Account Representative jobs at Mission Regional Medical Center - 4118 jobs
Supervisor Patient Care
Akron Children's Hospital 4.8
Akron, OH jobs
Full Time 36 hours/week 7pm-7am
onsite
The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander
Responsibilities:
1.Understands the business, financials industry trends, patient needs, and organizational strategy.
2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards.
3. Assist in monitoring the department budget and helps maintain expenditure controls.
4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts.
5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers.
6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital.
7. Assist in decision-making processes and notifies the Administrator on call when necessary.
8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively.
9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures.
10. Other duties as assigned.
Other information:
Technical Expertise
1. Experience in clinical pediatrics is required.
2. Experience working with all levels within an organization is required.
3. Experience in healthcare is preferred.
4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required.
2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required.
3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred.
4. Years of relevant experience: Minimum 3 years of nursing experience required.
5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred.
Full Time
FTE: 0.900000
Status: Onsite
$52k-69k yearly est. 3d ago
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Member Support Representative
Christian Healthcare Ministries 4.1
Barberton, OH jobs
The Member Support Representative is considered the “front line” of the ministry in assisting members with general inquiries by phone and email. This entry-level role is ideal for candidates who enjoy engaging with people, are servant-minded, and can provide compassionate and professional support. In addition to answering questions and resolving issues, the position also provides opportunities to minister to members through prayer and spiritual encouragement.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Respond to member inquiries via phone and email promptly, with time sensitivity and professionalism.
Verify and update member information accurately in CHM's systems.
Log and track all interactions in the member management system (Gift Manager or CRM).
Follow standard operating procedures (SOPs) when handling common inquiries.
Provide accurate information about CHM guidelines, membership, billing, and processes.
Attract prospects by answering questions, giving suggestions, and making recommendations to obtain membership when appropriate.
Review and assess member concerns, escalating to management when necessary.
Handle escalated or emotional calls with empathy, offering prayer or spiritual encouragement when appropriate.
Meet established performance standards (e.g., call volume, response time, member satisfaction).
Participate in team meetings, training sessions, and development opportunities to stay current with CHM policies and systems.
Protect member confidentiality and comply with HIPAA and organizational privacy standards.
Thrive in a collaborative team environment and contribute positively to overall team goals.
Uphold the mission, vision, values, and service standards of CHM in every interaction.
Maintain a professional demeanor at all times.
Perform other job duties as assigned by management.
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
Required: High School Diploma or equivalent.
Preferred: Some college coursework in business, communications, or related field; or 1-2 years of customer service experience.
Proficiency in Microsoft Office programs (Word, Excel, Outlook).
Ability to operate a PC and navigate information systems/applications (Gift Manager or similar CRM software).
Experience using routine office equipment (fax, copier, printers, multi-line telephones, etc.).
Strong verbal and written communication skills, with active listening ability.
Strong organizational, analytical, and problem-solving skills.
Ability to manage workload, multi-task, and adapt to changing priorities.
Patience, empathy, and conflict-resolution skills for handling sensitive or difficult calls.
CORE COMPETENCIES
Interpersonal Communication
Servant Leadership Mindset
Teamwork & Collaboration
Conflict Resolution
Detail Orientation & Accuracy
Adaptability & Flexibility
PERFORMANCE EXPECTATIONS
Maintain accuracy and efficiency in all member records updates.
Meet or exceed department standards for call and email response times.
Consistently achieve high member satisfaction scores.
Demonstrate reliability, accountability, and professionalism in all duties.
WORK ENVIRONMENT & PHYSICAL REQUIREMENTS
Standard schedule: Monday-Friday, 9:00 AM-5:00 PM (with flexibility for ministry needs).
Office-based environment with regular phone and computer use.
Ability to sit at a desk and use a computer/phone for extended periods.
Manual dexterity for typing and handling office equipment.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
$27k-31k yearly est. 5d ago
Veterinary Sales Representative -Flex Time (12 days/mo)
Promoveo Health 3.0
Riverside, CA jobs
Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo)
Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field.
This is a position where you will be a W2 employee of Promoveo Health.
