Medical records clerk jobs in West Virginia - 148 jobs

As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability. 3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness. 4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills. 5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process. 6. Training and mentoring staff on revenue cycle processes and best practices. 7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency. 8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance. 9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle. 10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues. Qualifications: The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications: 1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection. 3. Strong knowledge of healthcare financial management and medical billing processes. 4. Exceptional analytical and problem-solving skills with a strong attention to detail. 5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software. 6. Strong leadership skills with the ability to manage and motivate a team. 7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization. 8. Strong knowledge of federal, state, and payer-specific regulations and policies. 9. Ability to work in a fast-paced environment and manage multiple priorities. **Responsibilities** Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.

The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests* TASKS AND RESPONSIBILITIES: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Answer phone calls concerning various ROI issues. If necessary, responds to walk-in customers requesting medical records and logs information provided by customer into ROI On-Line database. If necessary, responds and processes requests from physician offices on a priority basis and faxes information to the physician office. Logs medical record requests into ROI On-Line database. Scans medical records into ROI On-Line database. Complies with site facility policies and regulations. At specified sites, responsible for handling and recording cash payments for requests. Other duties as assigned. SKILLS|EXPERIENCE: Demonstrates proficiency using computer applications. One or more years experience entering data into computer systems. Experience using the internet is required. Demonstrates the ability to work independently and meet production goals established by MRO. Strong verbal communication skills; demonstrated success responding to customer inquiries. Demonstrates success working in an environment that requires attention to detail. Proven track record of dependability. High School Diploma/GED required. Prior work experience in Release of Information in a physician's office or HIM Department is a plus. Knowledge of medical terminology is a plus. Knowledge of HIPAA regulations is preferred. *This job description reflects management's assignment of essential functions. It does not prescribe or reflect the tasks that may be assigned. MRO's employees work at client facilities throughout the United States. We are proud of the culture we create for our employees and offer an outstanding work environment. We strive to match the right applicant to the right position. To learn more about us, visit www.mrocorp.com. MRO is an Equal Opportunity Employer. INDMP

This position is located in the Health Information Management section at the Louis A. Johnson VA Medical Center. The MRT (ROI) reviews and processes requests for patient protected health information. Total Rewards of a Allied Health Professional * Evaluates the adequacy of each completed authorization form. * Screens each requests for information to determine urgency and ensures that most urgent requests are completed first. * Greet veterans/visitors and assists them in determining the exact nature of the request and whether the information can be released. * Applied pubic laws, rules, and regulations and exclusion governing confidentiality of the medical record. * Processed all incoming requests to the facility for the release of information * Evaluates the validity of each request. * Determines which information is to be released in compliance with existing laws. Work Schedule: Monday - Friday 7:30 am - 4:00 pm Recruitment Incentive (Sign-on Bonus): Not authorized Permanent Change of Station (Relocation Assistance): Not authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 22108F Permanent Change of Station (PCS): Not authorized

Patient Service Representative (PSR) Competitive fee for service Flexibility - work around your schedule Lifesaving medical technology The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest wearable cardioverter defibrillator (WCD) and associated technologies. Heart disease is the leading cause of death for both men and women in the U.S. At ZOLL, your services will help to ensure cardiac patients get the life-saving therapy they need. To date, the LifeVest has been worn by hundreds of thousands of patients and saved thousands of lives. Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis. Summary Description: The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest , is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest . LifeVest is worn by patients at risk for sudden cardiac arrest (SCA), providing protection during their changing condition. It is lightweight and easy to wear, allowing patients to return to their common activities of daily living, while having the peace of mind that they are protected from SCA. This is the perfect opportunity for the health professional with patient care and teaching experience to supplement his or her income. A typical LifeVest patient is in the hospital awaiting discharge, and the Patient Service Representative sets up the equipment and trains the patient and caregivers on the use and care of the device. They also follow up with patients as needed to assure patient understanding and satisfaction. PSRs retain the flexibility to accept or decline assignments as their schedules dictate. Most assignments can be scheduled during free time - before/after work, and on days off. Responsibilities: Contact caregivers and family to schedule services Willingness to accept assignments which could include daytime, evenings, and/or weekends. Travel to patient's homes and health care facilities to provide services Train the patient and other caregivers of patient (if applicable) in the use of LifeVest Program LifeVest according to the prescribing physician's orders Measure the patient and determine correct garment size Review with patient, and have patient sign, all necessary paperwork applicable to the service. Transmit signed copy of the Patient Agreement and WEAR Checklist to ZOLL within 24 hours of the assignment Manage device and garment inventory Disclose family relationship with any potential referral source Qualifications: Have 1 year patient care experience Patient experience must be in a paid professional environment (not family caregiver) Patient experience must be documented on resume Completion of background check Florida and Ohio candidates must complete a level 2 screening, fee not paid by ZOLL Disclosure of personal NPI number (if applicable) Valid driver's license and car insurance and/or valid state ID Willingness to pay a $30 annual DME fee which is deducted from a completed Work Order Willingness to pay for additional vendor credentialing (i.e. RepTrax) if needed geographically

