Revenue Cycle Director - Patient Accounts - Full Time - Days
Oakbend Medical Center 4.4
Oakbend Medical Center job in Richmond, TX
Responsibilities
Under the supervision of the VP/Chief Financial Officer, the Revenue Cycle Director is responsible for the strategic oversight and management of the entire revenue cycle process within the hospital, from billing to collections. This role demands an intimate knowledge of payor requirements and contracts, denials and appeals, and key business office KPIs such as clean claim rate, days in AR, Denial Rate, etc. The Director will develop and execute strategies to enhance revenue cycle efficiency, minimize denials, and ensure optimal financial performance.
KEY RESPONSIBILITIES
Revenue Cycle Management:
Oversee all aspects of the hospital's revenue cycle, including billing, coding, charge capture, and collections.
Develop and implement strategies to improve revenue cycle efficiency and effectiveness, ensuring the achievement of key financial goals.
Monitor and analyze revenue cycle performance metrics, including clean claim rate, days in AR, net collection rate, etc.
Payor Requirements & Compliance:
Maintain a thorough understanding of payor contracts, regulations, and reimbursement policies.
Ensure compliance with all federal, state, and local regulations related to billing, coding, and reimbursement.
Collaborate with payors to resolve issues, negotiate terms, and optimize reimbursement rates.
Denials Management:
Develop and implement a comprehensive denials management program to reduce denial rates and recover lost revenue.
Analyze denial trends to identify root causes and implement corrective actions.
Lead a team responsible for the timely review, correction, and resubmission of denied claims.
Appeals Process:
Oversee the appeals process, ensuring timely and effective resolution of denied claims.
Work closely with the clinical and coding teams to gather necessary documentation for successful appeals.
Track and report on the success rate of appeals, making improvements to the process as needed.
Team Leadership & Development:
Lead, mentor, and develop a team of revenue cycle professionals, including billing, collections, and denials management staff.
Promote a culture of collaboration and accountability, focusing on continuous improvement. Work closely with cross-functional partners to achieve shared goals.
Conduct regular performance reviews, offering continuous feedback, training, and development opportunities to enhance team capabilities
Strategic Planning & Reporting:
Work with executive leadership to develop and execute revenue cycle strategies that align with the organization's financial goals.
Prepare and present regular reports on revenue cycle performance, including trends in denials and appeals, to senior management.
Identify and implement best practices and emerging technologies to enhance revenue cycle efficiency and effectiveness.
Qualifications
MINIMUM EDUCATION:
Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; Master's degree preferred.
MINIMUM WORK EXPERIENCE:
Minimum of 7-10 years of experience in healthcare revenue cycle management, with at least 5 years in a leadership role.
REQUIRED LICENSES/CERTIFICATIONS:
None.
REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES:
Knowledge and expertise in hospital managed-care contracting, billing and collection for services provided. Intimate knowledge of payor requirements, including Medicare, Medicaid, and commercial insurance. Proven expertise in denials management and the appeals process. Excellent communication, negotiation, and leadership skills.
ABOUT OAKBEND:
OakBend Medical Center is an independent hospital providing exceptional and compassionate care to patients and the community since 1950. The OakBend family consists of outstanding team members caring for the community at three hospitals and many specialty centers. OakBend's services and programs include its signature No Wait ER, an advanced trauma center, certified stroke program, hospital air ambulance services and a hospital-based skilled nursing facility. We remain committed to providing a rewarding environment to our team members, to providing necessary services to the community and to developing the best methods to care for our patients, ensuring a healthy future for generations.
$80k-103k yearly est. Auto-Apply 60d+ ago
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Echocardiographer - PRN - Varies
Oakbend Medical Center 4.4
Oakbend Medical Center job in Richmond, TX
Responsibilities
The Echocardiographer oversees and coordinates the performance of all Cardiology and Electroencephalographic procedures. The Echocardiographer shall work cooperatively with Physicians, Nursing Staff, Ancillary Staff, and other members of the patient care team to maintain established departmental and hospital standards of care. All services shall be carried out according to established departmental and hospital policies, the hospital's mission statement, and the philosophy of the department's code of ethics.