The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company.
The ideal candidate will have:
· 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side
· Clinical experience calling on Veterinary Practices in this market
· Experience calling on and existing relationships with Vets in the area
· Excellent interpersonal, communication, teaching and negotiation skills
· BS Degree in related discipline
Job Expectations:
·Part time position with high management visibility and performance expectations.
· Travel - You will be home every night- no overnight travel is required!
EOE STATEMENT
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
$54k-100k yearly est. 1d ago
Veterinary Sales Representative -Flex Time (12 days/mo)
Promoveo Health 3.0
Long Beach, CA jobs
Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo)
Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field.
This is a position where you will be a W2 employee of Promoveo Health.
The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company.
The ideal candidate will have:
· 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side
· Clinical experience calling on Veterinary Practices in this market
· Experience calling on and existing relationships with Vets in the area
· Excellent interpersonal, communication, teaching and negotiation skills
· BS Degree in related discipline
Job Expectations:
·Part time position with high management visibility and performance expectations.
· Travel - You will be home every night- no overnight travel is required!
EOE STATEMENT
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
$55k-100k yearly est. 5d ago
Veterinary Sales Representative -Flex Time (12 days/mo)
Promoveo Health 3.0
San Marcos, TX jobs
Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo)
Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field.
This is a position where you will be a W2 employee of Promoveo Health.
The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company.
The ideal candidate will have:
· 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side
· Clinical experience calling on Veterinary Practices in this market
· Experience calling on and existing relationships with Vets in the area
· Excellent interpersonal, communication, teaching and negotiation skills
· BS Degree in related discipline
Job Expectations:
·Part time position with high management visibility and performance expectations.
· Travel - You will be home every night- no overnight travel is required!
EOE STATEMENT
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
$47k-87k yearly est. 3d ago
Veterinary Sales Representative -Flex Time (12 days/mo)
Promoveo Health 3.0
Ann Arbor, MI jobs
Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo)
Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field.
This is a position where you will be a W2 employee of Promoveo Health.
The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company.
The ideal candidate will have:
· 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side
· Clinical experience calling on Veterinary Practices in this market
· Experience calling on and existing relationships with Vets in the area
· Excellent interpersonal, communication, teaching and negotiation skills
· BS Degree in related discipline
Job Expectations:
·Part time position with high management visibility and performance expectations.
· Travel - You will be home every night- no overnight travel is required!
EOE STATEMENT
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
$51k-90k yearly est. 4d ago
Veterinary Sales Representative -Flex Time (12 days/mo)
Promoveo Health 3.0
Birmingham, MI jobs
Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo)
Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field.
This is a position where you will be a W2 employee of Promoveo Health.
The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company.
The ideal candidate will have:
· 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side
· Clinical experience calling on Veterinary Practices in this market
· Experience calling on and existing relationships with Vets in the area
· Excellent interpersonal, communication, teaching and negotiation skills
· BS Degree in related discipline
Job Expectations:
·Part time position with high management visibility and performance expectations.
· Travel - You will be home every night- no overnight travel is required!
EOE STATEMENT
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
$51k-90k yearly est. 3d ago
Sales Representative for Home Care
Brightstar Care 4.1
Columbus, OH jobs
Sales Representative - Private Pay Skilled and Non-Skilled Home Care Services
BrightStar Care of Central Ohio is seeking a driven, relationship-focused sales professional to expand our private pay home care services throughout the Central Ohio market. You will be the face of our agency, connecting families with compassionate private pay nursing and home health aide services when they need them most.
What You'll Do:
Proactively identify and pursue new business opportunities through strategic cold calling and prospecting.
Leverage your existing healthcare industry relationships to build a robust referral network.
Present our comprehensive home care solutions to families, senior living communities, hospitals, and discharge planners.
Develop and maintain relationships with key referral sources including physicians, case managers, and community organizations.
Meet and exceed monthly sales targets while maintaining excellent service standards.
Spend considerable time in the field visiting potential clients and referral partners throughout the Columbus metro area.
What We're Looking For:
Proven sales experience, preferably in healthcare, home care, senior services, or related industries.
