivalent years of experience and education EXPERIENCE Five years' experience, with three years in leadership Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare Named One of the Diversity Leaders 2024 - Modern Healthcare Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek Named One of America's Greatest Workplaces for Women 2024 - Newsweek Named One of America's Greatest Workplaces for Job Starters 2024 - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. This position IS remote work eligible. SSM Health currently offers remote work within the states of MO, WI, IL, OK, AL, FL, GA, IA, IN, KS, KY, LA, MI, NC, SC, TN, TX, UT, VA, WV. To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact: Angela Jones Executive Talent Partner *************************** #LI-Remote Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8700050033 QA and Training Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $69k-85k yearly est. Auto-Apply 60d+ ago
  • Revenue Cycle Instructional Designer

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Highlights: Shape the Future of Revenue Cycle Operations - Join Us as an Instructional Designer! **this is a remote role** We're looking for a Revenue Cycle Instructional Designer to create innovative learning experiences that drive operational excellence. If you have a passion for instructional design, healthcare systems like Epic, and continuous improvement, this is your chance to shine! Apply now and help us transform the way we learn and work! What you will do: Design & Develop: Create engaging learning content and programs that improve Revenue Cycle performance, including leadership development and team-building initiatives. Deliver Training: Facilitate instructor-led, teachbacks, train the trainer, and virtual classes on technical tools such as Epic, OnBase, vendor platforms, and electronic eligibility verification systems. Analyze Needs: Conduct training needs assessments to identify skill gaps and tailor solutions that align with business objectives. Support Transformation: Drive adoption during new system implementations and process changes. Evaluate & Improve: Monitor learner progress, conduct post-training evaluations, and continuously refine curricula using best practices and emerging technologies. Collaborate: Partner with management and subject matter experts to design solutions that meet operational goals. Innovate: Stay ahead of learning trends and apply adult learning principles to create impactful experiences. What We're Looking For Education: Bachelor's degree or equivalent combination of education and experience. Experience: Minimum of 3 years in instructional design, training, or education-preferably within Revenue Cycle or healthcare operations. Skills: Strong knowledge of adult learning principles Expertise in instructional design and curriculum development Proficiency with Epic and related Revenue Cycle tools Excellent communication and facilitation skills Ability to manage multiple projects and adapt to evolving priorities Why Join Us? Be part of a team that values innovation, collaboration, and continuous improvement. Make a measurable impact on operational efficiency and staff development. Enjoy opportunities for professional growth in a dynamic healthcare environment. Ready to transform learning and drive success? Apply today! Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI Job Summary: Designs, develops, and delivers content programs that improve Revenue Cycle organizational effectiveness including transformation for a department or entity, leadership development, team building, and continuous improvement. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Collaborates with departments to provide continuous improvement through training and education. Responsible for planning, developing, and presenting effective skills training, technical instruction, and education materials for staff members within Revenue Cycle (technical instruction includes efficient use of Epic, On-Base, vendor websites, electronic eligibility verification or other tools that support the revenue cycle process). Conducts training needs analysis based on job tasks and skills, to ascertain training needs. Develops and delivers training curriculum to support revenue cycle operations and business processes using a variety of delivery formats including traditional instructor-led training, and virtual classes. Supports new system implementations. Conducts ongoing evaluations and assessments to ensure program effectiveness and recommends and implements modifications. Monitors course participants' progress throughout assigned courses. Conducts post-training evaluations and analyzes results. Updates curricula and explores new materials for program participants. Applies knowledge of adult learning principles to create various types of learning content. Collaborates with management and subject matter experts to understand desired performance, assess learning needs, and develop appropriate training solutions. Stays current on best practices, evolving learning trends, instructional methods/techniques, and emerging technologies. Performs other duties as assigned. EDUCATION Bachelor's degree or equivalent combination of education and experience EXPERIENCE Three years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS None Department: 8700000033 RCM Leadership Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $50k-60k yearly est. Auto-Apply 60d+ ago
  • Coder - Urgent Care

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: $1,000 sign on bonus available ( Check with recruiter for eligibility) Qualifications: Urgent Care coding experience is required. Come join us as a Coder, Hospital Outpatient at SSM Health! Your expertise in coding will ensure that our organization maintains compliance with all coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts. Reviews HCPCS charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits. Enters in accurate charge information, when appropriate Monitors assigned work queues to ensure all records are charged in a timely matter. Generates coding queries for clarification regarding physician documentation as needed Stays abreast of all changes in coding conventions and coding updates Performs other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE No experience required PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA) Or Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA) Or Certified Professional Coder (CPC ) - American Academy of Professional Coders (AAPC) Or Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) Or Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA) Or Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA) Work Shift: Day Shift (United States of America) Job Type: Employee Department: ********** HB CodingScheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $45k-52k yearly est. Auto-Apply 9d ago
  • Call Center Representative Senior

