Senior Medicaid & Medicare Reimbursement Consultant
Columbus, OH jobs
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.
Summary:
This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities.
• This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid) reimbursement is received for OhioHealth.
• This position is primarily responsible for the proactive calculations and modeling of new regulatory changes and impacts as well as variance analysis of third-party liability accounts. Provides supporting work papers and documentation for third-party inquires.
• This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching of reimbursement fundamentals and principals, review of work and setting daily priorities.
• This positon supports the Director of Revenue and Reimbursement and Manager of Reimbursement with many special analysis throughout the year associated with revenue cycle, charge analysis, regulatory and financial reporting.
• The Senior Reimbursement Consultant will be a subject matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs, (HCAP, UPL and Franchise Fee programs in the state of Ohio) as well as special projects as assigned.
• Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining up to date with all regulatory requirements, both federal and state is required.
• The Reimbursement Consultant position leads, advises and consults various reimbursement financial projects, as well as special projects throughout the year and needs to be able to delegate direct reports assigned to the project or process while staying connected to both the pertinent details as well as the high level strategic purpose.
• The Senior Reimbursement Consultant is required to use extensive interpersonal skills in communicating with all management levels at OhioHealth.
• This role functions in a heavily matrixed environment and requires strong prioritization, communication and planning skills.
Responsibilities And Duties:
Consulting and oversite of key areas at OhioHealth in the central Ohio facilities as well as non-central Ohio facilities in the reimbursement functions.
Knowledge in the following areas:
Reimbursement functions:
Subject matter expert on CMS cost reporting, disproportionate share (DSH), Uncompensated Care, Bad debt reporting, IME/GME, Medicare Wage Index, S-10 reporting, Tricare and 855's, Ohio Medicaid, HCAP, UPL and Franchise Fee programs. Knowledge of Acute Care Hospitals, Critical Access Hospitals, Sole Community Hospitals and Rural Health Clinics. Knowledge of reimbursement in specialty areas such psych, inpatient rehabilitation units, Home Health and Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement. Provide Director of Revenue and Reimbursement and Manager with updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals. Working with OHA and CBSA facilities on wage index opportunities Special projects / analysis as assigned by the Director of Revenue and Reimbursement and Manager of Reimbursement.
Minimum Qualifications:
Bachelor's Degree: Finance (Required)
Additional Job Description:
BS or BA in Accounting or Finance. Hospital and/or healthcare industry experience. Understanding of the CMS prospective payment system and State of Ohio regulations. Minimum of 4 years' experience in the healthcare industry. Strong team development and delegations skills. Excellent communication and presentation skills.
SPECIALIZED KNOWLEDGE
Min: Proficiency in Microsoft applications, knowledge of clinical & financial patient management systems, demonstrated ability in financial analysis and cost reporting.
DESIRED ATTRIBUTES
CPA, MHA or MBA. Experience with Medicare/Medicaid cost reporting 4 - 6 years as a Sr. Reimbursement Analyst or similar position(s).
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
Reimbursement
Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
Remote Work Disclaimer:
Positions marked as remote are only eligible for work from Ohio.
Talent Selection Specialist
Akron, OH jobs
This is an 18-month temporary assignment with full benefit eligibility.
Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs.
The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent.
Responsibilities:
1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community.
2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process.
3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations.
4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits.
5. Participates in departmental activities including performance and process improvement.
6. Other duties as required.
Other information:
Technical Expertise
1. Experience in full lifecycle recruiting is required.
2. Experience in applicable State and Federal employment laws is required.
3. Experience in working with all levels within an organization is required.
4. Experience in medium to large sized organizations is preferred.
5. Experience in healthcare is preferred.
6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred.
Education and Experience
1. Education: Bachelor's degree in Human Resources or related field is required.
2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote
Staff RN - Grant, Hybrid CCU stepdown
Columbus, OH jobs
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.
Summary:
This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing.
Responsibilities And Duties:
Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%).
Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%).
Operations (10%).
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time.
Minimum Qualifications:
Associate's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing
Additional Job Description:
RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0
Work Shift:
Day
Scheduled Weekly Hours :
36
Department
Intensive Care Unit 2
Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
Senior Counsel - Healthcare IT and AI Technology Contracts
North Canton, OH jobs
Full-Time, 40 hours/week
Monday - Friday 8 am - 5 pm
Onsite
The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer.
Responsibilities:
Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools.
Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions.
Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers.
Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices.
Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs.
Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed.
Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape.
Identify and assess legal, operational, and compliance risks in IT contract.
Other duties as assigned.
Other information:
Technical Expertise
Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation.
Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators.
Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments.
Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation.
Education and Experience
Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date.
Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required.
Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT).
Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking.
Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams.
Full Time
FTE: 1.000000
Status: Onsite
Talent Selection Specialist
Hudson, OH jobs
This is an 18-month temporary assignment with full benefit eligibility.
Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs.
The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent.
