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Express Healthcare Professionals Remote jobs - 50 jobs

  • Remote Senior Inpatient Coding Specialist

    Adventhealth 4.7company rating

    Orlando, FL jobs

    **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 601 E ROLLINS ST **City:** ORLANDO **State:** Florida **Postal Code:** 32803 **Job Description:** **Schedule:** Full Time Reviews, analyzes, and interprets clinical documentation applying applicable codes in accordance with prescribed rules, coding policy, payer specifications, and official guidelines. Evaluates and optimizes various diagnostic options in accordance with standard rules, official coding guidelines, regulatory agencies, and approved policies. Verifies assigned codes and ensures diagnostic and procedure codes are supported by the physician's clinical documentation. Communicates effectively with physicians and allied health personnel to ensure comprehensive, accurate, and timely clinical documentation. Discusses optimization and documentation issues with physicians and clinical personnel, querying for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Bachelor's, High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Radiologic Technologist (R.T.-CERT) - EV Accredited Issuing Body, Infection Control Certification (CIC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body **Pay Range:** $23.91 - $44.46 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Health Information Management **Organization:** AdventHealth Orlando Support **Schedule:** Full time **Shift:** Day **Req ID:** 150659276
    $23.9-44.5 hourly 8d ago
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  • Compensation Analyst - Experienced- REMOTE

    FMOL Health System 3.6company rating

    Baton Rouge, LA jobs

    * Fully Remote Assists in administering the wage and salary program for the organization. Studies, evaluates jobs , and determines pay grades for new and existing jobs. Participates in compensation surveys, audits evaluation of jobs and application of existing job classes to individuals. Provides support to other HR professionals within the organization regarding compensation issues and needs. * Fully Remote * Administers Compensation Systems * Reviews job descriptions submitted by HR team to determine proper slotting within current salary structure. * Researches and analyzes market data * Prepares management reports related to compensation * Develops, recommends, and implements compensation policies and procedures * Recommends and implements improvements to compensation system * Communicates compensation policies and practices to the Facilities and refers special problems to the Director of Compensation; Develops, recommends, and writes compensation procedures. * Enters & Analyzes Data * Researches and addresses compensation data issues when surfaced; coordinates with appropriate function (Payroll, HRIS, Accounting, Timekeeping, etc.) when necessary to address and implement employee database system adjustments and answers Compensation questions. * Enters and maintains accurate Compensation data in Lawson and performs routine audits to confirm data is accurate; maintains Job Codes (HR06), Position Codes (PA02) and Shift Differentials (PR24) and the data fields associated with these screens. * Performs audits on various HR data to determine compliance with established compensation guidelines, policies and processes * Salary Surveys * Conducts and participates in published salary surveys and maintains an up-to-date salary survey library for use in salary planning and design. * Maintains survey database of job matches (composites) in market data tool for all benchmark jobs in the Health System. * Provides Support * Supports Mgmt and facility HR professionals on Compensation issues such as promotional increases, hire-in salaries, minimum wage adjustments, market adjustments, etc. * Attends meetings as required and participates in committees as directed * 2 years compensation experience (Master's Degree substitutes for all required experience) * Bachelor's Degree * Excellent analytical & critical thinking skills, interpersonal & human relations skills, oral & written communication skills, and good time management/prioritization skills, Good computer skills (Excel), good organizational skills
    $52k-71k yearly est. 42d ago
  • Healthcare Billing Analyst

    Cornerstone Healthcare 4.7company rating

    Boise, ID jobs

    Cornerstone Healthcare, Inc. is one of the most dynamic and progressive companies in the rapidly expanding home health, hospice, and home care industries. Affiliates of Cornerstone now operate 26 home health, hospice, or home health and hospice agencies across nine Western states and we expect this growth to continue. These agencies have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the Cornerstone Service Center, a world-class service team that provides the centralized clinical, legal, risk management, HR, training, accounting, IT ,and other resources necessary to allow on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual agencies. As Cornerstone's contracted service center, we are deeply committed to supporting Cornerstone's mission to provide life-changing service to the patients, employees and communities Cornerstone serves. To accomplish that goal, the Cornerstone Service Center has assembled a team of highly competent, dedicated and caring individuals who are creating a new standard of excellence in the healthcare support space. ********************** Job Description Cornerstone Service Center, Inc. seeks a talented and energetic Healthcare Billing Analyst to play a key role in the growth and development of Cornerstone Healthcare, Inc. a leading organization dedicated to providing life changing home health and hospice services across the Western United States. As a highly visible, accessible and dedicated member of our service team, the primary purpose of this position is to train and assist agency business office managers and staff on billing, collecting and recording revenue transactions in the home health and hospice industry. The Analyst can be located remotely in Idaho, Washington, California, Arizona, Utah, Texas or Oregon and will be expected to travel to locations throughout the Western United States. Administrative Functions: • Plan, develop, organize, implement, evaluate and support the agencies' accounts receivable functions under the supervision of the Director of Accounts Receivable. • Enhance the agencies policies and procedures surrounding the revenue and accounts receivable cycles. • Train, monitor and update the policies and procedures related to current government regulations for home health and hospice. • Assist business office manager, office staff and any related department in the development and use of accounting policies and procedures, and establish a rapport in and between departments so that each can realize the importance of accurate reporting procedures. • Monitor internal controls to assure compliance with established procedures related to revenue and accounts receivable. • Monitor accounts receivables. Participate in weekly Billing Accountability Meetings and monthly aging reviews. Initiate an action plan and present to the Business Office Manager and Executive Director. • Expert knowledge on software systems used in the Home Care industry. Ability to train staff on software systems and processes. • Develop and utilize computer reports and output as required. • Monitor the workflow process within the system, and alerting appropriate organizational Resources. • Equipped with positive problem solving mindset. Personnel Functions: • Assist in the recruitment and selection of competent business office personnel. • Review and check competence of the business office work force and make recommendations for adjustments/corrections that may become necessary. Staff Development: • Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the home health and hospice field, as well as to maintain a professional status. • Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment. Qualifications • Multiple years of experience in the business office in the Home Health and Hospice fields. • Experience as an accounts receivable area resource. • Experience assisting, training and supporting business office manager at multiple sites. • Experience in Homecare Homebase software a plus. Additional Information Additional Information Salary: Commensurate with qualifications Position Type: Regular Full Time, Employee Benefits: Medical, dental, vision, and life insurance, 401(k) with company matching, vacation pay, holiday pay, fun and supportive work environment Location: This can be a remote position. Our Service Center is located in Eagle, ID. To apply directly with our company and with Linked-In, please go here: ******************************************************************************************************************** About The Ensign Group We are proud to be affiliated with The Ensign Group, Inc., an organization formed in 1999 with the goal of establishing a new level of quality care within the health care industry. The name “Ensign” is synonymous with a “flag” or a “standard,” and refers to a goal of setting the standard by which all others are measured. We share this vision and our core values with other health care providers affiliated with The Ensign Group, such as skilled nursing, assisted living, urgent care and mobile diagnostics. We all believe that through our efforts, we can achieve a new level of client care and professional competence and set a new industry standard for quality home health and hospice services. You can learn more about The Ensign Group at ******************** Cornerstone Service Center, Inc., is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
    $42k-54k yearly est. 13h ago
  • EPIC Application Analyst 3 REMOTE (Beacon Oncology)