Someone who has possibly been in the position of having to find care for their own loved one.
Existing relationships within the Central Ohio healthcare community strongly preferred.
Confident cold caller who thrives on building new connections
Initiative-taking "road warrior" mentality with excellent time management
Effective communication and presentation skills
Valid driver's license and reliable transportation
Passion for improving the lives of those who need care wherever they may reside.
What We Offer:
Competitive base salary
Performance-based bonus plan with uncapped earning potential
Comprehensive health insurance
401(k) retirement plan
PTO
Full-time, Monday-Friday schedule
Opportunity to make a meaningful impact in your community.
$48k-82k yearly est. 2d ago
Medical Biller
St. Mary's General Hospital 3.6
Passaic, NJ jobs
The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies.
Education and Work Experience
1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience
2. Knowledge of CPT, HCPCS, and Revenue Code structures
3. Effective written and verbal communication skills
4. Ability to multi-task, prioritize needs to meet required timelines
5. Analytical and problem-solving skills
6. High School Graduate or GED Equivalent Required
$31k-36k yearly est. 2d ago
Billing Specialist
Spooner Medical Administrators, Inc. 2.7
Westlake, OH jobs
Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker.
The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices.
Essential Functions
Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information.
Perform fee bill audits according to established procedures and guidelines.
Data enter fee fills accurately for electronic transmission.
Adhere to established billing performance requirements.
Review electronic response to transmitted bills and make modifications accordingly.
Respond to telephone inquiries from customers regarding bill payment status.
Participate in continuous improvement activities and other duties as assigned.
Supervision Received
Reports to the Billing Supervisor
Experience and Education Required
Medical billing certification or at least 2 years of experience working in the medical billing field
Data entry experience
Additional Skills Needed
Effective written and verbal communication
Detail oriented
Strong organizational ability
Basic computer literacy skills
Working Environment
The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment.
Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists.
$59k-70k yearly est. 6d ago
Dental Sales Representative -Flex Time
Promoveo Health 3.0
Allentown, PA jobs
Flex Time Dental Sales - Pharmaceutical Sales
We are currently recruiting an experienced Dental or Pharmaceutical Sales person to fill a flex time (13 days/month) position. The ideal candidate will hold a Bachelor's degree from an accredited college or university in a Sales related field or be a licensed Dental Hygienist and have 2+ years of sales success in Dental or Pharmaceutical Sales.
Our client has the #1 products in the dental market. They are a fortune 500 company that has great product for you to sample/sell and have wonderful
marketing materials that we deploy via the iPad.
Responsibilities of the Flex Time Dental Sales - Pharmaceutical Sales position
Sell and detail products directly to dental professionals Dentists and Hygienists).
Call on at least 8 dental offices each day and see the entire office.
Deliver 12 or more face to face presentations/day to targeted dentists and hygienists.
Conduct lunch and learn sessions with at least one office per day
Conduct dental products presentations with a company iPad.
Requirements of the Dental Sales - Pharmaceutical Sales position
Job Requirements
Bachelor's degree from an accredited college or university in Sales related field or Dental Hygiene
2+ years of sales success in Dental or Pharmaceutical Sales
Ability to work on a flex time (13 days/month) basis
Documented sales success
Relationships with dentists in the local market.
Compensation
The starting annual salary for this position is $30,000.00
Annual performance bonus of $5000.
Auto Allowance
Company Paid Storage Area
Company Paid Iphone and iPad
Job Type: Part-time
Seniority Level
Entry level
Industry
Pharmaceuticals
Employment Type
Part-time
Job Functions
Business DevelopmentSales
$30k yearly 4d ago
Insurance Coordinator
Premier Infusion and Healthcare Services, Inc. 4.0
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
JOB DESCRIPTION:
Description of Responsibilities
The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.
Reporting Relationship
Insurance Manager
Responsibilities include the following:
Responsible for insurance verification and/or authorization on patients.
Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable).
Re-verification of verification and/or authorization and demographics on all patients.