Responsibilities:
1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community.
2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process.
3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations.
4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits.
5. Participates in departmental activities including performance and process improvement.
6. Other duties as required.
Other information:
Technical Expertise
1. Experience in full lifecycle recruiting is required.
2. Experience in applicable State and Federal employment laws is required.
3. Experience in working with all levels within an organization is required.
4. Experience in medium to large sized organizations is preferred.
5. Experience in healthcare is preferred.
6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred.
Education and Experience
1. Education: Bachelor's degree in Human Resources or related field is required.
2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote
Maternity Care Authorization Specialist (Hybrid Potential)
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
RN Utilization Management remote - MediGold Health Plan
Columbus, OH jobs
*Employment Type:* Full time *Shift:* *Description:* *Why MediGold?* [MediGold]( is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
*Position Purpose*
RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the development of the Plan's UM Program and the review of the Plan's Utilization Management Plan.
*What you will do*
* Participates in designated committees and task forces according to the UM Program and at the direction of the Director, Utilization Management.
* Coordinates with the utilization review, case management, discharge planning staff within network facilities.
* Coordinates with Medical Director/Associate Medical Directors on case-specific issues.
* Coordinates with Claims, Member Services, Grievance Coordinator and other operational departments regarding case management issues.
* Documents and communicates to QM staff appropriately all identified quality concerns related to Members.
* All other duties as assigned.
*Minimum Qualifications*
* Education: Associate or Bachelor's Degree in Nursing
* Licensure / Certification: Current license to practice as a Registered Nurse in their home state or hold a compact nursing license.
* Experience: Minimum of 5-7 years of clinical nursing experience with at least 2 years' experience in utilization review or case management. Nursing experience in an HMO insurance setting preferred· Demonstrated ability to analyze, summarize and concisely report medical utilization and medical chart audit results.
* Ability to compare approved criteria with clinical information to determine appropriateness of service and to document all related information according to department policies and procedures.
* Conducts claim review as required for appropriate claims processing
*Position Highlights and Benefits:*
* Mount Carmel Health System recognized by Forbes in 2025 as one of America's Best State Employers.
* Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
* Retirement savings account with employer match starting on day one.
* Generous paid time off programs.
* Employee recognition programs.
* Tuition/professional development reimbursement starting on day one.
* RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.
* Relocation assistance (geographic and position restrictions apply).
* Employee Referral Rewards program.
* Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
* Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
*Ministry/Facility Information:*
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
*Our Commitment *
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Clinical Documentation Specialist-Remote
Columbus, OH jobs
Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness, accuracy, and integrity of medical record documentation through extensive record review. Through extensive interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of illness, risk of mortality, and level of services rendered to all patients. Participates in the development and delivery of education for providers and members of the healthcare team.
.
What You Will Do:
* Exhibits each of the Mount Carmel Service Excellence Behavior Standards holding self and others accountable and role modeling excellence for all to see. For example: demonstrates friendliness and courtesy, effective communication creates a professional environment and provides first class service.
* Meets population specific and all other competencies according to department requirements.
* Promotes a Culture of Safety by adhering to policy, procedures and plans that are in place to prevent workplace injury, violence or adverse outcome to associates and patients.
* Relationship-based Care: Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system.
* (For patient care providers) Provides nursing care, ensures an environment of patient safety, promotes evidence-based practice and quality initiatives and exhibits professionalism in nursing practice within the model of the ANCC Magnet Recognition Program.
* Conducts concurrent reviews of selected patient records to address legibility, clarity, completeness, consistency, and precision of clinical documentation.
* Demonstrates understanding of clinical documentation requirements to ensure that the severity of illness, risk of mortality, and services provided are accurately reflected in the record. Serves as a resource on appropriate clinical documentation.
* Communicates documentation discrepancies and coding definitions to the physicians both written and verbally as needed to clarify clinical documentation in accordance to query standards and/or policies.
* Conduct 1:1 educational sessions with physicians and other healthcare team members related to specific documentation requirements. Collaborates with the multi-disciplinary team, including physicians, patient care services, case management, coding specialists and other healthcare disciplines regarding clinical documentation issues.
* Utilizes computer systems effectively and maintains record of reviews completed, queries completed and outcome of physician response.
Other Job Responsibilities
* Participates in the performance improvement activities. Attends in-service programs and other activities to promote professional growth and enhance knowledge in care documentation requirements.
* Attends and actively participates in staff meetings, participates in committees as requested.
* Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
* All other duties as assigned.
Minimum Qualifications:
* Education: Associate/Diploma Degree in Nursing and five - ten years acute care medical or surgical experience required. Bachelor of Science in Nursing preferred. A degree in Health
* Information Management with credentials of RHIA, RHIT, or CCS with extensive clinical knowledge and a minimum of 5 years inpatient coding experience will be considered in lieu of a RN..
* Licensure / Certification: Current license to practice as registered nurse in the State of Ohio.