    FMOL Health System 3.6company rating

    Baton Rouge, LA jobs

    The Epic Application System Analyst 3 designs, configures, supports and maintains accurate and efficient Information Services technology, applications and programs to maximize organizational performance. Provides technical, systems and applications support to FMOLHS facilities and users. Provides ongoing analysis and problem-solving to ensure the integration of Epic in effective workflow and process design. * Job Duties * Facilitates vision development, solution design, standards guidance, project scoping, IS strategy integration and implementation of efficient, high quality Epic systems. * Evaluates technology, systems and application capabilities, analyzes workflow/data flow, and creates efficient and logical solutions. Plans, schedules, reviews, and performs analysis, design, construction, testing, and implementation of assigned technology and application systems. Participates in solution testing and documents clear and concise system descriptions that meet project requirements and departmental quality standards. * Utilizes organizational project management methodology, processes, and systems to ensure effective and efficient project development and completion. Evaluates requests for programming and provides timetables for completion. * Collaborates with FMOLHS Information Services, leaders, team members and end users to develop efficient, cost-conscious technology and applications system specifications that maximize organizational performance. * Develops and implements data driven performance improvement methodologies. Maintains accurate records for use in evaluating organizational performance. Identifies ways of improving current services and consults with management on issues and problems. * Ensures security, integrity, and privacy of FMOLHS data in conjunction with FMOLHS policies and procedures. * Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations. * Utilizes IS project management methodology and best practices to improve individual and organizational efficiency, effectiveness, and outcomes. * 3 years of experience as an Epic Certified analyst and 5 years of IS System Application experience OR 7 years of experience in healthcare, clinical, or business operations * Bachelor's Degree or 4 years of experience as licensed health care clinical professional, business operations or information systems * Working Conditions: Occasional pressure due to multiple calls and inquiries Subject to many interruptions Occasional travel Physical Requirements: Frequent use of hands and fingers Good visual and hearing acuity Mostly sedentary work Interpersonal Skills: Good interpersonal/human relations skills Good oral and written communication skills Problem solving and critical thinking skills * License and Certification: EPIC Certification * Certification is required for this position. Only candidates possessing this certification will be considered
    $60k-89k yearly est. 19d ago
  • Paralegal - Provider Contracts Management

    Summit Health 4.5company rating

    Remote

    About Our Company We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, ********************. Job Description Starling Physicians is seeking a paralegal - role requires expertise in contracts, researching law, investigates facts, and prepares documents to assist Legal Counsel in providing corporate strategic and tactical legal initiatives. Essential Job functions: Assist in monitoring legal actions to which SMG is a party, including review and research of legal bases of claims, timely filings, calendaring appearances, coordinating efforts of outside counsel, and maintaining documentation. Assist in various corporate transactions and governance by preparing and maintaining agendas, minutes, resolutions, amendments, committee charters, closing documents for business acquisitions and/or real estate transactions. Assist in preparing and maintaining employment agreements, collaborative agreements and other documentation regarding professional services. Assist in review, negotiation, finalization and administration of agreements and contracts for services to SMG including facilities, office equipment and supplies, contracted physician services. Research and review statutory, regulatory and case law utilizing computerized research capabilities and law libraries on a range of issues including: contractual agreements, employment issues, regulatory issues, corporate matters, medical staff issues, policies and procedures, reimbursement issues. Review and drafting of contracts including physician contracts, construction contracts, consultant contracts, service contracts, confidentiality contracts, and other contracts as requested. Other tasks or projects, as assigned. General Job functions: Other duties as assigned. Education, Certification, Computer and Training Requirements: Bachelor's degree, Required 0-1 Years Related Work Experience, required. 2-4 Years Related Experience, preferred. Paralegal Certification, required. Ability to communicate in English, both orally and in writing, required Standard Office Equipment (Phone, Fax, Copy Machine, Scanner, Email/Voice Mail) Standard Office Technology in a Window based environment Lexis/Westlaw legal research tools Travel: May require travel to satellite office location This is an exempt position. The base compensation range for this role is $100,000 - $115,000. Compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan About Our CommitmentTotal Rewards at VillageMD Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan. Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws. Safety Disclaimer Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, ************************************* or file a complaint at ***************************************
    $100k-115k yearly Auto-Apply 9d ago
  • Tampa FL General Radiologist Jobs - Remote AdventHealth West Florida Division

