Planned Parenthood Remote jobs

Planned Parenthood Los Angeles is seeking an experienced Call Center Supervisor. The Call Center Supervisor is a supervisory role responsible for assistance with day-to-day Call Center operations, ensure efficient daily operations, quality outcomes and internal and external customer satisfaction. Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission.Our Ideal Candidate will have the following qualifications: High School Diploma or equivalent required. Bachelor's degree preferred. Three (3) to Five (5) years Call center experience required. Bilingual English/Spanish preferred. Must be willing to work weekends and/or evening hours. The Call Center is open 6 days a week requiring management to work open and/or closing shifts daily including Saturdays. Ability and willingness to travel within Los Angeles County. Reliable means of transportation for onsite and off-site work. If using a personal vehicle to drive for work purposes, a valid CA driver license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required. About the Position: Abortion patients are cared for at each of our health centers, and in part through the administrative, support, and other non-clinical services provided at all PPLA locations, and by all PPLA employees. Supporting these critical services is an essential job duty, and a fundamental responsibility of all employees and contractors. Responsible for supervising a team of Call Center Specialists in a dynamic fast paced team environment. Responsible for aspects of staff supervision including: a.) Identify and assess employee skill and make recommendations to improve performance; b.) Assist with implementing additional services and training of staff as required; c.) Communicate clearly and effectively with Call Center staff; and d.) Create and maintain strong teams. Assisting with staff scheduling to ensure Call Center service level standards as needed. Effectively accept and resolve client concerns and ensure service recovery. Submit reports as needed. Motivate the Call Center team to meet weekly and monthly Call Center performance goals. Assist in auditing calls to coach Call Center staff for increased appointment making efficiency, appointment accuracy and customer service. Assist with managing clinic appointment schedules in the EMR system as needed. Act as a Call Center flow facilitator on a daily basis to ensure that Call Center is operating at its maximum potential. Adhere to affiliate goals and policies on professionalism, wait time in clinics and on the system for addressing client complaints. Participate in Health Center efforts to achieve established goals for productivity. Participate in Health Center/affiliate efforts to achieve established revenue cycle goals. Generous salary and benefits package includes: Medical, dental, and vision coverage options for you and eligible dependents Free basic life/AD&D policy with additional voluntary coverage options Short Term Disability, Critical Illness and Accident policies 403(b) Retirement plan with up to 3% employer match Medical and Dependent Flexible Spending Account plans Public Transportation and Commuter Pre-Tax Reimbursements Generous vacation, sick, and holiday benefits Hiring range $68,640 - $78,000 per year (Exempt) Compensation Philosophy and Position Hiring Range:At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles. Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.

UPMC Northwest hospital Seneca, PA Housekeeper Full Time Shift: Primarily 2nd shift (3:00 PM-11:30 PM) with every other weekend on 1st shift (7:00 AM-3:30 PM), based on scheduling needs. Responsibilities: + Make beds, following established cleaning procedures in all patient discharge rooms and on-call rooms as assigned. + Inspect and ensure that all assigned areas are properly cleaned and in good repair, report problems to the supervisor. + Replenish paper towels, toilet paper, and soap in all locations of assigned areas to assure adequate supply. + Clean all assigned areas, including patient rooms, public areas, toilets, procedure rooms, offices and equipment, following established procedures. + Maintain assigned equipment in clean, working condition, reporting problems and suggestions to the supervisor. + Remove trash from all assigned areas. + Follow all safety and sanitation regulations. + Move equipment, furniture, boxes, wash walls, spot carpets, etc. as assigned. + Ability to follow written and verbal instructions in order to successfully complete housekeeping duties + Ability to work at off-site buildings. Transportation preferred. + Ability to use housekeeping equipment. + May in the course of duties be in rooms where medications are stored. No contact with medications is allowed.Licensure, Certifications, and Clearances: + Act 34 + OAPSA UPMC is an Equal Opportunity Employer/Disability/Veteran

Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center The Department of Radiology at Beth Israel Deaconess Medical Center, a major teaching hospital of Harvard Medical School, is seeking an enthusiastic, highly motivated, radiologist to join the Division of Musculoskeletal (MSK) Imaging and Intervention. The successful candidate will be appointed to an academic rank at Harvard Medical School (Instructor/Assistant Professor/Associate Professor) commensurate with experience, training and achievements. The candidate must be ABR-certified (or eligible) in diagnostic radiology and eligible to practice in the state of Massachusetts. Fellowship training in musculoskeletal imaging is highly desirable. Our MSK division is responsible for all aspects of musculoskeletal radiology, including radiography, CT, MRI, ultrasound, bone densitometry and musculoskeletal interventions. The MSK section is responsible for over 70,000 studies each year, performed at a network of academic and community sites linked via a PACS network. Currently, the Department has 11 MR scanners (including 1.5T and 3.0T GE research scanners) and 7 state-of-the-art CT scanners. The candidate is expected to have expertise in performing image-guided procedures (bone and soft tissue biopsies, pain injections, and arthrocentesis) using CT, fluoroscopy, and ultrasound. In addition, the department will be engaged in the newly announced and exciting clinical collaboration between Dana-Farber Cancer Institute (DFCI), BIDMC, and Harvard Medical Faculty Physicians (HMFP) to establish New England's only free-standing adult inpatient cancer hospital. The collaboration will bring together world-class clinicians to deliver transformational, precision medicine in an environment solely dedicated to defying cancer. It is expected that the candidate will participate fully in the clinical, teaching, and research responsibilities of the division. The teaching program includes two MSK fellows each year and a residency program of forty residents. Moreover, one-third of the Harvard medical students rotate on the MSK service. There is a large and comprehensive Orthopedics Department which includes an active orthopedic oncology, sports medicine, and orthopedic biomechanics groups that collaborate in joint research programs. We have additional research collaborations with other departments (internal medicine, neurology, podiatry) and institutions. The department will support remote work options. Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is one of the largest physician organizations in New England, dedicated to excellence and innovation in patient care, education, and research. As a physician-led organization, HMFP partners with more than 2,400 providers to support the delivery of exceptional care, promote professional development and foster balance at work and home. HMFP physicians have faculty affiliations with Harvard Medical School (HMS) and provide care throughout the Beth Israel Lahey Health (BILH) system and additional hospitals across Massachusetts. For more information, please contact Ms. Andrea Baxter, Executive Assistant to the Chair, Department of Radiology; *************************, ************. For information about our medical center and department, please visit: ********************************************************