* Registered Health Information Administrator (RHIA), Registered Health Information
* Technologist (RHIT), or Certified Coding Specialist (CCS) will be considered in lieu of a RN.
* Experience: Minimum of 5 years acute care medical or surgical experience required;
* Utilization/Case Management, managed care, or Clinical Documentation and experience in
* ICD-10 coding conventions and DRG methodology preferred.
Position Highlights and Benefits:
* Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
* Retirement savings account with employer match starting on day one.
* Generous paid time off programs.
* Employee recognition programs.
* Tuition/professional development reimbursement.
* Relocation assistance (geographic and position restrictions apply).
* Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
* Employee Referral Rewards program.
* Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
* Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Director, Government Reimbursement
Ohio jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.
This role will serve in a consultancy capacity, advising our clients-large health systems-in managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement. Additionally, this position provides key support in the preparation and analysis of Medicare cost reports, ensuring compliance with federal regulations and maximizing financial performance for healthcare providers.
Essential Job Functions
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
Assist in gathering and analyzing data for the preparation of Medicare cost reports, ensuring accurate reflection of hospital costs for reimbursement optimization.
Provide expert advice on reimbursement strategies for governmental lines of business, including Medicaid and Tricare
Support 340B program compliance, eligibility, and ensure correct billing processes.
Analyze hospital eligibility for DSH payments, assess financial impact, and ensure complete and accurate capture of Medicaid days and other considerations.
Monitor Medicaid Directed Payment programs, optimizing revenue opportunities for participating providers.
Serve as a trusted advisor to clients, offering strategic insights and recommendations on reimbursement-related matters.
Maintain expert-level knowledge of state and federal healthcare reimbursement policies, ensuring strict compliance with CMS guidelines, Medicaid Managed Care rules, and HRSA 340B program regulations..
Assist healthcare providers in navigating reimbursement complexities, including audits, appeals, and compliance inquiries.
Analyze financial data to identify trends and areas for improvement in the reimbursement process.
Build and maintain strong relationships with payers, government agencies, and other stakeholders.
Provide guidance and training to client staff on reimbursement regulations and best practices.
Job Competencies
Leadership Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results.
Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
Executive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others' attention (appropriate, impactful, and clear).
Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.
Other Preferred Knowledge, Skills and Abilities
Strong analytical, communication, and negotiation skills.
Ability to work effectively in a fast-paced and ever-changing environment.
CPA Licensed
This position pays between $134,000- $200,000 based on relevant years of experience.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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Auto-ApplyResidential Monitor
Troy, OH jobs
Job Details TCN Troy Farmhouse (Recovery House and Residential) - Troy, OH $15.60 - $16.22 HourlyDescription
Be responsible for monitoring clients of the residential facility to ensure client safety and the integrity of the program; providing clinical duties as needed (group and/or individual sessions); assisting with the tasks of daily living; facilitating recreational activities; and completing clinical/facility documentation.
Primary Responsibilities:
Accompany clients to appointments, meetings, and other locations, ensuring continuous monitoring.
Read, comprehend, and enforce client rules without exception, escalating violations to supervisors.
Handle crises calmly and effectively.
Mediate resident conflicts to promote a respectful and peaceful living environment.
Assist in designing and participating in resident activities.
Identify resident treatment needs and provide appropriate interventions under supervisor direction.
Facilitate educational and therapeutic groups and other activities as needed.
Reinforce residents' orientation to house rules, safety procedures, and household expectations.
Oversee residents' general health status.
Benefits:
Licensure reimbursement
Clinical supervision hours towards independent licensure
Career advancement opportunities
Professional development and paid CEUs
Additional compensation for advanced licensure
Health, dental, and vision insurance
401k retirement options with company match as of day one
Generous paid leave options
11 paid holidays
Flexible or work-from-home options
Casual Friday-Sunday dress code
Work Location and Standard Work Hours:
Troy, OH
Full-time or PRN
Some evenings and weekends may be required
Shifts may vary
Supervisory Responsibilities:
None.
Work Environment:
This job operates in a residential setting.
You're passionate, purpose-driven, and you envision a community of healthy and productive individuals. You care about improving lives by providing clinically excellent and accessible behavioral health services.
Join us on our mission and come be a part of our positive company culture filled with diverse talent, clinical excellence, and dedication to supporting the needs of our communities.
Qualifications
Required Education, Certifications, and/or Experience
High School Diploma or Equivalent
CDCA or PRS Preferred
CPR-First Aid
Certified Dental Assistant
Mount Vernon, OH jobs
Job Title: Dental Assistant
Company: Knox County Community Health Center
About Us: Knox County Community Health Center is a leading dental practice dedicated to providing high-quality oral health care services to our patients. We are committed to creating a comfortable and welcoming environment where our patients can receive the care they need to maintain healthy smiles. As part of our team, you'll have the opportunity to learn and grow in a supportive and dynamic work environment.
