Jackson Healthcare Remote jobs - 99 jobs

Since 2006, Jackson Therapy Partners has provided allied and therapy staffing to over 1,300 healthcare and education providers nationwide, helping patients and clients receive the important care that they need in communities where skilled professionals are in short supply. Awarded Best of Staffing 2022, and Top Workplace by the Orlando Sentinel, our team works to inspire others, cheer on our teammates, and lead with kindness while helping therapists and allied professionals build an adventurous, life-changing travel career. Part of Jackson Healthcare's “Family of Staffing Companies," together we're helping thousands of healthcare facilities serve more than 10 million patients each year. Building Stronger Communities Together Our corporate team is a dynamic mix of recruiters, sales, technology, HR, accounting, marketing, and support team professionals who are passionate about working as a team to ensure quality client and patient care nationwide. At Jackson Therapy Partners, you'll enjoy a culture that encourages individual and team development through training, giving back, and team building events like volunteering in our local communities building bikes for kids, an occasional 5k, and company food fests. Why Join Us? Lucrative Rewards: Competitive salary with uncapped commissions means your hard work directly translates into financial success. Recognition and Celebration: Achieve your goals and you could be eligible for our prestigious Annual President's Club Trip. Flexibility and Balance: Enjoy the best of both worlds with a hybrid work schedule that includes remote workdays. Endless Growth Opportunities: We're committed to your professional development and offer ample opportunities for career advancement. Vibrant Company Culture: Join a team that fosters individual and collective growth through training, community service, and team-building events like charity bike builds, 5k runs, and company food fests. This isn't just a job-it's a chance to make a meaningful difference while achieving personal and professional success. Position: National Recruiter (Inside Sales) As a National Recruiter at Jackson Therapy Partners, you'll play a pivotal role in connecting talented therapists with life-changing opportunities across the nation. Your responsibilities include: Meeting or exceeding sales targets through proactive sourcing, screening, and interviewing of candidates. Cultivating strong relationships with therapists, clients, and team members. Negotiating placement packages to ensure mutual satisfaction. Providing ongoing support to traveling clinicians to maintain retention and build future pipelines. Qualifications: High School or GED required; bachelor's degree preferred. Sales-oriented mindset with a passion for competition and goal attainment. Proven track record of meeting and exceeding targets in a fast-paced environment. Strong communication skills, both verbal and written. Proficiency in Microsoft Office suite and ability to adapt to new systems. Join Our Dynamic Sales Team at Jackson Therapy Partners! Are you ready to embark on an exhilarating journey in sales that not only enriches your career but also makes a profound impact on communities nationwide? Look no further! At Jackson Therapy Partners, we've been at the forefront of providing top tier allied and therapy staffing to over 1,300 healthcare and education providers since 2006. Our dedication to excellence has earned us accolades such as Best of Staffing 2022 and recognition as a Top Workplace by the Orlando Sentinel. As part of Jackson Healthcare's esteemed "Family of Staffing Companies," we are instrumental in supporting thousands of healthcare facilities, positively impacting the lives of over 10 million patients each year. If you're ready to unleash your potential in a dynamic sales environment where your efforts directly impact lives, we want to hear from you! Apply now to join our team at Jackson Therapy Partners and embark on a fulfilling career journey. Disclosures Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles. As part of our employment process, candidates who receive a conditional offer may be required to undergo pre-employment drug testing. We are an Equal Opportunity Employer and do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under the law.