Qualifications
MINIMUM EDUCATION:
High school diploma or GED; relevant experience in lieu of High School Diploma/GED education will be considered.
MINIMUM WORK EXPERIENCE:
One year ultrasound experience in echocardiograms.
REQUIRED LICENSES/CERTIFICATIONS:
Registered or registry eligible as a Cardiac Sonographer by The American Registry for Diagnostic Medical Sonography or The Cardiovascular Credentialing International. BLS Healthcare Provider CPR Course Certification through the American Heart Association.
REQUIRED SKILLS, KNOWEDGE AND ABILITIES:
The Echocardiographer, working in a staff position, shall follow all policies and procedures set forth by the Cardiopulmonary Department and OakBend Medical Center in providing Cardiology Services to all patients and accepts assigned responsibilities as an accountable member of the health care team. The Echocardiographer must remain an active part of the on call team rotation for all procedures performed. Successful completion of any other hospital or department specific training courses may be required.
ABOUT OAKBEND:
OakBend Medical Center is an independent hospital providing exceptional and compassionate care to patients and the community since 1950. The OakBend family consists of outstanding team members caring for the community at three hospitals and many specialty centers. OakBend's services and programs include its signature No Wait ER, an advanced trauma center, certified stroke program, hospital air ambulance services and a hospital-based skilled nursing facility. We remain committed to providing a rewarding environment to our team members, to providing necessary services to the community and to developing the best methods to care for our patients, ensuring a healthy future for generations.
$69k-104k yearly est. Auto-Apply 60d+ ago
Administrator on Duty (AOD), FT Days (53438)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
The AOD is responsible for the day to day operation of the hospital and functions as the Administrator for the hospital departments after hours. Coordinates the interdepartmental activities of hospital Employees through the interpretation of hospital standards, processes, and policies. Functions as the extension of an on-site representative for Administration and Department Directors and is the liaison between Departments, Hospital Administration, and Employees. Coordinates and supervises the administration of patient care and hospital systems and is responsible for the overall functioning of human and material resources throughout the organization. Supervises and directs all aspects of patient care, to include providing effective distribution and utilization of personnel with emphasis on staffing for nursing areas by coordinating work schedules and shift coverage. Administrative responsibilities include meeting with Employees management, and Administrators to discuss challenges or patient care issues. Ability to evaluate issues and trends, as well as address and resolve issues collaboratively with hospital Executives. Provides clinical leadership and administrative oversight for assigned shift. Works closely with other leadership roles to ensure a seamless operation in the providing of patient care throughout all departments. Functions as clinician, teacher, patient/family advocate, consultant, leader, and researcher. Utilizes the nursing process in interventions with Employees, family, physicians, inter- and intra-departmental health care providers, and/or community and ensures patient care is provided in accordance to applicable state Nursing Practice Acts, ANA Standards of Practice, and the generic and unit policies and procedures.
Qualifications
Work Experience
Three years experience as a Registered Nurse, preferably in Critical Care or the Emergency Department. One year nursing management experience preferred.
License/Registration/Certification
Current license as a Registered Nurse in the state of Texas.
Current CPR
PALS and ACLS within 12 months of hire
Education and Training
Bachelors of Science in Nursing required or completed within three years of being in the position. Masters degree in Nursing preferred.
Skills
Possesses effective oral and written communication skills.
Bilingual English/Spanish preferred.
Ability to read and comprehend English at a level necessary to follow written and oral instructions and safety precautions.
Ability to foster and facilitate working relationships and teams.
Ability to negotiate and resolve conflict.
Ability to analyze, evaluate and solve problems.
Ability to apply knowledge to work place issues.
Ability to effectively resolve complex systems issues.
Skill in the use of computer systems and related software applications.
Ability to provide leadership.
$62k-94k yearly est. 11d ago
Human Resources Recruiter, FT Days (54199)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
The Human Resources Recruiter plans, organizes, develops and evaluates effective recruitment and retention programs and strategies to ensure appropriate staffing levels. Responsible for the employment functions, including identifying recruitment markets and strategies, recommending appropriate advertising, facilitating the hiring process from applicant screening and referral to processing/orientation and on-boarding. Analyzes recruitment, retention and employment program effectiveness, develops recommendations and proposals that align with strategic goals. Represents the hospital at external career fairs, internal open houses and other recruiting functions.