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Clinical Documentation Integrity (CDI) Service Line Outcomes Lead is responsible for partnering with service line & physician leadership to optimize documentation tools, improve processes, and develop strategies to reduce administrative burden on our providers, while maintaining high quality and integrity documentation. This leader will serve as a direct partner to service line leaders with the aim to improve query turnaround, identify & facilitate targeted education opportunities, and strengthen overall buy-in and engagement. Locations Stanford Health Care What you will do Responsibility for management and optimization of the positive relationships between CDI and the service lines assigned, meeting regularly with SL Physician Champion and Chair/Chief. Drive increased workflow efficiency through monitoring and escalating queries as appropriate. Performance of CDI targeted audits and analysis of the findings, related to documentation and coding, to build physician education, identify areas of individual and service line opportunity, and facilitate short and long-term resolutions. Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations, and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation opportunities within the service lines assigned. Assists in monitoring and evaluating CDI and coding quality in relationship to best practices, while completing project-related reviews and providing relevant feedback to peers, coding, CDI leadership and quality partners, as necessary. Coordinates data collection and analysis, in collaboration with quality teams, related to patient care activities, documentation opportunities, coding opportunities and clinical outcome performance gaps. Coordinates the development of working sessions of multi-disciplinary teams in goal setting and problem solving. Optimizes service line clinical documentation integrity programs, including related provider and multidisciplinary education content creation, delivery and evaluation of effectiveness. Leads multidisciplinary and multi-departmental CDI projects to achieve strategic goals and objectives. Partners with other CDI leads, IT and other technology partners to create and optimize documentation tools, process and strategies to reduce administrative burden on our providers, while maintaining high quality and integrity documentation. Education Qualifications Bachelor's degree in Nursing, Medicine, Health Information Management or similarly related field of study. At least two currently active: - COC, CPC, or CCS certification - Certified Data Management Professional (CDMP) certification, Certified Analytics Professional (CAP) certification, or similar - CRCR or other revenue cycle certification - Health Care Quality (HACP, CPHQ, HCQM) certification - Case Management Certification (CCM) or clinical certification - Physician Educator Certificate Program (PECP) certification, or other education certification Experience Qualifications Five (5) years of progressively responsible and directly related inpatient clinical experience. At least 5 years of CDI, or provider education related work experience. Outcomes data reporting and analysis experience. ICU/ED and Academic Medical Center experience preferred. Case management, utilization review and/or direct provider interaction experience, preferred. Experience in public speaking, as well as educational content creation and delivery of formal multidisciplinary education, preferred. Experience with Vizient, Premier, Elixhauser and other risk adjustment methodologies, highly preferred. Required Knowledge, Skills and Abilities Expertise in coding and CDI practices., maintaining expertise in Medicare/Medicaid rules and regulations, as well as current trends and developments. Knowledge of, but not limited to, current CMS coding guidelines and methodologies, MS-DRGs, APR-DRGs, HCCs; current version of CM/PCS and AMA CPT coding guidelines and conventions, staying abreast of CMS rules and regulations and incorporating those changes into daily practice. Extensive knowledge and experience in computer systems, reporting software and electronic medical record systems used in functional area. Demonstrated leadership ability, organizational savviness, and critical thinking skills. Ability to develop and maintain strong, collaborative and supportive working relationships with peers, physicians and other clinical professionals. Must have demonstrated interpersonal, verbal and written communication skills in dealing with multidisciplinary teams and variety of ongoing activities. Knowledge of project management processes and systems with the ability to lead teams and manage high-profile projects to produce results within schedule and budget. Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation. Ability to work independently, creatively, and innovation-focused in high-volume, fast- paced, and highly political work environments. Ability to work independently in performing duties with minimal supervision with a high degree of self-motivation. Expertise in developing and delivering training and education to clinical, CDI and coding professionals regarding CDI practices, coding, and documentation requirements, as well as knowledge distribution to multidisciplinary teams. Licenses and Certifications At least 1 currently active: . CCDS - Cert Clinical Document Spec . CCDS-O or CDIP . Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred . These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $70.52 - $93.43 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

University of Pittsburgh Physicians is hiring a full-time Quality Data Analyst! This position will be based out of UPMC Presbyterian but will have a remote work option. Purpose: Designs and analyzes reports highlighting opportunities to improve clinical performance/patient care. Assist the teams (department and facility) in the proper analysis and presentation of information using various clinical and administrative systems and the corporate database. Reviews medical records for the determination of data collection as related to analysis of documentation, process issues, demographic elements, and as part of understanding and proceeding with database design / re-design, analyses, and improvement process . Needs to understand the clinical needs of the committee/projects to further progress the process improvement using analyses and recommendations. Manages designated external reports, including analysis, processing, submission, and final review. Responsibilities: + Knowledge of the process improvement project and supporting literature as appropriate. + PHC4 Open Heart Report requiring physician verbal and written communication re: clinical exclusions and the necessary supporting patient medical record information. + PHC4 Nosocomial Infection Report requiring Infection Control Practitioner communication re: reportable nosocomial infections and state report verification. + Responsive to deadlines and completes tasks within the amount of time prescribed bysupervisor. Maintain high level of accuracy and timeliness. + Track department and related facility quality projects. + Independently resolve problems encountered. + Develop plan and determines pertinent information to be extracted from the medical record (concurrent and retrospective) and/or associated electronic patient information (MARs, AccessAnyware, Power Chart, Cerner, Medipac, etc) for inclusion in and submission to project, committee, system, regional, and national databases, as applicable to the current projects. + Knowledge of the process improvement methodology. + Master new computer software and upgrades, as applicable. + PHC4 Hospital Performance Report requiring validation utilizing internal Atlas reports and cdb. + Develop appropriate goals and objectives for assigned projects. Determine appropriate procedures to meet goals in an efficient, effective, and thorough manner. + Present reports to appropriate team/committee as appropriate, includingrecommendations, as appropriate. + Organize discussions or multi-disciplinary teams, as applicable, including key personnel, chiefs, chairs, physicians to discuss findings and help identify, initiate, and assist in process improvement. Develop plan of action. + Provide consultation and assistance for presentations ( i.e. Total Quality Councils) andthe ongoing year-round preparation for Annual Quality Fair, including consulting with departments re: presentations using the data and the PDSA performance improvementmethodology. + Coordinate preparation, submission, and review of external reports. + Report information, analysis, outcomes, trends, patterns to the appropriate