    Adventhealth 4.7company rating

    Tampa, FL jobs

    General Radiologist Opportunities - Remote | AdventHealth West Florida Division Employer: AdventHealth Medical Group Compensation: * Extremely competitive base compensation + sign-on & production bonus AdventHealth Medical Group is actively seeking Board-Certified General Radiologists to join our growing team across the AdventHealth West Florida Division. These are employed positions offering both remote and on-site options, with immediate start dates upon credentialing. Opportunities Available: * General Diagnostic Radiologists * Body Imaging * Cardiothoracic Imaging * Mammography * Neuro Radiology * Remote plain films Radiologist Position Highlights: * Flexible scheduling: Full-time and Part-time shifts available * Remote tele-radiology with equipment provided * State-of-the-art equipment: 1.5T MRI, 64-slice CT, 3D Mammography * No state income tax in Florida * Occurrence-based malpractice coverage * Eligibility to participate in the Public Student Loan Forgiveness program About AdventHealth West Florida Division: * Faith-based, non-profit healthcare system * 15 hospitals across West Florida, including Tampa, Wesley Chapel, Sebring, Ocala, and more * Part of a larger network with 55 hospitals in 9 states * Based in Tampa, FL, near world-renowned beaches and vibrant city life Why Join Us? AdventHealth is a nationally recognized, mission-driven organization committed to whole-person care. As part of our team, you'll enjoy competitive compensation, comprehensive benefits, and the opportunity to work with cutting-edge technology in a supportive, collaborative environment. Practice Description The West Florida Division Medical Group continues to grow rapidly to meet the needs of the communities we serve. Over the last six years, we've nearly tripled in size with a projection to grow to 835 providers by the end of 2025. With the addition of AdventHealth Port Charlotte, we span a broad geography in eight counties, with practices in Charlotte, Hardee, Highlands, Hillsborough, Marion, Pasco, Pinellas and Polk counties as well as five Care Pavilions. Our providers represent 40 specialties and we care for one million patients annually. Using leading edge technology, innovation, and compassion, we deliver our brand of whole-person care. At AdventHealth Medical Group, we offer our employees extensive benefits, including opportunities for ongoing training and continuing education. What's important to us is what's important to you: the health and overall well-being of your patients, your colleagues and yourself. AdventHealth Medical Group staff provides care at locations throughout West Florida, including fifteen AdventHealth hospital locations.
    $216k-348k yearly est. 35d ago
  • Call Center Supervisor

    Adventhealth 4.7company rating

    Hinsdale, IL jobs

    Our promise to you: Joining UChicago Medicine AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago Medicine AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 120 N OAK ST City: HINSDALE State: Illinois Postal Code: 60521 Job Description: * Schedule: Monday - Friday 7:30 am to 4:00 pm, Alternate Saturdays: 8:00 am to 12:00pm * Remote position but candidate must live in the Chicagoland area * Resolves direct consumer interactions during high-volume times. * Oversees and performs administrative duties for the daily and ongoing function of assigned areas. * Monitors and reports on service performance, including volumes, wait times, abandonment rates, and other core productivity and performance measures. * Utilizes proper escalations when issues arise and sees them through to resolution. * Provides coaching to ensure team members are equipped with the tools and training needed to meet proper standards. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: Associate (Required) Certified Medical Interpreter (CMI) - Accredited Issuing Body Pay Range: $48,495.33 - $90,192.84 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $31k-37k yearly est. 5d ago
  • Behavioral Health Care Coordinator- Peds Full Time Hybrid

    Adventhealth 4.7company rating

    Orlando, FL jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 601 E ROLLINS ST City: ORLANDO State: Florida Postal Code: 32803 Job Description: * Days Mon-Fri 8:30a-5p Hybrid * Completes psycho-social assessments on patients coping with mental health, developmental/behavioral disorders, and substance use disorders. * Coordinates care plans and support for patients requiring multiple services. Follows patients in post-acute environments to ensure compliance with recovery, medical, and behavioral health goals. * Maintains comprehensive community resources and networks to assist patients and families transitioning back to the community. * Makes referrals to federal, state, county, and community agencies in a timely manner. * Serves as a consultant and educator to consumers, community organizations, schools, and multidisciplinary healthcare teams regarding psycho-social components of illness. Advocates for patients in obtaining and negotiating resources to meet patient needs. Assists patients in finding sustainable housing, income, and insurance. Assists in medical, substance use, and mental health appointments. Participates in the development of programs to support patients and families dealing with substance use and mental health disorders. Participates in site visits to referring healthcare providers, schools, and community organizations to foster communication and collaboration. Connects children and adolescents with appropriate services and resources. Other duties as assigned. Knowledge, Skills, and Abilities: * Excellent interpersonal and written communication skills [Required] * Ability to act in an autonomous, self-directed manner while maintaining the ability to collaborate with other members of the team [Required] * Excellent communication, negotiation and advocacy skills with patients, families, team members, health care team and community resources [Required] * Working knowledge of community and treatment resources based on age and clinical need [Required] * Critical thinking/problem-solving skills [Required] * Ability to utilize in-house and external resources [Required] * Flexibility in prioritization and effective organizational skills [Required] * Ability to utilize stress management techniques effectively [Required] * Skills in advocacy [Required] * Ability to provide solution-focused theory, cognitive behavioral theory and systems theory [Required] * Effective computer skills, particularly Microsoft Office Outlook, Word, Excel [Required] Education: * Master's in Social Work [Required] Field of Study: * in Social Work or a behavioral health related field Work Experience: * 2+ experience in social work or behavioral health [Required] * Experience in acute care hospital [Preferred] * Experience with school and community settings [Preferred] * Experience working with medically complex patients [Preferred] * Experience working with substance use and mental health disorders [Preferred] Additional Information: * N/A Licenses and Certifications: * N/A Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - **************************** Pay Range: $49,307.53 - $91,705.34 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $49.3k-91.7k yearly 1d ago
  • Bill/Collect/Denials Account Rep II

    Adventhealth 4.7company rating

    Altamonte Springs, FL jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 900 HOPE WAY City: ALTAMONTE SPRINGS State: Florida Postal Code: 32714 Job Description: * Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts. * Examines contracts to ensure proper reimbursement, educates team members on inconsistencies, and documents any changes. * Works follow-up reports daily, maintaining established goals, and notifies the supervisor of issues preventing goal achievement. * Follows up on daily correspondence related to denials, underpayments, and billing to appropriately manage patient accounts. * Assists customer service with patient concerns and questions to ensure prompt and accurate resolution. * Produces written correspondence to payors and patients regarding claim status and requests for additional information. * Reviews previous account documentation to determine necessary actions to resolve assigned accounts. * Initiates next billing, follow-up, and collection steps, including contacting patients, insurers, or employers as appropriate. * Documents billing, denials, and collection steps taken, escalating to the supervisor or manager if necessary. * Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims. * Communicates consistently with team members to foster a collaborative atmosphere and engages with the supervisor or manager on educational opportunities. * Assists with training new staff, performs audits of work, and communicates progress to the appropriate supervisor. * Other duties as assigned. Knowledge, Skills, and Abilities: * Ability to use discretion when discussing personnel/patient related issues that are confidential in nature. [Required] * Ability to be responsive to ever-changing matrix of hospital needs and act accordingly. [Required] * Working knowledge of the Revenue Cycle and the links between departments: Charge Capture, Consumer Access, PreAccess, HIM, Coding, and Patient Financial Services. [Required] * Self-motivator, quick thinker, communicates professionally and effectively in English, both verbally and in writing. [Required] * Typing skills equal to 20 words per minute. [Required] * Proficiency in performance of basic math functions. [Required] * Ability to communicate professionally and effectively in English, both verbally and in writing. [Required] * Proficiency in Microsoft office products such as Word and Excel. [Required] * Strong analytical and research skills. [Required] * Able to conduct assigned work in either a fully remote or hybrid work environment [Required] * Cerner Patient Accounting [Preferred] * SSI Claims Scrubber [Preferred] * Epic [Preferred] Education: * Associate [Preferred] * High School Grad or Equiv [Required] Field of Study: * N/A Work Experience: * 2+ experience in patient financial services or related areas such as patient registration, finance, insurance collections, customer service, coding, medical, or contract management [Required] Additional Information: * N/A Licenses and Certifications: * Certified Revenue Cycle Rep (CRCR) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - **************************** Pay Range: $16.63 - $26.60 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $16.6-26.6 hourly 5d ago
  • AHMG Remote Critical Care Physician - Intensivist