Qualifications
Minimum Position Requirements
Work Experience:
Three (3) years administrative/professional experience required, of which two (2) years should be within a Human Resources environment preferably in a recruitment role. Must demonstrate knowledge of issues relating to recruitment and selection as well as employment law and other Human Resources practices is required.
License/Registration/Certification
Certified Healthcare Recruiter (CHR) or SHRM-CP preferred.
Education and Training
Bachelors Degree in Business Administration or related field required. Education requirement may be substituted for additional four (4) years of work related experience.
Skills
Knowledge of issues affecting health care recruitment and retention.
Excellent communication (oral and written), critical thinking and follow up skills.
Strong interpersonal skills, including interviewing skills, personal communication skills, and ability to influence others.
Strong ability to organize work priorities and meet specific objectives under time constraints. Ability to multi-task and manage several projects simultaneously.
Ability to be a change agent and influence others.
Excellent customer service skills. Ability to build and maintain relationships and work with all levels of management and teams.
Strong team orientation and collaborative style.
Ability to use independent judgment in guiding, coaching, and instructing staff and leaders.
Ability to promote an inclusive environment and seek ways to integrate differences.
Ability to analyze and apply judgment in resolving complex problems.
Excellent computer skills, to include MS Excel, Word, Project, and Power Point.
Self-motivated, self-learner, initiator, creative and flexible.
Bilingual, English/Spanish preferred.
$54k-73k yearly est. 7d ago
PBX Operator, PT Nights (54027)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
Receives and relays incoming and outgoing telephone calls from internal and external customers. Operates and maintains Hospital paging systems. Provides directory information to inquirers and transfers calls as appropriate to ensure prompt and efficient communication. Ensures information is maintained and updated on a regular basis.
Qualifications
Minimum Position Requirements
Work Experience:
Two (2) years PBX or comparable (call center and/or high volume telephone management) experience required.
Certifications:
None.
Education and Training:
High School graduate or GED equivalent.
Skills:
Highly effective oral communication skills, ability to speak English clearly.
Ability to work under pressure and handle emergency situations.
Knowledge of or ability to learn operation of PBX Communication System.
Bilingual English/Spanish.
Knowledge or experience with Desktop Software such as Word, Excel.
Some knowledge of Medical Terminology preferred.
$27k-32k yearly est. 11d ago
Licensed Master Social Worker, PRN Days Rotating (54326)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
Provides social work services to patients and their families: emotional support, counseling, assessment of patient and family needs and referral to community resources. Provides education to patients, families and hospital staff regarding health, safety and psychosocial issues. As a member of the Family Support Services Department works collaboratively with the interdisciplinary team and applies principles of family centered care, empowering families and advocating for family needs in collaboration with interdisciplinary teams and community resources to effect positive patient and family outcomes.
Qualifications
Work Experience:
Three years professional experience in acute care pediatric hospital, family or children's agency preferred.
Familiarity with resources for children of all ages especially as related to medical services preferred.
License/Registration/Certification:
Must hold a current Texas Social Work license and be in good standing with the Texas State Board of Social Work Examiners.
Adherence to the National Association of Social Work Code of Ethics.
Education and Training:
Master's degree in social work required.
Skills:
Knowledgeable of Social Work principles and standard practices.
Effective oral and written communication skills.
Ability to maintain the utmost confidentiality at all times
Knowledgeable of community resources.
Able to work with people of all social, economic, and cultural backgrounds
Flexible, open-minded and adaptable to change
Demonstrated ability to connect patients and families with appropriate services
Bilingual English/Spanish, culturally sensitive.
$62k-82k yearly est. 11d ago
Team Leader Patient Access, FT Rotating (54403)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
Under the direction of the Patient Access Manager, admits, registers, and pre-registers patients in a courteous, professional and timely manner. Provides leadership and guidance to the Patient Access Associates to include, but not limited to, pre-registration, admissions, insurance verification, authorizations, pre-certification, collection of patient payments prior to services and financial screening for EPCH programs. Oversees the daily workflow, completion of work and provides support in problem resolution and identification. Performs the duties of the Patient Access Associate as necessary.