As a Senior Genetic Counselor, you'll assume an advanced leadership role within the Clinical Support team, providing expert guidance, oversight, and mentorship in genetic counseling while facilitating communication among various stakeholders. Your duties will involve managing escalated, complex cases, leading protocol development and maintenance, and serving as a mentor to the broader counseling team. EDUCATION AND EXPERIENCE: Degree: Master of Science or Master of Arts in Genetic Counseling from an ACGC-accredited program or equivalent. Certification: Board-certified Genetic Counselor. Experience: Significant experience (5+ years) demonstrating leadership and expertise in clinical and laboratory genetics. Work Authorization: Must be eligible to work in the USA without restrictions. Training: Onsite training and occasional meetings may be required; remote work available for experienced Senior Genetic Counselors with relevant laboratory experience. DUTIES AND RESPONSIBILITIES: Provide strategic leadership and oversight in the coordination of complex and escalated cases, ensuring effective communication between Baylor Genetics and professional clients. Conduct comprehensive review and analysis of test orders and laboratory reports, ensuring accuracy and adherence to quality standards. Act as a key liaison for professional clients, offering expert guidance on testing strategies and recommendations based on genetic findings. Mentor and support junior genetic counselors and trainees, providing advanced expertise and guidance in clinical and laboratory genetics. Lead in the development of new testing protocols, policies, and procedures, guiding the enhancement of clinical operations. Assist in training new hires on existing protocols, policies and procedures and existing team members on new and updated processes Collaborate closely with the Medical Affairs team to lead the development of manuscripts and presentations focused on genetics. Collaborate closely with the Client Services team to ensure efficiency and quality in inquiry resolution Skills: In-depth expertise in clinical and laboratory genetics, demonstrating proficiency in analyzing and interpreting complex genetic data. Exceptional communication skills, both written and verbal, to effectively convey genetic information and recommendations to various stakeholders. Strong leadership abilities, fostering a collaborative and supportive environment while guiding junior team members. Impeccable attention to detail and organizational skills to ensure thorough review and precise reporting. Proficiency in relevant computer applications and databases used in genetic counseling and analysis. PHYSICAL DEMANDS AND WORK ENVIRONMENT: Frequently required to sit. Frequently required to stand. Frequently required to utilize hand and finger dexterity. Frequently required to talk or hear. Frequently required to utilize visual acuity to operate equipment, read technical information, and/or use a keyboard. Occasional exposure to bloodborne and airborne pathogens or infectious materials. EEO Statement: Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local law.

The Billing Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation and Champus/Tricare. ESSENTIAL FUNCTIONS OF THE ROLE Perform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits. Communicate specific problems or concerns to Manager as appropriate. Review electronic claims transmission reports and resolves electronic claims submission (ECS) rejections by making corrections in system, and resubmitting for payment. Request or post charge corrections and appropriate credit and debit adjustments to patient accounts. Correct patient demographic information when new/correct information is received. Review claims for accuracy and completeness and obtain any missing information. Work rejected claims utilizing compliant and ethical billing practices. Identify and bill secondary or tertiary insurances as needed. Performs other duties as assigned or requested. KEY SUCCESS FACTORS BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - Less than 1 Year of Experience

Baylor Genetics, one of the world leaders in clinical molecular genetics, is excited to announce an opening in the Clinical Genomics Interpretation (CGI) division. This role requires a comprehensive understanding of clinical genetics, familiarity with reviewing clinical notes, and ability to interpret a pedigree. As part of the WGS Clinical Indication Team, the “Clinical Genomic Scientist” reviews clinical notes and converts patient phenotypes into Human Phenotype Ontology (HPO) terminology, records prior genetic testing history, interprets family history from pedigrees, and confirms consent answers from test requisition forms. The Clinical Genomic Scientist position is a remote work opportunity, with daily huddles, clear objectives, and flexible scheduling. Come join our team from the comfort of your home office! Duties and Responsibilities on the WGS Clinical Indication Team: 80 to 100%: Reviewing test requisition forms and clinical notes, extracting clinical information into structured data, such as HPO terms Up to 20%: As needed, opportunities for cross-training in WGS variant curations or WGS report writing may become available Qualifications Degree: Master's in Genetic Counseling, MD/PhD with a background in clinical genetics Preferred: Master's in Genetic Counseling Experience: Expertise in concepts of clinical medicine, genetics, genomics, and molecular biology. Experience in communicating genetic details effectively. Excellence in reading/writing medical language. Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook). Desired: Experience in genetic counseling, familiarity reviewing clinical notes and medical writing. Desired: Familiarity with American College of Medical Genetics (ACMG) variant curation guidelines. Desired: Knowledge of genomic variation and its correlation with human disease. Rank: Clinical Genomic Scientist - Clinical Indication I Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 0-1 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication II Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 2-4 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication III Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality and leading projects toward goals Rank: Clinical Genomic Scientist - Clinical Indication - Senior Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality, leading projects toward goals, training coworkers, demonstration of workflow process improvement Competencies: Quality Assurance, Analytical and Problem-Solving Skills, Technical Skills, Interpersonal Skills, Oral and Written Communication, Teamwork, Organizational Support, Safety and Security, Dependability, Innovation, Adaptability. Physical Demands and Work Environment: At your Home Office: Frequently required to sit, using screen, keyboard, and mouse. Punctuality attending virtual meetings Occasional weekend rotation may be needed (for example, once a month)

Community Liaison - Remote The Medicare Sales Community Engagement Specialist will be responsible for developing and implementing strategic sales and marketing initiatives specifically aimed at increasing enrollment in Dual Eligible Special Needs Plans (DSNP) for Providence Health Plan. This individual should possess the ability to network and build relationships within the community, specifically with organizations and influencers that serve dual-eligible beneficiaries. The role involves enhancing Providence Health Plan's visibility in the service area through travel within assigned territories, active participation in targeted professional and/or community groups, provider groups, health fairs, and community events. The Community Engagement Specialist must embody Providence's mission, values, and vision, effectively communicating these principles to community influencers with a focus on dual-eligible individuals. Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. This position works 100% remotely for candidates residing in Oregon. Required Qualifications: + Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information. + Upon hire: State Health Insurance License + 2 years of Direct sales, marketing, or business development experience or any combination of education and experience which would provide an equivalent background. Preferred Qualifications: + Bachelor's Degree + 2 years experience working with Medicare Advantage and Medicaid programs and beneficiaries. Salary Range by Location: Oregon: Non-Portland Service Area: Min: $31.35, Max: $48.68 Oregon: Portland Service Area: Min: $33.63, Max: $52.22 Why Join Providence Health Plan? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Requsition ID: 409360 Company: Providence Jobs Job Category: Business Development Job Function: Marketing/Public Relations/Community Affairs Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5018 SALES MEDICARE WA EXPANSION OR REGION Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $33.63 - $52.22 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

**The EPIC Application Analyst III has the primary responsibility to configure and provide advanced functional and technical help for the specific application or set of applications to a variety of business and clinical users. In addition, you are accountable to join with end users to know about the workflow and its interdependencies and make corrective system adjustments or enhancements. This role is the central point of communication for an assigned set of users and coordinates all activities on behalf of the IS organization. This role also works with leaders to spearhead the process and project planning for the application module Epic Willow/WAM.** **ESSENTIAL FUNCTIONS OF THE ROLE** + **Is the functional and technical Subject Matter Expert on the associated application and workflows.** **·** **Provides good knowledge of the technology (application) and enterprise processes (integrated workflows) and unite closely with all associated teams to drive holistic patient perspective.** **·** **Assists with the study recommendations for corrective actions and resolution of problems within the software application.** **·** **Provides in-depth study and documentation of workflows, data collections, end-user report details and other technical issues associated with the application, with vendor and internal stakeholder consideration.** **·** **Creates and execute test scripts for new system builds.** **·** **Trains and mentor Application Analysts.** **·** **Runs business partners and technical team to define, document, and review business system requirements to continuously improve organizational efficiency.** **·** **Assists IS managers and work with various teams to help them better know organizational policies, procedures and business operations, and to translate those needs into specialized application specifications.** **·** **Solves problems by studying business issues /requirements, studying both data and workflows and synthesizing key messages.** **KEY SUCCESS FACTORS** + **Extensive Epic application knowledge to build, test, help and train.** + **Ability to work well in team environments.** + **Proficient with word processing, spreadsheet, and email software applications.** + **Demonstrates customer-oriented service excellence principals.** + **Self-motivated leader who can identify and resolve issues, and advance personal knowledge.** + **Ability to execute complex tasks through organization and details driven approach.** + **Ability and experience knowledge end user workflow and owning the technical components of that workflow.** + **Demonstrates excellent relational communication skills, among facility customers and team members.** + **A quick learner of software and information technology, and motivated to learn new applications.** + **Experience in Hospital Business or Clinic environment preferred.