Patient Service Representative serves as the first point of contact for patients within the Valley Health physicians' network. This is a key role in the patient experience and must demonstrate excellence in all patient and customer encounters including face-to-face and telephone interactions. This position assures that a high-quality patient experience takes place by providing administrative support to the ambulatory care team through excellent customer service, attention to detail and interpersonal skills. This position is responsible for the accurate and appropriate scheduling of patients for optimum care and provider efficiency. This position is responsible for collecting accurate demographic and financial information during the scheduling and/or registration processes to ensure full and timely revenue capture. Appointment Scheduling and Referral Functions Listens to patients requests for an appointment and then schedules an outpatient appointment while following clinic scheduling guidelines. Offers alternate providers or locations when appropriate to meet the patients' needs. Raises up patients' needs that they cannot meet to Office Coordinator or Practice Manager. Electronically selects and sends appropriate appointment reminder letter to the patient in accordance with clinic scheduling guidelines. Utilizes all available scheduling functions, such as Wait Lists, to aid service to patients as appropriate. Follow established clinic scheduling guidelines when cancelling and rescheduling appointments. Directs any requests from providers or other staff to adjust appointment schedules to Office Coordinator or Practice Manager for review and approval before acting. Process urgent requests for referrals same day. Process routine referral requests within 72 hours. Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment instructions to patient. Performs Reception Functions Receives and greets every patient in a courteous and friendly manner using a welcoming and positive tone, words and actions. Patients are serviced with the objective of meeting patient needs. Ensures new patients are provided appropriate documents as determined by the practice. Raises up emergent situations or expressed patient problems or concerns directly to Office Coordinator or Practice Manager for assistance. Supports the care team with keeping patients informed about any delays in the delivery of care the patient might experience in the waiting room and exam room. Performs Registration Functions Obtains all information necessary to complete the outpatient registration process assuring demographic and financial/insurance information is correct and entered accurately into the Epic system. Assures correct data capture and data entry necessary for regulatory agencies and compliance requirements. Maintains required level of knowledge and proficiency in all core functions (demographic and financial information capture, insurance eligibility and verification, regulatory and compliance monitoring) of front desk operations. Collection of Payments/Cash Handling Conveys to patient what payment is due based upon Insurance card or insurance verification and requests of patient how they will be paying today (cash, check, credit card). Receive and receipt all payments accurately as determined by daily cash verification process. Maintain and balance cash drawer accurately as determined by daily cash up process. Telephone Functions Answers phones within 3 rings using a 3-part greeting (Name of clinic, your name, "How may I help you?"). Ends calls courteously by asking patient if there is anything else we can for them today. Takes clear, complete and accurate phone messages or prescription requests using the Epic messaging system. Health Information Management Functions Date stamps all incoming patient related information and delivers to appropriate provider or staff person for action on a daily basis. Prepares accurately all correspondence to patients and/or other entities as directed by providers or other staff person. Sends requests for routine or subpoenaed medical record releases to assigned HIM location for processing. Handles same day requests for medical records for patient care continuity as needed. Seeks assistance from HIM resources with any questions related to medical records release process. Receives, process and distributes incoming mail in a timely manner and in accordance with established clinic processes. Patient Health Information is accessed to perform job responsibilities and for no other reason. Patient information is kept confidential and discussed on a need-to-know basis only. Cross Coverage/Office Support Functions Covers at other locations performing like office functions as requested in times of staffing shortages or during workload efficiency adjustments. Maintains sufficient office supplies and required forms for daily front desk operations. Maintains departmental filing system accurately. Classifies, sorts, distributes and/or files correspondence, articles, mail, records and other documents. Opens and/or closes clinic according to practice guidelines Performs Similar or Related Duties as Requested or Directed Performs other duties as requested and observed. Education High School Diploma or equivalent is required. Associates degree is preferred. Experience (1) year of relevant work experience is required. Associate's degree may substitute for one year of relevant work experience. Qualifications Customer service experience preferred. Strong computer, customer service and communication skills required. Ability to prioritize work. Ability to handle confidential information and sensitive situations required. Interpersonal skills to work with diverse people within and outside organization required. Benefits At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include: * A Zero-Deductible Health Plan * Dental and vision insurance * Generous Paid Time Off * Tuition Assistance * Retirement Savings Match * A Robust Employee Assistance Program to help with many aspects of emotional wellbeing * Membership to Healthy U: An Incentive-Based Wellness Program Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more. To see the full scale of what we offer, visit valleyhealthbenefits.com.

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled 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, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses 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. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **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. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + 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.

The Coder II must accurately code and abstract diagnoses and procedures occurring during the patient's episode of care, in a timely manner, in order for the facility to receive proper reimbursement.

**Become a part of our caring community and help us put health first** The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management. + Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console. + Initiates infection control forms as needed, sends the HRD the completed "Employee Infection Report" to upload in the worker console. + Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff. + Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit. + Completes requested schedules for all add-ons and applicable orders: + Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen. + Schedules TIF OASIS collection visits and deletes remaining schedule. + Reschedules declined or missed (if appropriate) visits. + Processes reassigned and rescheduled visits. + Ensures supervisory visits are scheduled. + Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report. + Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. + Verifies visit paper notes in scheduling console as needed. + Assists with internal transfer of patients between branch offices. + If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary. + If clinical, may be required to perform patient visits and / or participate in on-call rotation. **Use your skills to make an impact** **Required Experience/Skills:** + Be a Licensed Professional Nurse or a Licensed Vocational Nurse licensed in the state in which he / she practices + Have at least 1 year of home health experience. + Prior packet review / QI experience preferred. + Coding certification is preferred. + Must possess a valid state driver's license and automobile liability insurance. + Must be currently licensed in the State of employment if applicable. + Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $48,900 - $66,200 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Job Objective: Provides general office support with a variety of clerical activities and related tasks. The receptionist will be responsible for answering incoming calls, scheduling appointments, directing calls to appropriate associates, flow of correspondence, flow of patients, perform check-in and check-out responsibilities as well as additional clerical duties Responsibilities and Essential Duties: Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals. Provides callers with information such as company address, directions to company location, company fax numbers, company website, and other related information. Prior to new patient arrival, will mail New Patient Packet to the address on file. Upon patient arrival, performs a complete and accurate registration in Athena using the information from the New Patient Packet. Completes full patient check-in and check-out processes based on established Athena procedures. At each patient check-in, verifies insurance and selects the correct insurance from Athena's pre-populated system. Generates appropriate workers' compensation paperwork and patient document requests based on patient need. Operate office equipment such as fax machines, copiers, credit card and check machines, phone systems and other software applications. Greets patients in a professional, friendly, hospitable manner. Handle patient/visitor inquiries and directs them to the appropriate persons according to their needs. Enter/update patient demographic/insurance information into electronic health record. Collects insurance co-payments, as appropriate. Other duties may be assigned to meet clinic needs. Patient Satisfaction: Assist patients, family members or other clients with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner. Answer and refer telephone calls or other inquires to ensure accurate and timely communications are facilitated. Identify yourself in a pleasant and positive manner. Take responsibility for helping the caller. Teamwork: Assist in the orientation/training of new Team Members. Consistently work in a positive and cooperative manner with fellow Team Members. Assist other Team Members in the performance of their assignments. Seek out opportunities to help rather than waiting to be asked. Consider the impact of your actions on Team Members throughout the Organization. Recognize the need for variations in staffing and volunteer to fill open shifts when possible. Take direction and initiate actions (cross/additional training) that will allow the assumption of cross-functional duties to ensure seamless patient care. Demonstrate flexibility to perform duties wherever volume deems it necessary within the organization. Problem Solving: Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns. Investigate and follow through on unusual orders or requests for service or information. Follow proper reporting procedures for actual or potential accidents and/or incidents so follow-up and/or prevention can occur. Record/report the need for service maintenance or repair of equipment and remove any faulty equipment from service. Consistently evaluate work and determine if further steps are needed to meet patient expectations. Take initiative to do or redo inadequate or incomplete work, even if it is not yours. Ensure compliance with regulatory standards. Productivity/ Efficiency: Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary. Minimize non-productive time and fill slow periods with activities that will enable you to prepare to meet the future needs of CCWV (education, organizing, housekeeping, assisting others). Organize job functions and work area to be able to effectively complete varied assignments within established time frames. Consistently demonstrate ability to take the initiative to make decisions/choices without direct supervision. Adherence to Departmental Policies: Demonstrate knowledge and understanding of all policies and procedures and ability to reference them from appropriate books and manuals. Comply with CCWV's infection control policies and procedures including Bloodborne Pathogens Standard to ensure a safe working environment for self and others. Great Benefits Paid Time Off (PTO) Paid Holidays Extended Sick Pay (ESP) Medical Health Insurance and Prescription Coverage Basic Life Insurance for Employee and Family Short-Term Disability Long-Term Disability 401(k) Voluntary Contribution Plan Health Reimbursement Account Employee Elected Voluntary Coverage for Employee and Family Life Insurance, Dental, Vision, Flexible Spending Account, Dependent Spending Account Discounted undergraduate & graduate rates at West Virginia Wesleyan College for employee and family Qualifications Physical Demands/Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in a professional office setting, business casual dress environment. Working extended hours may be required as needed. Schedule will be based upon operational need and may include providing coverage at various locations. Extended periods of sitting, telephone work and/or computer work, as well as interactions with other staff members. Intermittent physical activity including walking, standing, lifting and supporting patients. The noise level in the work environment is usually moderate. May be exposed to virus, disease and infection from patients and specimens in working environment. Qualifications/Requirements: Possess strong organizational skills Excellent verbal and written communications skills. Possess exceptional interpersonal communication skills. Able to work collectively with the administrative team associates. Excellent phone etiquette Able to work with minimum supervision May be required to travel to other CCWV work locations to provide coverage. Work schedule may change based on patient demand. Education/Training/Experience: High School Diploma or GED preferred. Previous experience as a receptionist in medical practice and/or hospital reception preferred.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. **Position Highlights** : + Full-Time: Monday-Friday 8:00AM-4:30 PM EST + Location: This role will be performed at one location (Farmington, CT 06030) + Comfortable working in a high-volume production environment. + Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status. + Documenting information in multiple platforms using two computer monitors. + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is: $15-$18.39 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