Qualifications
Work Experience:
Two (2) years healthcare admitting experience or work experience in a related healthcare, business or finance position.
Education and Training:
High school education or GED. Some college preferred.
Skills:
Effective written and verbal communication skills.
Knowledge of medical terminology and familiarity of ICD9 coding.
Maintaining an efficient day-to-day workflow within a constantly changing environment.
Demonstrated ability to lead and motivate employees.
Ability to identify priorities and perform independently due to de-centralization of admission areas.
Ability to work with diverse personalities and conflicting requests.
Remaining current on insurance payers and Medicare requirements for admission and ancillary services.
Ability to work in challenging situations, i.e. interpersonal conflicts, staff shortages.
Ability to deal tactfully with Employees, patients, visitors and the general public.
PC experience with Microsoft word, excel and graphics.
Bilingual English/Spanish required.
$51k-117k yearly est. 11d ago
Certified Medical Assistant Multispecialty Center, FT Days (54329)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
Provide patient care management to an assigned clinic. The Certified Medical Assistant (CMA) works under the clinical direction of the physician or nurse and reports to the Director of Nursing, Outpatient Physician Specialty Clinic.
Qualifications
Work Experience
None required.
License/Registration/Certification
National Medical Assistant certification must be obtained within one (1) year of employment.
BLS
Education and Training
High school graduate or equivalent.
Graduation from an approved certified program for Medical Assistants.
Skills
Possess effective oral and written communication.
Possess effective interpersonal relationship skills; ability to interact with many different personalities.
Possess a working knowledge of office and medical equipment.
Knowledge of principles and application of medical ethics; ensures HIPAA compliance.
Knowledge of medical terminology and a working knowledge of ancillary services.
Ability to read and comprehend English at a level necessary to follow written/oral instructions and safety precautions.
Ability to problem solve and troubleshoot when situations arise.
$29k-36k yearly est. 7d ago
Quality Assurance Clerk - Cancer Grants - REMOTE/TEMPORARY
Inspira Health Network 4.5
Remote or New Jersey job
MAJOR FUNCTION:
The Quality Assurance Clerk/NJCEED Data & Billing Analyst is responsible for completing all duties associated with data entry, billing, and clerical work in accordance with NJCEED (New Jersey Cancer Education and Early Detection) grant program requirements. NJCEED Data and Billing Analyst works in collaboration with Cancer Grants Manager and program staff to ensure timely submission of NJCEED program data and billing processing. NJCEED Data and Billing understands and supports the mission, vision, and policies of Inspira Health and the NJCEED Program.
QUALIFICATIONS:
Education & Experience:
High school graduate required.
Associate's Degree preferred.
2-3 years' experience with data entry and billing in a healthcare setting preferred.
Certification/Licensure:
Medical Coding Certification preferred.
Knowledge & Skills:
Excellent verbal, written, and organizational skills.
Bilingual preferred.
Physical Requirements:
N: Never O: Occasionally (80%)
Lifting
O
Standing
O
Sitting
F
Lifting 20-50lbs
N
Climbing
N
Kneeling
N
Lifting>50lbs
N
Crouching
N
Reaching
O
Carrying
O
Hearing
C
Walking
F
Pushing
N
Talking
F
Vision
C
Environmental Conditions:
Noise
N
Varied Temperatures
N
Cleaning Agents
N
Noxious odors
N
Patient Exposure
N
Operative Equipment
N
BENEFITS INFORMATION:
Click Here to Review Our Great Benefits Offerings
$29k-38k yearly est. Auto-Apply 13d ago
Manager of Community Engagement Business Develoopment, FT Days (54810)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
The Community Engagement Manager is responsible for fostering and sustaining collaborative relationships between EPCH and top employers, city and county offices, universities, and manufacturing facilities/distribution centers, managed care organizations (MCO's) and health plans. This role focuses on enhancing community health outcomes by supporting and strengthening the capabilities of workplace health coordinators, university health services, and safety officers through education, programming, and coordinated care initiatives.