Job Type: Part-time or Full-time
Job Description: We are currently seeking enthusiastic individuals to join our team as Dental Assistants. Dental Assistant certification required, Dental X-Ray Machine Operator certification preferred. If you have a passion for helping others and are interested in pursuing a career in the dental field, this could be the perfect opportunity for you.
Responsibilities:
Assist the dentist during dental procedures, including preparing the treatment area, sterilizing instruments, and handing instruments to the dentist as needed.
Take and develop dental x-rays under the direction of the dentist
Prepare materials for restorations.
Provide chairside assistance to the dentist during examinations and treatment procedures.
Educate patients on oral hygiene practices and post-operative care instructions.
Maintain a clean and organized work environment, including sterilizing equipment and disinfecting treatment areas.
Perform administrative tasks, such as updating patient records.
Qualifications:
High school diploma or equivalent.
Certified Dental Assistant required
Dental X-Ray Machine Operator certification preferred
Excellent communication and interpersonal skills.
Strong attention to detail and ability to follow instructions.
Ability to work effectively in a fast-paced environment.
Willingness to learn and take direction from experienced dental professionals.
Commitment to providing exceptional patient care.
Benefits:
Competitive compensation package.
Comprehensive training provided.
Opportunities for career advancement within the dental field.
Paid holidays, vacation, sick time, personal leave, and retirement
Health, Dental & Vision insurance available
How to Apply: If you're ready to start a rewarding career in the dental field, please submit your resume and KPH application for employment. We look forward to hearing from you!
Apply at: *******************************************************************
Note: This job posting is intended to convey information essential to understanding the requirements and responsibilities of the position. Management reserves the right to modify job duties or descriptions at any time.
Knox Public Health and the Knox County Community Health Center is an equal opportunity employer and values diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
THIS IS NOT A REMOTE OR WORK FROM HOME POSITION
Diabetes Care Advisor - Concierge/Non-Clinical - Onsite/Hybrid
Hudson, OH jobs
GEMCORE's continued success has earned us national recognition with Inc. Magazine's list of
America's Fastest-Growing Companies
and with the Cleveland Plain Dealer as a
Top Workplace six years running!
We are looking for qualified candidates who share our enthusiasm and drive for winning and want to be part of our caring culture!
Are you looking to begin or further your career in the medical supply industry where you are able to contribute to the success of the business, and build lasting relationships? All while allowing for personal time every evening, weekend, and holiday? Edwards Health Care Services (EHCS),
a division of GEMCORE
, is a well-established and growing national direct-to home medical supply provider. We are seeking a highly motivated Diabetes Care Advisor to join our high energy team. The Diabetes Care Advisor's primary role is to serve as the main point of contact for each patient and coordinate their health care professional, insurance benefits insulin pump and continuous glucose (CGM) orders with physician offices and insurances, ensuring excellent customer service throughout entire from start to finish. This role will effectively communicate via telephone and email with customers and patients; an outgoing personality and eye for detail is vital.
This is a hybrid remote position. The office is located in Hudson, OH.
This is a full-time, exempt position.
Schedule is 8:15am - 5:00pm, Monday through Friday.
Employer paid vacation.
Benefits available included medical/dental/vision, life, short and long-term disability insurances, and 401K Retirement Savings Plan.
Ongoing training and development.
Opportunity to earn a quarterly commission if goals are met.
Key Responsibilities
Treat both new and existing customers like a family member.
Cultivate new leads through the prospecting of physicians, diabetes educators, hospitals, clinics, manufacturer representatives and community partners.
Develop and maintain a positive relationship with each patient, physician and/or educator by direct communications throughout the insulin pump and continuous glucose monitoring order process.
Formulate new relationships with manufacturers, vendors, payers, doctors, patients concurrent with business development.
Process daily, weekly and monthly status reports per “tracker guidelines” for manufacturer and management review.
The exercise of discretion and judgement in obtaining prior authorization/pre-certification/pre-determination and Certificates of Medical Necessity per insurance requirements to determine shipment and billing.
Job requirements
Core Competencies
Excellent telephone and communication skills with a desire to communicate with patients, insurance companies, manufacturer reps, and physician offices on an ongoing basis.
Insurance background and/or medical experience, knowledge of deductibles and co-payments, a plus
Minimum of 1-2 years' experience in a consumer service organization or healthcare environment.
Minimal travel required
Education/Experience
High School Diploma or GED Equivalent
About GEMCORE
GEMCORE, a family of companies headquartered in Hudson, Ohio -
Edwards Health Care Services, GEMCO Medical, GemCare Wellness, and GEM Edwards Pharmacy
- offers a core set of healthcare solutions by partnering with manufacturers, providers, employer groups, insurance groups, and patients to deliver high quality healthcare products and innovative services to proactively better lives. For more information, visit **********************
About Edwards Health Care Services, Inc.