Job Description Join a well-established practice with a wide variety of general surgical pathology & multiple subspecialties. Additional training and fellowship training are a plus, but not required. Must have excellent clinical/communication skills & demonstrate commitment to serving a socioeconomically and culturally diverse patient population. Compensation includes a generous salary, incentives, retirement, relo/vaca/CME, benefits, malpractice & much more. Servicing over 100K residents, hospital offers 24-hour ER services, ICU, cardiac care, surgery, cancer care & a behavioral health center. Enjoy a supportive administrative team & easy access to Charleston & surrounding communities. For more details on this position & others we have, email us at ************************** or call ************.

Job Description This is a full time position located at the 3 Mile office of MLIH in Logan, WV. This position requires thorough knowledge of modern office practices and procedures. This employee should possess the ability to deal tactfully and courteously with the public; ability to accept supervision and follow instructions; ability to perform duties with a minimum of supervision, and ability to handle manners of a confidential nature, and provide support to the clinical and administrative staff of the agency. ESSENTIAL JOB FUNCTIONS: Register patients for appointments using agency systems to obtain required information. Request copy of insurance card, photo identification, and other necessary documentation. Enter insurance information into the system, make sure the address, phone number, insurance information is correct and verify eligibility/insurance coverage. Schedule and monitor appointments for clinical staff and providers as needed. Set up new case records for new admissions and readmissions for treatment as needed. Pull case records for next day clinic as needed. Collect payments, write receipts, and give to appropriate person as needed. Update out-of-date documentation in chart as necessary. Answer incoming calls and direct them to the appropriate department. Print schedules daily as well as superbills and enter superbills in a timely manner. Perform other duties as may be assigned by immediate supervisor. Limit cell phone use to agency-related business during work hours. Enter data electronically into clinical recordkeeping and billing systems, and record all events involving MLIH patients on a daily basis. Registration Clerk plays a key role in Patient Centered Medical Home (PCMH) by performing the following job duties (including, but not limited to): Schedule patient appointments. Notify Care Manager of missed appointments for follow up calls. Reschedule patient appointments for times that work for the patient and for the provider. Take messages and create patient cases. MINIMUM QUALIFICATIONS: High school diploma or equivalent. Must submit to standardized office competency assessments developed by MLIH.