Qualifications
Minimum Position Requirements
Work Experience:
• Minimum two years of experience in community health, workplace wellness, school health coordination, safety program management, or managed care/health plan coordination.
License/Registration/Certification:
• None
Education and Training
• Bachelor's degree in Marketing, Health Communication, Public Health, Healthcare Administration, Occupational Health, or a related field required. Master's degree preferred.
Skills:
1. Knowledge of health care delivery in diverse settings, including workplaces, schools, universities, manufacturing environments, and managed care/health plan ecosystems.
2. Proven ability to manage multi-agency partnerships, including with managed care organizations and health plans, and coordinate interdisciplinary teams.
3. Excellent written and verbal communication skills.
4. Strong project management skills with the ability to meet deadlines independently.
5. Analytical, critical thinking, problem-solving, and interpersonal communication skills.
6. Ability to perform effectively under pressure to improve health outcomes and support population health initiatives.
7. Understanding of organizational structures and relationships in corporate, educational, industrial, and managed care settings.
8. Ability to collaborate with health professionals, administrators, safety officers, and managed care/health plan representatives to achieve goals, enhance safety and health outcomes, and position EPCH as a leader in community and population health.
$87k-117k yearly est. 11d ago
Accreditation Specialist Business Development, FT Days (54775)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
Under the general supervision of the Vice President (VP) of Strategic Initiatives, the Hospital Accreditation Specialist is responsible for overseeing continuing medical education (CME) programs, coordinating symposiums, and managing the accreditation process for athletic trainers, coaches and others as assigned. This role provides administrative, analytical, and technical support to ensure compliance with accreditation standards, enhance professional development, and promote high-quality educational initiatives. The Specialist maintains databases, supports event logistics, and ensures alignment with organizational objectives and regulatory requirements.
Qualifications
Minimum Position Requirements:
Work Experience
Two years of progressively responsible experience in healthcare education, CME coordination, accreditation processes, or related fields preferred.
Experience working with accrediting agencies is preferred.
Education and Training:
Bachelor's degree in Healthcare Administration, Education, Public Health, or a related field preferred; five years of equivalent work experience may be considered.
Licenses/Certifications/Registrations:
Certification in CME management (e.g., ACCME) or accreditation processes (e.g., BOC for athletic trainers) is preferred.
Skills
Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook) and accreditation or CME tracking software.
Strong verbal and written communication skills.
Excellent organizational and time-management skills.
Proficient in English grammar, punctuation, and spelling; ability to comprehend and follow written and oral instruction.
Ability to work well and get along with others to foster a cooperative work environment.
Ability to adapt to flexible work schedules and frequent interruptions.
Ability to maintain confidentiality and discretion at all times.
$51k-71k yearly est. 11d ago
EEG Technician, FT Days (54143)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
Performs various electroencephalographic (EEG) examinations, extended epilepsy monitoring and evoke potentials studies utilizing various monitoring equipment and recording observations to collect diagnostic patient data used in detecting brain and sleep disorders. Participate in facility and departmental process improvement initiatives as may be required.
Qualifications
Work Experience:
Related experience with healthcare equipment in a hospital/healthcare setting.
License/Registration/Certification:
Current Basic Life Support (BLS)
Education and Training:
Completion of a healthcare program in a clinical area (i.e. Medical Assistant, Certified Nursing Assistant, etc.) preferred.
Skills:
Effective oral and written communication skills.
Possesses effective interpersonal relationship skills.
Basic knowledgeable of or ability to learn various electroencephalographic procedures and processes.
Ability to read and comprehend English at a level necessary to follow written and oral instructions and safety precautions.
Bilingual, English and Spanish Preferred.
$44k-80k yearly est. 2d ago
Patient Navigator - Physician Services - Weekends Only
Oakbend Medical Center 4.4
Oakbend Medical Center job in Richmond, TX
Responsibilities
Under the Direct Supervision of the VP of Physician Services, the Patient Navigator will work in collaboration and continuous partnership with patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources to connect patients to relevant community resources, with the goal of enhancing patient health, well-being, decreasing patient readmissions and increasing patient satisfaction.