** **BENEFITS** **Our competitive benefits package includes the following** + **Immediate eligibility for health and welfare benefits** + **401(k) savings plan with dollar-for-dollar match up to 5%** + **Tuition Reimbursement** + **PTO accrual beginning Day 1** **Note: Benefits may vary based upon position type and/or level** **QUALIFICATIONS** + EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification + EXPERIENCE - 3 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Epic Accreditation (EPICACRD) Epic Certification (EPICCERT) **CERTIFICATION/LICENSE/REGISTRATION** + **Epic Certification (EPICCERT) - Willow** + **Epic Certification (EPICCERT) - Willow Ambulatory** + **Epic Certification (EPICCERT) - Specialty Pharmacy** **Hybrid expectation-** if local to DFW area- on-site 1x a week, in state of TX, on-site once a month, out of state candidate would need to come on-site 2x a year As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization?s reimbursement from payers for patient accounts that are scheduled and unscheduled. ESSENTIAL FUNCTIONS OF THE ROLE Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization. Coordinates the submission of clinical documentation from physicians to payers for authorization needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patient?s account prior to scheduled or unscheduled service during the patient?s hosptial stay. Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits. Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. KEY SUCCESS FACTORS 1 year of healthcare or customer service experience preferred. Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality. Ability to understand and adhere to payer guidelines by plan and service type. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations. Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - Less than 1 Year of Experience

Supply Chain Manager _Remote._ Candidates residing in the greater Seattle area are encouraged to apply. Resource Engineering & Hospitality (REH) is the name adopted to reflect the Providence employees who work throughout Providence Health and Services in supply chain services and systems in support of our ministries and operations in all regions from Alaska to Texas. REH's objective is to ensure our core strategy, One Ministry Committed to Excellence, is enhanced along with the overall patient care experience (know me, care for me, ease my way) by delivering a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized supply chain management expertise. Providence is one of the nation's leading non-profit healthcare systems with 119,000 caregivers/employees serving more than 5 million unique patients across 51 hospitals and 800; clinics. Our locations range from metropolitan centers to rural settings across seven states: Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion, Dignity, Justice, Excellence and Integrity. Providence caregivers are not simply valued - they're invaluable. Join our team at Supply Chain Management and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: + Bachelor's Degree - Business Administration, Finance, or Industrial Engineering. + 6 years - Experience with responsibility in finance, business administration or operational business management. + 3 years - Experience working in a complex integrated delivery system. Preferred Qualifications: + Master's Degree - Business Administration, Finance, Accounting, Industrial Engineering, or related business field. + 2 years - Experience working with and managing geographically dispersed/virtual teams. + 2 years - Experience working in health care. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 404569 Company: Providence Jobs Job Category: Inventory Control Job Function: Supply Chain Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4012 SS REH ADMINISTRATION Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $44.35 - $68.86 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._ Providence is calling a Senior Coding Quality Educator who will: + Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team + Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable + Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams + Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters We welcome 100% remote work for residents in the United States with the exception of the following States: + Colorado + Hawaii + Massachusetts + New York + Ohio + Pennsylvania Essential Functions: + Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams + Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters + Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise + Serve as a resource and subject matter expert for all coding matters + Provide coding support to regional coding teams as needed + Maintain relevant documentation and data as required + Review and update coding guidance annually or as necessary + Maintain document control + Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes + Facilitates education to support Medicare Risk requirements & organization goals + Review relevant patient details from the medical record based on coding and documentation guidelines + Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details + Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff + Assists management in identifying and creating standardized workflows + Reviews EMR templates and identifies areas of improvement for provider documentation + Attends and presents at regional meetings as needed Required qualifications for this position include: + High School Diploma or GED Equivalency + National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire. + 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work + 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding + Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment Preferred qualifications for this position include: + Associate Degree in Health Information Technology or another related field of study + Bachelor's Degree in Health Information Technology or another related field of study + 5+ years of experience in coding for multispecialty practice + 2+ years of experience in professional fee billing methodologies + Experience with IDX, Allscripts, Advanced Web, Meditech + Experience with project management Salary Range by Location: AK: Anchorage: Min: $40.11, Max: $62.27 AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91 California: Humboldt: Min: $40.98, Max: $64.88 California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82 California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91 California: Bakersfield: Min: $40.11, Max: $62.27 Idaho: Min: $35.69, Max: $55.41 Montana: Except Great Falls: Min: $32.29, Max: $50.13 Montana: Great Falls: Min: $30.59, Max: $47.49 New Mexico: Min: $32.29, Max: $50.13 Nevada: Min: $41.81, Max: $64.91 Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05 Oregon: Portland Service Area: Min: $40.11, Max: $62.27 Texas: Min: $30.59, Max: $47.49 Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91 Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27 Washington: Tukwila: Min: $41.81, Max: $64.91 Washington: Eastern: Min: $35.69, Max: $55.41 Washington: South Eastern: Min: $37.39, Max: $58.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 411100 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4010 SS PE OPTIM Address: TX Lubbock 3615 19th St Work Location: Covenant Medical Center Workplace Type: On-site Pay Range: $See posting - $See posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair **- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty **- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) **- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations **Lower Extremity:** **- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy **- Pelvis:** Fracture repairs **- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs **- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy **- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain **WORK MODEL/SALARY** Days: Monday - Friday Hours: 8hrs a day, 80hrs a pay period 100% Remote The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **JOB SUMMARY** + The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. + Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. + Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) + The Coder 2 will abstract and enter required data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **KEY SUCCESS FACTORS** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of the following Certifications: + Registered Health Information Administrator (RHIA) + Registered Health Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Certified Inpatient Coder (CIC) + Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package includes the following: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **MQUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Work From HomeWork From Home Work From Home, Indiana 46544 At Franciscan Health, the Certified Tumor Registrar (CTR) is a data information specialist responsible for the identification, collection, and management of health, medical, and outcome information on oncology patients. Primary responsibilities include abstracting and coding specific patient, cancer, and treatment information from numerous sources, as well as maintaining and updating existing patient records. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Abstract cancer-related data, according to ICD-10, American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines, to generate reports regarding cancer surveillance and improvement of care. Review patient cases, identify potential cases for the registry, and assess whether the case is reportable, is already reported, or could potentially be recorded in a file of non-reportable cases. Assist with monthly and annual data submissions and quality assurance reviews, to ensure compliance with the American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines. Facilitate and organize tumor board and other case conferences. Monitor, report, and record tumor registry activities, to ensure compliance with Commission On Cancer (CoC) and other accreditations. QUALIFICATIONS Associate's Degree required 1 year of Tumor Registry experience p referred Certified Tumor Registry (CTR) OR Oncology Data Specialist - Certified (ODS-C) required RHIA or RHIT p referred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Tumor Registrar $25.58 - $33.25INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Work From HomeWork From Home Work From Home, Indiana 46544 The Clinical Denial Specialist II functions as a hospital liaison to appeal denied claims for Medicare, Medicaid, Managed and Commercial insurance. This position entails detailed retrospective review via EPIC of patient medical records to analyze and compile data for additional documentation request and claim denials, using trends and patterns identified to support process improvement. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Schedule: Monday - Friday, 8am - 5pm Develop reports Review governmental contractor's response Identify underlying root causes for potential denials and works closely with departments and Clinical Documentation Integrity to reduce denials Write and ensure all appeals are filed in a prompt and timely manner for Medicare, Medicaid, Managed, and Commercials Payor Audit medical documentation for adherence to insurance and CMS guidelines relating to inpatient/observation services, or other denial issues Knowledge of inpatient criteria to establish medical necessity letters QUALIFICATIONS Active Indiana RN license required BSN or Associate's with 5 years of nursing experience required 3 years of denial experience required 5 years of nursing or case management experience preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Clinical Denial Specialist II $52395.20-$77948.00INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