**Now Hiring: Patient Services Representative** ** Schedule: Monday-Friday, 8:00 AM-5:00 PM** **About the Role** Join a dynamic healthcare team where you'll play a key role in delivering exceptional patient experiences! As a **Patient Services Representative** , you'll handle patient registration, charge entry, discharge, point-of-service (POS) collections, and other administrative tasks that keep the office running smoothly. **What You'll Do** + **Welcome & Register Patients:** Greet patients, explain payment policies and insurance coverage, and collect demographic and insurance details. + **Discharge & Documentation:** Process discharges, enter charges and payments, maintain accurate medical records, and ensure compliance with POS collection policies. + **Scheduling & Communication:** Make and verify appointments, send new patient packets, manage cancellations/no-shows, and handle incoming calls professionally. + **Financial & Clerical Support:** Process daily summaries of payments and charges, make deposits, and assist clinical staff with clerical tasks. + **Records & Inventory:** Maintain medical records, process requests, and keep office supplies stocked for smooth operations. + **Cross-Training:** Learn across departments to support flexibility and growth. **What We're Looking For** + **Education:** High School Diploma or GED (Required) + **Experience:** 6 months of related experience preferred + **Skills:** Strong communication, attention to detail, and ability to multitask in a fast-paced environment + **Credentials:** No certification required **Why Choose Manpower?** We're more than a staffing agency-we're your **Career Partner** ! + **Local roots, national reach** - Access to jobs across the U.S. + **Premium pay rates** for your skills and dedication + **Flexible schedules** - Full-time, part-time, contract, and travel opportunities + **Full benefits eligibility** to support your health and future + **Award-winning reputation** - Forbes Best Professional Recruiting Firms & Ethisphere's World's Most Ethical Companies **What's in It for You?** + Free resume help & career coaching + Training & development for career growth + Try different industries to find your best fit + Supportive, inclusive recruiting team + Work-life balance built in **About Manpower** Locally owned, globally connected. For over 50 years, Manpower has been connecting qualified candidates with top employers throughout West Virginia, Ohio, Kentucky, and beyond. **Text/Call:** ************ **Apply Online:** ************************ **Visit Us:** 503 Pennsylvania Avenue, Charleston, WV 25302 (Mon-Fri, 8am-5pm) **Manpower is an EOE/AA/Vets/Disabled Employer** ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.

St. Mary's Medical Center is seeking a Patient Service Representative for our Hurricane office. The Patient Service Representative performs duties of registering patients into the department as new or established patients. Duties include registration, scheduling, charge entry, answering phone, filing, medical records, and pre-certifications and performing other duties as required or assigned.