Qualifications
MINIMUM EDUCATION:
High School Graduate or GED Equivalent; relevant experience in lieu of High School Diploma/GED education will be considered.
MINIMUM WORK EXPERIENCE:
3 years previous customer service experience.
REQUIRED LICENSES/CERTIFICATIONS:
None
REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES:
Previous experience in a customer support role. Strong phone and verbal communication skills along with active listening. Customer focus and adaptability to different personality types. Ability to multi-task, priorities, and manage time effectively. Ability to establish and maintain strong working relationships with staff and management; excellent organizational skills with emphasis on detail and ability to effectively communicate both verbally and in writing. Detailed oriented, team player, and an independent thinker.
ABOUT OAKBEND:
OakBend Medical Center is an independent hospital providing exceptional and compassionate care to patients and the community since 1950. The OakBend family consists of outstanding team members caring for the community at three hospitals and many specialty centers. OakBend's services and programs include its signature No Wait ER, an advanced trauma center, certified stroke program, hospital air ambulance services and a hospital-based skilled nursing facility. We remain committed to providing a rewarding environment to our team members, to providing necessary services to the community and to developing the best methods to care for our patients, ensuring a healthy future for generations.
$31k-41k yearly est. Auto-Apply 60d+ ago
Certified Nursing Assistant (CNA) Pediatrics, FT Nights (54208)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
Performs Nursing Assistant duties under the direct training of a Registered Nurse.
Qualifications
Work Experience
One year experience as a Nursing Assistant, preferably in an acute-care setting preferred.
License/Registration/Certification
Current Certified Nursing Assistant
BLS
Education and Training
High school graduate or equivalent
Successful completion of approved educational program for nursing assistant or equivalent educational experience.
$28k-38k yearly est. 11d ago
Registrar/Scheduler Multispecialty Center, FT Rotating (54687)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
The Registrar/Scheduler facilitates the patient flow at the clinic providing services necessary to schedule, registers, and greet patients.
Qualifications
Requirements
Work Experience:
One (1) year of experience in scheduling or patient access in a hospital or clinical setting.
Education and Training:
High school diploma or equivalent.
Training or educational background with medical terminology and familiarity with ICD-10 coding preferred
License/ Registration/Certification:
Certified Healthcare Access Associate (CHAA) preferred.
Skills:
Ability to deal tactfully with employees, patients, visitors and the general public.
Basic computer literacy and keyboarding skills required.
Effective written and verbal communication skills required. Proficient written and verbal English skills required.
Some knowledge of medical terminology and familiarity with ICD9 coding.
Analytical and problem-solving skills required.
Knowledge of commercial and managed care payors and terminology.
Ability to work in a fast pace environment with frequent interruptions.
Demonstrates ability to organize and prioritize multiple tasks and works well under pressure.
Bilingual English/Spanish required.
$26k-39k yearly est. 11d ago
Prior Authorization Nurse, FT Days (54591)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
The Prior Authorization Nurse's primary responsibilities are to perform the review requests for service authorizations in order to monitor continuity and coordination of care and to assist in the utilization of appropriate services. These reviews include selected specialties, medical treatments and services, elective hospital admissions, rehabilitative and ancillary services. Assist the complex cases and internal process development and interact closely with the Medical Directors and Prior Authorization Representatives to direct appropriate utilization and data captured.
Qualifications
Minimum Position Requirements
Work Experience:
Three (3) years of clinical nurse experience as Registered Nurse (RN) required.
Experience in Emergency Room, Urgent Care, Clinic or hospital/provider office nursing.
Knowledge of government and third-party payer reimbursement methodology.
Healthcare operations experience, particularly in acute care hospital setting.
License/Registration/Certification:
Current RN License to practice in the State of Texas.
Current Basic Life Support (BLS).
Valid drivers license/proof of insurance.
Education and Training:
Bachelors of Science in Nursing.
Skills:
Must be able to work independently and possess strong clinical skills.
Detail oriented, able to function under pressure and multi-task.
Excellent communication skills, verbal and written.
Knowledge of computers and all other office equipment.
