Select Medical Remote jobs - 140 jobs

Department Name: Coding-Acute Care Compl & Educ Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $29.11 - $48.51 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). In this Inpatient Facility-based HIMS Coding Quality Associate position, you bring your 5 years of acute care inpatient coding background to a team that values growth and development! This is a Quality position, not a day-to-day coding production role but does require coding proficiency and recent Hospital Facility Coding experience. This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. Schedule: Full time, Monday-Friday 8am-5pm during training. Flexible scheduling after completion of training. Location: REMOTE, Banner provides equipment Ideal candidate: 5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume); DRG and PCS Coding, Auditing experience; Bachelors degree or equivalent; Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire. This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation to improve the quality of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides guidance and expertise in the interpretation of, and adherence to, the rules and regulations for code assignment based on documentation for all levels of complexity to include accounts encountered in Banner's Academic, Trauma, high acuity and critical access facilities, as well as specialized services such as behavioral health, oncology, pediatric. Acts as subject matter expert regarding experimental and newly developed procedure and diagnostic coding. CORE FUNCTIONS 1. Provides guidance on coding and billing, utilizing coding and billing guidelines. Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and reference information to internal and external customers regarding coding assignment based on clinical documentation which may require researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers suggestions for improvement where opportunities are identified. Reviews accuracy of identified data elements for use in creating data bases or reporting to the state health department. If applicable, applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and co morbid condition, other diagnoses, and significant procedures which require coding. Apply policies and procedures on health documentation and coding that are consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding compliance. If applicable, initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient's condition, treatment and outcomes. Identifies training needs for coding staff. Serves as a team member for internal coding accuracy audits and documents findings. 4. Acts as a knowledge resource to ancillary clinical departments, patient financial services and revenue integrity analysts regarding charge related issues, processes and programming. Participates in company-wide quality teams' initiatives to improve coding and clinical documentation. Assists with education and training of staff involved in learning coding. Assists in creating a department-wide focus of performance improvement and quality management. Assists and participates with management through committees to properly educate physicians, nursing, coders, CDM's, etc. with proper and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as a basis for development of coding education and audit plans. 6. Maintains a current knowledge in all coding regulatory updates, and in all software used for coding, coding reviews and health information management for the operational group. Identifies and collects data to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC, other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized software. 7. May code inpatient and outpatient records as needed. Works as a member of the overall HIMS team to achieve goals in days-to-bill. 8. Works independently under limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight for all Banner facilities and services they provide. Internal customers include but are not limited to medical staff, employees, and management at the local, regional, and corporate levels. External customers include but are not limited to, practicing physicians, vendors, and the community. MINIMUM QUALIFICATIONS Requires a level of education as normally demonstrated by a bachelor's degree in Health Information Management or experience equivalent to same. Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other qualified coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Must possess a thorough knowledge of ICD Coding and DRG and/or CPT coding principles, as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical terminology, anatomy and physiology, plus a thorough understanding of the content of the clinical record. Extensive knowledge of all coding conventions and reimbursement guidelines across services lines, LCD/NCDs and MAC/FIs. Extensive critical and analytical thinking skills required. