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Finance Specialist jobs at NHS Management, LLC

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  • Revenue Analyst III Finance

    Hoag Health System 4.8company rating

    Costa Mesa, CA jobs

    Revenue Analyst III : Finance Costa Mesa, CA, United States Primary Duties and Responsibilities The Revenue Analyst III is a technical expert with strong analytical experience in a healthcare environment with emphasis in managed care and government reimbursement. This role serves as a financial resource for both clinical and administrative areas and will act as a lead analyst on projects. As part of the Finance Revenue team, this position will support Managed Care Contracting for contract modeling and revenue impact analysis in support of negotiations, helping to identify underpayments, and tracking profitability within our managed care contracts. Will also prepare analyses related to the financial impact of Medicare and Medi-Cal changes in reimbursement to identify financial and or operational impacts to revenue. Will support the annual build of the Hoag operating budget, touching across multiple entities with regards to volume and revenue projection. Responsible for a designated Hoag entity to analyze and present monthly performance to executive leadership as it relates to volume, revenue, payor mix and case mix, as well as perform the month end contractual reserve calculation for Accounting. Additionally, the Revenue Analyst III will support Accounting's management team for cost report preparation, OSHPD reporting, Bond/Rating Agency reporting, as well as year-end and interim audit. Provides support for all levels of leadership with requested ad-hoc revenue impact analysis related to items such as payer mix, acuity, reimbursement, and volume. Own and maintain specific recurring reporting related to volume and revenue performance. Performs other duties as assigned. Qualifications Education and Experience Bachelor's degree in business administration, finance, accounting, or healthcare administration. 5+ years' experience as an analyst in a healthcare environment with emphasis on managed care reporting and reimbursement General understanding of DRG and CPT/HCPC Medical Coding and Medical Terminology. Strong understanding of Managed Care and Government reimbursement methodologies General knowledge of hospital operations (Revenue Cycle: Registration, Patient Accounting/Billing, data processing). Understanding of Accounting Principles and Hospital Financial Reporting. About Us Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag's awards and accreditations, visit: ******************************************************* Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives. Job Info Job Identification 126503 Job Category Finance, Accounting & Planning Posting Date 08/14/2025, 04:22 PM Job Shift Day Locations 2975 Red Hill Ave, Costa Mesa, CA, 92626, US Pay Range $40.41 - $62.36/hr Onsite Job Schedule Full Time
    $40.4-62.4 hourly 3d ago
  • Summer Intern, Finance Candidate Pool - San Diego

    Hologic 4.4company rating

    San Diego, CA jobs

    Launch Your Finance Career-Join Hologic's Summer Internship Program! Ready to kickstart your future in corporate finance, FP&A, internal audit or accounting? As a Hologic Intern, you're not just picking up a summer job-you're joining a global team of creative, driven people who genuinely care about making a difference. Our internship experience is designed to help you shine, learn from the best, and work on projects that matter. What you'll be up to during your 10-12 week adventure: Dive into real-world projects in one of our finance functional areas: Corporate Accounting, FP&A, Treasury, Divisional Finance, Finance Operations, or Internal Audit Analyze data, solve problems, and help drive smart business decisions Get hands-on with budgeting, forecasting, reporting, or auditing (depending on your placement) Collaborate with teammates and learn how finance powers innovation in healthcare Present your work, ideas, and recommendations to leadership (don't worry, we love questions!) Who we're hoping to meet: You can work full-time during the summer (May/June - August/September). You're currently working on your Bachelor's degree, with at least one semester left after the internship. Your major is in Accounting, Finance, or Economics. You're heading into your senior year. You know how to get your point across, whether you're writing or speaking. You have strong organizational, problem-solving, and analytical skills. You're a natural leader and make smart decisions independently. You're friendly, enjoy working with others, and can build relationships easily. Location, pay & other important details: You can work onsite at our San Diego, CA campus. Heads up: intern housing, relocation, and housing stipends aren't provided, so you'll need to have your living situation and transportation sorted out. Pay range: $23 - $25 per hour, based on your class standing and operational function. The chance to work with a team that's genuinely invested in your growth. Networking, mentorship, and skill-building opportunities-all designed to help you thrive. Take your internship to the next level at Hologic! On top of hands-on experience in your field, our College Relations team will hook you up with opportunities to learn about the company, meet leaders, and build the skills you'll need to launch your career. Consider this your backstage pass to the future of healthcare innovation. Hologic, Inc. is proud to be an Equal Opportunity Employer inclusive of disability and veterans. #LI-EK1
    $23-25 hourly Auto-Apply 5d ago
  • Summer Intern, Finance Candidate Pool - San Diego

    Hologic 4.4company rating

    San Diego, CA jobs

    San Diego, CA, United States **Launch Your Finance Career-Join Hologic's Summer Internship Program!** Ready to kickstart your future in corporate finance, FP&A, internal audit or accounting? As a Hologic Intern, you're not just picking up a summer job-you're joining a global team of creative, driven people who genuinely care about making a difference. Our internship experience is designed to help you shine, learn from the best, and work on projects that matter. **What you'll be up to during your 10-12 week adventure:** + Dive into real-world projects in one of our finance functional areas: Corporate Accounting, FP&A, Treasury, Divisional Finance, Finance Operations, or Internal Audit + Analyze data, solve problems, and help drive smart business decisions + Get hands-on with budgeting, forecasting, reporting, or auditing (depending on your placement) + Collaborate with teammates and learn how finance powers innovation in healthcare + Present your work, ideas, and recommendations to leadership (don't worry, we love questions!) **Who we're hoping to meet:** + You can work full-time during the summer (May/June - August/September). + You're currently working on your Bachelor's degree, with at least one semester left after the internship. + Your major is in Accounting, Finance, or Economics. + You're heading into your senior year. + You know how to get your point across, whether you're writing or speaking. + You have strong organizational, problem-solving, and analytical skills. + You're a natural leader and make smart decisions independently. + You're friendly, enjoy working with others, and can build relationships easily. **Location, pay & other important details:** + You can work onsite at our San Diego, CA campus. **Heads up:** intern housing, relocation, and housing stipends aren't provided, so you'll need to have your living situation and transportation sorted out. + Pay range: $23 - $25 per hour, based on your class standing and operational function. + The chance to work with a team that's genuinely invested in your growth. + Networking, mentorship, and skill-building opportunities-all designed to help you thrive. **Take your internship to the next level at Hologic!** On top of hands-on experience in your field, our College Relations team will hook you up with opportunities to learn about the company, meet leaders, and build the skills you'll need to launch your career. Consider this your backstage pass to the future of healthcare innovation. **_Hologic, Inc. is proud to be an Equal Opportunity Employer inclusive of disability and veterans._** \#LI-EK1
    $23-25 hourly 26d ago
  • Bookkeeper / Client Finance Specialist

    21St. Century Care Solutions 3.9company rating

    Oakland, CA jobs

    Job DescriptionBenefits: Bonus based on performance Company parties Competitive salary Dental insurance Free food & snacks Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Who We Are We are a well-established fiduciary and care management company with over 15 years of service, experiencing rapid growth. Our team provides compassionate and professional support to elders and individuals with special needs through Trust and Estate Administration, Financial and Health Care Powers of Attorney, Conservatorships, and Care Management. Our office environment is informal yet impeccably professional. While the work is fast-paced and demanding, we value autonomy and offer flexibility for self-directed employees to manage their workload with minimal stress. We are a HIPAA-compliant workplace committed to confidentiality and integrity. Position Overview We are seeking an experienced Bookkeeper / Client Finance Specialist to join our dedicated team. This role is critical to maintaining accurate financial records for multiple clients and supporting fiduciary responsibilities. The ideal candidate will have proven expertise in bookkeeping, thrive in a high-volume, fast-paced environment, and be passionate about delivering exceptional service to vulnerable populations. Key Responsibilities Daily Financial Management Enter and categorize transactions in Quicken for multiple clients, ensuring accuracy and proper documentation Reconcile Quicken check registers monthly for all clients Billing & Payments Facilitate high-volume billing and timely payments to vendors, attorneys, accountants, and other service providers Monitor and ensure timely payment of client bills Tax Support Assist with fiduciary tax preparation by compiling detailed reports for tax accountants annually Reporting & Compliance Prepare annual court and informal accounting reports in collaboration with the client finance team Team Collaboration Engage in daily team-based interactions to troubleshoot and resolve client financial needs Document Management Download, scan, edit, and manipulate PDF documents for accurate recordkeeping Required Skills Solid accounting knowledge and proven bookkeeping experience Advanced proficiency in Quicken and/or QuickBooks Intermediate skills in Microsoft Office Suite: Excel for tracking budgets and creating client reports Word for correspondence Ability to manage large volumes of transactions with precision and meet strict deadlines Comfortable using and troubleshooting office equipment (computer, phone, printer, scanner) Soft Skills & Work Style Meticulous attention to detail and commitment to accuracy Ability to verify own work and review others work to minimize errors Excellent phone etiquette everyone in the office answers phones Proactive, responsible, and punctual with high standards of integrity Flexible and thrives in a dynamic, fast-paced small office environment Comfortable working collaboratively in a moderate-noise setting Physical & Logistical Requirements Able to sit or stand at a workstation for most of the workday Must possess a valid California drivers license, up-to-date auto insurance, and have a vehicle available for work. Must have a clean driving record (subject to motor vehicle record check). Alternative transportation methods are not feasible for the duties of this position Willing to undergo a hiring background check Education & Experience AA or bachelors degree preferred, or 3+ years of relevant experience This role also offers growth opportunities. This is an in-office position and is full-time (30-40 hrs. per week). Hours are between 9AM and 5PM. $27-30/hr. to start DOE (re-evaluation after 90-day introductory period). Were Hiring Immediately Be Part of Our Team! Office located in Oakland. Local applicants only. No relocation assistance offered. Following the review of your resume, completion of the online assessment is a mandatory step in order to proceed further in the selection process.
    $27-30 hourly 25d ago
  • Financial Clearance Specialist

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    At 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 The Financial Clearance Specialist 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. Responsibilities: Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIPAA regulations. Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine. Exceeds all consumer requests and alerts management of issues or concerns that require escalation. Correctly identifies and collects patient demographic information in accordance with organization standards. Responds to telephone inquiries and performs appropriate action(s). Documents all actions taken in the appropriate software applications. Monitors admission/registration and scheduled surgeries flow of patient information through the revenue cycle. Serves as a resource to staff and patients for insurance related issues. Has a strong understanding of Medicare/Medicaid rules and regulations, and managed care products. Is knowledgeable of current contracted and non-contracted healthcare insurance plans. Reviews patient electronic medical record for appropriate diagnosis and pre-treatment rendered. Has thorough understanding and working knowledge of CPT and ICD-10 coding. Consults with physicians and their assistants whenever questions arise to insure timely approvals. Follows through and makes corrections in demographics and insurances as they are discovered. Data entry accuracy is imperative in this position. Monitors Referral In-Basket in EPIC to insure work is consistently completed in a timely manner. This involves watching for future test requests to come due and then pre-authorized within the time frame specified by the insurance carrier and the patient notified. Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, work lists, and direct phone calls as necessary to ensure maximized patient benefits. Ensures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital. Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. Informs patients of any issues with securing the financial account for their encounter and completes out-of-pocket estimations as requested by patients. Provides training and education as needed. Manages work schedule efficiently, completing tasks and assignments on time. Participates in Quality Assurance reviews to insure integrity of patient data information. Uses effective service recovery skills to solve problems or service breakdowns when they occur. Utilizes department and hospital policies and procedures to complete assigned tasks. Performs duties within the regulatory guidelines of the Fair Patient Billing Act and the Fair Debt Collection Act. Other duties as assigned. Communication and Collaboration: Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. Collects authorization numbers in appropriate systems as applicable. Provides professional and constructive environment for communication across units/departments and resolves operational issues. May attend intra/interdepartmental meetings which involve walking within NM Campus. Communicates customer satisfaction issues to appropriate individuals. 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. Ensures that outpatient procedures have a valid diagnosis code, and that for Medicare patients, medical necessity has been met. Communicates with physician offices to troubleshoot failing medical necessity for Medicare patients. Contacts patients to notify them of high out-of-pocket liabilities, and to establish/enforce compliance with hospital financial policies. Reviews and analyzes all required demographic, insurance/financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts. Verifies eligibility and benefit information using on-line programs. Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payor requirements. Participate in researching pre-certification denials including missing authorization, patient pre-certification or referral documentation. Works on denied accounts with ancillary departments, physician and account representatives to gather required information. Cross-training between various departments may take place to insure coverage. Technology: Utilizes multiple online order retrieval systems to verify or print the patients order. Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. Efficiency, Process Improvement, and Business Growth: Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information and documenting order retrieval in notes for check-in person. Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. Understands departmental and individual quality metrics. Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. Participates in departmental quality improvement activities. Provides ideas and suggestions for process improvements within the department. Monitors registration and scheduling, including insurance verification to insure processing within prescribed quality standards. Adjusts processes as needed to meet standards. Uses organizational and unit/department resources efficiently. Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. AA/EOE Qualifications Required: High School Diploma or equivalent. 2-3 years previous hospital billing, insurance follow-up, or customer service in a hospital setting. Excellent interpersonal, verbal, and written communication skills. Proficiency in computer data-entry/typing. Excellent verbal and written communication skills. Ability to read, write, and communicate effectively in English. Basic computer skills. Ability to type 40 wpm. Ability to multi-task. Customer service oriented. Excellent organizational, time management, analytical, and problem solving skills. Preferred: Bachelors Degree. Additional language skills. Healthcare finance and/or healthcare insurance experience. Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Additional Information 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.
    $38k-55k yearly est. 25d ago
  • Financial Clearance Specialist