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling. MO-SSM Health 7980 Clayton RD Worker Type: Regular Job Highlights: Schedule: Monday - Friday 8:30 am - 5:00 pm The Senior Call Center Representative will work in a high volume call center department and orient new staff during the onboarding process. While this team does offer some remote work from home opportunities, employees must work in office for the first 90 days minimum. Prior to working from home all employees must be able to meet and maintain all performance expectations. This standard of work must be maintained while working remote. Senior Call Center Representatives will also need to be available to complete onsite training for new hires on an ongoing basis. Job Summary: Answers incoming calls and performs triage of inquiries. Responds to escalated telephone and internet inquiries from customers seeking information or resources, with limited to no supervision. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Performs tasks using standards or knowledge acquired through experience. Serves as a resource to those with less experience. Collects relevant caller data to assist with measurement, tracking and reporting activities. Tracks inquiries, questions and answers and provides resolution. Identifies issues and offers solutions. Assigns, monitors and reviews progress of work. Monitors and reports compliance with policies and/or procedures. Oversees and evaluates orientation and training of assigned associates. May provide input in the review and evaluation of staff performance. Handles escalated calls using defined protocols and independent judgement to escalate more complex issues to the appropriate resource in order to rapidly resolve customer issues. Performs other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE Two years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS None Department: ********** STLPO Centralize Contact Center Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $31k-36k yearly est. Auto-Apply 26d ago
  • Release of Information Quality Auditor

    SSM Health 4.7company rating

    Saint Louis, MO jobs

    **It's more than a career, it's a calling** MO-REMOTE **Worker Type:** Regular **Job Highlights:** Seeking experienced Release of Information Quality Auditor. Must have strong Release of Information (ROI) experience, EPIC ROI experience (preferred), and knowledge of HIPPA, State and Federal laws. RHIA or RHIT is required. **Location:** Remote - reside in MO, IL, OK, or WI At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. **Remote work:** This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI **Job Summary:** Responsible for reviewing the quality of work produced by the release of information (ROI) staff for all acute care, post acute care, and ambulatory releases. Ensures the accuracy and quality of release of information disclosures within the entire department. Assists ROI leader in analyzing audit results to identify training needs, prepare audit reports, provide guidance and training to health information management (HIM) staff. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Audits requests for release of information (ROI) (e.g.: Continuation of Care (CoC), patient, attorney, insurance, audits) in compliance with Health Insurance Portability and Accountability Act (HIPAA). + Applies federal and state laws to each review to ensure appropriate disclosure of protected health information (PHI). + Demonstrates proficiency of the electronic health record to analyze ROI disclosures for all facilities across the enterprise. + Assists in analyzing audit results to identify necessary training needs for the team. + Assesses and maintains audit compliance logs. + Assists in creating training material. Provides training support as needed which may include facilitating instructor-led training. + Reports audit results to the management team. + Provides accurate and consistent feedback to the management team on quality assurance findings via reporting. + Responsible for unauthorized disclosure reporting. + Performs other duties as assigned. EDUCATION + Bachelor's degree in health information management/technology or in a related field or equivalent combination of education and experience EXPERIENCE + Four years' experience in Release of Information (RIO) REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS + Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA) or Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA) PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. **Work Shift:** Day Shift (United States of America) **Job Type:** Employee **Department:** 8701490033 HB HIM **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law._ Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)
    $54k-62k yearly est. 60d+ ago
  • System Vice President Revenue Cycle Management Operational Performance