Edwards Health Care Services, Inc. (EHCS) is a national direct-to home medical supply provider of high quality medical and diabetes products that support the needs of individuals with diabetes and other conditions. For over 25 years, EHCS have been lighting the way to better health by providing customers an easier way to have products delivered directly to their door. By partnering with healthcare professionals, product manufacturers, and a large network of government and private insurers, EHCS prides itself on personalized customer service and a simplified, seamless order process for every customer…every time! For more information, visit ***************
To learn more about this position and to view other openings, visit our career site: **************************************
All done!
Your application has been successfully submitted!
Other jobs
Contract Technician I
Ohio jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $46,900.00 - $89,850.00/based on experience
The primary role of the Contract Technician I is to support client needs relative to Insurance contract management. The specialist will be responsible for Interpretation of Insurance contract verbiage, govt payer reimbursement, and support functions such as file balancing, account/report review and peer audits.
Ideal Candidates will have Hospital or Physician Insurance contract build experience, Managed Care experience, as well as contract management platform experience related to reimbursement and contracted rates.
Essential Functions:
Conduct file balancing and daily maintenance of contract management system Maintains a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic Related Group (DRG) updates, and yearly increases for the Managed Care contracts utilizing such tools as a Smartsheet for tracking.
Complete contract build testing to ensure accuracy prior to moving to a production environment.
Complete contract audits on completed builds as required.
Provide support to other revenue cycle areas regarding questions on calculations and reimbursement generated by the contract builds.
Completes necessary training modules and work building sessions to become Coordinates and actively participates with other associates and leaders on the team to expand and grow their knowledge of managed care organizations, contracts and products.
Participates with the Contract Management knowledge share opportunities to expand their knowledge base and role.
Requirements:
High School Diploma or GED
2-4 years' experience in healthcare industry relative to payer reimbursement to include:
Hospital or Physician Insurance contract build experience
Managed Care experience
Interpretation of Insurance contract verbiage
Contract management platform experience related to reimbursement and contracted rates.
Revenue Cycle Management
Certifications:
Must obtain CRCR certification within 9 months of hire - employer paid
#LI-JW
#LI-JW1
#LI-Remote
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
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Auto-ApplyCare Coordinator - Youth
Celina, OH jobs
Why Join Unison Health?
Unison Health provides a mission-driven work environment focused on staff support, professional growth, and work-life balance. We are committed to helping our employees thrive while making a lasting difference in the lives of children and families. For over 50 years, Unison Health has proudly supported individuals, families, and communities across Ohio. From behavioral health and substance abuse treatment to primary healthcare, we are dedicated to our mission: Making Lives Better.
Compensation & Benefits:
Salary: Starting at $55,000
Bonus Program: Earn up to $7,000 annually
Paid Time Off (PTO) Starting at 16 Days/Year
Medical with federal minimum deductibles
Dental and vision coverage
Retirement planning and employer contribution
Apply to Hear More!
Position Summary:
Want to help kids? Come work your passion with Unison Health! We are hiring full-time Care Coordinators to work with children and youth with behavioral or developmental health challenges and their families. In this role, you will collaborate closely with children, their families, and community partners to connect youth to the care and services they need to enhance their lives.
Our service area includes Lucas, Fulton, Henry, Williams, Putnam, Defiance, Paulding, Van Wert, and Mercer counties.
Key Responsibilities & Role Highlights
Work directly with children/youth and their families in community-based settings
Hybrid work model - combine remote work with in-community visits
Extensive training and professional development opportunities
Collaborative team environment focused on supporting families and staff growth
Opportunity to make a meaningful impact on children, youth, and their families
Education & Experience Requirements:
High School Diploma with 3 years' experience, OR
Associate or Bachelor's degree with 2 years' experience, OR
Master's degree with 1 year experience
Experience in children's behavioral health, child welfare, developmental disabilities, juvenile justice, or a related public sector human services or behavioral health care field providing community-based services to children and youth, their family, or caregivers
Expertise in one or more of the following areas: family systems, community systems/resources, case management, child and family counseling or therapy, child protection, or child development
Proficient in computer systems and software
Must possess a valid driver's license, reliable transportation, and be insurable under the agency's commercial policy; must carry personal auto insurance
LSW/LPC licensure preferred
Unison Health is an Equal Opportunity Employer (EOE).
DME Biller
Cleveland, OH jobs
At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! Join Our Team! We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included! Apply today to become a part of our dynamic team!
Competitive Pay
Advancement Opportunities
Medical, Dental & Vision Insurance
HSA Account w/Company Contribution
Pet Insurance
Company provided Life and AD&D insurance
Short-Term and Long-Term Disability
Tuition Reimbursement Program
Employee Assistance Program (EAP)
Employee Referral Bonus Program
Social Recognition Program
Employee Engagement Opportunities
CALM App
401k (with a matching program) / Roth IRA
Company Discounts
Payactiv/On-Demand Pay
Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays
Reimbursement Specialists
are responsible for the timely and accurate billing and collections for Medicare, Medicaid, and Commercial insurance carriers. Responsibilities and Duties:
Conducts review of rejected claims from the clearinghouse and front-end payor edits, follows up on unprocessed claims, and researches denials for resubmission to ensure timely collection and maximum reimbursement.