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    At 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Financial Clearance Specialist 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. Responsibilities: Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIPAA regulations. Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine. Exceeds all consumer requests and alerts management of issues or concerns that require escalation. Correctly identifies and collects patient demographic information in accordance with organization standards. Responds to telephone inquiries and performs appropriate action(s). Documents all actions taken in the appropriate software applications. Monitors admission/registration and scheduled surgeries flow of patient information through the revenue cycle. Serves as a resource to staff and patients for insurance related issues. Has a strong understanding of Medicare/Medicaid rules and regulations, and managed care products. Is knowledgeable of current contracted and non-contracted healthcare insurance plans. Reviews patient electronic medical record for appropriate diagnosis and pre-treatment rendered. Has thorough understanding and working knowledge of CPT and ICD-10 coding. Consults with physicians and their assistants whenever questions arise to insure timely approvals. Follows through and makes corrections in demographics and insurances as they are discovered. Data entry accuracy is imperative in this position. Monitors Referral In-Basket in EPIC to insure work is consistently completed in a timely manner. This involves watching for future test requests to come due and then pre-authorized within the time frame specified by the insurance carrier and the patient notified. Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, work lists, and direct phone calls as necessary to ensure maximized patient benefits. Ensures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital. Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. Informs patients of any issues with securing the financial account for their encounter and completes out-of-pocket estimations as requested by patients. Provides training and education as needed. Manages work schedule efficiently, completing tasks and assignments on time. Participates in Quality Assurance reviews to insure integrity of patient data information. Uses effective service recovery skills to solve problems or service breakdowns when they occur. Utilizes department and hospital policies and procedures to complete assigned tasks. Performs duties within the regulatory guidelines of the Fair Patient Billing Act and the Fair Debt Collection Act. Other duties as assigned. Communication and Collaboration: Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. Collects authorization numbers in appropriate systems as applicable. Provides professional and constructive environment for communication across units/departments and resolves operational issues. May attend intra/interdepartmental meetings which involve walking within NM Campus. Communicates customer satisfaction issues to appropriate individuals. 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. Ensures that outpatient procedures have a valid diagnosis code, and that for Medicare patients, medical necessity has been met. Communicates with physician offices to troubleshoot failing medical necessity for Medicare patients. Contacts patients to notify them of high out-of-pocket liabilities, and to establish/enforce compliance with hospital financial policies. Reviews and analyzes all required demographic, insurance/financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts. Verifies eligibility and benefit information using on-line programs. Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payor requirements. Participate in researching pre-certification denials including missing authorization, patient pre-certification or referral documentation. Works on denied accounts with ancillary departments, physician and account representatives to gather required information. Cross-training between various departments may take place to insure coverage. Technology: Utilizes multiple online order retrieval systems to verify or print the patients order. Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. Efficiency, Process Improvement, and Business Growth: Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information and documenting order retrieval in notes for check-in person. Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. Understands departmental and individual quality metrics. Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. Participates in departmental quality improvement activities. Provides ideas and suggestions for process improvements within the department. Monitors registration and scheduling, including insurance verification to insure processing within prescribed quality standards. Adjusts processes as needed to meet standards. Uses organizational and unit/department resources efficiently. Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. AA/EOE Qualifications Required: High School Diploma or equivalent. 2-3 years previous hospital billing, insurance follow-up, or customer service in a hospital setting. Excellent interpersonal, verbal, and written communication skills. Proficiency in computer data-entry/typing. Excellent verbal and written communication skills. Ability to read, write, and communicate effectively in English. Basic computer skills. Ability to type 40 wpm. Ability to multi-task. Customer service oriented. Excellent organizational, time management, analytical, and problem solving skills. Preferred: Bachelors Degree. Additional language skills. Healthcare finance and/or healthcare insurance experience. Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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.
    $38k-55k yearly est. 24d ago
  • Financial Clearance Specialist

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    At 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Financial Clearance Specialist 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. Responsibilities: Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIPAA regulations. Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine. Exceeds all consumer requests and alerts management of issues or concerns that require escalation. Correctly identifies and collects patient demographic information in accordance with organization standards. Responds to telephone inquiries and performs appropriate action(s). Documents all actions taken in the appropriate software applications. Monitors admission/registration and scheduled surgeries flow of patient information through the revenue cycle. Serves as a resource to staff and patients for insurance related issues. Has a strong understanding of Medicare/Medicaid rules and regulations, and managed care products. Is knowledgeable of current contracted and non-contracted healthcare insurance plans. Reviews patient electronic medical record for appropriate diagnosis and pre-treatment rendered. Has thorough understanding and working knowledge of CPT and ICD-10 coding. Consults with physicians and their assistants whenever questions arise to insure timely approvals. Follows through and makes corrections in demographics and insurances as they are discovered. Data entry accuracy is imperative in this position. Monitors Referral In-Basket in EPIC to insure work is consistently completed in a timely manner. This involves watching for future test requests to come due and then pre-authorized within the time frame specified by the insurance carrier and the patient notified. Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, work lists, and direct phone calls as necessary to ensure maximized patient benefits. Ensures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital. Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. Informs patients of any issues with securing the financial account for their encounter and completes out-of-pocket estimations as requested by patients. Provides training and education as needed. Manages work schedule efficiently, completing tasks and assignments on time. Participates in Quality Assurance reviews to insure integrity of patient data information. Uses effective service recovery skills to solve problems or service breakdowns when they occur. Utilizes department and hospital policies and procedures to complete assigned tasks. Performs duties within the regulatory guidelines of the Fair Patient Billing Act and the Fair Debt Collection Act. Other duties as assigned. Communication and Collaboration: Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. Collects authorization numbers in appropriate systems as applicable. Provides professional and constructive environment for communication across units/departments and resolves operational issues. May attend intra/interdepartmental meetings which involve walking within NM Campus. Communicates customer satisfaction issues to appropriate individuals. 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. Ensures that outpatient procedures have a valid diagnosis code, and that for Medicare patients, medical necessity has been met. Communicates with physician offices to troubleshoot failing medical necessity for Medicare patients. Contacts patients to notify them of high out-of-pocket liabilities, and to establish/enforce compliance with hospital financial policies. Reviews and analyzes all required demographic, insurance/financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts. Verifies eligibility and benefit information using on-line programs. Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payor requirements. Participate in researching pre-certification denials including missing authorization, patient pre-certification or referral documentation. Works on denied accounts with ancillary departments, physician and account representatives to gather required information. Cross-training between various departments may take place to insure coverage. Technology: Utilizes multiple online order retrieval systems to verify or print the patients order. Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. Efficiency, Process Improvement, and Business Growth: Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information and documenting order retrieval in notes for check-in person. Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. Understands departmental and individual quality metrics. Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. Participates in departmental quality improvement activities. Provides ideas and suggestions for process improvements within the department. Monitors registration and scheduling, including insurance verification to insure processing within prescribed quality standards. Adjusts processes as needed to meet standards. Uses organizational and unit/department resources efficiently. Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. AA/EOE Qualifications Required: High School Diploma or equivalent. 2-3 years previous hospital billing, insurance follow-up, or customer service in a hospital setting. Excellent interpersonal, verbal, and written communication skills. Proficiency in computer data-entry/typing. Excellent verbal and written communication skills. Ability to read, write, and communicate effectively in English. Basic computer skills. Ability to type 40 wpm. Ability to multi-task. Customer service oriented. Excellent organizational, time management, analytical, and problem solving skills. Preferred: Bachelors Degree. Additional language skills. Healthcare finance and/or healthcare insurance experience. Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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.
    $38k-55k yearly est. 23d ago
  • Financial Clearance Specialist