Working knowledge of software applications (i.e. MS Office, Word, Excel, etc.).
Knowledge of Medicare regulations and federal
Strong service orientation and professionalism.
Must possess critical thinking and problem solving skills.
Knowledge of CPT, HCPCs and ICD10 coding principles.
$27k-34k yearly est. 11d ago
Respiratory Therapy Intern, PRN Rotating (54552)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
Under the direction of the specified shift Respiratory Care Supervisor, Administrative and Medical Director is responsible for the assessment, treatment, management, control, diagnostic evaluation and care of patients with deficiencies and abnormalities of the pulmonary system. The Respiratory Care Student (RCS) is responsible for providing Respiratory Care to non-critical patients in the hospital. Training and services provided by this position are appropriate to patients of all age groups. Applies clinical respiratory judgment to implement a clinical respiratory program and maintains standards for professional respiratory practice in the clinical setting. The RCS communicates necessary information and makes needed recommendations to the physician and nurses as appropriate.
Qualifications
Work Experience:
Enrolled for credit in the clinical portion of an approved Respiratory Therapy Program.
License/Registration/Certification:
Current Basic Life Support (BLS)
Education and Training:
Student currently enrolled in an approved CoARC Respiratory Therapy program pursuing a Respiratory Therapy Degree.
Intern must obtain the Registry Board Exam by the NBRC and Texas License within 90 days after date of Graduation from the Respiratory Care Program approved by CoARC in order to retain employment as Respiratory Care Therapist.
Skills:
Must have a comprehensive knowledge of routine procedures with critical thinking skills for both adults, pediatric, and neonatal patients.
Possesses effective oral and written communication skills.
Possesses effective interpersonal relationship skills.
Ability to read and comprehend English at a level necessary to follow written and oral instructions and safety precautions.
Bilingual English/Spanish preferred.
$60k-99k yearly est. 11d ago
Revenue Optimization Specialist - Full Time - Days
Oakbend Medical Center 4.4
Oakbend Medical Center job in Richmond, TX
Responsibilities
The Revenue Optimization Specialist is responsible for maximizing revenue from designated payers. This involves creating processes and tools to ensure timely, accurate billing, collections, issue resolution, and payment processing for the assigned payer(s). The Revenue Optimization Specialist focuses on analyzing and improving hospital revenue cycle processes, with an emphasis on collections, revenue optimization, and data-driven decision-making. This role works closely with the business office, coding and leadership to enhance reimbursements and operational efficiency.
KEY RESPONSIBILITIES
Collections Analysis:
Monitor and analyze collections data to identify trends, patterns, and areas of concern.
Collaborate with the collections team to develop strategies to enhance payment timeliness and reduce aged accounts.
Provide recommendations to improve the hospital's accounts receivable processes, including identifying opportunities to minimize denials and underpayments.
Use data analytics to perform root cause analysis of revenue cycle issues and recommend corrective actions
Collections and Appeals:
Contact payors to resolve outstanding claims and expedite payments. Track and submit appeals for denied claims with necessary documentation
Investigate reasons for claim denials or underpayments and collaborate with payors to rectify issues.
Maintain detailed records of payor interactions, including call logs, emails, and payment outcomes, for reporting and audit purposes.
Process Improvement:
Work closely with the business office team to implement process improvements based on data analysis and findings.
Assist in identifying and correcting workflow inefficiencies that may impact the hospital's ability to collect revenue.
Collaborate with finance, billing, coding, and clinical departments to improve revenue integrity and ensure compliance with hospital policies and payer regulations
Assist in staff training on billing and collection procedures to ensure adherence to optimized processes
Qualifications
MINIMUM EDUCATION
Bachelor's degree in Finance, Healthcare Admin, Business, or a related field is required.
MINIMUM WORK EXPERIENCE
None.
REQUIRED LICENSES/CERTIFICATIONS
None.
Preferred Qualifications:
Advanced excel skills. Tablou and PowerBI would be a bonus.