    Adventhealth 4.7company rating

    Orlando, FL jobs

    Job Type: Full-Time AdventHealth is a faith-based healthcare organization dedicated to extending the healing ministry of Christ. We offer whole-person care that addresses the physical, emotional, and spiritual needs of patients across our extensive network of over 50 hospital campuses and numerous care sites spanning nine states. Our team of over 80,000 professionals delivers compassionate, individualized care to diverse communities. Position Overview: We are seeking board-certified Critical Care Physicians to join our innovative Tele-ICU team. In this fully remote role, you will provide critical care services through advanced telemedicine technology, delivering real-time management for critically ill patients across multiple AdventHealth ICUs during overnight shifts (7 PM - 7 AM). Collaborating closely with bedside clinicians, you will help ensure exceptional patient care and outcomes. Key Responsibilities: * Work 15 12-hour clinical shifts monthly or 180 clinical shifts yearly. * Provide remote critical care consultation, management, and intervention for ICU patients across AdventHealth hospitals. * Collaborate effectively with on-site intensivists, hospitalists, nurses, and advanced practice providers (APPs) to create comprehensive patient care plans. * Utilize state-of-the-art telemedicine platforms for real-time patient assessments, management, and documentation. * Respond promptly to rapid response events, critical changes, and emergencies. * Actively participate in multidisciplinary rounds, case discussions, and quality improvement initiatives. * Provide continuous vigilance to identify opportunities for intervention to improve patient outcomes. * Maintain accurate and timely patient records per AdventHealth policies and regulatory standards. * Actively participate in and contribute to developing telemedicine operating procedures and protocols for telemedicine care for ICU patients. * Stay informed of evolving best practices in critical care medicine and telehealth. Job Requirements Qualifications: * MD or DO from an accredited institution. * Board Certification in Critical Care Medicine. * Active, unrestricted medical licenses in states serviced by AdventHealth. * Active, unrestricted federal Drug Enforcement Agency license. * Minimum 5 years of bedside ICU experience; telemedicine experience preferred but not required. * Strong proficiency in electronic medical records (EMR), telemedicine technology, and computer skills. * Exceptional communication skills with the ability to lead remotely during urgent clinical situations. * Independent, self-motivated, and adept at collaborating within multidisciplinary teams. Benefits: * Competitive salary and comprehensive benefits (medical, dental, vision). * Fully remote work environment with a stable night-shift schedule. * Paid malpractice coverage. * Opportunities for professional development and Continuing Medical Education (CME). * Collaborative, supportive team atmosphere. * Access to advanced telemedicine tools and technology.
    $172k-245k yearly est. 15d ago
  • Summit Health Multispecialty Workers' Compensation Nurse Case Manager

    Summit Health 4.5company rating

    Remote

    About Our Company We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, ********************. Job Description The Case Manager will be primarily remote. The individual employed in this position will be responsible for reviewing all Workers' Compensation cases seen at Summit Health Multispecialty, evaluating appropriate medical treatment of injured employees with the goal of optimum medical improvement. In addition, this individual will be responsible for spearheading communication among all Workers' Compensation case stakeholders (patient, provider, adjuster/nurse manager, employers, etc.) to effectively manage recovery and return-to-work optimization of all work-related injuries. Duties and Responsibilities: The primary duties and responsibilities of the Workers' Compensation Nurse Case Manager are: Assess and analyze injured workers' medical reports - comparing to evidence-based treatment guidelines, ensuring disability status is supported by diagnosis, work status/restrictions/treatment plan are appropriate, and documentation is correct/complete. Access database to reference employer accounts' modified duty policies and ensure medical reports are communicated and meet client specifications. Transmit employee post injury report information to employers via email. Communicate with patients in a professional and courteous fashion when needed to discuss changes in work status, restrictions, and treatment plans. Maintain productivity on assigned caseloads, which may vary in numbers and/or by state jurisdiction. Work with treating physician regarding cases that may need attention or require amendment to ensure appropriate handling and consideration of modified duty is applied to facilitate return-to-work. Manage communication (calls, emails) to patients, employers, adjusters and/or nurse case managers regarding any amendments made to case diagnosis, treatment and/or lost time from work. Respond to inquiries from employers, adjusters/nurse case managers and patients for documentation or information on Workers' Compensation cases. Learn and be proficient in rules that govern HIPAA and release of medical records to patients, employers, payers, and providers. Collaborate with centralized Workers' Compensation Teams, Occupational Health Support Teams, Sales Team, Clinical Operations Teams, Revenue Cycle Teams and Medical Records Teams to resolve issues and ensure the highest level of customer satisfaction. Qualifications: A candidate's qualifications will include: Graduate of an accredited school of nursing and possess a current RN license, Bachelors of Nursing preferred Workers' Compensation case management experience preferred Knowledge and expertise in use of medical treatment guidelines and disability duration guidelines. Must understand Multispecialty terminology and recognize orthopedic diagnoses and diagnostic testing terminology Excellent verbal and written communication skills Strong time management, critical thinking, and organizational skills with the ability to work independently to manage priorities and meet deadlines Experience in the following systems preferred: athena Net (EMR), Salesforce (CRM) Experience working in Microsoft Excel Ability to work in a fast-paced, ever-changing environment High attention to detail Customer orientation and ability to adapt/respond to different types of characters Ability to remain professional and courteous with customers at all times Works well independently and in a team environment Certified Case Manager (CCM) certification a plus Bilingual in Spanish a plus Additional Information: The Case Manager will report directly to the Senior Manager, Employer Concierge Services who may modify these responsibilities and activities to suit the needs of the goals behind the Workers' Compensation program. Available to work 8-hour shifts between 9am-5pm Mondays-Fridays. Direct Reports: None This is an non-exempt position. The base compensation range for this role is $30.00 - $35.00/hr . Compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan. About Our CommitmentTotal Rewards at VillageMD Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan. Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws. Safety Disclaimer Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, ************************************* or file a complaint at ***************************************
    $30-35 hourly Auto-Apply 21d ago
  • Paralegal - Provider Contracts Management