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    At 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 The Financial Clearance Specialist 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. Responsibilities: Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIPAA regulations. Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine. Exceeds all consumer requests and alerts management of issues or concerns that require escalation. Correctly identifies and collects patient demographic information in accordance with organization standards. Responds to telephone inquiries and performs appropriate action(s). Documents all actions taken in the appropriate software applications. Monitors admission/registration and scheduled surgeries flow of patient information through the revenue cycle. Serves as a resource to staff and patients for insurance related issues. Has a strong understanding of Medicare/Medicaid rules and regulations, and managed care products. Is knowledgeable of current contracted and non-contracted healthcare insurance plans. Reviews patient electronic medical record for appropriate diagnosis and pre-treatment rendered. Has thorough understanding and working knowledge of CPT and ICD-10 coding. Consults with physicians and their assistants whenever questions arise to insure timely approvals. Follows through and makes corrections in demographics and insurances as they are discovered. Data entry accuracy is imperative in this position. Monitors Referral In-Basket in EPIC to insure work is consistently completed in a timely manner. This involves watching for future test requests to come due and then pre-authorized within the time frame specified by the insurance carrier and the patient notified. Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, work lists, and direct phone calls as necessary to ensure maximized patient benefits. Ensures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital. Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. Informs patients of any issues with securing the financial account for their encounter and completes out-of-pocket estimations as requested by patients. Provides training and education as needed. Manages work schedule efficiently, completing tasks and assignments on time. Participates in Quality Assurance reviews to insure integrity of patient data information. Uses effective service recovery skills to solve problems or service breakdowns when they occur. Utilizes department and hospital policies and procedures to complete assigned tasks. Performs duties within the regulatory guidelines of the Fair Patient Billing Act and the Fair Debt Collection Act. Other duties as assigned. Communication and Collaboration: Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. Collects authorization numbers in appropriate systems as applicable. Provides professional and constructive environment for communication across units/departments and resolves operational issues. May attend intra/interdepartmental meetings which involve walking within NM Campus. Communicates customer satisfaction issues to appropriate individuals. 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. Ensures that outpatient procedures have a valid diagnosis code, and that for Medicare patients, medical necessity has been met. Communicates with physician offices to troubleshoot failing medical necessity for Medicare patients. Contacts patients to notify them of high out-of-pocket liabilities, and to establish/enforce compliance with hospital financial policies. Reviews and analyzes all required demographic, insurance/financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts. Verifies eligibility and benefit information using on-line programs. Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payor requirements. Participate in researching pre-certification denials including missing authorization, patient pre-certification or referral documentation. Works on denied accounts with ancillary departments, physician and account representatives to gather required information. Cross-training between various departments may take place to insure coverage. Technology: Utilizes multiple online order retrieval systems to verify or print the patients order. Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. Efficiency, Process Improvement, and Business Growth: Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information and documenting order retrieval in notes for check-in person. Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. Understands departmental and individual quality metrics. Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. Participates in departmental quality improvement activities. Provides ideas and suggestions for process improvements within the department. Monitors registration and scheduling, including insurance verification to insure processing within prescribed quality standards. Adjusts processes as needed to meet standards. Uses organizational and unit/department resources efficiently. Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. AA/EOE Qualifications Required: High School Diploma or equivalent. 2-3 years previous hospital billing, insurance follow-up, or customer service in a hospital setting. Excellent interpersonal, verbal, and written communication skills. Proficiency in computer data-entry/typing. Excellent verbal and written communication skills. Ability to read, write, and communicate effectively in English. Basic computer skills. Ability to type 40 wpm. Ability to multi-task. Customer service oriented. Excellent organizational, time management, analytical, and problem solving skills. Preferred: Bachelors Degree. Additional language skills. Healthcare finance and/or healthcare insurance experience. Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Additional Information 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.
    $38k-55k yearly est. 23d ago
  • Financial Clearance Specialist

    Northwestern Medicine 4.3company rating

    Chicago, IL jobs

    is $21.29 - $25.54 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. 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 located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Financial Clearance Specialist 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. Responsibilities: * Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. * Responds to questions and concerns. * Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. * Maintains patient confidentiality per HIPAA regulations. * Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine. * Exceeds all consumer requests and alerts management of issues or concerns that require escalation. * Correctly identifies and collects patient demographic information in accordance with organization standards. * Responds to telephone inquiries and performs appropriate action(s). * Documents all actions taken in the appropriate software applications. * Monitors admission/registration and scheduled surgeries flow of patient information through the revenue cycle. * Serves as a resource to staff and patients for insurance related issues. * Has a strong understanding of Medicare/Medicaid rules and regulations, and managed care products. * Is knowledgeable of current contracted and non-contracted healthcare insurance plans. * Reviews patient electronic medical record for appropriate diagnosis and pre-treatment rendered. * Has thorough understanding and working knowledge of CPT and ICD-10 coding. * Consults with physicians and their assistants whenever questions arise to insure timely approvals. * Follows through and makes corrections in demographics and insurances as they are discovered. * Data entry accuracy is imperative in this position. * Monitors Referral In-Basket in EPIC to insure work is consistently completed in a timely manner. * This involves watching for future test requests to come due and then pre-authorized within the time frame specified by the insurance carrier and the patient notified. * Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, work lists, and direct phone calls as necessary to ensure maximized patient benefits. * Ensures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital. * Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. * Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. * Informs patients of any issues with securing the financial account for their encounter and completes out-of-pocket estimations as requested by patients. * Provides training and education as needed. * Manages work schedule efficiently, completing tasks and assignments on time. * Participates in Quality Assurance reviews to insure integrity of patient data information. * Uses effective service recovery skills to solve problems or service breakdowns when they occur. * Utilizes department and hospital policies and procedures to complete assigned tasks. * Performs duties within the regulatory guidelines of the Fair Patient Billing Act and the Fair Debt Collection Act. * Other duties as assigned. * Communication and Collaboration: * Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. * Collects authorization numbers in appropriate systems as applicable. * Provides professional and constructive environment for communication across units/departments and resolves operational issues. * May attend intra/interdepartmental meetings which involve walking within NM Campus. * Communicates customer satisfaction issues to appropriate individuals. * 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. * Ensures that outpatient procedures have a valid diagnosis code, and that for Medicare patients, medical necessity has been met. * Communicates with physician offices to troubleshoot failing medical necessity for Medicare patients. * Contacts patients to notify them of high out-of-pocket liabilities, and to establish/enforce compliance with hospital financial policies. * Reviews and analyzes all required demographic, insurance/financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts. * Verifies eligibility and benefit information using on-line programs. * Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payor requirements. * Participate in researching pre-certification denials including missing authorization, patient pre-certification or referral documentation. * Works on denied accounts with ancillary departments, physician and account representatives to gather required information. * Cross-training between various departments may take place to insure coverage. * Technology: * Utilizes multiple online order retrieval systems to verify or print the patients order. * Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. * Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. * Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. * Efficiency, Process Improvement, and Business Growth: * Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information and documenting order retrieval in notes for check-in person. * Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. * Understands departmental and individual quality metrics. * Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. * Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. * Participates in departmental quality improvement activities. * Provides ideas and suggestions for process improvements within the department. * Monitors registration and scheduling, including insurance verification to insure processing within prescribed quality standards. * Adjusts processes as needed to meet standards. * Uses organizational and unit/department resources efficiently. * Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. AA/EOE Qualifications Required: * High School Diploma or equivalent. * 2-3 years previous hospital billing, insurance follow-up, or customer service in a hospital setting. * Excellent interpersonal, verbal, and written communication skills. * Proficiency in computer data-entry/typing. * Excellent verbal and written communication skills. * Ability to read, write, and communicate effectively in English. * Basic computer skills. * Ability to type 40 wpm. * Ability to multi-task. * Customer service oriented. * Excellent organizational, time management, analytical, and problem solving skills. Preferred: * Bachelors Degree. * Additional language skills. * Healthcare finance and/or healthcare insurance experience. * Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Equal Opportunity 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.
    $21.3-25.5 hourly 24d ago
  • Financial Clearance Specialist