For over 22 years, Premier Anesthesia has been a highly trusted anesthesia practice management partner for healthcare organizations nationwide. With a wealth of knowledge and skill in hospital-based anesthesia practices, they focus on developing and managing anesthesia services tailored to the needs of their clients, medical staff and communities. From recruitment to efficient management, Premier Anesthesia is dedicated to ensuring optimal patient and client outcomes. Premier Anesthesia is a national anesthesia management company solely focused on building and managing the best anesthesia teams in the industry. The organization's leadership brings extensive experience in hospital-based physician staffing, recruiting and management. Premier Anesthesia is part of the award-winning Jackson Healthcare family of companies. The Practice Manager role ensures the overall logistical coordination of provider schedules, 1099 payroll, and completion of other essential tasks through partnership with the Regional Vice President and the Recruitment Department. This role ensures appropriate resource allocation and communication needs are met. This role is hybrid and requires residing in the Fayetteville, AR area. ESSENTIAL RESPONSIBILITIES: Client Management Performs as the initial point of contact for client staffing in coordination with the Recruitment Department to achieve consistent, managed expectations and delivery of service. Identifies on-going and intermittent staffing needs of client and coordinates with Recruitment Department to allocate appropriate recruiting resources and ensure recruiting plans are executed. Partners with Locum Sourcing Role to effectively optimize internal and external locum resources to meet clients' staffing needs. Manages client staffing schedules (as applicable) and assists to ensure timely delivery and approval of candidate presentations for identified vacancies. Participates in all start-up strategy calls as the scheduling optimization subject matter expert providing guidance as to best practices for initial staffing. Coordinates with client and credentialing resources to ensure providers receive hospital privileges by specified assignment start dates. Partners with Regional Vice President to identify mutual strategies to better service and support client requirements (i.e. licensing out-of-state physicians, credentialing secondary candidates for more complete coverage, etc.). Identifies opportunities within client organization to provide potential operating/process efficiencies and partners with Regional Vice President to move related recommendations forward. Ensure maximization of candidate availability/utilization on facility schedules. Generates and distributes reports internally (to Regional Vice President and client leadership) relating to mutually defined staffing metrics. Reviews and assists in processing for all 1099 payroll, to include working with providers to ensure accuracy and completion of time and compensation. Liaison between Anesthesia Resources and Provider for incomplete charts, documentation, and other miscellaneous items. Performs special projects and other duties as needed that may be assigned by management, which may include but is not limited to assisting RVP with travel, meeting coordination and expenses. In conjunction with the Regional Vice President, develops and implements retention strategies for regional clients on an annual basis Works closely with Medical Director, and/or Regional Medical Director on resolution of client complaints, concerns, customer service issues and other issues with operational involvement Conducts operative reviews with senior management to facilitate strategic planning and to circumvent foreseeable problems Communicates with Medical Director, Regional Vice President, and Quality Assurance regarding any risk management issues Interfaces with organizational leaders to resolve issues and successfully implement Corporate and divisional goals and objectives Meet regularly with key client stakeholders: Utilize standard reporting package to help clients understand performance and creates/requests new reports as necessary and stay abreast of client performance. Drills into data to uncover additional opportunities and/or challenges to ensure proactive positioning with clients Corporate Representative Reads and abides by the company's code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment, or other prohibited activities in accordance with the reporting policies of the company Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so Support and abide by the values of the company Others First - Think of others first Wisdom - Do the wise thing Growth - Keep getting better QUALIFICATIONS - EDUCATION, WORK EXPERIENCE, CERTIFICATIONS: REQUIRED Education: Bachelor's degree required in Business Administration or related field. Experience: 2-5 years of experience in physician management services or healthcare scheduling/staffing experience in the locums industry. KNOWLEDGE, SKILLS, AND ABILITIES: Excellent computer skills with intermediate level of experience with Microsoft Word and Excel and an ability to learn new computer applications. Excellent verbal and written communication skills. Excellent organizational and multi-tasking abilities. Excellent judgment/decision making skills. Strong problem-solving skills ad ability to handle stress and to resolve conflict. Adaptability: Ability to embrace change and shift focus when unexpected work arises. Time Management: Ability to use discernment to prioritize tasks and decide what to focus on to maximize impact. Customer Service: Ability to actively seek to understand the needs of others and provide a positive experience that addresses their needs, questions, and concerns. Disclosures Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles. As part of our employment process, candidates who receive a conditional offer may be required to undergo pre-employment drug testing. We are an Equal Opportunity Employer and do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under the law.