    SSM Health 4.7company rating

    Hillsboro, MO jobs

    It's more than a career, it's a calling. MO-SSM Health Mission Hill Worker Type: Regular Job Highlights: The SSM Revenue Cycle team is on a fast track to optimization and looking for a strategic thought leader with a proven track record in transformation. This executive role has high visibility within the organization and is a position considered for long term succession planning. Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare Named One of the Diversity Leaders 2024 - Modern Healthcare Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek Named One of America's Greatest Workplaces for Women 2024 - Newsweek Named One of America's Greatest Workplaces for Job Starters 2024 - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. This position IS remote work eligible. SSM Health currently offers remote work within the states of MO, WI, OK, AL, FL, GA, IA, IN, KS, KY, LA, MI, NC, SC, TN, TX, UT, VA, WV. To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact: Angela Jones Executive Talent Partner *************************** #LI-Remote Job Summary: The Vice President for Revenue Cycle Management Operational Performance is responsible for the strategic leadership, oversight and optimization of hospital and ambulatory revenue cycle operations. Provide visionary leadership while fostering strong partnerships to ensure the accuracy and integrity of revenue processes. Partners with the Chief Revenue Cycle Officer to establish and deliver on the Revenue Cycle strategic vision. Job Responsibilities and Requirements: Job Responsibilities and Requirements: Develop and implement strategic initiatives to enhance revenue cycle operations while ensuring the accuracy and integrity of revenue processes. Oversight and management of coding, coding education, Health Information Management (HIM), Revenue Integrity to include CDM, Accounts Receivable, Cash Management, and Denial Management to ensure compliance with regulatory standards and optimize reimbursement. Develop and implement strategies for denial management to minimize revenue loss. Foster strong partnerships with internal and external stakeholders to drive revenue cycle improvements. Analyze and report on revenue cycle performance, identifying areas for improvement, and implementing corrective actions. Thought partner with Net Revenue, Information Technology, Finance, Clinical Operations and other stakeholders in continuous revenue improvement. Exhibits superior management skills that emphasize team building and strong leadership with the ability to provide clear vision and direction. Leadership development and career pathing to ensure next level leadership readiness. Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention Develops and manages the operating and capital budgets for operations, analyzes variances, develops plans and takes appropriate actions for productivity and performance improvements. EDUCATION Master's degree in business or healthcare administration OR Bachelor's degree with equivalent experience EXPERIENCE Ten years of experience within the area of revenue management, specifically experience with billing and collections at a multi-entity healthcare organization or large complex revenue cycle services with five year's leadership experience. Department: 8700000033 RCM Leadership Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $132k-215k yearly est. Auto-Apply 60d+ ago
  • 340B Analyst

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Qualifications: Experienced with 340B program operations and audits and Advanced 340B Operations Certificate within 18-months of hire date - Apexus Location: Remote - reside in MO, IL, OK, or WI At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI Job Summary: Development and execution of the operational activities of the 340B Center of Excellence functional areas. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Performs recurring internal audits and oversight of 340B contract pharmacy programs, inpatient pharmacy programs, child sites and entity-owned pharmacies. Supports for implementation of new child sites, shipping addresses and/or contract pharmacies. Assists with Office of Pharmacy Affairs (OPA) database changes and updates. Monitors and audits state Medicaid claims to ensure compliance. Reconciles contract pharmacy payments against revenue posted by Finance. Evaluates patient eligibility in mixed use areas and clinics in electronic medical records (EMR). Develops and updates 340B Program reporting packets for SSM ministries. Reviews ordering, negative and positive accumulations and unmapped items in third-party administrator's (TPA) portal. Ensures compliant setup for secondary suppliers and wholesaler accounts. Performs other duties as assigned. EDUCATION Bachelor's degree or equivalent combination of experience and education EXPERIENCE Five years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Advanced 340B Operations Certificate within 18-months of hire date - Apexus Work Shift: Day Shift (United States of America) Job Type: Employee Department: ********** 340B_Center_of_ExcellenceScheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $53k-71k yearly est. Auto-Apply 5d ago
  • 340B Program Manager

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Highlights: Qualifications: Experienced with 340B program operations and Advanced 340B Operations Certificate within 18-months of hire date - Apexus Location: Remote - reside in MO, IL, OK, or WI At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI Job Summary: Serves as a subject matter expert and provides oversight to all 340B Program covered entities, ensuring program integrity and optimization. Maintains software systems and relationships with external vendors. Responsible for implementation oversight for new registrations and day-to-day management of medication procurement, billing, and inventory management in compliance with system policies and procedures. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Maintains integrity of the 340B split-billing software and reviews applicable reports to identify areas for optimization and efficiency. Works with the pharmacy department and informatics teams to ensure that the organization's clinical information system is coordinated and integrated into the work with the 340B Program including electronic interfaces between the Electronic Medical Records (EMR) and the virtual accumulator and interfaces between the organization and contract pharmacy providers and/or administrators. Responsible for implementation of newly registered child sites and contract pharmacies, including owned-retail pharmacies. Assists the primary contact and authorizing official with ensuring that Health Resource and Services Administration (HRSA) 340B Office of Pharmacy Affairs Information System (OPAIS) is accurate for all covered entities. Ensures that policies and procedures are reviewed, updated, and approved. Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions fulfilled by a contract 340B pharmacy. Provides oversight for audits performed by independent external auditors. Develops, executes, and documents internal audits of the 340B Program in conjunction with the 340B analysts. Coordinates and ensures remediation of findings. Assists with development and implementation of action plans to correct 340B compliance deficiencies. Ensures maintenance of a central repository of all fully executed 340B contracts. Shares expertise and assists with training, education, and communication to staff and program participants regarding updates to 340B policies and procedures. Performs other duties as assigned. EDUCATION Bachelor's degree or equivalent years of experience and education EXPERIENCE Seven years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Advanced 340B Operations Certificate within 18-months of hire date - Apexus Department: ********** 340B_Center_of_Excellence Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $46k-62k yearly est. Auto-Apply 4d ago
  • Trainer - Revenue Cycle