department member, committee chair, and/or director. + Work well with department and facility committee and project leads, understandingclinical needs of the committee/project to help progress the process improvement initiatives. + Advanced problem solving using various information sources. Must determine what thebest source of information is and query the data, analyze the data, and present it in most appropriate format, i.e., graphs, summary reports, etc. + Provide timely updates on significant problems and issues encountered. + Prepare concise, meaningful analysis or narratives which present conclusions clearly inan unequivocal manner in conformity to established goals and objectives. + Knowledge of project goals to identify key individuals/departments. + Consistently identify and understand technical issues presented by assignments. + Oversee staff that are proving data entry assistance. + Identify problems and develops meaningful recommendations as a result of workperformed. + Communication with identified individuals re: project goals and outcomes. + Identify meaningful opportunities for department involvement in quality improvement projects. Bachelor's degree in a healthcare related field (clinical or non-clinical, e.g., healthcare policy, healthcare administration, health information).Minimum of 2 years experience in a healthcare facility (e.g., hospital, insurance company).Strong knowledge of medical terminology and clinical situations. Strong knowledge of quality improvement, regulatory requirements and compliance preferred.Excellent ability to work with computer applications and functions. Knowledge of and ability to work with the MediQual Atlas system and with the Corporate Data Base, Cognos and Report Net.Strong problem solving, data analysis, and creativity that would enable and motivate change.A high level of energy and ability to work independently with strong communication,interpersonal, organizational, and prioritization. Confidentiality and accuracy is essential. Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Specialist to join our coding team. This position will be a work-from-home position working Monday through Friday during normal business hours. The Clinical Documentation Specialist (CDS) facilitates modifications to clinical documentation through concurrent interaction with physicians and other members of the healthcare team to ensure appropriate clinical severity is captured for the level of services rendered to all inpatients. If you are ready to take the next step in your coding career and have experience as a CDI Specialist, look no further! Responsibilities: + Participating at the organizational level in clinical documentation improvement initiatives + Communicate with physicians, face-to-face or via clinical documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness + Preparing trended data for presentation one-on-one and small to medium groups of physicians + Demonstrate an understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, impact of procedures on the final DRG, and an ability to impart this knowledge to physicians and other members of the healthcare team + Be responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team + Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plans + Three years of previous clinical acute care nursing experience medical/surgical experience to include critical care in conjunction with an expanded knowledge of DRG's; OR completion of Health Records Administration program (RHIA) or Accredited Record Technician (RHIT) AND 3 years of experience with the Prospective Payment System and DRG selection; OR specific knowledge as a consultant in Medical Record coding and DRG assignment required. + Prior CDI work experience preferred. + Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/Utilization review background is highly preferred. + Ability to communicate with staff, physicians, healthcare providers, and other healthcare system personnel in a professional and diplomatic manner required. Licensure, Certifications, and Clearances: + Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Doctor of Podiatric Medicine OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse (RN) + Act 34 *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. *Employees practicing in Maryland: Respiratory Therapist license may be used in substitution of the aforementioned certifications and licensure. UPMC is an Equal Opportunity Employer/Disability/Veteran

Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Director of Sales for Onsites- West Coast Region is responsible for Identifying new business opportunities, securing, managing and maintaining business relationships with Onsite health and wellness center client accounts, brokers and consultants leading to expanded market share. The director meets sales growth objectives in accordance with Concentra onsite sales policies, practices, procedures and applicable regulations. In addition, the director will achieve objectives related to sales and growth of Concentra's complete service offering. Responsibilities * Develop and execute strategy to expand market share through new customer prospects and/or existing accounts with significant growth opportunity * Weekly Business Unit General Capabilities presentation delivery in person, via webex and/or phone conference * Grow and maintain select existing customer relationships as identified collaboratively with VP Onsite Sales and National Onsite Leadership Team * Maintain a Sales Funnel with expected values within each sales stage * Meet minimum quarterly/annual revenue goals established by Senior Management * Identify and pursue new customer opportunity and is articulate Concentra's full onsite scope of service with a focus on securing and growing new account revenue * Lead Onsite Customer Strategy and Pursuit approval calls. Go/No Go Calls. * Close/Finalize the sale, develops an implementation strategy across multiple disciplines as needed (Operations, Clinical, Sales), with established inception dates * Communicate and solicit appropriate approvals on Pricing/Margin targets across multiple disciplines * Coordinate "set-up" of Concentra service offering/protocol and customer on-boarding to ensure smooth business transition and implementation * Establish "open channel" communication with Concentra Management and service providers to create free flowing customer/market information * Coordinate sales/support activity with market/local leadership across multiple territories as needed * Submit weekly activity reports to designated management personnel via CRM system access * Submit Monthly Productivity reports to designated management personnel via CRM system access * Interpret and deliver various customer related outcome data * Identify, interpret and develop customer proposal requirements and communicate accordingly with management and corporate proposal development team * Maintain current knowledge of industry partners, brokers, consultants, competitors, industry organizations and resources * Pursue and maintain key industry thought leaders (consultancies, brokerage houses) relationships and endorsements * Attends Industry Trade shows and related events * Present at highest levels of client organizational management (Senior, C suite) * Role is based in the West Coast Region. * Travel required National Qualifications * Bachelor's degree in in public health, healthcare administration or business from an accredited college or university or equivalent education and experience * Experience in lieu of required education is acceptable * In lieu of undergraduate degree, the ratio is 1:1 meaning one year of college equals one year of work experience and vice versa * Advanced degree in public health, healthcare administration or business preferred * Concentra leadership and customer service training. * Customarily has at least five or more years of directly applicable experience in Onsite Health and Wellness Center sales and/or Operations * Existing onsite medical center client, broker and consultant relationships within the space a plus * Demonstrated general knowledge of Onsite Health Care delivery, billing, case management, network applications and state regulation standards within the Onsite Health and Wellness industry Job Related Skills/Competencies * Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility * Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions * Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism * The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies * Basic financial analysis and ROI trend review skills * Demonstrated excellent written and verbal communication skills * Demonstrated deadline orientation * Demonstrated organizational and project management skills * Demonstrated time management * Demonstrated sense of urgency and prioritization skills * Demonstrated ability to form strong internal and external relationships * Demonstrated attention to detail * Demonstrated ability to follow-through and follow-up * Demonstrated research and data application skills * Competitive analysis and counter response skills Additional Data Employee Benefits * 401(k) Retirement Plan with Employer Match * Medical, Vision, Prescription, Telehealth, & Dental Plans * Life & Disability Insurance * Paid Time Off * Colleague Referral Bonus Program * Tuition Reimbursement * Commuter Benefits * Dependent Care Spending Account * Employee Discounts We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required. This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management* Concentra is an Equal Opportunity Employer, including disability/veterans