The Financial Advisor II serves as a key financial resource on the corporate Financial Planning & Budgeting team and provides financial analysis required to support the goals and objectives of Baylor Scott and White (BSWH). SALARY The pay range for this position is $77,688/year (entry level qualifications) - $120,411.20/year (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Provides financial analysis to and serve as support for system leadership, regional and entity financial officers, and others as directed or required, to assist in the efficient and cost-effective operation of BSWH. Develops ad hoc and ongoing reporting as required/requested, utilizing BSWH systems which include Syntellis Axiom and Power B Produces reporting, including presentations, for annual operating budget, 5-year financial planning, current year rolling projection, and all other processes overseen. Conducts finance training for BSWH personnel as directed. Understands financial operations and works with all levels of finance, clinical management/personnel to ensure the accuracy of the analysis. Maintains professional growth through participation in educational programs and professional organizations and activities to maintain knowledge of current trends, practices, and developments. KEY SUCCESS FACTORS Healthcare finance experience (Particularly Hospital/Clinic Experience) Experience in financial planning and Budgeting Self-starter and able to work independently with minimal supervision Strong analytical abilities and presentation skills Intermediate to advanced excel skills Experience with enterprise financial systems (Syntellis Axiom experience preferred) Experience with data visualization software (Power BI experience preferred) BENEFITS - Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelors Degree * EXPERIENCE - 3 Years of Experience

Work From HomeWork From Home Work From Home, Indiana 46544 The Supervisor of Denial Management oversees the daily operations of a team responsible for medical claim denial follow-up and underpayments, and all support activities associated with managing claim denials. This position assists management in maintaining the denial management system, workflows and analysis reporting including the collection and interpretation of patterns to quantify denial causes and their financial impact. The Supervisor of Denial Management collaborates with other system departments to apprise them of trends and process improvement opportunities, with a focus on preventing future claim denials. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Supervise the work of others and manage the performance of individuals through feedback and recommendations. Implement process innovations and works closely with Insurance Payers, Revenue Cycle leadership and Department Managers in revenue-producing departments to reduce denials and to improve upon the Revenue Cycle KPIs. Participate in people management activities for direct team members such as conducting performance evaluations, disciplinary actions, and interviews. Analyze reports and use software to track, trend and identify root causes of denials; offer suggestions for process improvement to resolve denial issues, supported by documentation and data. Coordinate department efforts with other departments to align interdepartmental functioning, strategic goals, and expectations. Develop and monitor a structured, organized workflow to ensure actions carried out consistently and accurately. Act as the first point of escalation within the team by acting as a coach and mentor. Prepare operational progress or status reports on a regular basis. Independently develop effective relationships with patients, hospital departments, and other external parties. Coordinate meetings and in-service training with Payor representatives and vendors. Develop reports, policies, procedures and training materials for employee training and business improvements. Ensure compliance with state and federal billing regulations. Review the final documentation for write-offs and adds avoidable write off language. QUALIFICATIONS Preferred Associate's Degree Required High School Diploma/GED 5 years Patient Accounting required 1 year Supervisory or leadership experience Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Supervisor Denial Management $48,838.40-$72,675.20INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Work From HomeWork From Home Work From Home, Indiana 46544 The Coder VI Specialist- Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines. Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines. Notify coding leadership of trends and topics for education and feedback to physicians and departments. Identify and enter data elements for abstracting. Participate actively in performance improvement teams, projects, and committees. Serve as a Superuser and assist with system testing. Serve as a backup to coding reimbursement specialist. QUALIFICATIONS High School Diploma/GED - Required Associate's degree - Preferred 2 years Coding - Required CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required or RHIT, Registered Health Information Technician from American Health Information Management Association (AHIMA) - Preferred or RHIA, Registered Health Information Administrator from American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coder VI Specialist - Hospital Inpatient $22.70-$33.77INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Venn is at the forefront of healthcare staffing and resource optimization. Designed by Jackson Healthcare, leaders in the healthcare staffing industry, Venn addresses challenges that directly impact healthcare organizations through staffing optimization, supplier management, and workforce solutions technology. Venn drives a new perspective in the market and capacity to achieve optimal results by customizing workforce models specific to each client and actively shaping the future of healthcare workforce optimization. We are a Jackson Healthcare company and we are now the second largest healthcare staffing company in the U.S., serving more than 7 million patients in over 1,400 healthcare facilities. The Implementation Manager plays a critical role in supporting the successful implementation and optimization of the VMS platform. This position works closely with clients, sister companies and the Venn team to lead system administration, maintain