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Highlights: Empower Teams. Drive Excellence. Become Our Next Revenue Cycle Trainer! We're seeking a Revenue Cycle Trainer to deliver engaging classroom and virtual training programs that strengthen our Revenue Cycle operations. This role is key to ensuring our teams have the skills and knowledge to provide exceptional service and maintain operational excellence. What You'll Do Facilitate Training: Lead classroom and virtual sessions on Revenue Cycle processes, including patient inquiries, insurance handling, payment collection, and claim resolution. Teach Technical Skills: Provide instruction on tools such as Epic, OnBase, vendor websites, and electronic eligibility verification systems. Apply Adult Learning Principles: Create interactive and effective learning experiences tailored to diverse audiences. Collaborate: Work with management and subject matter experts to assess needs and develop targeted training solutions. Evaluate & Improve: Monitor learner progress, conduct post-training evaluations, and continuously update curricula to reflect best practices and emerging technologies. Stay Current: Keep up with evolving instructional methods and trends to deliver innovative training programs. What We're Looking For Education: Bachelor's degree or equivalent combination of education and experience. Experience: Minimum of 5 years in training, education, or instructional design-preferably within Revenue Cycle or healthcare operations Strong facilitation and communication skills Expertise in adult learning principles Proficiency with Epic and related Revenue Cycle tools Ability to manage multiple training programs and adapt to change Why Join Us? Make a direct impact on team performance and patient experience. Collaborate in a supportive, growth-oriented environment. Enjoy opportunities for professional development in a dynamic healthcare setting. Ready to inspire and lead through learning? Apply today! Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.* *Candidates must reside in MO, IL, OK, or WI Job Summary: Facilitates classroom training and development programs within Revenue Cycle. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Responsible for planning, developing and presenting effective skills training, technical instruction and education materials for staff members within Revenue Cycle. Skills training includes proper handling of inquiries for patients and insurance companies, obtaining payment on outstanding balances, effective and efficient resolution of denied and outstanding claims and applying payment and denial information to patient accounts. Technical instruction includes efficient use of Epic, On-Base, vendor websites, electronic eligibility verification or other tools that support the revenue cycle process. Applies knowledge of adult learning principles to teach various types of learning content. Works collaboratively with management and subject matter experts to understand desired performance, assess learning needs, and develop appropriate training solutions. Monitors course participants' progress throughout assigned courses. Conducts post-training evaluations and analyzes results. Updates curricula and explores new materials for program participants. Takes action to stay abreast of current and evolving learning trends, instructional methods/techniques and emerging technologies. Performs other duties as assigned. EDUCATION Bachelor's degree or equivalent combination of education and experience EXPERIENCE Five years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS None Department: 8700000033 RCM Leadership Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $28k-48k yearly est. Auto-Apply 60d+ ago
  • Coder, Hospital Outpatient

    SSM Health 4.7company rating

    Missouri jobs

    It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: $1,000 sign on bonus available ( Check with recruiter for eligibility) Come join us as a Coder, Hospital Outpatient at SSM Health! Your expertise in coding will ensure that our organization maintains compliance with all coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Department: Coding Schedule: Full Time, Day Shift Location: Remote Certification in coding (CPC, CPC-A, CCS, CCA, RHIT, RHIA) Infusion/Injection Experience with emergency room and Infusion/Injection coding on the hospital side Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts. Reviews HCPCS charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits. Enters in accurate charge information, when appropriate Monitors assigned work queues to ensure all records are charged in a timely matter. Generates coding queries for clarification regarding physician documentation as needed Stays abreast of all changes in coding conventions and coding updates Performs other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE No experience required PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA) And Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA) And Certified Professional Coder (CPC ) - American Academy of Professional Coders (AAPC) And Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) And Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA) And Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA) Work Shift: Day Shift (United States of America) Job Type: Employee Department: ********** HB CodingScheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $45k-52k yearly est. Auto-Apply 60d+ ago

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