UPMC is seeking a motivated individual to join our team as an intern and gain hands-on experience in health care marketing and digital communications. In this role, you will contribute to high-visibility initiatives that elevate UPMC's clinical excellence, breakthrough research, and cutting-edge innovation. You will collaborate with two dynamic teams: UPMC Enterprises Marketing, which supports the innovation and commercialization arm of UPMC by developing marketing strategies and communications that showcase emerging digital health solutions, artificial intelligence platforms, medical technologies, and life science ventures to investors, partners, and health care leaders; and UPMC Clinical Marketing, which develops compelling campaigns and educational content to promote UPMC's world-class clinical programs and services. Together, these groups shape UPMC's mission to improve patient outcomes and define the future of medicine. As a marketing associate, you will help create impactful content, support strategic marketing campaigns, and tell powerful stories about health care innovation. This internship offers valuable hands-on experience in a professional environment, with flexibility to work remotely up to two days per week depending on departmental needs. The paid internship will be at the hourly rate of $20/hour. Apply today! Responsibilities: + Develop patient-centered stories and digital content for UPMC channels + Produce marketing materials such as physician profiles, brochures, and fact sheets + Draft and publish blog content for UPMC HealthBeat and UPMC Enterprises Insights + Assist with social media strategy, planning, and content creation + Assist in planning, organizing, and coordinating corporate events + Support multi-channel marketing campaigns across print, digital, and web platforms + Research industry trends and competitive positioning to inform strategy + Ensure brand consistency, accuracy, and compliance across all materials + Track, analyze, and report key campaign performance metrics + Contribute creative ideas during planning and brainstorming sessions + Current enrollment in a bachelor's or master's program in marketing, communications, journalism or business field preferred. + Looking for individuals entering their junior or senior year as well as those within a master's program. + Exceptional writing, editing, and storytelling skills with strong attention to detail preferred. + Familiarity with digital marketing tools and major social media platforms preferred. + Ability to manage multiple assignments and meet deadlines in a fast-paced environment. + Proficiency in Microsoft Office; experience with Canva or Adobe Creative Suite preferred. + Interest in health care, technology, innovation, and emerging digital trends. + Strong communication, organization, and collaboration skills. + Ability to work both independently and as part of a team.Licensure, Certifications, and Clearances: + Act 34UPMC is an Equal Opportunity Employer/Disability/Veteran

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position requires strong clinical acumen, a strong understanding and application of clinical documentation standards, coding, and regulatory requirements, as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external stakeholders to ensure timely and accurate resolution of appeals, ultimately contributing to the financial health of the organization. There are three (3) career banded levels within the Denials Management family. Positions are flexibly staffed at any of the three levels and progression from one level to the next higher level depends, first, on the need for a position at the higher level; second, on the nature, scope and complexity of the duties assigned; and third, on an employee's demonstrated and applied knowledge, skills and abilities and professional behaviors. Clinical Government Audit Analyst and Appeal Specialist II is the full proficiency or journey level of the Clinical Government Audit Analyst and Appeal Job Family where employees are responsible for independently performing the full range of duties of moderate difficulty and complexity as outlined under the 'Job Duties' Essential Functions. Performs audits and appeals of limited scope with greater independence. May be responsible for determining audit scope, appeal strategies, and key controls. Locations Stanford Health Care What you will do Adheres to Stanford Health Care's organization competencies and Code of Conduct. Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS, CPT codes, as well as APC and DRG assignments, while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, interpret, and evaluate claims data to identify trends, discrepancies, and opportunities for improvement. Maintains accurate records of appeals and denials for tracking and reporting purposes. Appeal Letter Drafting: Independently compose professional and comprehensive appeal letters to payors after a detailed review of medical records. Ensure compliance with Medicare, Medicaid, third-party guidelines, Local Coverage Determinations (LCD), National Coverage Determinations (NCD), clinical documentation, coding guidelines, and payor policies to effectively challenge denials. Appeal Strategies Development: Create comprehensive appeal strategies based on relevant guidelines and documentation to effectively address denials. Submission of Appeals: Draft and submit detailed appeal letters along with supporting documentation, ensuring adherence to regulatory requirements and payor guidelines. Appealability Scoring: Provide a thoughtful appealability score for each denial under review, assessing the likelihood of a successful appeal. Proofreading and Editing: Review and edit appeals for clarity and accuracy prior to submission to ensure high-quality presentation. Audit Response: Ensuring the medical record documentation supports medical necessity and all services billed. Work closely with clinical teams, coding specialists, physicians and other departments to gather necessary information and clarify clinical documentation to support appeals. Collaboration with Management: Identify and escalate denial patterns to the Manager of Government Audits and Appeals, providing detailed information for follow-up and resolution. Deadline Management: Complete all assigned tasks by established deadlines and communicate proactively with the Manager of Government Audit and Appeal regarding any potential barriers to timely completion. Regulatory Compliance Stay updated on changes in healthcare regulations, payor policies, and industry best practices related to clinical appeals and denials management. Evaluate internal controls related to documentation, coding, charging, and billing practices to ensure compliance. Government Audit and Appeals Program Development: Actively participate in developing appeal templates, audit tools, goals, policies, and procedures for the Denials Management Department. Serve as a subject matter expert on billing and coding regulations and collaborate with team members on joint projects to enhance the framework. Education Qualifications Required: Bachelor's degree in a work-related discipline/field from an accredited college or university. Experience Qualifications Required: Minimum two (2) years of progressive denials and appeals experience. Required Knowledge, Skills and Abilities Ability to manage, organize, prioritize, multi-task, and adapt to changing priorities while meeting deadlines. Ability to communicate effective in written and verbal formats including summarizing data and presenting results. Extensive writing capabilities and efficiencies. Ability to influence outcomes through convincing arguments supported by data. Ability to apply critical thinking skills to identify patterns and trends. Ability to mediate and solve complex work problems and issues. Ability to effectively facilitate work groups to successful outcomes. Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, and billing forms (UB, 1500). Experience with coding, clinical validation, and medical necessity for inpatient stays. Knowledge of third-party payor rules and regulations. Knowledge of local, state, and federal healthcare regulations. Knowledge of detailed healthcare corporate compliance functions and audits to identify and eliminate waste, fraud and abuse, and inefficiencies in conformance with prescribed laws, regulations, and standards, reach independent decisions and logical conclusions, and prepare reports of findings and recommendations. Ability to model and demonstrate consistently high standards of professional ethics, integrity, and trust. Ability to maintain confidentiality of sensitive information. Ability to maintain competency and up-to-date knowledge of healthcare compliance, billing and coding requirements, practices, and trends. Proficiency in computer systems, specifically EPIC and 3M. Proficiency in computer software, including Microsoft Word, Excel, and Power Point. Ability to adapt to changing priorities and shifts in denials and appeals activity while maintaining high standards of accuracy and compliance. Demonstrated flexibility in responding to new challenges and evolving healthcare regulations. Licenses and Certifications CCA - Certified Coding Assoc required within 180 Days or CCS - Certified Coding Specialist required within 180 Days or Certified Outpatient Coder - COC required within 180 Days or CDIP - Clinical Documentation Improvement Practitioner required within 180 Days or CCDS - Cert Clinical Document Spec required within 180 Days RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . Physical Demands and Work Conditions Blood Borne Pathogens Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $62.75 - $83.16 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Coding Full Time Day Shift 8a-5p Sign-On Bonus: 5000 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education: High School Diploma or Equivalent Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards Substitutable Education & Experience (Optional): None. Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential Required Training: Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor billing requirements; Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook); Experience with electronic health records software; E/M Documentation Guideline (1995/1997/2021) experience. Essential Functions * Reviews and interprets medical documentation to accurately assign ICD and CPT codes for facility or professional reimbursement and statistical purposes. * Abstracts information into computer for reimbursement and statistical purposes. * Researches and stays current with trends in healthcare coding and compliance. * Keeps department manager up to date with any coding or documentation issues. * Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals. Duties & Responsibilities * Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement. * Responsible for assisting with coding claim edits and reviewing claim denials for correction. * Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times. * Performs all Other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: * Day ONE medical, dental and life insurance benefits * Health care and dependent care flexible spending accounts (FSAs) * Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. * Employer paid life insurance - equal to 1x salary * Employee may elect supplemental life insurance with low cost premiums up to 3x salary * Adoption assistance * LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment * Tuition reimbursement * Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Charge Auditor performs auditing activities, including complex cases that require extensive research, interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or facility and documentation, charging, coding and billing, including federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance standards. Locations Stanford Health Care What you will do Conducts defensive charge audits, self-pay/patient requests, or other special audit projects, as requested, comparing itemized bills to corresponding medical records and identifying documented services unbilled and charges for services not documented that need to need to be removed from an account Conducts audits for Medicare/Medicaid Cost Outlier accounts prior to billing, ensuring itemized bill is accurate. Conducts retrospective audits as requested. Collaborates with RI CDM to optimize the integrity of the Chargemaster Applies consistent and standardized compliance monitoring methodology for sample selection, scoring and benchmarking, development and reporting of findings. Prepares written reports of review findings and recommendations and presents to management and maintains monitoring records. Researches, abstracts and communicates federal, state, and payor documentation, and billing rules and regulations; stays current with Medicare, Medi-Cal and other third party rules and regulations including ICD-10 and CPT code updates. Performs defense auditing of targeted medical records in conjunction with the itemized bills for charging error, substandard documentation and inaccurate procedural billing. Performs concurrent review of hospital bills to document non-billed, underbilled, and overbilled items/services. Utilizes charge documents as required by Health System to reconcile charges to items/services documented in the medical record. Prepare reports by management regarding audit results, process improvement recommendations and systemic billing errors. Make monthly observations and recommendations to prevent future reimbursement losses. Education Qualifications Bachelor's degree in a work-related discipline/field required. Required Experience Qualifications Three (3) years of progressively responsible and directly related work experience Required Required Knowledge, Skills and Abilities Ability to analyze and develop solutions to complex problems Ability to communicate effectively in written and verbal formats including summarizing data, presenting results Ability to comply with the American Health Information Management Associate's Code of Ethic and Standards and applicable Uniform Hospital Discharge Data Set (UHDDS) standards Ability to establish and maintain effective working relationships Ability to judgment and make informed decisions Ability to manage, organize, prioritize, multi-task and adapt to changing priorities Ability to use computer to accomplish data input, manipulation and output Ability to work effectively both as a team player and leader Knowledge of Epic EMR and billing Knowledge of charge capture workflows and CDM Knowledge of DRG/APC reimbursement Knowledge of health information systems for computer application to medical records Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information from medical records; read medical record notes and reports; set accurate Diagnostic Related Groups Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases Knowledge of governmental payment practices for Medicare and MediCal Working knowledge of commercial payer reimbursement models Knowledge of Medicare billing practices. Proficient EXCEL, WORD, PowerPoint skills Licenses and Certifications RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . or CCS - Certified Coding Specialist required . or CPC and/or CCSP - Certified Professional Coder required . or Certified Outpatient Coder - COC required . and CPC required . or RHIT - Registered Health Information Technician required . or RHIA - Registered Health Information Administrator required . Physical Demands and Work Conditions Blood Borne Pathogens Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $52.69 - $69.82 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Under general direction, manages the work and results of the Customer Resolution Specialists and Financial Assistance Specialists for both hospital and professional billing. Assist Director in planning, organizing and working with leadership to develop all aspects of self-pay processes, including identification of government or other eligibility, insurance exchange, financial assistance or other source of payment during or prior to the Admission process. Manages all self-pay billing and collection processes and departmental support functions therein. Manages Customer Resolution Specialists to ensure patient questions and concerns are handled in a prompt, friendly manner. The individual in this role works to improve current departmental processes and policies in a way that increases both operational efficiencies and patient satisfaction. Participates in implementing the processes and procedures for a new function (integrating two patient financial statements and two customer service departments) and ensuring that the procedures are consistently followed. Locations Stanford Health Care What you will do Manages both hospital and professional customer service departments and assists in integrating them into one Manages the schedules, performance and work products/services of the Customer Resolution Specialists and Financial Assistance Specialist Serves as a resource for both customers and revenue cycle personnel to expediently address and resolve billing and collections questions and/or concerns. Maintains a complete record of current policies and procedures followed by staff in the manager's areas of responsibility; responsible for having complete knowledge of the patient flow and steps taken by staff to complete these procedures; assures that staff is adequately trained and meets competency requirements and levels. Manages appropriate staff levels. Develops goals and priorities, and assigns tasks and projects. Develops staff skills and training plans. Counsels, trains and coaches assigned staff. Implements corrective actions and conducts performance evaluations. Provides leadership, direction and guidance. Represents the department on various committees; conducts regular unit staff meetings. Responsible for designing, developing, and monitoring of performance improvement processes. Manages implementation of standards and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities for the enterprise on a 24/7 basis. Monitors to ensure that integrity and accuracy of registration data is maintained by the staff supervised. Works collaboratively with other departments to ensure the processes and systems for registration are standardized and optimized for efficient and effective flow of patients within the department and the organization. Oversee payment plans and other credit procedures, bad debt write-offs, and processing of bankruptcies. Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. Manage multiple projects in a timely and efficient manner. Education Qualifications Bachelor's Degree in a related business discipline from an accredited college or university Experience Qualifications Five (5) years of related customer service management experience (i.e. Credit and Collections, etc.) including One (1) year of supervisory/management experience; Business/Health Administration background and experience Required Knowledge, Skills and Abilities Familiarity, knowledge and understanding of the following including but not limited to: o Relevant Hospital Policies, Practices and HIPAA regulations. o Registration (Epic) and billing systems (Epic) and databases. o Governmental and non-government requirements applicable to patient registration processes. o Familiar with the complexities with the health care/hospital environment (front office, service areas and clinician operations Demonstrated business communication skills with patients, providers and other clinicians; Effective interpersonal skills and professional conduct Demonstrated analytical, problem solving abilities, strong organization and decision-making abilities including Conflict management skills Maintain effective working relationships with all employees and upper management. Customer service and relationship management Balance priorities and Lean principles Project management skills (Utilize Lean/project management protocols for efficient workflows). Demonstrated computer and software applications skills including Microsoft Office applications including Excel, Word, Project or other spreadsheet and/or word processing software. Licenses and Certifications None These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $55.85 - $74.00 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for overseeing the organization's compliance reporting and non-patient services reimbursement activities. This role ensures the timely and accurate preparation and submission of financial and regulatory reports to government agencies, including but not limited to: •Medicare and Medi-Cal cost reports •Financial disclosures to the Department of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and inquiries, ensuring full compliance and clear communication with regulatory agencies. The role also ensures the accuracy of invoicing for non-patient related services provided to external customers. The Director of Reimbursement plays a critical role in shaping the financial integrity of the organization. As a senior member of the team, this individual actively contributes to process improvement initiatives, drives innovation in financial systems, and fosters a culture of change, accountability, and continuous improvement. Locations Stanford Health Care What you will do Government Payor Reporting & Reimbursement Ensure timely and accurate filing of annual government cost reports, including Medicare, Medi-Cal, and HCAI submissions. Maintain comprehensive knowledge of federal and state reimbursement laws and regulations to maximize reimbursement. Develop, implement, and maintain internal policies and procedures to ensure complete and accurate capture of all legitimate reimbursement opportunities. Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation when necessary (e.g., CMS disputes). Review third-party contractual allowances, settlements, and variances (actual vs. budget) to support accurate financial reporting. Participate in the annual budget development process by providing detailed analysis and projections related to government payor net income. Prepare and respond to year-end financial audits, specifically related to third-party liabilities and balance sheet reserves. Serve as the subject matter expert on regulatory compliance reporting, including Medicare and Medi-Cal cost reports Lead alignment of compliance reporting processes across SHC-related entities and partner organizations. Continuously assess and improve reimbursement and reporting processes to increase efficiency, accuracy, and scalability. Non-Patient Care Services Receivable Oversee invoicing, contract compliance, and financial administration for non-patient care service agreements, such as: Graduate Medical Education (GME) affiliation agreements Physician outreach and other academic/clinical support contracts Coordinate with internal department, affiliated entities, and external partners to ensure contract terms are accurately maintained and executed. Ensure obligations are properly managed and tracked within the Workday customer management model. Serve as the subject matter expert for the Workday customer management model, assisting in the development and enhancement of business process workflows. Participate in system testing and user acceptance activities related to workflow improvements and updates within Workday. Leadership, Collaboration & Strategic Support Promote a culture of learning, continuous, improvement, and compliance across the reimbursement function. Mentor and develop staff to deepen their knowledge of reimbursement regulations, reporting, and methodologies. Support talent development and succession planning by identifying growth opportunities and preparing high-potential staff for future leadership roles. Work cross-functionally with leaders and staff from various departments and backgrounds to address complex reimbursement and compliance matters. Communicate complex, variable reimbursement and regulatory issues in clear, concise narratives to support strategic decision-making. Provide analytical and subject matter support to broader strategic and financial initiatives as needed. Education Qualifications Bachelor's Degree in business, finance, health or public administration or a related field. Master's Degree in business, health or public administration, management, or related field strongly preferred. Experience Qualifications Minimum ten (10) years of progressively responsible and directly related work experience required. 