workflows, and ensure training materials are current and effective. The Implementation Manager serves as a key resource for system updates, documentation, and administrative support throughout implementation and ongoing operations. ESSENTIAL FUNCTIONS AND BASIC DUTIES: System Administration & Maintenance - 30% Complete and/or lead audit the configuration of the VMS, Kimedics, in alignment with workflows, requirements and data collection Perform updates to system settings, user profiles, and approval processes as directed Maintain data integrity through regular audits and clean-up activities. Serve as Tier 2 support for VMS configuration updates post go-live Own ticketing system of VMS updates required at the request of Program Management Implementation Management - 25% Build, maintain project plans and timelines in Smartsheet Provide VP, Client Implementation project status updates including milestones, risks and deliverables Prepare documentation, workflows, training guides & reports for client and internal meetings Lead Venn stakeholders for user acceptance testing (UAT) and troubleshoot issues as needed in partnership with Product Training & Go-Live/Post Go-Live Support - 15% Assist in the delivery of end-user training session and VMS demos (including sales) Help gather feedback from users to enhance training materials and system usability Provide post go-live training support, hyper-care and change management tracking Workflow & Process Documentation - 10% Update process workflows, standard operating procedures (SOPs), and system guides to reflect current practices Create step-by-step QRGs, user guides, and other training documentation SECONDARY FUNCTIONS (IF APPLICABLE) May work on special projects or other duties as assigned SUPERVISORY/BUDGETARY/EXTERNAL COMMUNICATION RESPONSIBILITY May communicate with external vendors, clients, and providers QUALIFICATIONS - EDUCATION, WORK EXPERIENCE, CERTIFICATIONS Bachelor's degree or equivalent experience in Business, Human Resources, Information Systems, or a related field preferred 3-5 years of experience in systems administration, vendor management systems, project coordination, or related roles. Familiarity with VMS platforms required KNOWLEDGE, SKILLS, AND ABILITIES Ability to adhere to and exhibit the Company Values at all times Proficient in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook, Visio, Teams) Working knowledge of VMS and MSPs Strong technical aptitude with the ability to quickly learn new systems and tools. Ability to create processes, document and implement Ability to be entrepreneurial and problem solve Ability to effectively manage multiple competing priorities in a fast-paced environment Strong communication skills - both oral and written Ability to build strong business relationships at all levels Ability to work in remote environment Strong interpersonal skills Excellent attention to detail Excellent organizational and time management skills Ability to work independently and collaboratively Solid critical thinking and creative problem-solving skills Ability to consistently meet goals, commitments, and deadlines Ability to work with sensitive information and maintain confidentiality KEY COMPETENCIES REQUIRED Communicates Effectively Innovative Customer Focus & Teamwork Quality & Results-Oriented Decision Making Resourceful & Tenacious Develops Self Technical Skills PHYSICAL, MENTAL, WORKING CONDITION, AND TRAVEL REQUIREMENTS Typical office environment - sedentary with typing, writing, reading requirements. May be able to sit or stand. Speaking, reading, writing, ability to use a telephone and computer Ability to exert up to 10 lbs. of force occasionally Ability to interpret various instructions Ability to deal with a variety of variables under only limited standardization Ability to travel up to 20% of the time What is in it for you Company-paid benefits (Basic Life and AD&D, Short and Long-Term Disability, Employee Assistance Program, Compass Health Advocate and Transitions). Healthcare benefit options (Value Plan, High Deductible Plan with HSA, Healthcare FSA, Dependent Care FSA, Prepaid Legal Services, 529 Savings Plan, Pet Insurance). Paid parental leave. Company sponsored 401k plan with company matching. PTO that accrues at a rate of 15 days/year for 1st year and continues to increase with tenure. Remote/work from home job opportunities Disclosures Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles. As part of our employment process, candidates who receive a conditional offer may be required to undergo pre-employment drug testing. We are an Equal Opportunity Employer and do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under the law.

Work From HomeWork From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Complete medical-necessity review of charts. Communicate with insurance companies, when indicated, to provide clinical reviews to obtain authorization for hospital stays. Refer cases not meeting InterQual/Milliman criteria to Physician Advisor for evaluation and follow through with recommendations. Consult with the physician whenever admission or continued stay does not meet approved criteria, and cannot justify the admission or continuation of hospitalization. Monitor and complete cases as identified on initial, concurrent and discharged review work queue. Monitor and complete cases on the Stop Bill, Auth Cert Pending Discharged work queues, as well as others as identified by supervisor. Actively communicate with and assist Case Managers. Support compliance with HFAP, State, and Federal Agencies for assigned areas. Keep abreast of current trends in Utilization Review and Managed Care processes. Maintain current knowledge of Medicare, Medicaid, and third-party payor rules. Maintain accurate, concise, and timely documentation in Epic. QUALIFICATIONS Associate degree in nursing/patient care required Bachelor's Degree in nursing/patient care preferred Registered Nurse (RN - Indiana licensure) required 3 years of nursing/patient care experience required 2 years of Utilization or Case Management experience preferred TRAVEL IS REQUIRED: JOB RANGE:Utilization Review Coordinator $56971.20-$84749.60INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. 100% remote position The pay range for this position is $16.12/hour (entry level qualifications) - $24.17/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - 2 Years of Experience