Participate in surveys conducted by authorized inspection agencies.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Perform other duties as assigned by supervisor.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
Prior experience in a pharmacy or home health company is preferred.
Prior dental or home infusion experience a plus
Prior experience in a consumer related business is preferred
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.
$31k-38k yearly est. 1d ago
Insurance Coordinator (Specialty)
Premier Infusion and Healthcare Services, Inc. 4.0
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
Description of Responsibilities
The Specialty Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.
Reporting Relationship
Director of Operations
Scope of Supervision
None
Responsibilities include the following:
1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals.
2. Responsible for insurance re-verification for all specialty restart patients
3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year.
4. Responsible for advanced monitoring expiring authorizations for existing specialty patients
5. Responsible for securing advanced re-authorization for existing specialty patients.
Participate in surveys conducted by authorized inspection agencies.
Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
Participate in pharmacy committees when requested.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Perform other duties as assigned by supervisor.
Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
Prior experience in a pharmacy or home health company is preferred.
Prior experience in a consumer related business is preferred.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Paid time off
Vision insurance
Work Location: In person
$31k-38k yearly est. 1d ago
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Northwestern Memorial Healthcare 4.3
Chicago, IL jobs
Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
Works with patients/clients to establish payment plans according to predetermined procedures.
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts.
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies.
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion.
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables.
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials.
Reviews, prepares and sends pre-collection letters as defined by department procedures.
Identifies and sends accounts to outside collection agency.
Prepares and distributes reports that are required by finance, accounting, and operations.
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for process improvement and submit to management.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Other duties as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
3 years of physician office/medical billing experience.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
$45k-58k yearly est. 18d ago
Spec, Patient Account
Hillrom 4.9
Houston, TX jobs
This is where your work makes a difference.
At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond.
Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results.
Here, you will find more than just a job-you will find purpose and pride.
Your role at Baxter
THIS IS WHERE you build trust to achieve results…
As the Patient Account Specialist for our Bardy Diagnostics division, you will be responsible for assisting with Inquiry Management through phone, email, and online interactions with patients, healthcare teams, sales, and several internal teams. You will be responsible for investigating inquiries to determine an appropriate course of action to solve, triage or escalate the inquiry in question. This includes research, utilizing publicly available and company provided resources and systems, conducting thorough patient account review(s), and performing the necessary tasks or actions ensuring a timely and effective first-time resolution.
Your team
Bardy Diagnostics, Inc. (“BardyDx”) is an innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry.
We're a friendly, collaborative group of people who push each other to do better every day. We find outstanding strategies to close deals and expand our skills by challenging ourselves and others. Whether out in the field with a partner or solving challenges with your territory team, you always have camaraderie and support to help accomplish your goals.
What you'll be doing
Quickly build rapport over the phone while exuding a positive upbeat demeanor.
Investigate and validate payer coverage policies and requirements as needed.
Responsible for Inquiry Management providing timely and accurate resolution of requests or complaints received. Utilization of multiple platforms and systems, in an efficient manner allowing prompt investigation and identification of the root cause of the issue, while providing accurate first-time resolution that is in alignment with our AR Days as denied by Departmental KPIs.
Review patient accounts quickly and accurately assessing and identifying customer needs to determine appropriate course of action as defined by Baxter policies and guidelines.
Ensure accuracy of patient information on file to establish timely and accurate claims processing, promptly identifying and solving all claim errors that result in delayed adjudication.
Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges.
Establish and maintain positive partnerships with sales, and other internal and external Cardiology Healthcare teams.
What you'll bring
High school diploma or equivalent required.
2+ years of healthcare related experience in revenue cycle, with focus around eligibility and benefit verification, authorizations, claims submission and denial management.
Cardiology related experience, a plus.
Knowledge of Federal, State, and Local regulations, guidelines, and standards, including knowledge of HIPAA rules and regulations.
CPT and ICD-10 coding experience.
Third-party payer experience.
Experience with medical record reviews to identify and ensure medical necessity.
Proficiency in Microsoft Office Software.
Strong critical thinking and effective problem-solving skills.
Exceptional written, verbal, and interpersonal communications.