10+ years of performing duties similar to those described in essential functions of the description. Preferred experience as an auditor working with CMS or a CMS Medicare Auditor Contractor and strong familiarity with Medicare and Medicaid regulations. Required Knowledge, Skills and Abilities Advanced knowledge of CMS and state Medicaid reimbursement principles and practices. Multi-year skill and experience managing business processes for organizations using a major ERP system. Ability to communicate complex concepts in simple form to non-finance users to understand the appropriate use and limits of the information provided. Ability to communicate and present complex issue with government agencies to resolve audit issues. Ability to manage, organize, prioritize, multi-task and adapt to changing priorities. Ability to foster effective working relationships and build consensus. Ability to partner in the development and achievement of goals, vision, and overall direction of the Controller's Office at Stanford Health Care. Ability to provide clear and concise information/presentations to Senior Executive Team. Ability to develop strong team culture and working relationship with colleagues across the health system. Ability to drive a culture of proactive, integrated, responsive, high quality financial analysis. Ability to effectively manage deliverables and timelines. Preferred Knowledge, Skills and Abilities Ability to develop strong team culture and working relationship with colleagues across the health system Ability to drive a culture of proactive, integrated, responsive, high quality financial analysis Ability to effectively manage deliverables and timelines Licenses and Certifications CPA - Certified Public Accountant preferred HFMA - Certified Rev Cycle Rep (CRCR) preferred Physical Demands and Work Conditions Blood Borne Pathogens Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Join our Medical Oncology team as a Financial Counselor in Monroeville, PA! Are you a skilled medical office professional looking to broaden your horizons? We have an exciting opportunity for a Financial Counselor who will not only work in the front office but also play a crucial role in ensuring patients receive the care they need. If you're passionate about healthcare, finance, and teamwork, read on! As a Financial Counselor, you'll be at the forefront of patient care, ensuring that insurance benefits are verified, authorizations are obtained, and financial assistance is explored. Your expertise will contribute to a seamless patient experience, and your ability to collaborate with various departments will make a significant impact. _Why Join Our Team?_ + Teamwork: At our oncology office in Monroeville, teamwork is at the heart of what we do. Collaborating with colleagues and providers is essential for success. + Work-Life Balance: This full-time position offers regular hours-Monday through Friday, 8:00 am to 4:30 pm. No evenings, holidays, or weekends! + Work from home flexibility will be available once training is completed. + Impact: Your work directly impacts patients' lives. You'll be part of a compassionate team dedicated to making a difference. Ready for the challenge? Apply online today and be part of our mission to provide exceptional care at Hillman Cancer Center! Responsibilities: + Obtain initial and subsequent prior authorization/referrals as required by specific payers. + Secure verification of insurance benefits prior to office visits and required treatments. + Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage. + Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients. + Assists with other office functions as required. + Ability to work in a team environment. + Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available. + Demonstrate the ability to solve problems through effective communication. + Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers. + Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations. + Meet with patients and designated family members to discuss billing issues. + Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered. + Completion of High school diploma or GED + 3 years work experience, preferably in a medical office setting + Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws + Word processing and computer experience required preferably including EPIC experience.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

The University of Pittsburgh Medical Center (UPMC) in Altoona, PA is seeking a General Radiologist to join our world class health system. Option for tele-radiology or on-site as well as full-time or part-time positions. Candidate must be residency trained in general radiology. About the Position + Flexible Scheduling + Full or part time + Join a group of 19 Radiologists including, 6 Neuroradiology/MSK/Body Imaging, 2 Mammographers (one part time), 2 Interventional Radiologists, 2 Nuclear Medicine/PET Radiologists, Physician extenders and several nurses + Option for an academic appointment if desired + Live in a great community while having the support of UPMC through teleradiology. The UPMC Department of Radiology is one of the largest academic departments in the country with over 184 Radiologists, 31 research faculty, 67 residents and fellows. + Visa sponsorship + Phillips iSite and Powerscibe which will convert to Phillips Vue PACS. Cerner is used as the inpatient EMR and EPIC as the outpatient. Will be all EPIC fall 2025. What we Offer + Earning potential $700K plus + Sign-on bonus + Competitive base salary commensurate with experience plus lucrative incentive plan + Relocation expenses + Outstanding benefit package including health, dental, vision and pension + Option to earn significant additional income + CME allowance + Work at a busy community hospital + Employed by UPMC Altoona Regional Health System About UPMC Altoona and UPMC + Part of the University of Pittsburgh Medical Center's 40+ hospital network + 400-bed regional tertiary health care system for residents in central Pennsylvania + Joint Commission certified thrombectomy capable stroke center with 24/7 care and a renowned interventional neurology program + Other signature services include Level lll Trauma Center, UPMC Hillman Cancer Center, UPMC Heart & Vascular Institute, UPMC Magee Womens + 400 primary care and specialty credentialed physicians on medical staff + 'A' patient safety grade in Leapfrog's most recent hospital safety survey + 4-star quality hospital, as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of Excellence award recipient by the American College of Cardiology. + UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians + Over 40 academic, community and specialty hospitals + Over 800 doctors' offices and outpatient sites + UPMC is inventing new models of accountable, cost-effective, patient-centered care + Closely affiliated with the University of Pittsburgh About the Community + Choose to live in the Altoona/Hollidaysburg area or State College (hometown of Penn State University's main campus). Both communities offer safe and enriching environments to enjoy work/life balance + Located in the Altoona/Blair County/Central Pennsylvania region + Very reasonable cost of living + Excellent school systems + Abundant cultural amenities including theatre, symphony, minor league baseball, transportation history, festivals, Big10 sports and national touring performing artists + Centrally located with easy access to larger, neighboring cities. Between 40 minutes to 4.5 hours to major cities including Pittsburgh, State College, Philadelphia, DC, and NYC. + Mountains to climb and ski, rivers and lakes to paddle and fish, trails and roadways to bike, numerous golf courses, tennis and pickle ball courts - right here! + Everything you need within a 15-minute drive - no rush hour traffic, no parking fees Must have an MD or equivalent, be BC or BE in Radiology with the ability to obtain an unrestricted PA license.