    Summit Health, Inc. 4.5company rating

    Remote

    About Our Company We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, ********************. Job Description Starling Physicians is seeking a paralegal - role requires expertise in contracts, researching law, investigates facts, and prepares documents to assist Legal Counsel in providing corporate strategic and tactical legal initiatives. Essential Job functions: * Assist in monitoring legal actions to which SMG is a party, including review and research of legal bases of claims, timely filings, calendaring appearances, coordinating efforts of outside counsel, and maintaining documentation. * Assist in various corporate transactions and governance by preparing and maintaining agendas, minutes, resolutions, amendments, committee charters, closing documents for business acquisitions and/or real estate transactions. * Assist in preparing and maintaining employment agreements, collaborative agreements and other documentation regarding professional services. * Assist in review, negotiation, finalization and administration of agreements and contracts for services to SMG including facilities, office equipment and supplies, contracted physician services. * Research and review statutory, regulatory and case law utilizing computerized research capabilities and law libraries on a range of issues including: contractual agreements, employment issues, regulatory issues, corporate matters, medical staff issues, policies and procedures, reimbursement issues. * Review and drafting of contracts including physician contracts, construction contracts, consultant contracts, service contracts, confidentiality contracts, and other contracts as requested. * Other tasks or projects, as assigned. General Job functions: * Other duties as assigned. Education, Certification, Computer and Training Requirements: * Bachelor's degree, Required * 0-1 Years Related Work Experience, required. 2-4 Years Related Experience, preferred. * Paralegal Certification, required. * Ability to communicate in English, both orally and in writing, required * Standard Office Equipment (Phone, Fax, Copy Machine, Scanner, Email/Voice Mail) * Standard Office Technology in a Window based environment * Lexis/Westlaw legal research tools Travel: * May require travel to satellite office location This is an exempt position. The base compensation range for this role is $100,000 - $115,000. Compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan About Our Commitment Total Rewards at VillageMD Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan. Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws. Safety Disclaimer Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, ************************************* or file a complaint at ***************************************
    $100k-115k yearly Auto-Apply 41d ago
  • Remote Inpatient Coding Specialist

    Adventhealth 4.7company rating

    Orlando, FL jobs

    **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 601 E ROLLINS ST **City:** ORLANDO **State:** Florida **Postal Code:** 32803 **Job Description:** **Schedule:** Full Time **Shift** : Days Queries physicians for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions as needed. Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations. Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance. Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body **Pay Range:** $21.73 - $40.42 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Health Information Management **Organization:** AdventHealth Orlando Support **Schedule:** Full time **Shift:** Day **Req ID:** 150658928
    $21.7-40.4 hourly 8d ago
  • Healthcare Billing Analyst

    Cornerstone Healthcare 4.7company rating

    Los Angeles, CA jobs

    Cornerstone Healthcare, Inc. is one of the most dynamic and progressive companies in the rapidly expanding home health, hospice, and home care industries. Affiliates of Cornerstone now operate 26 home health, hospice, or home health and hospice agencies across nine Western states and we expect this growth to continue. These agencies have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the Cornerstone Service Center, a world-class service team that provides the centralized clinical, legal, risk management, HR, training, accounting, IT ,and other resources necessary to allow on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual agencies. As Cornerstone's contracted service center, we are deeply committed to supporting Cornerstone's mission to provide life-changing service to the patients, employees and communities Cornerstone serves. To accomplish that goal, the Cornerstone Service Center has assembled a team of highly competent, dedicated and caring individuals who are creating a new standard of excellence in the healthcare support space. ********************** Job Description Cornerstone Service Center, Inc. seeks a talented and energetic Healthcare Billing Analyst to play a key role in the growth and development of Cornerstone Healthcare, Inc. a leading organization dedicated to providing life changing home health and hospice services across the Western United States. As a highly visible, accessible and dedicated member of our service team, the primary purpose of this position is to train and assist agency business office managers and staff on billing, collecting and recording revenue transactions in the home health and hospice industry. The Analyst can be located remotely in Idaho, Washington, California, Arizona, Utah, Texas or Oregon and will be expected to travel to locations throughout the Western United States. Administrative Functions: • Plan, develop, organize, implement, evaluate and support the agencies' accounts receivable functions under the supervision of the Director of Accounts Receivable. • Enhance the agencies policies and procedures surrounding the revenue and accounts receivable cycles. • Train, monitor and update the policies and procedures related to current government regulations for home health and hospice. • Assist business office manager, office staff and any related department in the development and use of accounting policies and procedures, and establish a rapport in and between departments so that each can realize the importance of accurate reporting procedures. • Monitor internal controls to assure compliance with established procedures related to revenue and accounts receivable. • Monitor accounts receivables. Participate in weekly Billing Accountability Meetings and monthly aging reviews. Initiate an action plan and present to the Business Office Manager and Executive Director. • Expert knowledge on software systems used in the Home Care industry. Ability to train staff on software systems and processes. • Develop and utilize computer reports and output as required. • Monitor the workflow process within the system, and alerting appropriate organizational Resources. • Equipped with positive problem solving mindset. Personnel Functions: • Assist in the recruitment and selection of competent business office personnel. • Review and check competence of the business office work force and make recommendations for adjustments/corrections that may become necessary. Staff Development: • Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the home health and hospice field, as well as to maintain a professional status. • Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment. Qualifications • Multiple years of experience in the business office in the Home Health and Hospice fields. • Experience as an accounts receivable area resource. • Experience assisting, training and supporting business office manager at multiple sites. • Experience in Homecare Homebase software a plus. Additional Information Additional Information Salary: Commensurate with qualifications Position Type: Regular Full Time, Employee Benefits: Medical, dental, vision, and life insurance, 401(k) with company matching, vacation pay, holiday pay, fun and supportive work environment Location: This can be a remote position. Our Service Center is located in Eagle, ID. To apply directly with our company and with Linked-In, please go here: ******************************************************************************************************************** About The Ensign Group We are proud to be affiliated with The Ensign Group, Inc., an organization formed in 1999 with the goal of establishing a new level of quality care within the health care industry. The name “Ensign” is synonymous with a “flag” or a “standard,” and refers to a goal of setting the standard by which all others are measured. We share this vision and our core values with other health care providers affiliated with The Ensign Group, such as skilled nursing, assisted living, urgent care and mobile diagnostics. We all believe that through our efforts, we can achieve a new level of client care and professional competence and set a new industry standard for quality home health and hospice services. You can learn more about The Ensign Group at ******************** Cornerstone Service Center, Inc., is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
    $48k-65k yearly est. 12h ago
  • Utilization Management RN Hybrid

    FMOL Health System 3.6company rating

    Baton Rouge, LA jobs

    Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric, adolescent, young adult, adult and geriatric patients. Incumbent of this position is responsible for planning, developing, implementing and monitoring these facility-wide programs. Responsible to ensure cost effective and quality patient care by appropriate utilization of hospital resources. Performs highly responsible professional nursing and administrative work in accordance with established standards, criteria, procedures, rules, regulations and policies. of the agency. Actively communicates with department heads to ensure compliance with these standards. Team 30% a. Completes all job requirements related to prospective, concurrent and retrospective case review and reporting quality issues identified during the utilization review process to department leaders. b. Notifies physicians of need for additional documentation or adjustments to treatment plan to promote continuum of care. c. Communicates accurate information with payor and physician to ensure coverage for services/care provided. d. Collaborates with market staff and physicians to optimize efficiency of services provided and minimize consumption of resources. e. Triages concurrent denials for potential P2P opportunities. f. Collaborates with facility-based physicians, Physician Advisors, and/or FMOLHS medical directors to schedule and conduct P2P calls by providing key documentation to support the admission status and post-acute placement. g. Collaborates with Centralized Denials Management Department to coordinated appeal efforts to secure claim reimbursed on services provided. Service 30% a. Performs admission review for appropriateness using established Internal criteria within 24 hours of admission/next working day. b. Assesses patients for needs on initial and concurrent review. c. Notifies all involved entities when admission fails to meet criteria for admission and immediately documents information. c. Assists physicians with additional documentation when patients' level of care changes. Immediately notifies key stakeholders to ensure the appropriate orders are obtained and timely notifications are submitted. d. Monitors care/services provided to assigned patient population for potential opportunities for improvement or possible deviation from standards of care, protocols, and/or completion of core measure pathways. e. Oversees and takes day-to-day responsibility for effectiveness and efficiency of utilization management function. Quality 30% a. Ensures that appropriate priority is given to provide high quality care by ensuring guidelines are followed for core measures through concurrent chart review and follow-up with appropriate healthcare provider. b. Communicates as needed with the utilization management physician advisors and/or medical directors on problematic cases and documents his decisions. c. Fosters an organizational climate that supports and promotes effective performance improvement efforts. d. Promptly notifies Sr. Director or Manager of possible quality issues. e. Employee shall conform to regulatory, customer and organizational requirements. Other Duties as assigned 10% a. Initiates formal Appeals on any Denial for Inpatient Setting when indicated. b. When requested, adjusts personal schedule to meet department/unit needs. c. Maintains a professional appearance, according to job requirements, at all times participating in committees or counsels as needed Experience: 3 years clinical experience in general or specialty Nursing practice Education: Graduated from an accredited school of nursing ADN or BSN Licensure: Registered Nurse (Active Louisiana, Mississippi, multistate/compact or APRN) required
    $51k-87k yearly est. 7d ago
  • Remote General Radiologist - Body Imaging Focus AdventHealth West Florida Imaging Center | Tampa Bay Region

    Adventhealth 4.7company rating

    Tampa, FL jobs

    Join AdventHealth, a nationally recognized healthcare leader, as a Remote General Radiologist supporting our state-of-the-art outpatient imaging centers across the Tampa Bay area. This is a fully remote, employed opportunity offering cutting-edge technology, a collaborative team environment, and a strong focus on Body Imaging. What We Offer * $50,000 Signing Bonus * Monday-Friday Day Shift * Minimal Saturday availability * Fully Remote Setup * PACS workstation provided * Outpatient Imaging Only * No hospital call or inpatient responsibilities * Immediate Start Upon Credentialing Clinical Scope * Primary Focus: Body Imaging * Additional Modalities Available: Neuro, MSK, and Mammography * Read All Modalities with flexibility based on subspecialty interest * Fellowship Training in Body Imaging strongly preferred Technology & Tools * State of the art imaging equipment: * 1.5 Tesla MRI * 64-Slice CT * 3D Mammography * Seamless remote workflow with full PACS integration Benefits * Occurrence-Based Malpractice Coverage * Competitive compensation package * Supportive radiology leadership and administrative team Why AdventHealth? AdventHealth is one of the largest faith-based health systems in the U.S., known for its commitment to whole-person care, innovation, and excellence. Our West Florida Division is rapidly expanding, offering radiologists the opportunity to grow with a forward-thinking organization.
    $216k-348k yearly est. 35d ago
  • Healthcare Billing Analyst

