Professional medical representative job description

CHRISTUS Santa Rosa Health System is about people. People we meet and care for; people whose lives we enhance, and those whose lives we save. CHRISTUS is about the people who work here: our award-winning medical staff, dedicated housekeeping staff, compassionate nurses and patient-focused ancillary staff. We're about people who need us, from small bumps to massive trauma, no matter their economic bracket. We're about the people of San Antonio, New Braunfels, and all the South Texas communities we serve. Since 1869, CHRISTUS Santa Rosa Health System has grown and flourished just as South Texas has grown. We remain the only Catholic faith-based, non-profit health care system in San Antonio and New Braunfels. Our healing ministry now includes five full-service hospitals with 1,159 licensed beds, and a number of specialty centers.

If you are looking to join a rapidly growing faith-based organization that encourages professional development, we want you to become a part of the CHRISTUS Santa Rosa family!

The Clinical Documentation Medical Professional is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDMP will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDMP will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers and health information management coding staff to ensure that reimbursement (reflecting proper quality of care and appropriate reimbursement) is received for the level of services rendered to the patients.
Requirements:
·Foreign or domestic Medical School Graduate (license not required), OR
·Graduate from a Physician's Assistant program, OR
·Graduate from a Registered Nurse Practitioner program required.
·A minimum of 3 years of experience in area of population to be served is required
·Three (3) years pervious acute hospital inpatient coding experience highly preferred
·M.D. or D.O.; ECFMG certification (preferred for Foreign Medical Graduates)
·Current PA or RNP license required, as appropriate
·Certified Clinical Documentation Specialist (CCDS) highly preferred
Work Type:
Full Time

Job Purpose:
Primary responsibility is to respond in partnership with a case manager to 911/988 calls. The MRT medical professional will work with their partner to divert mental health, substance use, and basic medical emergencies from law enforcement response when legal intervention is unnecessary. Promote efficient coordination of client care through collaborative practice and ongoing behavioral and medical care management, this can entail transport of patients to appropriate facility/resources.

Goals and Objectives:
• Provide quality behavioral health and basic medical services including, but not limited to: therapeutic interventions; mental status exams; intervention and management; coordination of patient’s medication regime.
• Provide Internal and external care coordination services to effectively manage the physical and behavioral health care needs of patients and insure seamless integration of complex services.
• Improve client satisfaction and health outcomes through direct client assessment and intervention, medication management and collaborative care delivery.

Duties and Responsibilities:
• Function as ancillary team to the Co-Responder model, embedded within local Law Enforcement Agencies.
• Provide and recognize an environment conducive to safety for self, partner, patients and others in responding to calls.
• Work positively and cohesively as a member of the MRT team to effectively and efficiently meet the medical and behavioral health needs of patients.
• Work closely and collaborate within a team-based model, to include law enforcement, to ensure effective and efficient delivery of care coordination and case management services within the community.
• Demonstrate customer service focus and good communication and professionalism with patients, co-workers and outside agency personnel in order to provide high-quality services to enhance community relationships.
• Communicate effectively to establish supportive therapeutic relationships with patients in order to evaluate, screen, educate and provide therapeutic interventions and care coordination to best meet client treatment goals.
• Carry out established medical protocols based on assessment and identified needs.
• Maintain and operate vehicle in a safe manner at all times in collaboration with partner.
• Coordinate care with the Co-Responder Program’s Case Managers, Co-Responders and other AllHealth programs as appropriate and available based on client needs.
• Complete accurate and timely documentation of interactions and any subsequent follow-up services.
• Follow infection control policies and procedures and serve as the team’s consultant regarding standard precautions.
• Screen patients for health issues related to any presenting medical concerns; provide education around managing medications and chronic illnesses; make referrals for ongoing care as indicated.
• Skillfully observe, assess and accurately document patient’s mental and medical status and progress and provide appropriate interventions and communication to other involved team members.
• Maintain a positive, ethical, and professional working relationships with community, government agencies, and other professionals.
• Promote a positive and professional culture of collaboration within AllHealth Network.
• Complete all required paperwork accurately, legibly, and within established timelines; meet all documentation standards for the level of care.
• Follow all AllHealth Network policies and procedures as applicable to this position, including those related to confidentiality, release of information and recordkeeping.
• Complete all required training as required (both online training and face-to-face training) within required timelines and any required by law enforcement agencies.
• Perform other duties as required within the scope of the position and the experience, education and ability of the employee.

Key Technical Skills and Knowledge:
Education:
• Registered Nurse with current/active Colorado license, BSN preferred OR
• Paramedical professional with current and valid Colorado licensing or certifications.

Experience:
• Minimum of 2 years of related clinical practice experience with diverse populations in an acute care setting.
• 2 years working in a behavioral health setting experience preferred.

Skills/Knowledge:
• Demonstrated ability in assessment including evaluation and interpretation of medical and behavioral health information.
• Experienced in care management, managed care and discharge planning coordination, and the management of psychotropic medications.
• Skilled in written and oral communication, decision making and problem solving skills, efficient time management with multi-tasking ability.
• Excellent interpersonal skills, the ability to work independently and as part of a team; collaborating with other internal and external teams.
• Ability to operate PC-based software programs including proficiency in Word, Excel and other computer based systems
• Ability to remain calm in high stress situations and make good judgements, ability to be unaffected by loud noises, and flashing lights.
• Ability to read and understand GPS system, discern street signs and address numbers.
• Ability to communicate effectively in written and verbal formats as well as via telephone and radio equipment.
• Must possess a valid driver’s license and have an acceptable driving record.
• Must be able to lift, carry and manage equipment located in mobile response van

This role requires active licensure as an RN.