DepartmentVH PRIMARY CARE | INWOOD - 107166Worker Sub TypeRegularWork ShiftFirst Shift (United States of America) Pay Grade 106Job Description Patient Service Representative serves as the first point of contact for patients within the Valley Health physicians' network. This is a key role in the patient experience and must demonstrate excellence in all patient and customer encounters including face-to-face and telephone interactions. This position assures that a high-quality patient experience takes place by providing administrative support to the ambulatory care team through excellent customer service, attention to detail and interpersonal skills. This position is responsible for the accurate and appropriate scheduling of patients for optimum care and provider efficiency. This position is responsible for collecting accurate demographic and financial information during the scheduling and/or registration processes to ensure full and timely revenue capture. Appointment Scheduling and Referral Functions Listens to patients requests for an appointment and then schedules an outpatient appointment while following clinic scheduling guidelines. Offers alternate providers or locations when appropriate to meet the patients' needs. Raises up patients' needs that they cannot meet to Office Coordinator or Practice Manager. Electronically selects and sends appropriate appointment reminder letter to the patient in accordance with clinic scheduling guidelines. Utilizes all available scheduling functions, such as Wait Lists, to aid service to patients as appropriate. Follow established clinic scheduling guidelines when cancelling and rescheduling appointments. Directs any requests from providers or other staff to adjust appointment schedules to Office Coordinator or Practice Manager for review and approval before acting. Process urgent requests for referrals same day. Process routine referral requests within 72 hours. Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment instructions to patient. Performs Reception Functions Receives and greets every patient in a courteous and friendly manner using a welcoming and positive tone, words and actions. Patients are serviced with the objective of meeting patient needs. Ensures new patients are provided appropriate documents as determined by the practice. Raises up emergent situations or expressed patient problems or concerns directly to Office Coordinator or Practice Manager for assistance. Supports the care team with keeping patients informed about any delays in the delivery of care the patient might experience in the waiting room and exam room. Performs Registration Functions Obtains all information necessary to complete the outpatient registration process assuring demographic and financial/insurance information is correct and entered accurately into the Epic system. Assures correct data capture and data entry necessary for regulatory agencies and compliance requirements. Maintains required level of knowledge and proficiency in all core functions (demographic and financial information capture, insurance eligibility and verification, regulatory and compliance monitoring) of front desk operations. Collection of Payments/Cash Handling Conveys to patient what payment is due based upon Insurance card or insurance verification and requests of patient how they will be paying today (cash, check, credit card). Receive and receipt all payments accurately as determined by daily cash verification process. Maintain and balance cash drawer accurately as determined by daily cash up process. Telephone Functions Answers phones within 3 rings using a 3-part greeting (Name of clinic, your name, “How may I help you?”). Ends calls courteously by asking patient if there is anything else we can for them today. Takes clear, complete and accurate phone messages or prescription requests using the Epic messaging system. Health Information Management Functions Date stamps all incoming patient related information and delivers to appropriate provider or staff person for action on a daily basis. Prepares accurately all correspondence to patients and/or other entities as directed by providers or other staff person. Sends requests for routine or subpoenaed medical record releases to assigned HIM location for processing. Handles same day requests for medical records for patient care continuity as needed. Seeks assistance from HIM resources with any questions related to medical records release process. Receives, process and distributes incoming mail in a timely manner and in accordance with established clinic processes. Patient Health Information is accessed to perform job responsibilities and for no other reason. Patient information is kept confidential and discussed on a need-to-know basis only. Cross Coverage/Office Support Functions Covers at other locations performing like office functions as requested in times of staffing shortages or during workload efficiency adjustments. Maintains sufficient office supplies and required forms for daily front desk operations. Maintains departmental filing system accurately. Classifies, sorts, distributes and/or files correspondence, articles, mail, records and other documents. Opens and/or closes clinic according to practice guidelines Performs Similar or Related Duties as Requested or Directed Performs other duties as requested and observed. Education High School Diploma or equivalent is required. Associates degree is preferred. Experience (1) year of relevant work experience is required. Associate's degree may substitute for one year of relevant work experience. Qualifications Customer service experience preferred. Strong computer, customer service and communication skills required. Ability to prioritize work. Ability to handle confidential information and sensitive situations required. Interpersonal skills to work with diverse people within and outside organization required. Benefits At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include: A Zero-Deductible Health Plan Dental and vision insurance Generous Paid Time Off Tuition Assistance Retirement Savings Match A Robust Employee Assistance Program to help with many aspects of emotional wellbeing Membership to Healthy U: An Incentive-Based Wellness Program Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more. To see the full scale of what we offer, visit valleyhealthbenefits.com.

