Saint Luke's Health System Remote jobs

The Opportunity : Saint Luke's is looking for a Cancer Register who performs case finding, abstracting, data management, follow-up and related registry services of a coordinated network of multi-facility Cancer Registry databases. Efficiently operates the registry software system, helps design and develop cancer management and outcome studies, and performs other Cancer Registry job-related services and tasks as assigned. Our priority is patient care in all aspects, the interaction you have with patients provides you the opportunity to bring something positive to their day to ensure that Saint Luke's is The Best Place to Get Care. The Best Place to Give Care. Requirements: Oncology Data Specialist certification or obtain ODS within 3 years of hire required. Associates Degree is required. The Shift: * 40 hours per week * No weekends * Fully Remote Why Saint Luke's?: * Saint Luke's offers competitive salaries and benefits packages to all of their employees, click here to find out more. * We believe in creating a collaborative environment where all voices are heard. * We are here for you and will support you in achieving your goals. * We are dedicated to innovation and always looking for ways to improve. Job Requirements Applicable Experience: Less than 1 year Associate Degree - Health Information Technology Job Details Full Time Day (United States of America) The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures, Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. Regional/National Travel Required for this position. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet. * Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. * Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. * Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge. * Assist in training department staff new to CDI * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education. * CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution * Other duties as assigned KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * CDI Specialist must display teamwork and commitment while performing daily duties * Must demonstrate initiative and discipline in time management and medical record review * Travel may be required to meet the needs of the facilities * Advanced knowledge of Medicare Part A and familiar with Medicare Part B * Intermediate knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MS-DRG classification and reimbursement structures * Critical thinking, problem solving and deductive reasoning skills * Effective written and verbal communication skills * Knowledge of coding compliance and regulatory standards * Excellent organizational skills for initiation and maintenance of efficient work flow * Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements * Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment * Understand and communicate documentation strategies * Recognize opportunities for documentation improvement * Formulate clinically, compliant credible queries * Ability to maintain an auditing and monitoring program as a means to measure query process * Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Preferred: Acute Care nursing and or Foreign trained relevant experience * One (1) to two (2) years experience * Graduate from a Nursing program, BSN, and/or medical school graduate CERTIFICATES, LICENSES, REGISTRATIONS * Active Registered Nurse license or relevant medical degree * Preferred: CDIP or CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit for extended periods of time * Must be able to efficiently use computer keyboard and mouse * Good visual acuity WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OTHER * Must be able to travel nationally as needed, 50-75% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

The Spec, Application Support is tasked with the optimization and management of specified technology. This position will work closely with various vendors, ensuring the most up-to-date information and changes are evaluated for use and effectiveness in the process. Will work with the process team to determine what technology changes and needs are required to drive process improvements. Will own the development and follow through of any service requests or new implementations. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Stays current and has deep, ingrained knowledge of systems, including end user applications, reporting and enhancements. Can demonstrate full understanding of how the technology supports and is used within specific processes and brings technology driven ideas to the process team. * Reviews all ISB's for procedural impact. Edits and works with process leaders and trainers to develop procedural and training documentation. Clarifies system processes and responds to additional requests for information. * Works closely with peers to reduce redundancies and ensure there are no conflicts between multiple technologies within processes. * Ensures that Software Transfer Implementations are completed accurately and develops test plans. Meets user deadlines for system changes and other requested information. * Coordinates with IS to ensure that facility IS departments have the knowledge required to ensure the front-end system is set up appropriately. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. * Understands workflow and technology needs within the business. * Excellent grammar and writing skills * Must have good organizational skills * Able to work independently with little supervision * Able to communicate with all levels of management * Must have general computer skills and be proficient in Word, Excel, and PowerPoint * Excellent working knowledge of Patient Financial Services operations with specific focus on applicable discipline. * Ability to work and coordinate with multiple parties * Ability to manage projects * Knowledge of AR management technology tools being utilized to deliver on key performance * Knowledge of healthcare regulatory rules and how they apply to revenue cycle operations and outsourcing service providers * Excellent verbal and written communication skills EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * 4-year college degree in Healthcare Administration, Business or related area or equivalent experience * 2 - 6 years of experience in Healthcare Administration or Business Office * Lean, Six Sigma or other process improvement certification is a plus PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in a sitting position, use computer and answer telephone WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation * Pay: $21.70 - $34.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. #LI-NO3 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. * Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. * Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. * Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. * Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. * Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. * Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions * Demonstrated critical-thinking skills with proven ability to make sound decisions * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to manage multiple projects/initiatives simultaneously, including resourcing * Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels * Ability to effectively and professionally motivate team members and peers to meet goals * Advanced knowledge of external and internal drivers affecting the entire revenue cycle * Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree * Minimum of five years healthcare-related experience required * Extensive experience as Revenue Integrity manager * Extensive knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Normal corporate office environment TRAVEL * Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Hours: Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $49.700 - $64.130 - $71.820 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. *This is a remote position* What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit compliance program to prevent and detect violations of law and other misconduct. This role will help promote ethical practices and a commitment to compliance with applicable federal, California, and local laws, rules, regulations, and internal policies and procedures. The position plays a key role in oversight of Sharp HealthCare's (SHC) compliance audit function and maintaining Sharp HealthCare's view of coding, billing and reimbursement compliance audits. Required Qualifications 5 Years experience in acute care inpatient/outpatient coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG, CPT& HCPCs, and/or E/M CPT. Preferred Qualifications Other : Strong background in in ICD-10-CM/PCS coding, DRG coding and CPT coding classification. Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED Certified Health Care Compliance (CHC) - Compliance Certification Board -PREFERRED Other Qualification Requirements Bachelor's degree in Business, Healthcare Administration, or related field - required. In lieu of Bachelor's degree, Associate's degree and a minimum of 5 years experience in coding, billing and compliance may be considered. One of the following is required: AHIMA's Certified Coding Specialist (CCS), or Certified Documentation Improvement Practitioner (CDIP), or AAPC Certified Inpatient Hospital/Facility (CIC), or Certified Professional Coder (CPC) certification. Certified Clinical Documentation Improvement Practitioner or Specialist (CDIP or CCDS) is required within 1 year of hire. Department management is responsible for tracking and ensuring employee receive certification within specified timeframe. Essential Functions Coding Compliance Compliance Coding and Billing Audits The Compliance Coding Auditor has the primary responsibility of performing all audits and chart reviews required for inpatient and/or outpatient coding and billing, daily retrospective chart reviews and communication to key stakeholders regarding audit findings and corrective actions, if necessary. Reviews the electronic health record to identify potential coding and billing compliance issues. Prepares written reports of audits, including recommendations to improve compliance. The Auditor will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk analyzer software, OIG Work plan, CMS, PEPPER Reports, RAC Denials, industry experts, etc. Policy and Procedure maintenance Works in collaboration with the Director and Manager of Compliance and System Management (HIM, CDI, Case Management, Quality, etc.) in developing SHC's standardized documentation, medical necessity, coding and billing policies and guidelines in accordance with state and federal laws, regulations and policies. Professional development Maintain current credentials and knowledge of ICD-10-CM/PCS, MS-DRG, CPT and HCPCs coding classification changes, compliance issues and updates regarding changes in federal and state regulations, policies and procedures pertaining to the Compliance Program. Adheres to a personal plan of professional development and growth through professional affiliations, activities and continuing education. Unit support Key Stakeholder/Business Unit Support Responsible for inpatient and/or outpatient coding and billing investigations and inquiries, as well as answering correspondence from key stake holders regarding inpatient and/or outpatient coding and billing matters and other general Compliance reimbursement inquiries. Will continuously evaluate the quality of clinical documentation and monitor the appropriateness of queries with the overall goal of improving physician documentation and achieve accurate coding. Maintain professional relationship with key stakeholders focusing on high level of client satisfaction. Must demonstrate excellent written and oral communication presentation skills in training SHC workforce and physicians. Professional competency Certified Clinical Documentation Improvement Practitioner or Specialist (CDIP or CCDS) is required within 1 year of hire. Department management is responsible for tracking and ensuring employee receive certification within specified timeframe. Knowledge, Skills, and Abilities Ability to perform independent research and factual analysis of coding and billing matters and create proposed solutions to root causes. Computer proficiency with Microsoft office applications is required. Ability to function within a fast-paced, dynamic, and growing environment. Excellent time management and problem solving skills. Must demonstrate analytical ability, motivation, initiative, and resourcefulness. Teamwork and flexibility required. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Regional Corporate Coding Supervisor (Remote based in US) Reporting to the Corporate Coding Director, the Regional Corporate Coding Supervisor will be responsible for supervising coding, data abstraction and associated coding activities. Ensures accurate and timely coding of records according to Tenet Health policies and procedures. Manages workflow related to coding and abstracting, provides direction for coding activities and productivity standards required to reach unbilled targets at all hospitals in the region. Performs duties as necessary to support the coding quality improvement process both in the region and at corporate. Position will support Tenet corporate located in Texas. Required: Must have a comprehensive knowledge of ICD-10-CM/PCS coding classification systems. The analytical abilities necessary to prepare various reports and records. The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside the Hospital. Must have above average general office and computer skills. Associate degree in HIM related field RHIT Certification 5+ Years Coding Experience Preferred: Experience managing large teams and driving process improvement activities at the corporate level in a complex healthcare organization. Bachelor's Degree in HIM Related field RHIA Certification 2+ Years of Leadership Experience Compensation Pay: $66,768- $106,704 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Paid time off (vacation & sick leave) Discretionary 401k match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM2

About City of Hope, City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas. The successful candidate: Under the supervision and leadership of the Executive Director of Pharmacy, the Program Director of Clinical Pharmacy Programs is responsible for programmatic and strategic oversight and coordination of all aspects of the Pharmacy Clinical Programs across CAP pharmacy, in conjunction with the counterpart incumbent, to enhance patient outcomes and safety in the most efficient and optimal fashion. The Program Director of Clinical Pharmacy Programs collaborates closely with the Executive Director and other pharmacy leaders to establish the vision for the clinical services provided at City of Hope CAP. Responsibilities include but are not limited to planning and executing new clinical programs, partnering to standardize and optimize medication utilization across the System, leading the regional Formulary/Pharmacy and Therapeutics/other related committees, and developing and implementing policies, guidelines and best practices related to medication therapy. Position is also responsible for management of the CAP pharmacoeconomic program to ensure cost effectiveness of treatments provided. Additionally, the Program Director is responsible for developing strategies to mitigate drug shortage impact to patients treated at all CAP sites. Collaboration is imperative to the success of this position, so routine communication with providers, nurses, pharmacists, and other clinical leaders is essential. This resource will work very closely with clinical pharmacists and pharmacy leadership at each CAP site, helping to guide and lead the development of consistent clinical programs across the System. Essential Functions: Clinical Program Oversight and Compliance: Strategically plan and provide leadership for all aspects of Enterprise Clinical Pharmacy Program across all CAP sites. Developing new programs based on patient needs and optimizing existing programs and practices. Standardizing clinical practices, medication management policies/guidelines, and treatment plans across all CAP sites. Leading the Formulary, Pharmacy and Therapeutics (P&T), and other related committees. Providing drug formulary oversight. Developing and coordinating implementation plans for the use of new products in compliance with institutional policies and regulatory guidelines (e.g. FDA, The Joint Commission) Developing metrics to measure staff productivity and program effectiveness. Liaising between internal affiliated departments and external stakeholders to ensure program integrity. Pharmacoeconomics Program: Leading pharmacoeconomic initiatives to enhance patient care and optimize cost effectiveness of treatments provided. Monitoring the pharmaceutical marketplace for cost saving opportunities. Implementing and tracking therapeutic conversions. Other Responsibilities: Clinical development of pharmacy staff to promote practice at top of their license. Supporting research, publication, and presentation opportunities for the staff at local and national level. Collaborating with schools of pharmacy to oversee pharmacy student training during City of Hope rotations. Representing City of Hope-CAP Pharmacy Department at professional and community organizations at the local, state, and national level. Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality. Performs other related duties as assigned or requested. The following Pillars in Action are the behaviors that accelerate our impact as we deliver on our Vision and Strategic Priorities: Position Qualifications: Minimum Education: Doctor of Pharmacy Degree (Pharm.D.) Minimum Experience: 6 years of experience planning and executing pharmacy programs with 10 years of experience in a hospital setting Req. Certification/Licensure: Current Pharmacy license Board Certified Oncology Pharmacist (BCOP) Preferred Education: ASHP accredited PGY-1 or PGY-1 and PGY-2 Residencies Preferred Experience: 5 years of experience in Oncology Skills/Abilities: Personal computer approximately 75% of time Working/Environmental Conditions: Work is primarily performed within an office setting. Frequent meetings & walking to meeting sites as required City of Hope is an equal opportunity employer. To learn more about our comprehensive benefits, click here: Benefits Information City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location. This position is eligible for an annual incentive bonus.