    Northwestern Medicine 4.3company rating

    Chicago, IL jobs

    is $21.29 - $25.54 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. 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 located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Financial Clearance Specialist 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. Responsibilities: * Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. * Responds to questions and concerns. * Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. * Maintains patient confidentiality per HIPAA regulations. * Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine. * Exceeds all consumer requests and alerts management of issues or concerns that require escalation. * Correctly identifies and collects patient demographic information in accordance with organization standards. * Responds to telephone inquiries and performs appropriate action(s). * Documents all actions taken in the appropriate software applications. * Monitors admission/registration and scheduled surgeries flow of patient information through the revenue cycle. * Serves as a resource to staff and patients for insurance related issues. * Has a strong understanding of Medicare/Medicaid rules and regulations, and managed care products. * Is knowledgeable of current contracted and non-contracted healthcare insurance plans. * Reviews patient electronic medical record for appropriate diagnosis and pre-treatment rendered. * Has thorough understanding and working knowledge of CPT and ICD-10 coding. * Consults with physicians and their assistants whenever questions arise to insure timely approvals. * Follows through and makes corrections in demographics and insurances as they are discovered. * Data entry accuracy is imperative in this position. * Monitors Referral In-Basket in EPIC to insure work is consistently completed in a timely manner. * This involves watching for future test requests to come due and then pre-authorized within the time frame specified by the insurance carrier and the patient notified. * Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, work lists, and direct phone calls as necessary to ensure maximized patient benefits. * Ensures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital. * Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. * Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. * Informs patients of any issues with securing the financial account for their encounter and completes out-of-pocket estimations as requested by patients. * Provides training and education as needed. * Manages work schedule efficiently, completing tasks and assignments on time. * Participates in Quality Assurance reviews to insure integrity of patient data information. * Uses effective service recovery skills to solve problems or service breakdowns when they occur. * Utilizes department and hospital policies and procedures to complete assigned tasks. * Performs duties within the regulatory guidelines of the Fair Patient Billing Act and the Fair Debt Collection Act. * Other duties as assigned. * Communication and Collaboration: * Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. * Collects authorization numbers in appropriate systems as applicable. * Provides professional and constructive environment for communication across units/departments and resolves operational issues. * May attend intra/interdepartmental meetings which involve walking within NM Campus. * Communicates customer satisfaction issues to appropriate individuals. * 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. * Ensures that outpatient procedures have a valid diagnosis code, and that for Medicare patients, medical necessity has been met. * Communicates with physician offices to troubleshoot failing medical necessity for Medicare patients. * Contacts patients to notify them of high out-of-pocket liabilities, and to establish/enforce compliance with hospital financial policies. * Reviews and analyzes all required demographic, insurance/financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts. * Verifies eligibility and benefit information using on-line programs. * Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payor requirements. * Participate in researching pre-certification denials including missing authorization, patient pre-certification or referral documentation. * Works on denied accounts with ancillary departments, physician and account representatives to gather required information. * Cross-training between various departments may take place to insure coverage. * Technology: * Utilizes multiple online order retrieval systems to verify or print the patients order. * Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. * Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. * Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. * Efficiency, Process Improvement, and Business Growth: * Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information and documenting order retrieval in notes for check-in person. * Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. * Understands departmental and individual quality metrics. * Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. * Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. * Participates in departmental quality improvement activities. * Provides ideas and suggestions for process improvements within the department. * Monitors registration and scheduling, including insurance verification to insure processing within prescribed quality standards. * Adjusts processes as needed to meet standards. * Uses organizational and unit/department resources efficiently. * Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. AA/EOE Qualifications Required: * High School Diploma or equivalent. * 2-3 years previous hospital billing, insurance follow-up, or customer service in a hospital setting. * Excellent interpersonal, verbal, and written communication skills. * Proficiency in computer data-entry/typing. * Excellent verbal and written communication skills. * Ability to read, write, and communicate effectively in English. * Basic computer skills. * Ability to type 40 wpm. * Ability to multi-task. * Customer service oriented. * Excellent organizational, time management, analytical, and problem solving skills. Preferred: * Bachelors Degree. * Additional language skills. * Healthcare finance and/or healthcare insurance experience. * Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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.
    $21.3-25.5 hourly 26d ago
  • Senior Healthcare Economics Analyst