The ability to handle time and prioritize critical priorities.
Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission.
We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $41,600 to $57,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
US Benefits at Baxter (except for Puerto Rico)
This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter
Equal Employment Opportunity
Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.
Know Your Rights: Workplace Discrimination is Illegal
Reasonable Accommodations
Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.
Recruitment Fraud Notice
Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.
$41.6k-57.2k yearly Auto-Apply 26d ago
Homecare Billing Coordinator
Your Home Assistant LLC 3.4
Elk Grove, CA jobs
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
JOB OVERVIEW:
We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue.
RESPONSIBILITIES:
Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues.
Accurately enter patient/customer billing data and charge accordingly
Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures.
Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing.
Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing.
Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements.
Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times.
Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes
Meet or exceed delivery of Company Service Standards in a consistent fashion.
Interact with all staff in a positive and motivational fashion supporting the Companys mission.
Conduct all business activities in a professional and ethical manner.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
Minimum age requirement of 18.
High School graduate or GED required.
Two years experience in healthcare data entry, preferably in homecare
Cal-Aim, Tri-west, Long Term Care Insurance experience preferred
Two-year degree in accounting or equivalent insurance/bookkeeping preferred
Strong computer skills, including Word, Excel, and PowerPoint.
Strong analytical skills, organized work habits and proven attention to detail.
Excellent communication skills, ability to work independently and in a team environment.
Good customer relation skills.
Ability, flexibility and willingness to learn and grow as the company expands and changes.
Demonstrated leadership ability to initiate duties as required.
Plan, organize, evaluate, and manage PC files and Microsoft Office.
Compliance with accepted professional standards and practices.
Ability to work within an interdisciplinary setting.
Satisfactory references from employers and/or professional peers.
Satisfactory criminal background check.
Self-directed with the ability to work with little supervision.
Flexible and cooperative in fulfilling all obligations.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Elk Grove, CA 95758: Relocate before starting work (Required)
Work Location: In person
$42k-61k yearly est. 9d ago
Billing Coordinator - Stop Area Six
Healthright 360 4.5
San Diego, CA jobs
.
The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
$45k-55k yearly est. Auto-Apply 60d+ ago
Billing Coordinator
Adelphoi Usa, Inc. 3.5
Latrobe, PA jobs
Billing
Coordinator:
Latrobe,
PA
$37k-47k yearly est. Auto-Apply 5d ago
Billing & Eligibility Coordinator
Haymarket Center 4.0
Chicago, IL jobs
Job DescriptionDescription:
The Billing and Eligibility Coordinator plays a key role in supporting the accuracy, timeliness, and efficiency of billing and authorization processes across all Haymarket Center service lines. This position bridges the work of the Client Benefits Navigators and the Revenue Cycle team to ensure client eligibility, authorizations, and billing data are complete and aligned prior to claim submission.
The Coordinator ensures billing operations run smoothly across behavioral health, residential, and FQHC programs, while maintaining compliance with payer and regulatory requirements. This position requires strong attention to detail, coordination across departments, and a proactive approach to identifying and resolving billing or eligibility issues.
Requirements:
Education, Work Experience and Skills Required;
· Associate's degree required, Bachelor's degree in Healthcare Administration, Accounting, or related field preferred.
· Minimum 2 years of experience in healthcare billing, revenue cycle, or insurance verification.
· Experience in behavioral health, FQHC, or Medicaid/MCO billing highly preferred.
· Working knowledge of healthcare billing, insurance verification, and revenue cycle operations (Medicaid and MCO experience preferred).
· Familiarity with electronic health record systems (NextGen preferred) and billing/clearinghouse platforms.
· Understanding of payer authorization and eligibility requirements for behavioral health and primary care services.
· Strong attention to detail, organizational skills, and ability to manage multiple tasks and deadlines.
· Effective communication and collaboration skills across departments.
· Ability to maintain confidentiality and exercise discretion with sensitive information.
· Proficiency in Microsoft Excel and basic data tracking or reporting.
$38k-45k yearly est. 30d ago
Learn more about Mission Regional Medical Center jobs