    Cornerstone Healthcare 4.7company rating

    Phoenix, AZ jobs

    Cornerstone Healthcare, Inc. is one of the most dynamic and progressive companies in the rapidly expanding home health, hospice, and home care industries. Affiliates of Cornerstone now operate 26 home health, hospice, or home health and hospice agencies across nine Western states and we expect this growth to continue. These agencies have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the Cornerstone Service Center, a world-class service team that provides the centralized clinical, legal, risk management, HR, training, accounting, IT ,and other resources necessary to allow on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual agencies. As Cornerstone's contracted service center, we are deeply committed to supporting Cornerstone's mission to provide life-changing service to the patients, employees and communities Cornerstone serves. To accomplish that goal, the Cornerstone Service Center has assembled a team of highly competent, dedicated and caring individuals who are creating a new standard of excellence in the healthcare support space. ********************** Job Description Cornerstone Service Center, Inc. seeks a talented and energetic Healthcare Billing Analyst to play a key role in the growth and development of Cornerstone Healthcare, Inc. a leading organization dedicated to providing life changing home health and hospice services across the Western United States. As a highly visible, accessible and dedicated member of our service team, the primary purpose of this position is to train and assist agency business office managers and staff on billing, collecting and recording revenue transactions in the home health and hospice industry. The Analyst can be located remotely in Idaho, Washington, California, Arizona, Utah, Texas or Oregon and will be expected to travel to locations throughout the Western United States. Administrative Functions: • Plan, develop, organize, implement, evaluate and support the agencies' accounts receivable functions under the supervision of the Director of Accounts Receivable. • Enhance the agencies policies and procedures surrounding the revenue and accounts receivable cycles. • Train, monitor and update the policies and procedures related to current government regulations for home health and hospice. • Assist business office manager, office staff and any related department in the development and use of accounting policies and procedures, and establish a rapport in and between departments so that each can realize the importance of accurate reporting procedures. • Monitor internal controls to assure compliance with established procedures related to revenue and accounts receivable. • Monitor accounts receivables. Participate in weekly Billing Accountability Meetings and monthly aging reviews. Initiate an action plan and present to the Business Office Manager and Executive Director. • Expert knowledge on software systems used in the Home Care industry. Ability to train staff on software systems and processes. • Develop and utilize computer reports and output as required. • Monitor the workflow process within the system, and alerting appropriate organizational Resources. • Equipped with positive problem solving mindset. Personnel Functions: • Assist in the recruitment and selection of competent business office personnel. • Review and check competence of the business office work force and make recommendations for adjustments/corrections that may become necessary. Staff Development: • Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the home health and hospice field, as well as to maintain a professional status. • Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment. Qualifications • Multiple years of experience in the business office in the Home Health and Hospice fields. • Experience as an accounts receivable area resource. • Experience assisting, training and supporting business office manager at multiple sites. • Experience in Homecare Homebase software a plus. Additional Information Additional Information Salary: Commensurate with qualifications Position Type: Regular Full Time, Employee Benefits: Medical, dental, vision, and life insurance, 401(k) with company matching, vacation pay, holiday pay, fun and supportive work environment Location: This can be a remote position. Our Service Center is located in Eagle, ID. To apply directly with our company and with Linked-In, please go here: ******************************************************************************************************************** About The Ensign Group We are proud to be affiliated with The Ensign Group, Inc., an organization formed in 1999 with the goal of establishing a new level of quality care within the health care industry. The name “Ensign” is synonymous with a “flag” or a “standard,” and refers to a goal of setting the standard by which all others are measured. We share this vision and our core values with other health care providers affiliated with The Ensign Group, such as skilled nursing, assisted living, urgent care and mobile diagnostics. We all believe that through our efforts, we can achieve a new level of client care and professional competence and set a new industry standard for quality home health and hospice services. You can learn more about The Ensign Group at ******************** Cornerstone Service Center, Inc., is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
    $39k-52k yearly est. 60d+ ago
  • Summit Health Multispecialty Workers' Compensation Nurse Case Manager

    Summit Health, Inc. 4.5company rating

    Jersey City, NJ jobs

    About Our Company We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, ********************. Job Description The Case Manager will be primarily remote. The individual employed in this position will be responsible for reviewing all Workers' Compensation cases seen at Summit Health Multispecialty, evaluating appropriate medical treatment of injured employees with the goal of optimum medical improvement. In addition, this individual will be responsible for spearheading communication among all Workers' Compensation case stakeholders (patient, provider, adjuster/nurse manager, employers, etc.) to effectively manage recovery and return-to-work optimization of all work-related injuries. Duties and Responsibilities: The primary duties and responsibilities of the Workers' Compensation Nurse Case Manager are: * Assess and analyze injured workers' medical reports - comparing to evidence-based treatment guidelines, ensuring disability status is supported by diagnosis, work status/restrictions/treatment plan are appropriate, and documentation is correct/complete. * Access database to reference employer accounts' modified duty policies and ensure medical reports are communicated and meet client specifications. * Transmit employee post injury report information to employers via email. * Communicate with patients in a professional and courteous fashion when needed to discuss changes in work status, restrictions, and treatment plans. * Maintain productivity on assigned caseloads, which may vary in numbers and/or by state jurisdiction. * Work with treating physician regarding cases that may need attention or require amendment to ensure appropriate handling and consideration of modified duty is applied to facilitate return-to-work. * Manage communication (calls, emails) to patients, employers, adjusters and/or nurse case managers regarding any amendments made to case diagnosis, treatment and/or lost time from work. * Respond to inquiries from employers, adjusters/nurse case managers and patients for documentation or information on Workers' Compensation cases. * Learn and be proficient in rules that govern HIPAA and release of medical records to patients, employers, payers, and providers. * Collaborate with centralized Workers' Compensation Teams, Occupational Health Support Teams, Sales Team, Clinical Operations Teams, Revenue Cycle Teams and Medical Records Teams to resolve issues and ensure the highest level of customer satisfaction. Qualifications: A candidate's qualifications will include: * Graduate of an accredited school of nursing and possess a current RN license, Bachelors of Nursing preferred * Workers' Compensation case management experience preferred * Knowledge and expertise in use of medical treatment guidelines and disability duration guidelines. * Must understand Multispecialty terminology and recognize orthopedic diagnoses and diagnostic testing terminology * Excellent verbal and written communication skills * Strong time management, critical thinking, and organizational skills with the ability to work independently to manage priorities and meet deadlines * Experience in the following systems preferred: athena Net (EMR), Salesforce (CRM) * Experience working in Microsoft Excel * Ability to work in a fast-paced, ever-changing environment * High attention to detail * Customer orientation and ability to adapt/respond to different types of characters * Ability to remain professional and courteous with customers at all times * Works well independently and in a team environment * Certified Case Manager (CCM) certification a plus * Bilingual in Spanish a plus Additional Information: * The Case Manager will report directly to the Senior Manager, Employer Concierge Services who may modify these responsibilities and activities to suit the needs of the goals behind the Workers' Compensation program. * Available to work 8-hour shifts between 9am-5pm Mondays-Fridays. Direct Reports: * None This is an non-exempt position. The base compensation range for this role is $30.00 - $35.00/hr . Compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan. About Our Commitment Total Rewards at VillageMD Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan. Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws. Safety Disclaimer Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, ************************************* or file a complaint at ***************************************
    $30-35 hourly Auto-Apply 20d ago
  • Coder 2 - Hospital (PRN)