    Senior Medical Officer (Physician) In Atlanta, Georgia 4.5company rating

    Chicago, IL jobs

    As a Healthcare Economics Analyst at Wellbe you will play a pivotal role in shaping the organization's healthcare strategy through advanced analytics and economic modeling. You will lead high-impact initiatives, provide strategic insights to senior leadership, and serve as a trusted advisor across departments.In this role, you will collaborate with cross-functional teams and serve as a subject matter expert, providing valuable insights and guidance to inform strategic initiatives. This role is ideal for a seasoned analyst with a strong blend of technical expertise, business acumen, and leadership capability. Job Description Lead complex analyses of medical and pharmacy claims, enrollment, and provider data to uncover cost drivers and utilization trends. Develop and implement innovative tools and methodologies to monitor healthcare trends and identify affordability opportunities. Deliver actionable insights to support contract negotiations, care management programs, and network optimization strategies. Build and maintain predictive models to assess the financial and clinical impact of strategic initiatives. Design executive-level dashboards and reports to monitor performance and diagnose cost trend anomalies. Partner with actuarial, clinical, data science, and business teams to forecast medical costs and evaluate risk adjustment performance. Present findings and strategic recommendations to senior leadership using clear, compelling visualizations and narratives. Conduct pro forma and sensitivity analyses to estimate the financial value of proposed cost containment initiatives. Mentor and guide junior analysts, establishing best practices in data validation, analytical methods, and reporting standards. Ensure all analyses adhere to regulatory requirements and industry best practices. Champion a culture of collaboration, innovation, and continuous improvement across the analytics team. Promote data governance, security, and compliance across all analytics workflows. Strong sense of ownership, bias for action, and drive Strong verbal and written communication Excellent analytical and problem-solving skills Strong work ethic and attention to detail Job Requirements Advanced proficiency in SQL, Tableau, and Snowflake; experience with enterprise reporting tools. Working knowledge of Python or R for statistical modeling and automation. Deep understanding of CMS programs (Medicare Advantage, Medicaid) and HCC risk adjustment methodologies. Experience with statistical modeling, forecasting, and predictive analytics. Strong communication skills with the ability to translate complex data into strategic insights for non-technical audiences. Proven ability to lead cross-functional projects and influence decision-making at the executive level. High level of ownership, initiative, and attention to detail. QUALIFICATIONS Bachelor's degree in Economics, Mathematics, Statistics, Public Health, Health Administration, or related field (Master's preferred). 5-7 years of progressive experience in healthcare analytics, medical economics, actuarial analysis, or health plan finance. Extensive experience working with medical and pharmacy claims, risk adjustment, and value-based care data. Strong understanding of healthcare reimbursement models (FFS, capitation, shared savings, risk contracts). Experience with cloud-based data platforms (Snowflake or similar). Demonstrated ability to lead and mentor teams, and drive strategic initiatives. Excellent problem-solving, interpersonal, and stakeholder management skills. Travel requirements: Travel may be required up to 15% locally or nationally Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 50lbs. Ability to stand for extended periods Ability to drive to patient locations (ie. home, hospital, SNF, etc) Fine motor skills Visual acuity The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.
    $66k-85k yearly est. Auto-Apply 5d ago
  • Patient Financial Services Specialist

    Hillsboro Area Hospital Inc. 4.1company rating

    Hillsboro, IL jobs

    Job DescriptionDescription: The Patient Financial Services Specialist is a key member of the Patient Accounting team, responsible for supporting the financial experience of patients through compassionate service, accurate billing processes, and informed financial counseling. This role combines direct patient interaction with behind-the-scenes account management, including resolving account issues and assisting patients with understanding and managing their financial responsibilities. The Specialist ensures billing accuracy and compliance while helping patients access necessary care without unnecessary financial hardship. ESSENTIAL DUTIES AND RESPONSIBILITIES Patient Communication & Financial Counseling Provide exceptional customer service via phone, email, and in-person interactions regarding billing inquiries, account balances, and payment options. Educate patients about insurance coverage, out-of-pocket responsibilities, and available financial assistance programs. Evaluate patients' financial situation to determine eligibility for payment plans or financial assistance in accordance with organizational policies. Meet with patients to review bills, assist with financial assistance applications, and establish payment plans in accordance with policy. Conduct follow-up communications to collect documentation and complete financial aid processes. Respond promptly to inquiries or correspondence from patients. Account Review & Maintenance Analyze patient accounts for billing accuracy and ensure proper application of insurance payments and patient responsibility. Document all account activity, communications, and financial arrangements accurately in the billing system. Review credit balances and reconcile multiple accounts when applicable. Collaborate with billing and insurance teams to support seamless patient financial experiences. Compliance & Professional Conduct Uphold patient confidentiality and comply with HIPAA and all applicable federal, state, and organizational regulations. Maintain knowledge of hospital and departmental policies and procedures, including corporate compliance. Promote a work environment consistent with the mission, vision, and values of the organization. Report compliance concerns appropriately and participate in training sessions as required. ADDITIONAL DUTIES Strong understanding of health insurance plans, billing processes, financial assistance programs, and regulatory guidelines. Excellent communication skills with the ability to explain complex financial information in a clear, respectful, and empathetic manner. Highly organized and detail-oriented; able to prioritize tasks and work independently with minimal supervision. Bilingual skills are a plus. Ability to work under pressure, meet deadlines, and adapt to changing priorities. (The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.) SUPERVISORY RESPONSIBILITIES None Requirements: EDUCATION AND/OR EXPERIENCE High school diploma or equivalent required; associate or bachelor's degree in healthcare administration, finance, or related field preferred. Minimum of 2 years' experience in medical billing, hospital insurance procedures, financial counseling, or patient accounts in a healthcare setting. Proficiency with billing systems, EHR platforms, and Microsoft Office applications. CERTIFICATES, LICENSES, REGISTRATIONS None PHYSICAL DEMANDS & WORK ENVIRONMENT Regular contact with patients, guarantors, insurance representatives, and internal departments. Primarily sedentary work in a standard office or remote setting. Frequent use of computer, phone, and office equipment. Occasional lifting of up to 25 pounds. Visual acuity for reviewing billing documentation and computer screens. CORPORATE COMPLIANCE Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health's Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse. BENEFITS Please use the link below to visit our website for a list of benefits offered. ***************************************
    $38k-44k yearly est. 21d ago
  • Finance Intern