Maintains accurate and complete notes on each invoice worked.
Responds to patient inquiries received via phone, email, or from other internal departments.
Assists internal departments and staff with billing related issues.
Communicates obstacles or challenges to Billing Manager that may lead to inaccurate or untimely resubmission of claims.
Performs other duties as assigned.
Qualifications: Education: Graduate of an accredited high school or GED equivalent. Experience/Knowledge/Skills/Physical Requirements:
Minimum of three years of progressively responsible third-party payor reimbursement experience in healthcare.
Strong knowledge of Medicare, Medicaid and commercial insurance guidelines, procedures, and rules and regulations for HME billing.
Experience with escalating billing disputes, including appeals, reviews, and redeterminations.
Excellent communication and customer relation skills.
Excellent interpersonal and organizational skills (a team player).
Normal office/clerical motor skills in addition to extensive computer and telephone experience. Brightree experience preferred.
Pay starts no less than $18/hour
PB Analyst
Cleveland, OH jobs
Epic Professional Billing certification required
100% remote
up to $115k DOE
The PB/HB Analyst is responsible to resolve technical and application issues and support ongoing workflow and optimization issues. This position oversees the design, configuration, testing and support of Epic Patient Billing.
Responsibilities
Design, build and test Epic Patient/Hospital Billing software, including current- and future-state workflows
Troubleshoot and resolve issues, conforming to client change control and change management policies
Work in a complex and quick-moving client environment, meeting all project timelines and critical path requirements.
May be required to participate in 24-hour on-call rotations
Participate in project planning and manage applicable responsibilities
Facilitate and participate in team meetings and work groups
Minimum Requirements
BA with 5+ years' revenue cycle operational experience in healthcare setting
3+ years Epic HB/PB Analyst experience with current Epic certification
Abdominal Radiologist - REMOTE
Cleveland, OH jobs
**Remote Abdominal Radiologist** The Division of Subspecialty Radiology at Cleveland Clinic is currently seeking a highly qualified Remote Radiologist to join our Section of Abdominal Imaging. This is a full-time remote position with some home state restrictions, including California, Colorado, and a few others. As part of our team, you will have the chance to work closely with fellows and residents, as well as participate in multidisciplinary conferences 2-3 times per month. Most of these interactions will be conducted remotely, with an expectation of one to two onsite weeks per year at our main campus in Cleveland, Ohio for valuable clinical work and team-building activities. To support this, we offer a travel stipend.
Our remote positions are well-established and come with excellent support and cutting-edge technology. We provide all necessary equipment, including a work phone and workstation, at no cost to you. Additionally, we offer 24/7 IT support and imaging support navigators to assist with provider and site communications. All our sites utilize the same PACS (AGFA EI), dictation software (PowerScribe 360), and electronic medical record (EPIC) to ensure smooth and efficient operations.
QUALIFICATIONS
+ Completion of formal fellowship training in Abdominal Imaging
+ Board Certified by the American Board of Radiology
+ Commitment to providing the highest quality and timely clinical care in a high-volume clinical environment.
+ Passionate about the field, and eager to collaborate with other specialties.
SCHEDULE
+ Regular business hours (8am - 4pm or 5pm EST depending on the rotation)
+ Limited number (1 per mo.) of weekday late shifts (3pm - 9pm), and 6-7 weekends on call per year (Friday-Sunday 3pm - 9pm)
+ No overnight coverage required as there is a separate Overnight team to cover after-hours' work.
A faculty appointment at a rank commensurate with academic accomplishments is available at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University.
The Section of Abdominal Imaging includes 19 ABR-certified Abdominal Imagers. Our team works closely with medical and surgical specialties across the organization. Our clinical service lines encompass all aspects of GI and GU imaging, from fluoroscopic exams to advanced body MRI exams. Our department is equipped with state-of-the-art US, CT, and MRI technology, including Photon counting and Dual-energy CT scanners, a large fleet of 1.5 and 3T magnets and a PET/MRI. There are ample opportunities for career development in clinical, research, education, and leadership tracks. Many of our staff are nationally and internationally recognized thought leaders in the field and have taken on important roles within the organization and in radiological societies. We pride ourselves on having a very collegial environment rooted in mutual respect and commitment to excellence.
The Division of Subspecialty Radiology is housed within the Department of Radiology, which is one of the largest providers of imaging services within an academically oriented institution. The Department of Radiology interprets over 2.7 million exams annually and employs over 280 radiologists in 5 divisions: General Radiology, Subspecialty Radiology, Nuclear Medicine, and Florida Radiology. The Department is proud to be in the top quartile for employee engagement and experiences incredibly low staff turnover, and many of the staff are nationally recognized for their clinical and scientific contributions.