It's more than a career, it's a calling. MO-SSM Health Mission Hill Worker Type: Regular Job Highlights: The SSM Revenue Cycle team is on a fast track to optimization and looking for a strategic thought leader with a proven track record in transformation. This executive role has high visibility within the organization and is a position considered for long term succession planning. Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare Named One of the Diversity Leaders 2024 - Modern Healthcare Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek Named One of America's Greatest Workplaces for Women 2024 - Newsweek Named One of America's Greatest Workplaces for Job Starters 2024 - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. This position IS remote work eligible. SSM Health currently offers remote work within limited states. To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact: Angela Jones Executive Talent Partner *************************** #LI-Remote Job Summary: The Vice President for Revenue Cycle Management Operational Performance is responsible for the strategic leadership, oversight and optimization of hospital and ambulatory revenue cycle operations. Provide visionary leadership while fostering strong partnerships to ensure the accuracy and integrity of revenue processes. Partners with the Chief Revenue Cycle Officer to establish and deliver on the Revenue Cycle strategic vision. Job Responsibilities and Requirements: Job Responsibilities and Requirements: Develop and implement strategic initiatives to enhance revenue cycle operations while ensuring the accuracy and integrity of revenue processes. Oversight and management of coding, coding education, Health Information Management (HIM), Revenue Integrity to include CDM, Accounts Receivable, Cash Management, and Denial Management to ensure compliance with regulatory standards and optimize reimbursement. Develop and implement strategies for denial management to minimize revenue loss. Foster strong partnerships with internal and external stakeholders to drive revenue cycle improvements. Analyze and report on revenue cycle performance, identifying areas for improvement, and implementing corrective actions. Thought partner with Net Revenue, Information Technology, Finance, Clinical Operations and other stakeholders in continuous revenue improvement. Exhibits superior management skills that emphasize team building and strong leadership with the ability to provide clear vision and direction. Leadership development and career pathing to ensure next level leadership readiness. Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention Develops and manages the operating and capital budgets for operations, analyzes variances, develops plans and takes appropriate actions for productivity and performance improvements. EDUCATION Master's degree in business or healthcare administration OR Bachelor's degree with equivalent experience EXPERIENCE Ten years of experience within the area of revenue management, specifically experience with billing and collections at a multi-entity healthcare organization or large complex revenue cycle services with five year's leadership experience. Department: 8700000033 RCM Leadership Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

RemoteIf you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist Medical Group seeks to hire an evening shift or Swing shift Radiologist for our Imaging Department who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing. As a Radiologist you will: • Be confident with all aspects of inpatient/emergency radiology, no mammography • Provide radiology services shift coverage per contract requirements. • AHC Imaging provides comprehensive radiological services for three acute care hospitals and a free-standing Emergency Center. • Radiologist will read and interpret images for all AHC facilities and in accordance with the AHC Offer Letter and Employment Agreement. Qualifications include: • Board Certified, prefer Neuro, Body, or MSK Fellowship • Valid Maryland license • DEA • CDS Work Schedule: Weekday evening shifts are from 2 pm -10 pm and weekend evening shifts are from 3 pm -10 pm, with the radiologists working 7 on / 7 off. Evening shifts are always staffed with at least two radiologists who split the volume, or by a remote imaging service. Teleradiology is utilized after 10 pm 365 days/yr. The case load for weekday evenings averages around 60-70 RVUs per shift, and weekend evenings are around 70-80 RVUs. This position can be worked remotely, and a home workstation will be provided if applicant if in the local DMV area. If the applicant is willing to work onsite or partially onsite, it will be reflected with a higher salary Pay Range: $104,000.00 - $1,404,000.00 If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process. Under the Fair Labor Standards Act (FLSA), this position is classified as: United States of America (Exempt) At Adventist HealthCare our job is to care for you. We do this by offering: Work life balance through nonrotating shifts Recognition and rewards for professional expertise Free Employee parking Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available) Paid Time Off Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance Subsidized childcare at participating childcare centers Tuition Reimbursement Employee Assistance Program (EAP) support As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County. If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference. Join the Adventist HealthCare team today, apply now to be considered! COVID-19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination. Tobacco and Drug Statement Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use. While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result. Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law. Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs. Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.