    FMOL Health System 3.6company rating

    Baton Rouge, LA jobs

    Abstracts all Emergency procedures utilizing the International Classification of Disease, Clinical Modifications (ICD-9-CM) system and the Current Procedure Terminology (CPT-4)/HCPCS guidelines for code assignments. Determines and enters charges for ER facility procedures and ER visit levels. We are seeking experienced Coders for remote opportunities with flexible scheduling. This role is ideal for professionals looking to earn extra income and is a great option for a second job. * Work Location: 100% Remote * Schedule: Flexible hours available - daytime or evening * Proven coding experience required * Ability to work independently with minimal supervision * Strong attention to detail and accuracy * Reliable internet access and time management skills * Flexible schedule that fits around another job * Remote work from anywhere * Opportunity to earn supplemental income * Steady work for qualified, experienced coders * Coding and Documentation * Reviews medical record documentation to validate procedure charge indicated by nursing staff and accurately enters charges for procedure selected on chart ticket. * Accurately assigns appropriate procedure codes to emergency room patient records using ICD-9-CM system and CPT-4/HCPCS coding guidelines. Using 3M system, abstracts data elements related to procedures performed in the emergency department. Determines the appropriate sequencing of procedures. * Accurately and completely appends modifiers to CPT/HCPCS codes as required. * Accurately and completely posts charges for Drug Administration services (injections and infusions) in compliance with regulatory drug administration guidelines. Units of service are correctly selected. * Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. * Quality * Utilizes nurses (Lynx) charge ticket to accurately and efficiently enter charges for evaluation and management (E&M) facility visits. * Consistently places records on pending diagnosis code status to prevent premature bill drop. * Maintains an accuracy rate of not less than 93% based on internal and/or external review and productivity standards, engages in problem identification and resolution, and assists in data gathering and chart auditing as necessary. * Participates in educational programs (including those provided and required by the Health Information Management Department), in-services and training sessions as required. When appropriate, the Coding/Billing Specialist shares his/her own expertise with others in an effort to further the quality of education and personal growth provided to new personnel, volunteers and interning students. * Collaboration and Partnership * Communicates with the appropriate ER staff members when records with missing information are identified. * Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility. * Collaborates with Emergency Room nursing personnel and physicians. Provides education and initiates process improvement opportunities to eliminate discrepancies between charge ticket and Medical Record documentation. * Consults with HIM Coding Supervisor and/or HIM Director in matters of uncertainty regarding coding. * Consults with Revenue Management Department staff regarding chargemaster or charging issues. * Other Duties As Assigned * Performs other duties as assigned or requested. Experience - RHIT/RHIA plus 2 years of acute care coding experience, or 4 years acute care coding experience; RHIT/RHIA with ICD-10 curriculum substitutes for all experience; CCS substitutes for 1 year of acute care coding experience; Associates or Bachelors degree in Allied Health or Health Information Systems can substitute for minimum years of experience. Education - High School diploma or equivalent
    $36k-47k yearly est. 5d ago
  • Healthcare Billing Analyst

    Cornerstone Healthcare 4.7company rating

    Phoenix, AZ jobs

    Cornerstone Healthcare, Inc. is one of the most dynamic and progressive companies in the rapidly expanding home health, hospice, and home care industries. Affiliates of Cornerstone now operate 26 home health, hospice, or home health and hospice agencies across nine Western states and we expect this growth to continue. These agencies have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the Cornerstone Service Center, a world-class service team that provides the centralized clinical, legal, risk management, HR, training, accounting, IT ,and other resources necessary to allow on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual agencies. As Cornerstone's contracted service center, we are deeply committed to supporting Cornerstone's mission to provide life-changing service to the patients, employees and communities Cornerstone serves. To accomplish that goal, the Cornerstone Service Center has assembled a team of highly competent, dedicated and caring individuals who are creating a new standard of excellence in the healthcare support space. ********************** Job Description Cornerstone Service Center, Inc. seeks a talented and energetic Healthcare Billing Analyst to play a key role in the growth and development of Cornerstone Healthcare, Inc. a leading organization dedicated to providing life changing home health and hospice services across the Western United States. As a highly visible, accessible and dedicated member of our service team, the primary purpose of this position is to train and assist agency business office managers and staff on billing, collecting and recording revenue transactions in the home health and hospice industry. The Analyst can be located remotely in Idaho, Washington, California, Arizona, Utah, Texas or Oregon and will be expected to travel to locations throughout the Western United States. Administrative Functions: • Plan, develop, organize, implement, evaluate and support the agencies' accounts receivable functions under the supervision of the Director of Accounts Receivable. • Enhance the agencies policies and procedures surrounding the revenue and accounts receivable cycles. • Train, monitor and update the policies and procedures related to current government regulations for home health and hospice. • Assist business office manager, office staff and any related department in the development and use of accounting policies and procedures, and establish a rapport in and between departments so that each can realize the importance of accurate reporting procedures. • Monitor internal controls to assure compliance with established procedures related to revenue and accounts receivable. • Monitor accounts receivables. Participate in weekly Billing Accountability Meetings and monthly aging reviews. Initiate an action plan and present to the Business Office Manager and Executive Director. • Expert knowledge on software systems used in the Home Care industry. Ability to train staff on software systems and processes. • Develop and utilize computer reports and output as required. • Monitor the workflow process within the system, and alerting appropriate organizational Resources. • Equipped with positive problem solving mindset. Personnel Functions: • Assist in the recruitment and selection of competent business office personnel. • Review and check competence of the business office work force and make recommendations for adjustments/corrections that may become necessary. Staff Development: • Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the home health and hospice field, as well as to maintain a professional status. • Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment. Qualifications • Multiple years of experience in the business office in the Home Health and Hospice fields. • Experience as an accounts receivable area resource. • Experience assisting, training and supporting business office manager at multiple sites. • Experience in Homecare Homebase software a plus. Additional Information Additional Information Salary: Commensurate with qualifications Position Type: Regular Full Time, Employee Benefits: Medical, dental, vision, and life insurance, 401(k) with company matching, vacation pay, holiday pay, fun and supportive work environment Location: This can be a remote position. Our Service Center is located in Eagle, ID. To apply directly with our company and with Linked-In, please go here: ******************************************************************************************************************** About The Ensign Group We are proud to be affiliated with The Ensign Group, Inc., an organization formed in 1999 with the goal of establishing a new level of quality care within the health care industry. The name “Ensign” is synonymous with a “flag” or a “standard,” and refers to a goal of setting the standard by which all others are measured. We share this vision and our core values with other health care providers affiliated with The Ensign Group, such as skilled nursing, assisted living, urgent care and mobile diagnostics. We all believe that through our efforts, we can achieve a new level of client care and professional competence and set a new industry standard for quality home health and hospice services. You can learn more about The Ensign Group at ******************** Cornerstone Service Center, Inc., is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
    $39k-52k yearly est. 13h ago

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