Job Description Welcome to Journey, where the community is at the heart of everything we do. We believe that true success starts with strong local leadership, supported by a dedicated home office team. Our journey began with a vision to create opportunities that empower individuals to make a positive impact right in their own backyard. Our Vision Change the world, one heart at a time. Our Mission Our Mission is to consistently achieve exceptional quality outcomes by leading a world-class Care Team. Our empowered and dedicated Care Team strives to exceed the expectations of our residents in every interaction. Being a part of your journey is our privilege. Our Leaders: The Heartbeat of Journey Our local leaders are the driving force behind our success. They're not just managers; they're passionate advocates for their communities. They understand the needs and goals of the residents and families they serve. They're your neighbors, your friends, and your partners in progress. Together, we work tirelessly to create meaningful change and lasting legacies. About the Role: Journey is seeking a Regional Therapy and Reimbursement Specialist to provide leadership and support to therapy departments across our long-term care facilities. This role ensures compliance, optimizes therapy services, and drives reimbursement accuracy and efficiency. Key Responsibilities: Support therapy teams across multiple facilities to maintain high-quality clinical care and compliance with regulatory standards. Monitor and guide therapy documentation to ensure accurate billing and reimbursement practices. Collaborate with facility leadership to implement best practices for therapy service delivery. Provide education and training to therapy staff on compliance, documentation, and reimbursement processes. Qualifications: Active Therapist License required: OT, PT, or SLP. Strong knowledge of therapy regulations, reimbursement systems, and documentation standards. Multi-site experience preferred. Excellent communication, organizational, and leadership skills. What We Offer Competitive pay Quarterly raises 401(k) with Voya Financial United Healthcare Insurance Free Life Insurance Company-provided smartphones for full-time care team members Opportunities for professional development and continuing education If you're ready to make a difference in the lives of others and join a team that truly cares, we'd love to have you apply. Together, let's change lives one heart at a time. #JointheJourney We are committed to equal opportunity. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, please contact HR.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Medical Office Admin looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career as Medical Office Admin by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Daily Responsibilities of a Medical Office Admin: • Answering phones • Greeting patients • Check-in/out patients • Scheduling appointments • Insurance verification/authorization • Prepping charts Hours for this Position: As a medical office admin you will be working Monday through Friday 8 am to 5 pm Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience • Benefits offered, Medical, Dental, and Vision • Fun and positive work environment Qualifications • At least a year front end medical office admin experience including phones, scheduling, check in/out, insurance verification/authorization and prepping charts • Excellent keyboarding and multi - tasking skills • Bubbly personality and great patient-focused customer service skills • Strong organizational skills and easily adaptable • Preferred but not a MUST: EMR/EHR(Especially NextGen or Epic), Orthotic & Prosthetics experience, Orthopedic experience, DME or workers comp experience

Job Responsibilities: Acts as a liaison between Marshall Health and referring provider offices and/or their staff regarding referrals and new patient appointments. Completes patient entry process to include registering and verifying insurances, as well as, obtaining records for all new patients. Notifies patients of scheduled appointments via mail or phone. Answers telephone promptly, courteously using good telephone etiquette, providing adequate information and routing callers properly. Performs other duties as assigned or requested

The Reimbursement Specialist is responsible for performing a variety of complex duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains inventory (work queue lists) at acceptable aging levels by prompt review and follow up of claims. Performs all duties in a manner which promotes teamwork and reflects Intermountain mission, vision and values. Looking for candidates with: + **Knowledge in reading explanation of benefits, understanding ANSI codes/denial codes** + **Ability to identify trends in underpayments/overpayments** + **Ability to interpret payer contracts for validation of correct reimbursement on Hospital inpatient/outpatient claims** + **Knowledge of all Commercial and Government payers** + **Experience in using Excel, creating pivot tables** + **Epic training is a plus!** **Essential Functions** + Responsible for the accurate and timely submission of reconsiderations and disputes. + Responsible for maintaining work queues at acceptable ageing, by updating accounts and tracking trends. + Research and resolve a variety of issues relating to payment discrepancies. + Identify issues and/or trends and communicate findings to management, including payer, system or registration issues. + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Accurately and thoroughly document findings and actions taken while meeting/exceeding productivity and quality standards + Participate and attend meetings and training to develop job knowledge and communicate with other caregivers. **Skills** + Microsoft Office + Computer literacy + HIPAA regulations + Communication (oral and written) + Accountability/ability to work independently + Contract Interpretation + Customer Service + Read and interpret EOB's (Explanation of Benefits). + Knowledge of medical billing and collections + Medical terminology - Participate and lead special projects, as assigned. Oversee work flow implementation with internal and external partners. Compile and coordinate materials and feedback on special projects. Trains and mentors new associates to the department. Serves as a subject matter expert and resource to answer questions within the department. **Minimum Qualifications** - High School Diploma or equivalent, required -Must obtain CSPR or CRCR credentials with 1 yrs of hire date ( provided through employer) Minimum of three (3) years of experience in revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, preferred - At least three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred Knowledge of revenue and ICD 10 coding practices **"Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings."** **We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.** **Physical Requirements** + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles. **Location:** Peaks Regional Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $24.00 - $36.54 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.