The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance. Senior Representative must have the ability to work closely with management and team members working an inventory of collectible accounts that bring in revenue and possess the the following: * Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information * Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients) * Access payer websites and discern pertinent data to resolve accounts * Utilize all available job aids provided for appropriateness in follow-up processes * Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account * Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership * Skilled in working with complex medical claim issues * Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunities * Compile data to substantiate and utilize to resolve payer, system or escalated account issues * Assist new or existing staff with training or techniques to increase production and quality * Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. * Perform special projects and other duties as needed. Assists with special projects as assigned, documents findings, and communicates results to leaders. * Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. * Compile data to substantiate and utilize to resolve payer, system or escalated account issues. * Assist new or existing staff with training or techniques to increase production and quality as needed. * Participate and attend meetings, training seminars and in-services to develop job knowledge. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies * Good written and verbal communication skills * Intermediate technical skills including PC and MS Outlook * Strong interpersonal skills * Above average analytical and critical thinking skills * Ability to make sound decisions * Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Intermediate knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * High school diploma or equivalent education * 2-5 years experience in Medical/Hospital Insurance related collections * Minimum typing requirement of 45 wpm PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Teamwork Environment * Ability to sit and work at a computer for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Talent Acquisition Sourcing Partner, Full Time, Predominantly Remote - (MEM009382) Description Title: Talent Acquisition Sourcing PartnerLocation: Fountain Valley, CADepartment: Human ResourcesStatus: Full-time, predominately remote Shift: DaysPay Range*: $89,710. 40 - $130,104. 00 MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - comprising over 200 sites of care - and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. The Talent Acquisition Sourcing Partner is responsible for utilizing different channels to search for potential candidates, reach passive candidates and build talent pipelines for current and future employment needs. Essential Functions and Responsibilities of the JobUnderstand the job requirements and develop a sourcing plan for all open jobs. Collaborate with the entire TA team on marketing strategy, focusing on sourcing channels and executing against the strategy to build the top of the pipeline. Interact with potential candidates via social media and professional networks (e. g. LinkedIn, Indeed, Glassdoor). Build and sustain partnerships within schools, agencies, and community outreach to maintain open communication with potential candidates. Keep track of current sourcing metrics, data & analytics to ensure optimal performance in recruiting for talent. Develops regular reporting to demonstrate successful lead generation of candidates throughout the different stages of candidate sourcing; makes recommendations on where to further invest or pivot. Gathers intelligence on local/national market labor availability and competitor landscape. Phone screens candidates to assess their qualifications, availability, interest level, compensation expectations, and relocation needs; provides pre-qualified candidates to the TA team to manage through the full-cycle recruitment process. Researches and makes recommendations regarding opportunities to participate in annual conferences or other trade shows, including details on participation requirements (exhibitor, presenter, sponsor, marketing). Recognize qualified applicant profile utilizing different sourcing procedures. Maintain applicant databases through our ATS Taleo. Correspond with past candidates regarding available job openings. Advertise for vacancies on professional networking sites such as LinkedIn, online job portals and other sources for high-profile jobs. Sources applicants from ATS and other job boards Qualifications ExperienceMinimum of 3 years' experience sourcing healthcare roles in a highly competitive market. Minimum 2+ years' experience screening candidates' resumes and conducting phone interviews to qualify talent. Advanced experience creating marketing communication strategies to build campaigns and targeted messaging to specified audiences while prospecting talent pools. Hands-on experience with sourcing strategies. Must be a team player who can work effectively with minimal supervision. Taleo experience is a plus, including generating management reports. Proficiency in MS Office (Word, Excel, Outlook & PowerPoint). EducationBA/BS in Human Resources Management or relevant field required. RACR certification or other social media/ Digital Marketing certification preferred Primary Location: United States-California-Fountain ValleyJob: Human Resources, Employment ServicesOrganization: MemorialCare Health ServicesSchedule: Full-time Employee Status: RegularJob Level: StaffJob Posting: Dec 16, 2025, 6:22:44 PMWork Schedule: 8/40 work shift hours Shift: Day JobScheduled Shift Start Time: 8:00 - Department Name: Recruitment

It's more than a career, it's a calling IL-REMOTE STL PLAN Worker Type: Regular Job Highlights: **Must have prior experience as a Clinical Documentation Specialist** Required Qualifications: 1 year of experience as a Clinical Documentation Specialist Additional Two years' in an acute care setting or relevant experience Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS) Preferred Qualifications: CCDS certification Proficiency with MS Office Tool - especially Excel. Prior experience reviewing PSI (patient safety indicator) or experience with Vizient specialized mortality reviews. Eligible Remote States: Candidates are required to reside on one of SSM's approved States: Alabama, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Missouri, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, and Wisconsin. Pay Range: $74,484.80 - $111,737.60 Pay Rate Type: SalarySSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting. SSM Health may ultimately pay more or less than the posted range as permitted by law. Job Summary: Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions and treatments from point of entry to discharge, ensuring an accurate reflection of the patient condition in the associated Diagnosis Related Group (DRG) assignments, case-mix index, severity of illness (SOI), and risk of mortality (ROM) profiling, and reimbursement. Facilitates the resolution of queries and educates members of the patient care team regarding documentation guidelines and the need for accurate and complete documentation in the health record, including attending physicians and allied health practitioners. Collaborates with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG, SOI, and/or ROM. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Completes initial reviews of patient records and evaluates documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate diagnosis review group (DRG) assignment, risk of mortality (ROM), and severity of illness (SOI). Maintains appropriate productivity level. Conducts follow-up reviews of patients every to support and assign a working or final DRG assignment upon patient discharge, as necessary. Queries physicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record when needed. Identifies issues with reporting of diagnostic testing proactively. Enhances expertise in query development, presentation, and standards including understanding of published query guidelines and practice expectations for compliance. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record. Attends department meetings to review documentation related issues. Conducts independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and healthcare economics. Collaborates with coding to reconcile the DRG and resolves mismatches utilizing the escalation policy. Troubleshoots documentation or communication problems proactively and appropriately escalates. Reviews and clarifies clinical issues in the health record with the coding professionals that would support an accurate DRG assignment, SOI, and/or ROM. Assists in the mortality review and risk adjustment process utilizing third-party models. Demonstrates an understanding of complications, comorbidities, SOI, ROM, case mix, and the impact of procedures on the billed record. Imparts knowledge to providers and other members of the healthcare team. Maintains a level of expertise by attending continuing education programs. Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient's age-specific needs and clinical needs as described in the department's scope of service. Works in a constant state of alertness and safe manner. Performs other duties as assigned. EDUCATION Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS) EXPERIENCE Two years' in an acute care setting or relevant experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Physician Assistant in Medicine, Licensed - Illinois Department of Financial and Professional Regulation (IDFPR) Or Physician - Regional MSO Credentialing Or Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Or Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation (IDFPR) Or APN Controlled Substance - Illinois Department of Financial and Professional Regulation (IDFPR) Or Full Practice Authority APRN Control Substance - Illinois Department of Financial and Professional Regulation (IDFPR) Or Full Practice Authority APRN - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Physician Assistant - Missouri Division of Professional Registration Or Physician - Regional MSO Credentialing Or Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Missouri Division of Professional Registration Or Nurse Practitioner - Missouri Division of Professional Registration State of Work Location: Oklahoma Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Acknowledgement of Receipt of Application for Physician Assistant - Oklahoma Medical Board Or Physician Assistant - Oklahoma Medical Board Or Physician - Regional MSO Credentialing Or Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) Or Advanced Practice Registered Nurse (APRN) - Oklahoma Board of Nursing (OBN) Or Certified Family Nurse Practitioner (FNP-C) - American Academy of Nurse Practitioners (AANP) State of Work Location: Wisconsin Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Physician Assistant - Wisconsin Department of Safety and Professional Services Or Physician - Regional MSO Credentialing Or Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Or Advanced Practice Nurse Prescriber (APNP) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: ********** Sys Clinical Documentation ImprovementScheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties in addition to full scheduling duties. Upon occasion, the PSC REP II may be only assigned to complex pre-registration. The PSC REP II is expected to develop a thorough understanding of assigned function(s). ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call: * Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.) * Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts * If assigned to Order Management: verifies order is complete and matches scheduled procedure. Includes indexing and exporting physicians orders to correct account number. If assigned to complex Pre-Reg: * Collect and verify required patient demographic and financial data elements, including determining a patient's financial responsibility and securing pre-payment for future services/performing collection efforts * Create a complete pre-registration account for an upcoming inpatient/surgical admission * Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility * Other duties as assigned based on departmental needs KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to work in a production driven call-center environment * Familiarity with working with dual computer monitors (may be required to use dual monitors) * Must have basic typing ability * Must have working knowledge of Windows based computer environment * Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously * Extensive multitasking ability * Strong written and verbal communication skills Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * Required: High school diploma or GED * Preferred: Two plus years of college (two years in a professional, customer service-driven environment may substitute for two years of college), completion of related medical certification program * Preferred: Telephone/call center experience * Preferred: Pre-registration and/or scheduling experience * Preferred: 2-3 years of customer service experience PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment TRAVEL * Approximately 0% travel may be required As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

**It's more than a career, it's a calling** MO-REMOTE **Worker Type:** Regular **Job Highlights:** **Qualifications** : Experienced with 340B program operations and audits and Advanced 340B Operations Certificate within 18-months of hire date - Apexus At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. **Remote work:** This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI **Job Summary:** Development and execution of the operational activities of the 340B Center of Excellence functional areas. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Performs recurring internal audits and oversight of 340B contract pharmacy programs, inpatient pharmacy programs, child sites and entity-owned pharmacies. + Supports for implementation of new child sites, shipping addresses and/or contract pharmacies. + Assists with Office of Pharmacy Affairs (OPA) database changes and updates. + Monitors and audits state Medicaid claims to ensure compliance. + Reconciles contract pharmacy payments against revenue posted by Finance. + Evaluates patient eligibility in mixed use areas and clinics in electronic medical records (EMR). + Develops and updates 340B Program reporting packets for SSM ministries. + Reviews ordering, negative and positive accumulations and unmapped items in third-party administrator's (TPA) portal. + Ensures compliant setup for secondary suppliers and wholesaler accounts. + Performs other duties as assigned. EDUCATION + Bachelor's degree or equivalent combination of experience and education EXPERIENCE + Five years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin + Advanced 340B Operations Certificate within 18-months of hire date - Apexus **Work Shift:** Day Shift (United States of America) **Job Type:** Employee **Department:** ********** 340B_Center_of_Excellence **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law._ Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)

**It's more than a career, it's a calling.** MO-REMOTE **Worker Type:** Regular **Job Highlights:** **Qualifications** : Experienced with 340B program operations and Advanced 340B Operations Certificate within 18-months of hire date - Apexus At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. **Remote work:** This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI **Job Summary:** Serves as a subject matter expert and provides oversight to all 340B Program covered entities, ensuring program integrity and optimization. Maintains software systems and relationships with external vendors. Responsible for implementation oversight for new registrations and day-to-day management of medication procurement, billing, and inventory management in compliance with system policies and procedures. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Maintains integrity of the 340B split-billing software and reviews applicable reports to identify areas for optimization and efficiency. + Works with the pharmacy department and informatics teams to ensure that the organization's clinical information system is coordinated and integrated into the work with the 340B Program including electronic interfaces between the Electronic Medical Records (EMR) and the virtual accumulator and interfaces between the organization and contract pharmacy providers and/or administrators. + Responsible for implementation of newly registered child sites and contract pharmacies, including owned-retail pharmacies. + Assists the primary contact and authorizing official with ensuring that Health Resource and Services Administration (HRSA) 340B Office of Pharmacy Affairs Information System (OPAIS) is accurate for all covered entities. + Ensures that policies and procedures are reviewed, updated, and approved. + Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions fulfilled by a contract 340B pharmacy. + Provides oversight for audits performed by independent external auditors. + Develops, executes, and documents internal audits of the 340B Program in conjunction with the 340B analysts. Coordinates and ensures remediation of findings. Assists with development and implementation of action plans to correct 340B compliance deficiencies. + Ensures maintenance of a central repository of all fully executed 340B contracts. + Shares expertise and assists with training, education, and communication to staff and program participants regarding updates to 340B policies and procedures. + Performs other duties as assigned. EDUCATION + Bachelor's degree or equivalent years of experience and education EXPERIENCE + Seven years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. + Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. + Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. + Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. + Frequent keyboard use/data entry. + Occasional bending, stooping, kneeling, squatting, twisting and gripping. + Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. + Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin + Advanced 340B Operations Certificate within 18-months of hire date - Apexus **Department:** ********** 340B_Center_of_Excellence **Work Shift:** Day Shift (United States of America) **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits (****************************************** _SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205***********55970.1667***********70506.1667719643)_

Job Number: 33138 Street Address: Remote Address City, State: Remote, Georgia Zip Code: 31701 Department: PPHS PHARMACY 340B PROGRAM Shift: Job Type: PRN/Per Diem The Pharmacy Tech, 340B Analyst is responsible for pharmacy systems and outcomes in the following areas: (1) drug product selection and procurement, (2) 340B program compliance, monthly auditing, reporting, dispensing patterns, and inventory process. (3) Inventory control and billing processes and (4) information support systems/technology development. Description: Essential Functions: Perform business analysis of procurement activities and inventory controls as related to 340B operations and propose effective and user-friendly solutions to business stakeholders. Maintain 340B system databases to reflect changes in the drug formulary, data transmission, and data specifications. Monitor compliance with 340B program requirements and billing guidelines related to qualified patients, drugs and locations. Review and refine executive level and day-to-day 340B program performance reports including, but not limited to, purchasing, dispensation, and cost savings. Build reports, as appropriate, to monitor and improve 340B program compliance and performance. Construct appropriate financial metrics to assess areas of program improvement. Monitor ordering processes, integrating most current pricing from wholesaler. Monitor and analyze purchasing contracts and vendor program offerings to identify opportunities to reduce cost of 340B pharmaceuticals. Periodically review wholesaler and 340B vendor contract(s) for 340B Program compliance. Conduct periodic training and education for Pharmacy Buyers to align and standardize processes across the hospital system. Review 340B program policies and procedures on an ongoing basis and offer contributions and changes related to 340B compliance. Perform routine monitoring activities on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise. Through financial analysis, strive to recognize the value opportunity of the 340B program. Evaluate and provide recommendations related to the implementation of potential cost savings opportunities. Collaborate with Pharmacy, Compliance, and 340B Advisory Committee to develop monthly, quarterly, and yearly audit metrics. Identify trends, discrepancies, and variances to improve the efficiency and effectiveness of operations. Provide recommendations that would improve operations, compliance, and efficiency. Track program performance over time, identify root causes of adverse trends, and make recommendations for improvement. Qualifications: Associate's Degree in Pharmacy Technology or healthcare-related field. (Required). 1 year experience as a Pharmacy Technician. (Required). 1 year of experience or training in pharmaceutical sourcing and/or procurement. (Preferred). 340B hospital (DSH, CAH, SCH, or RRC) program experience. (Preferred). Required Licenses/Certifications: PHAR-C - Certified Pharmacy Tech. PHRMTECH-R - Registered Pharmacy Technician. Completion of Apexus 340B University. Apexus Advanced Operations Certificate within 180 Days.

It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Highlights: Exciting Opportunity for an Epic Systems Analyst at SSM Health! Preferred Epic certification in HB claims. Configures, implements, supports and maintains applications and technical integrations, specifically Epic applications, to meet the needs of the organization. Serves as a coordinator and collaborates with business operations, information technology, leadership, system users and vendors. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Builds requirements and translates into configuration and business process changes, using knowledge of standard workflows. Provides routine maintenance and standard build for Epic applications and systems using existing internal processes, policies and procedures. Provides technical knowledge analyzing Epic vendor software updates and the impact to the business for Epic applications. Troubleshoots and resolves basic to moderately complex application issues and provides end-user support for Epic applications. Codes complex functions including building application tables and reports for Epic applications. Updates testing scripts to incorporate ongoing system development and implementations. Acts as a resource for Epic colleagues with less experience. May lead small projects with manageable risk and resource requirements. Analyzes, prioritizes, and organizes technical requirement specifications, using data, diagrams, and flowcharts to inform decision making. Solves complex problems, takes a new perspective on existing solutions and exercises judgment based on the analysis of multiple sources of information. Performs other duties as assigned. EDUCATION Bachelor's degree in computer science or related field, or equivalent years of experience and education EXPERIENCE Three years' relevant experience Experience in Epic builds CERTIFICATION Epic certified or accredited in one or more modules PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. Department: ********** Release Management Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Highlights: Qualifications: Experience with hospital insurance denials and follow up or Work Comp is required. Schedule: Full Time. Monday-Friday, 7:00 AM to 8:30 AM start time, last shift ends at 5:00 PM Starting Pay: $18 (Offers are based on years of experience and equity for this role.) Location: Remote - reside in MO, IL, OK, or WI At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI Job Summary: Responsible for processing patient accounts. Duties may include one or more of the following: processing insurance payments, following up on denied claims, and resolving credit balances. Typically works in no more than two functional areas. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Processes the insurance component of a patient's obligation using the third party claims processing and payment rules. Bills claims appropriately. Follows up on denied claims by performing appeals and denial recovery procedures. Works denied claim lines and no response claims to resolve outstanding accounts. Analyzes credit balances on patient accounts and resolves. Responds to refund request letters from insurance carriers. Performs other duties as assigned. EDUCATION High school diploma or equivalent EXPERIENCE No experience required PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. Department: 8701000033 RCO Strategy and Culture Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

Primary Duties And Responsibilities The Triage Nurse I provides professional telephone triage nursing services to Hoag Clinic patients. This role performs detailed evaluation of patient symptoms and determines urgency of patient condition, facilitates next steps in patient care, makes recommendations for escalation of care, and provides appropriate medical advice on treating symptoms. Provides patient education and incorporates available education material. Communicates changes in patient condition to health care provider. Responses to emergency situations. Collaborates with other members of the health care team to ensure quality patient care and confer when facing ethical and legal issues. Documents all nursing services provided in the patient record. Utilizes the nursing process based on research and evidence-based outcomes to meet patient care needs. Facilitates appropriate utilization of healthcare resources. Enhances the patient experience. Provides services in compliance with all applicable regulatory and professional standards, including the California Nurse Practice Act. Performs other duties as assigned. Education and Experience Required: Two (2) years clinical nursing experience Basic keyboarding skills and basic knowledge of Microsoft Office Suite, including Outlook, Word and Excel Strong clinical documentation knowledge and skills Preferred: One (1) year experience in an ambulatory care setting and/or in telephone triage Bachelor of Science in Nursing (BSN) Knowledge of electronic medical record systems Knowledge of patient registration, scheduling, and insurance verification processes License Required Current licensure as a Registered Nurse in good standing in the State of California License Preferred N/A Certifications Required Current BLS certification Certifications Preferred N/A