ABOUT OAKBEND
OakBend Medical Center is an independent hospital providing exceptional and compassionate care to patients and the community since 1950. The OakBend family consists of outstanding team members caring for the community at three hospitals and many specialty centers. OakBend's services and programs include its signature No Wait ER, an advanced trauma center, certified stroke program, hospital air ambulance services and a hospital-based skilled nursing facility. We remain committed to providing a rewarding environment to our team members, to providing necessary services to the community and to developing the best methods to care for our patients, ensuring a healthy future for generations.
$25k-33k yearly est. Auto-Apply 60d+ ago
Physical Therapy Technician - Full Time - Days
Oakbend Medical Center 4.4
Oakbend Medical Center job in Houston, TX
Responsibilities
Under the direct supervision of a Physical Therapist, the Physical Therapy Technician the person will be utilized in supervised patient treatments and in maintaining the PT department in a clean and orderly manner.
Qualifications
MINIMUM EDUCATION
High school diploma or GED; relevant experience in lieu of High School Diploma/GED education will be considered. Graduation from a technical program preferred.
MINIMUM WORK EXPERIENCE
Previous experience in Physical Therapy clinic preferred.
REQUIRED LICENSES/CERTIFICATIONS
Basic Life Support certification required through the American Heart Association or other pre-approved accredited certification program.
REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES
Knowledge of regulations, QA and procedures, and quality patient care. Successful completion department specific and/or hospital required training courses. Must be able to treat patients of all ages from pediatric to geriatric.
ABOUT OAKBEND:
OakBend Medical Center is an independent hospital providing exceptional and compassionate care to patients and the community since 1950. The OakBend family consists of outstanding team members caring for the community at three hospitals and many specialty centers. OakBend's services and programs include its signature No Wait ER, an advanced trauma center, certified stroke program, hospital air ambulance services and a hospital-based skilled nursing facility. We remain committed to providing a rewarding environment to our team members, to providing necessary services to the community and to developing the best methods to care for our patients, ensuring a healthy future for generations.
$19k-25k yearly est. Auto-Apply 2d ago
Utilization Review Nurse, FT Days (54587)
El Paso Childrens Hospital Corporation 4.3
El Paso, TX job
To monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services. Responsible for ensuring the appropriateness of hospital admissions and extended hospital stays. An understanding of the severity of an array of illnesses, intensity of service, and care coordination needs are the key, as the nurse must integrate clinical knowledge with billing knowledge to review, evaluate and arrange peer to peers when clinical denials related to medical necessity of the patient while hospitalized. UM nurse will work closely in collaboration with physician advisers to support policy development, and process improvement.
Qualifications
Work Experience:
Two (2) years prior experience with Utilization Management.
Previous training and demonstrated competence in negotiations, quality assurance, case management outcomes, and keyboarding/computer use.
Experience with InterQual and/or Milliman Care Guidelines. Strong organizational and time management skills.
Ability to work on extremely complex problems where analysis of situation or data requires an evaluation of intangible variance factors.
License/Registration/Certification:
Current RN License to practice in the State of Texas.
Education and Training:
Associate's Degree in Nursing, BSN preferred.
Skills:
Ability to utilize proficient verbal, written and interpersonal communication skills.
Ability to work on extremely complete problems where analysis of situations or data requires an evaluation of intangible variance factors.
Knowledge of managed care, reimbursement and utilization management.
Knowledge of current International Classification of Disease (ICD-10), Diagnostic Related Groups (DRGs), and medical necessity criteria.
Knowledge of claims denials and appeals processing
Ability to coordinate and manage multiple priorities, projects simultaneously, reprioritizing as necessary
Ability to self-motivate, multi-task and prioritize in a fast paced environment.
Ability to use analytical and problem solving skills.
Knowledge of HIPAA standards.
Knowledge of various insurance plan coverages for Home Health, DME, SNF, LTAC agencies.
Works well with people of all social, economic, and cultural backgrounds.
Strong customer service orientation.
Knowledgeable regarding community resources.
Knowledge of basic computer, word-processing, and spreadsheet skills, Microsoft.
Ability to operate standard office equipment.
Knowledge of English grammar, punctuation and spelling.
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OakBend Medical Center may also be known as or be related to OakBend Medical Center, Oakbend Medical Center and Oakbend Medical Center - Texas.