Cleveland Clinic offers a pleasant, stable, and collegial work environment with an unmatched quality of life.
BENEFITS THAT GO BEYOND
+ Competitive salary among academic institutions
+ Comprehensive health plan
+ Competitive retirement matching and tax-advantage options
+ Internal Moonlighting Opportunities for Additional Compensation
+ Relocation reimbursement
+ Professional reimbursements
+ Professional liability insurance
+ Parental leave equal to 100% pay
+ Life insurance
+ Disability coverage
**Learn more about Cleveland Clinic**
About Cleveland ClinicLiving in ClevelandTake a Tour (********************************************
**About Us**
Cleveland Clinic's vision is to become the best place for care and the best place to work in healthcare. We are committed to providing a safe, stable, and financially fulfilling work environment. Cleveland Clinic is ambitiously investing in growth. Being a physician-led organization means doing what is best for the patients, every day.
Cleveland Clinic is one of the world's largest and busiest health centers. Patients come to Cleveland Clinic from all over the world. We offer advanced treatment for all illnesses and disorders of the body.
Cleveland Clinic is a nonprofit, multispecialty academic medical center that's recognized in the U.S. and throughout the world for its expertise and care. Cleveland Clinic integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual America's Best Hospitals survey. Among Cleveland Clinic's 80,642 employees worldwide are more than 5,743 salaried physicians and researchers, and 20,166 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,690-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, more than 270 outpatient facilities, including locations in northeast Ohio; southeast Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2024, there were 14.1million total outpatient visits, 333,000 hospital admissions and observations, and 320,000 surgical cases throughout Cleveland Clinic's health system. Patients came for treatment from every state and 185 countries.
**Information for Candidates**
Candidates will only be asked to provide personal documents once an offer of employment has been made and accepted. Recruitment scams are becoming increasingly common online, with false advertisements and requests for payment or personal details claiming to come from reputable organizations. Please be assured that our physician recruiters will never ask for payment from candidates at any stage of the recruitment or offer process.
_The pay range displayed on this job posting reflects the anticipated range for new hires_ _and is for a 100%, full-time employment (FTE)._ _A successful candidate's actual compensation will be consistent with fair market value and determined after taking various factors into consideration such as the candidate's work history, experience, skill set,_ _% of FTE_ _and board certification. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision, and retirement._
**Our Culture**
_Cleveland Clinic is pleased to be an equal employment opportunity employer. Smoke/drug free environment._
**Disclaimer**
_Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with the program, which will include obtaining an influenza vaccination or an exemption._
**Pay Range**
Minimum salary: $500,000
Maximum salary: $700,000
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
Medical Biller
Holland, OH jobs
Description Location: Albany, NY (hybrid) or Holland, OH (hybrid) Compensation: $22.50 per hour Schedule: 8:00AM-4:30PM MST M-W onsite, Th-F remote Why Workit:Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America.Job Summary: Workit Health is seeking a full-time Medical Biller to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. Candidate ideally has experience billing for addiction medicine and/or outpatient medication-assisted treatment OR experience in billing for telemedicine services. Experience in both is a plus but is not required. Experience with calling health insurance plans a must. Excellent customer service skills. Candidates will demonstrate patient and empathetic communication to our members, be able to work accounts promptly and be open to workflow changes. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued.Core Responsibilities:
Have a working knowledge of medical software, insurance websites, and EHR
Ability to identify and solve claims processing issues
Contact third-party insurance payers for resolution of claims
Generate appeals or reprocess claims as necessary for problem resolution
Communicate effectively with patients, physicians, management, employees, and third-party representatives
Adhere to professional standards, company policies and procedures, federal, state, and local requirements, and HIPAA standards
Ability to manage a high volume of claims and meet productivity levels
Qualifications:
2-3 years previous Medical Billing experience
Payment Posting is a plus but not required
Must be able to work independently and rely on personal knowledge/experience for problem-solving.
Must have experience with MS Word and Google Sheets
Must be detail-oriented and have excellent organizational and time management skills
Candidates must excel at providing a high level of customer service and be able to work in a team environment
Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude
Preferred - Coding/Billing certification from AAPC, Practice Management Institute or AHIMA (CPC, CMC preferred) with current maintenance of continuing education/membership.
Benefits & Rewards:
5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!)
11 paid holidays
Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs
Company contributions to dependent premiums at higher than market rates (65%)
12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)
401k + 4% discretionary matching
Healthcare & dependent care Flexible Spending Accounts (FSA)
Health Savings Accounts (HSA)
Employee assistance program, complete with financial coaching and counseling sessions
Professional development allowance for healthcare providers
Opportunities for professional development and growth within the company
Fully remote roles company-wide
Vibrant, employee-driven cultural initiatives including multiple ERG groups
Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations
As we are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.#LI-RM1
Auto-ApplyNetwork Lead
Cincinnati, OH jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
Job Summary
We are seeking seasoned Network Lead to oversee and optimize our enterprise network infrastructure, with a specialized focus on Palo Alto Networks technologies, within a Healthcare Revenue Cycle Management (RCM) environment. This role is critical to ensuring secure, compliant, and high-performing connectivity across clinical, financial, and patient engagement systems.This position will require occasional after-hours and weekend work.
Essential Job Functions
Lead the design, implementation, and support of secure network infrastructure across healthcare RCM platforms, including EHR integrations, billing systems, and patient portals.
Manage and optimize Palo Alto Networks solutions including firewalls, Panorama, GlobalProtect, and threat prevention services.
Ensure HIPAA-compliant network architecture and enforce security policies aligned with healthcare regulations.
Collaborate with cybersecurity, compliance, and RCM application teams to ensure secure data transmission and system interoperability.
Monitor network performance and proactively address latency, downtime, and security vulnerabilities affecting RCM workflows.
Lead network incident response and root cause analysis for outages impacting revenue cycle operations.
Provide technical leadership and mentorship to network engineers and support staff.
Maintain documentation and change management processes in alignment with healthcare IT standards.
Evaluate and implement network technologies that enhance scalability, security, and automation in RCM environments.
Education Level
Bachelor's degree in Information Technology, Computer Science, or related field.
7+ years of experience in enterprise networking, with 3+ years in a leadership role.
Knowledge, Skills and Abilities
Proven experience with Palo Alto Networks technologies in healthcare or regulated environments.
Strong understanding of healthcare data flows, HL7/FHIR protocols, and RCM system dependencies.
Familiarity with HIPAA, HITECH, and other healthcare compliance frameworks.
Palo Alto certifications (e.g., PCNSA, PCNSE) highly preferred.
Experience with cloud networking (AWS, Azure) and hybrid environments.
Excellent communication and stakeholder management skills.
Other Preferred Knowledge, Skills and Abilities
Experience with SD-WAN, SASE, and Zero Trust architectures in healthcare settings.
Knowledge of healthcare RCM platforms (e.g., Epic, Cerner, Meditech, etc.).
Familiarity with automation tools (e.g., Terraform, Ansible, Python) for network configuration and monitoring.
Exposure to identity-based access controls and NAC solutions.
This position pays between $111,800-$167,700 based on experience
#LI-JK1
#LI-Remote
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
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Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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Auto-ApplyOutbound Call Center Representative
Cleveland, OH jobs
Come join a growing, fast-paced sales team with great benefits and career opportunities!This is a fully remote position, working from the comfort of your home office! Schedule hours: 9:00am-5:30pm EST or 12:30pm-9:00pm EST Competitive Compensation Packages ● Growth Opportunities ● PTO ● 401K with Employer Match ● Medical, Dental, Vision & Health Savings Account
Join Life Line Screening's Remote Call Center Team and be a part of the future of healthcare! We offer Full Time hours, comprehensive benefits, permanent work-from-home opportunities, and a supportive, growth-oriented, environment. We're looking for Remote Representatives who are compassionate and consultative. You will be responsible for educating our callers about the benefits of preventive health screening.
What our Remote Representatives need:
Please read the following information carefully before applying. Those who do not meet this criterion will not be considered
further.
The desire to work in a fast pace outbound call center environment.
Outstanding phone etiquette with strong ability for consultative conversations.
Stable job history with no job-hopping.
Ability to effectively de-escalate.
A competitive mindset to meet and exceed performance goals.
Satisfactory completion of a pre-employment drug screen and criminal background check.
MUST have a minimum internet speed of 50 Mbps.
Designated work area in your home free of noise and distraction.
High school diploma or equivalent required; some college preferred.
The benefits of working at Life Line Screening:
We provide all equipment (computer, monitor, phone, etc.) and paid training (conducted virtually) to build your career on the strongest possible foundation.
8.5 hour work schedule between the hours of 9:00am - 9:00pm EST
Competitive hourly pay ($12-14/hr) with bonus incentive, paid time off, and paid holidays, medical/dental/vision insurance, 401k plan with company match, professional development, referral bonus program, courtesy preventative health screenings for you and additional family members or friends.
What you'll do as a Remote Outbound Representative with Life Line Screening:
Make outgoing calls to remind patients to return their kit or that a screening kit is on the way making an average of 100-150 outgoing calls per shift.
Educate callers on the benefits of early detection, which improve length and quality of life through the prevention and early detection of colon disease and colon cancer.
Identify and assist with any challenges or issues the customer may have with returning their kit.
Successfully consult with patients to return their kit by providing them the information that they need.
Life Line Screening is proud to be an equal opportunity employer.
Life Line Screening is proud to be an equal opportunity employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age disability, protected veteran status, or other characteristics protected by law. Life Line Screening will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditional upon the successful completion of a background check and drug screen.
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