    Dentsply Sirona 4.6company rating

    North Carolina jobs

    Dentsply Sirona is the world's largest manufacturer of professional dental products and technologies, with a 130-year history of innovation and service to the dental industry and patients worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. Dentsply Sirona's products provide innovative, high-quality and effective solutions to advance patient care and deliver better and safer dentistry. Dentsply Sirona's global headquarters is located in Charlotte, North Carolina. The company's shares are listed in the United States on NASDAQ under the symbol XRAY. Bringing out the best in people As advanced as dentistry is today, we are dedicated to making it even better. Our people have a passion for innovation and are committed to applying it to improve dental care. We live and breathe high performance, working as one global team, bringing out the best in each other for the benefit of dental patients, and the professionals who serve them. If you want to grow and develop as a part of a team that is shaping an industry, then we're looking for the best to join us. Working at Dentsply Sirona you are able to: Develop faster - with our commitment to the best professional development. Perform better - as part of a high-performance, empowering culture. Shape an industry - with a market leader that continues to drive innovation. Make a difference -by helping improve oral health worldwide. Our Finance & Accounting Development Program offers a three-month challenging, high impact internship where you will work through important projects and experience corporate finance at Dentsply Sirona. In addition to hands on learning, you'll participate in our intern event series (to learn about Dentsply Sirona, Finance / Accounting and business) and social activities. At the end of the internship, you will present what you accomplished to senior finance leadership. Candidates will have the opportunity to participate in a paid three-month internship in one of our core finance areas (examples below): Financial Planning & Analysis Corporate Accounting Finance Specialties (Audit, Investor Relations, Treasury, Tax) Most of our full-time hiring is done from our intern program - so take this opportunity to become part of the Dentsply Sirona Finance & Accounting Development Program. We look for top caliber students who have exhibited a superior record of achievement both inside and outside the classroom, along with strong interpersonal communication and leadership skills. Current internships are U.S. based. Qualifications/ Requirements Currently pursuing, at a minimum, a Bachelor's Degree in Finance, Accounting, or Economics Anticipated graduation date of May 2027 Minimum GPA 3.0 Demonstrates leadership experience Excellent written and verbal communication skills Has interest/ability to work in a dynamic, challenging work environment Good time management/organization skills with the ability to multi-task Microsoft Suite experience preferred Experience in and/or leading team projects Ability to temporarily relocate within the United States for rotational assignments Must be authorized to work in the US without sponsorship Dentsply Sirona is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, sexual orientation, disability, or protected Veteran status. We appreciate your interest in Dentsply Sirona. If you need assistance with completing the online application due to a disability, please send an accommodation request to **************************. Please be sure to include “Accommodation Request” in the subject. For California Residents: We may collect the following categories of personal information in connection with the submission of your resume or application materials to us for employment, and if hired, your employment with us: identifiers (e.g., name, address, email address, birthdate); personal records (e.g., telephone number, signature, education information, criminal background information, passport number and visa information); consumer characteristics (e.g., sex, marital status, veteran status, race, disability, sexual orientation); professional or employment information (e.g., resume, cover letter, employment history, background check forms, references, certifications, transcripts and languages spoken); and inferences from personal information collected (e.g., a profile reflecting abilities and aptitudes). The above categories of personal information are collected for the following business purposes: performing recruitment and hiring services; processing interactions and transactions (e.g., to comply with federal and state laws requiring us to maintain certain records, managing the workforce); and security (e.g., detecting security incidents, protecting against fraudulent or illegal activity). For additional details and questions, contact us at **************************
    $34k-46k yearly est. 60d+ ago
  • Finance-Business Process Automation Undergraduate Intern Program - Summer 2026

    Northwestern Medicine 4.3company rating

    Chicago, IL jobs

    is $18.00 - $18.00 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. 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 located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Finance-Business Process Automation Undergraduate Intern 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 Undergraduate Intern's responsibilities include but are not limited to the following: Uphold the mission, standards and values of NMH. * Successfully complete projects and work tasks as assigned. * Develop a working knowledge of VBA Macros, RPA and financial operations to a degree that allows successful completion of projects supporting a variety of financial operations. * Involvement in documenting processes and providing recommendations for improvement of processes. * Initiative for identifying and seeking resolution of potential issues. * Develop working relationships with staff and management that allows for successful business interactions across all levels of the organization. * Participation in activities designed for development of interns during their assignment at NMH. * Full communication with department managers and staff in order to successfully transition work at close of internship. * Additional duties, responsibilities and tasks will be outlined in an appended document to meet the needs of the individual and organization in each internship. * Other duties as assigned. Qualifications Required: * Current enrollment in an undergraduate program with business or computer science major Preferred: * Completion of at least the sophomore year of study Application deadline: 01/16/26 Intern Program Start Date: May or June 2026 Equal Opportunity All your information will be kept confidential according to EEO guidelines. 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. 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.
    $18-18 hourly 10d ago
  • Financial Services Specialist

    Loma Linda University Medical Center 4.7company rating

    San Bernardino, CA jobs

    Job Summary: The Financial Services Specialist coordinates the accurate and complete registration for patients of all reimbursement types. Is responsible for verifying eligibility and benefits for both physician and hospital based services, entering patient demographics, and confirming billing information. Initiates and procures authorization for all ordered services, and documents incoming authorizations and other correspondence. Performs other duties as needed Education and Experience: High School Diploma or GED required. Minimum two years of experience in authorization, registration or insurance verification; either with a medical group or hospital setting required. Knowledge and Skills: Knowledge of health insurance networks (i.e. HMO, PPO, Medical, Medi-Cal, CCS), exceptional communication, interpersonal skills and efficiency. Demonstrated knowledge in demographics, authorization, or registration. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction.: Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position. Licensures and Certifications: Coding certification preferred.
    $32k-40k yearly est. Auto-Apply 12d ago
  • Patient Financial Services Representative

    Mendocino Community Health Clinic, Inc. 4.6company rating

    Ukiah, CA jobs

    At MCHC, we are committed to providing compassionate, high-quality care to all members of our community. We value Compassion, Integrity, and Service, and strive to create a workplace where you can thrive professionally while making a real difference. Summary The Patient Financial Services Representative plays a vital role in helping patients navigate insurance coverage and ensuring financial accessibility to care. This position supports the Billing Department by performing financial screening, providing patient education, reconciling accounts, and engaging in ongoing collaboration with frontline staff. The ideal candidate is detail-oriented, compassionate, and eager to provide exceptional service to patients seeking coverage support. Essential Duties and Responsibilities * Conduct financial screenings to determine eligibility for insurance programs or enrollment in the Sliding Fee Scale. * Assist patients with navigating and completing insurance applications and other coverage-related processes. * Make payment reminder calls, monitor high-balance accounts, and scan required documents into the system. * Establish patient payment plans in accordance with organizational guidelines. * Educate patients and internal staff on current health coverage options and requirements. We Offer a Cadillac Benefits Package * Medical, Dental, and Vision Insurance * Paid Time off (PTO) and Paid Vacation * Life Insurance * 401(k) with up to 4% Employer Match * Flexible Spending Account (FSA) Requirements * High School graduate or equivalent * Two years reception/front office experience Preferred Qualification: * Covered California Certified Enrollment Counselor Salary Description $24 - $28 an hour, DOE
    $24-28 hourly 13d ago
  • Patient Financial Services Representative

    Mendocino Community Health Clinic 4.6company rating

    Ukiah, CA jobs

    At MCHC, we are committed to providing compassionate, high-quality care to all members of our community. We value Compassion, Integrity, and Service, and strive to create a workplace where you can thrive professionally while making a real difference. Summary The Patient Financial Services Representative plays a vital role in helping patients navigate insurance coverage and ensuring financial accessibility to care. This position supports the Billing Department by performing financial screening, providing patient education, reconciling accounts, and engaging in ongoing collaboration with frontline staff. The ideal candidate is detail-oriented, compassionate, and eager to provide exceptional service to patients seeking coverage support. Essential Duties and Responsibilities Conduct financial screenings to determine eligibility for insurance programs or enrollment in the Sliding Fee Scale. Assist patients with navigating and completing insurance applications and other coverage-related processes. Make payment reminder calls, monitor high-balance accounts, and scan required documents into the system. Establish patient payment plans in accordance with organizational guidelines. Educate patients and internal staff on current health coverage options and requirements. We Offer a Cadillac Benefits Package Medical, Dental, and Vision Insurance Paid Time off (PTO) and Paid Vacation Life Insurance 401(k) with up to 4% Employer Match Flexible Spending Account (FSA) Requirements High School graduate or equivalent Two years reception/front office experience Preferred Qualification: Covered California Certified Enrollment Counselor Salary Description $24 - $28 an hour, DOE
    $24-28 hourly 14d ago
  • Budget Analyst