UPMC is seeking two Associate .NET/Cloud Software Engineers to help grow and strengthen our team across multiple strategic initiatives. Candidates will collaborate closely with software engineers, architects, product managers, product owners, scrum masters, QA professionals, and business stakeholders-working within and across IT departments in a SAFe/Agile/DevOps environment. The ideal candidate for the .NET/Cloud role is a self-starter with a solid understanding of the relevant technologies, a passion for continuous learning, and a willingness to share best practices. They should be comfortable navigating cross-functional teams and complex systems to help build scalable, future-ready business capabilities. This is a 100% remote opportunity. Responsibilities: * Application Development Cycle - Show fundamental knowledge of the application development cycle. * Security - Show fundamental knowledge and the ability to learn secure coding processes and writing, accessing, and following established security protocols. * Troubleshooting - Show the ability to resolve basic issues and offer input on issue resolution. * Quality - Follow established coding standards. Submit code for review and deliver quality, unit test code. * Design - Follow established design patterns and has awareness of user experience standards. Responsible for individual components of design. * Integration - Responsible for less complex components of integration within a module. * Documentation - Create basic technical documentation. * Project Management - Has ownership in the success of projects. Responsible for estimating and delivering on individual task within the project. * Communication - Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day-to-day work and projects. * Interactions with Others - Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Mentors less experienced staff. * Self-Development - Responsible for continuous self-study, training, partnering with more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from senior team members for development and effectively incorporates feedback into work and behaviors. * Software Solutions - Develop, validate, and implement software solutions based on customer requirements, Enterprise architecture standards and defined project designs. + Familiarity with the work through education or practical experience. + Proven ability to work in complex development environments, translating abstract concepts into detailed deliverables. + Experience developing within cross-functional systems. + Programming knowledge and technical proficiency. + Basic understanding of the Software Development Life Cycle (SDLC). + Self-motivated with a drive to learn and exceed expectations. + Capable of working independently and collaboratively within team settings. + Effective communicator with strong oral and written skills.Must Have Experience: + Exposure to .NET, C#, and Microsoft server-side technologies through coursework or hands-on projects. + Basic front-end development skills using AngularJS, TypeScript, HTML, CSS, JavaScript, jQuery, or Bootstrap. + Understanding of how RESTful APIs are designed and consumed. + Familiarity with source control tools like Azure DevOps (TFS/VSTS), Git, or SVN. + Experience writing or maintaining unit tests as part of development. + Foundational knowledge of object-oriented programming and interest in learning clean coding practices and design patterns. Preferred Experience: + Working in Agile/Scrum environments. + Exposure to cloud platforms and non-relational databases. + Prior experience in the healthcare domain and current or past UPMC employee or contractor. Licensure, Certifications, and Clearances: ACT 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Purpose: Do you have experience assisting patients with their financial obligations and billing inquires? Are you looking to grow your career? UPMC is hiring a full-time Supervisor, Patient Financial Support to support the Patient Advocacy department. This position would work Monday through Friday from 8:00am until 4:30pm. The position is eligible to work from home. The Supervisor, Patient Financial Support manages coordination and supervision of the patient finance support staff. They direct interaction with physicians, personnel from other practice plans and hospitals, and staff supporting the billing, collections and customer service functions. If you are looking to grow your career in patient advocacy and financial assistance, apply today! Responsibilities: + Assist management in the development and guidance to staff in their daily activities. + Engage in open communication with appropriate personnel regarding information system, regulatory updates and/or enhancements, and participate in the training of staff. + Perform random audits of staff work to monitor performance and quality. + Provide timely performance evaluations for staff. + Establish and support annual goals and objectives for Patient Financial Support team. + Investigate issues presented by management/leads/staff and provide timely feedback as appropriate on resolution. + Act as a resource to address patient (or family) needs, concerns, or questions. + Implement policies and procedures related to Patient Financial Support workflows and processes. + Strive to streamline and seek opportunities as needed to improve efficiencies. + Monitor team performance criteria for all Patient Financial Support functions. + Engage in open communication with Training and Development management regarding all updates and enhancements and ensure appropriate training of all staff. + Manage staff of employees, adhere to Human Resources policies and procedures, and provide timely performance evaluations for supervisors and all direct report staff. + Bachelor's degree in healthcare administration, finance, or related field and 1 year of experience in healthcare billing, registration, or patient business services OR High school diploma/GED equivalent and 3 years of experience in healthcare billing, registration, or patient business services, OR equivalent combination of education and experience required.Licensure, Certifications, and Clearances: + Act 34UPMC is an Equal Opportunity Employer/Disability/Veteran

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Revenue Cycle Academy Program Manager will act as an expert in training development and delivery for Revenue Cycle operations, with responsibility for designing, delivering, and/or managing training curriculum within the scope of the department. They will work with Revenue Cycle leaders to establish and implement appropriate training programs and are responsible for maintaining and optimizing the Revenue Cycle training program within the mid and back-end revenue cycle functional areas. The ideal candidate should have demonstrated experience in visual design and instructional design tools. Locations Stanford Health Care What you will do Seeks opportunities to collaborate with stakeholders, customers, and impacted departments to recommend appropriate training solutions and program improvements Develops, maintains, and/or delivers curriculum to support revenue cycle operations Work independently with operational managers to review key performance indicators (KPIs) in order to identify training opportunities/improvements Gathers information, assesses needs, and prepares reports on training needs based on operational education requests Collaborates with all levels of employees and management to facilitate, engage, and positively influence the instructional and training environment Plans, develops, and/or presents training materials, tools, and information on a regular basis Interprets and shares reports on current training program impact and efficacy Provide support to Revenue Cycle Leaders for current and future training needs Understand revenue cycle metrics for incorporation into training objectives Utilize appropriate formats and platforms for training content development and delivery Identify areas of opportunity for optimization and improvement within educational programming Synthesize information received from operational leaders for incorporation into existing trainings Develop goals and priorities for educational programming Design and implement appropriate plans to meet goals Education Qualifications Bachelor's degree from an accredited college or university or equivalent combination of education/experience. Experience Qualifications Five (5) years of progressively responsible training program planning and/or implementation experience. Required Knowledge, Skills and Abilities Demonstrated business communications skills (verbal, written, presentation, listening, influencing, facilitating, negotiation, persuasion) Demonstrated skills for providing adult learning/training, i.e. curriculum development and delivery Demonstrated analytical, problem-solving and resolution skills Demonstrated organizational, planning, and project management skills Demonstrated collaboration skills and the ability to work in a dynamic, team-oriented work environment Ability to balance work between organizational priorities, current and future projects, and immediate training needs Ability to develop, execute and implement training plans and training programs for various levels, including employees and managers Ability to be flexible and adapt to a changing environment Familiarity, knowledge, and understanding of current training tools and techniques Familiarity, knowledge, and understanding of Revenue Cycle operations and practices Familiarity, knowledge and understanding of training program dashboards and metrics A working knowledge of Epic. Ability to conduct needs assessment evaluations with managers to identify and define training needs of the department. Ability to foster effective working relationships and build consensus. Ability to plan, organize, prioritize, work independently and meet deadlines. Knowledge of principles and methods of curriculum design, adult education, training delivery and measurement of results. Ability to evaluate information and materials to be used in conducting and/or facilitating trainings, including curriculum design and the development or preparation of appropriate training materials. These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $49.19 - $63.95 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Are you an accomplished Board Certified Ophthalmologist? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a Louisiana license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data Concentra is an Equal Opportunity Employer, including disability/veterans