RN Hourly Rate: $44 an hour with a $4/hr shift differential anytime you work between 5PM and 7AM. AllHealth Network also provides a 10% compensation differential for individuals who are bilingual in English and Spanish (language proficiency testing required).

The base compensation range represents the low and high end of the AllHealth Network compensation range for this position. Actual compensation may vary and may be above or below the range based on various factors including but not limited to experience, education, training, merit, and the ability to embody the AllHealth Network mission and values. The wages provided here are just one component of AllHealth Networks’ total compensation package for employees. Other rewards may include short-term and long-term incentives as well as a generous benefits package as outlined below.

Benefits & Perks for Employees Working 30 hours or more:

First, you would be joining on of Denver’s Top Places to Work! We are honored to receive this amazing designation and we know it is recognition from our engaged staff who believe they are taken care of, listened to, and believe they are part of something bigger.

Our facility is approved by the Colorado Health Service Corps (CHSC), and we offer our employees the opportunity to participate in our Loan Repayment Program. Additionally, we provide a comprehensive compensation and benefits package which includes:

• Positive, collaborative team culture
• Competitive compensation structure
• Medical Insurance, Dental Insurance, Basic Life and AD&D Insurance, Short- and Long-Term Disability Insurance, Flexible Spending Accounts
• Retirement Savings 401k, company match up to 50% of the first 6% contributed
• Excellent Paid Time Off & Paid Holidays Off
• Additional Benefits

AllHealth Network is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

Company DescriptionAllHealth Network (formerly known as Arapahoe Douglas Mental Health Network) is an organization that has been providing mental health and substance use counseling since 1955. We are deeply connected to our community in the south-Denver metro area. We are a mission-driven not-for-profit, private organization with a full array of clinical services available to all ages.

We are a trusted family of mental health and substance use providers. Our warm, smart, compassionate clinicians (counselors, therapists, social workers, psychiatrists, case managers, nurses) offer a consistent model of clinical excellence with a focus on personalized goals for treatment. Whether this is your first call to seek services, a mental health emergency, or if you have been a client with us for years, our providers are here to serve you with an open heart and mind.

C = Your neighborhood resource for...
Care: We offer same day walk-in initial appointments in Littleton and Parker and 24/7 crisis care.
Community: As a large community mental health center, we are able to offer mental health or substance use assessment appointments within 7 days of request.
Connection: We help you build social connections and understand the importance of belonging.
Crisis: our Walk-in Crisis center is open 24 hours a day, 7 days a week to provide crisis evaluations for all ages.
Conversation: We have almost 200 clinicians working in various programs across our Network—20 of whom are trained in Dr. Brené Brown’s The Daring WayTM to provide powerful conversation with clients who want to live freely and authentically.
Counseling: Our highly skilled providers are trained in the latest, most effective, evidence-based practices with demonstrated outcomes.
Co-Occurring: We offer co-occurring treatment for those dealing with both mental health and addiction.

Job DescriptionMilestone Therapy is seeking a
full-time Medical Billing Professional
. This position of is responsible for multiple activities related to medical billing, and client/vendor interaction. The position also requires assisting with clerical work, data entry, and assisting in general office upkeep.

Medical Billing Responsibilities:

• Create claims from a daily note/medical record
• Ability to Read EOB's
• Post and adjust payor payments in an electronic billing system
• Create authorizations with payor’s via phone and electronic
• Payment, claims and billing reconciliation tasks
• Adjust claims and appeal claim denials
• Interact with payers regarding credentialing
• Create and generate reports for management and workflow
• Organizing/maintaining existing file system, file correspondence, and other records
• Compose/deliver routine medical and billing correspondence
• Insurance verification and authorization requests
• Work with a team of dedicated therapists who do one thing: put kids first!
  
  

Qualifications:

• Experience with Raintree EMR and billing system is preferred, but not required.
• Problem-solving in both professional and timely fashion
• History of excellent project management
• Confidence and competence with computers, scheduling programs, and complete understanding of all Google and Microsoft programs (Word, Excel, etc.)
• Excellent written and verbal communication skills
• Ethical in all aspects
• Reading/understanding of medical notes to extract billing information
• Authorization and appeals experience
• Proficiency with medical billing software
• Math skills equivalent to high school graduate level or 8 years of direct experience
• Excellent customer service skills
• Client/payor invoicing and reconciliation experience
• Organization/multitasking skills/attention to detail
• Must Share Milestone’s Core Values: Positivity, Passion, using Evidence-based Best Practices, Responsibility, Respect, Compassion, and Teamwork.

Benefits:

• BC/BS Benefits- PPO and HMO options with Vision benefit
• Dental plan
• 401K plan
• PTO and holiday pay
• Life, Short Term Disability, and more
• Gym and Technology Monthly Stipends
  • $ on each check for your devices and personal wellness
• Competitive Pay, Work/Life Balance, & Open Communication
  • EOS Based Company, centered around accountability, communication, collective problem-solving, and more!
• Mentorship
  • Opportunities for Growth
• Generous Employee Referral Bonus Program
  • Increases with each referral
• Much, much, more!

With 20 years of dedication, drive, and hard work, Milestone Therapy remains committed to employing individuals that get the work they are doing by having a deep meaningful understanding of their position, want the work they are doing by bringing their whole self to the game every day with enough energy to move them and inspire others, and have the capacity to understand the impact they can make with their knowledge, disposition, and experience. These principles are the driving force behind making Milestone Therapy THE destination for pediatric employment!
At Milestone, we emphasize a strong sense of collaboration and teamwork and look for candidates who share an interest in our collaborative atmosphere.
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