    Coalition for Responsible Community Development 3.9company rating

    Los Angeles, CA jobs

    The Budget Analyst works under the direction of the Senior Budget Analyst and Director of Finance and will be responsible for reviewing and monitoring, collections and reporting on assigned government (Federal, State, County, City etc.) and foundation grants. The Budget Analyst must work with the responsible department/program staff to ensure grant spending is appropriate according to grant contract and be familiar with all laws and regulations including the Uniform Grants Guidance as well as nonprofit accounting principles such as restricted funds accounting. The Budget Analyst is gaining or attaining a full proficiency in a specific area of discipline within the job and is responsible for the day-to-day input for the Grants billing Department. ESSENTIAL DUTIES AND RESPONSIBILITIES Review and be familiar with assigned contracts - especially the financial section. Prepare reports for assigned departments' grant budgets and ensure they are updated in the accounting system and any other designated locations. Prepare grant budget actual report each month, monitor variances, and present information to program staff regularly. Prepare departments' grant billings by established deadlines and ensure that billing is accurate, timely, and adheres to contractual and regulatory requirements. Support supervisor by maintaining staff allocations data in collaboration with other finance staff and programs. Reconcile deferred revenue, grant receivable accounts and support with collections to minimize old outstanding items. Prepare monthly financial analysis reports according to required timelines. Prepare budget modifications and new grant budget preparation as applicable. Support with grant audit and fiscal compliance as assigned by funding portfolio. Keep abreast of laws and regulations that impact the assigned work. Adhere to department and organizational standards, policies and procedures. Be a team member of the finance department and support other departments' staff as needed. Uphold CRCD's Mission Statement and 5 Year Strategic Plan Requirements MINIMUM QUALIFICATIONS Four-year college degree in accounting, business, or related field. In lieu of degree, substantial applicable experience may be substituted. 3 - 5 years' experience or education in accounting or related field Self-starter with demonstrated ability to work on multiple projects simultaneously, and the ability to meet tight deadlines. Proficiency in the use of software applications, databases, spreadsheets, and word processing Understanding of accounting processes, procedures, and internal controls Strong research and analytical skills Advanced proficiency in Microsoft Office Suite with ability to create formulas in excel. PREFERRED QUALIFICATIONS Advanced College courses in accounting or related field of studies 3 - 5 years' experience in the Non-Profit Industry SALARY RANGE $68,640 - $75,000 BENEFITS CRCD is in the top 10% for excellent benefits for non-profits with an array of benefits available including: 14 Paid Holidays On-Demand training memberships to bolster professional development Dental/Vision/ 85% employer-paid & 45% dependent paid Medical Insurance 401k eligibility from day one & up to 3% matching after one year 529 Educational Savings Plan from Principle Flexible Spending Account (FSA) Short & Long Term Disability Accident & Hospital Indemnity Whole life insurance with cash benefits Identity Theft Protection and Legal Services Discount pet insurance through ASPCA Generous work/life balance All candidates are subject to a criminal history check and meet CRCD's criteria regarding criminal history and must pass background check conducted by LA County. CRCD is an Equal Opportunity Employer is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or the Equal Employment Opportunity for the position (s) to the EEO/ADA Coordinator. EEO/ADA Coordinator contact: Stacey Cabling **************.
    $68.6k-75k yearly 22d ago
  • Patient Financial Services Representative

    Mendocino Community Health Clinic 4.6company rating

    Ukiah, CA jobs

    Job DescriptionDescription: At MCHC, we are committed to providing compassionate, high-quality care to all members of our community. We value Compassion, Integrity, and Service, and strive to create a workplace where you can thrive professionally while making a real difference. Summary The Patient Financial Services Representative plays a vital role in helping patients navigate insurance coverage and ensuring financial accessibility to care. This position supports the Billing Department by performing financial screening, providing patient education, reconciling accounts, and engaging in ongoing collaboration with frontline staff. The ideal candidate is detail-oriented, compassionate, and eager to provide exceptional service to patients seeking coverage support. Essential Duties and Responsibilities Conduct financial screenings to determine eligibility for insurance programs or enrollment in the Sliding Fee Scale. Assist patients with navigating and completing insurance applications and other coverage-related processes. Make payment reminder calls, monitor high-balance accounts, and scan required documents into the system. Establish patient payment plans in accordance with organizational guidelines. Educate patients and internal staff on current health coverage options and requirements. We Offer a Cadillac Benefits Package Medical, Dental, and Vision Insurance Paid Time off (PTO) and Paid Vacation Life Insurance 401(k) with up to 4% Employer Match Flexible Spending Account (FSA) Requirements: High School graduate or equivalent Two years reception/front office experience Preferred Qualification: Covered California Certified Enrollment Counselor
    $31k-38k yearly est. 10d ago
  • TCL Financial Services Specialist (Hickory, NC)

    Partners Behavioral Health Management 4.3company rating

    Hickory, NC jobs

    Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Available for Hickory, NC Closing Date: Open Until Filled Primary Purpose of Position: This position is responsible for all the Transitions to Community Living (TCL) financial activities. Role and Responsibilities: 60%: Accounting/General Ledger Reconciliation of TCL member allowances (includes obtaining, tracking receipts and reconciling between ledgers). Assure proper coding and payment for TYSR, Barrier, CCT, CLA, Prorated rents, Security Deposits, Hold Fees, and Special Claims Prepare/Process TCL subsidy payments and adjustments Securing vendors documents as required Monthly preparation of journal entries and reconciliations related to TCL 25%: Procurement: Responsible for TCL purchasing and LME/MCO compliant with statutory requirements controlling purchasing for local governments in NC and LME/MCO policy and procedure Record and track all TCL purchase requests and assure that budget is available for purchases Assist staff with TCL purchases 10% Other Assist auditors during annual fiscal audit as needed Audit Clive, reconcile and recover funds based on audit Ensure Bridge clients are set up in Temporary Housing and Expenses are available with means to their budget 5% Reports Primary responsibility for preparation and submission of accurate FSR amounts and records in a timely manner Knowledge, Skills and Abilities: Strong working knowledge of North Carolina governmental purchasing rules and regulations General knowledge of accounting and auditing principles and practices Knowledge of and ability to explain and apply the provisions of the standardized accounting practices adopted by State Government Working knowledge of accounting software Ability to interpret and analyze accounting data and apply that analysis to the departmental or institutional needs and determine compliance with pertinent guidelines, rules, regulations, and laws Ability to establish and maintain effective working relationships with representatives of related contact agencies, departmental staff, vendors, and the public Excellent communication skills, both orally and in writing High level of accounting and data entry skill Excellent computer skills and proficiency in Word, Excel, and Outlook Education and Experience Required: Associate Degree in Accounting or Business and three (3) years of experience in business or governmental agency; or an equivalent combination of education and experience. NC residency, or within 40 miles of the NC border, is required.
    $27k-31k yearly est. Auto-Apply 60d+ ago

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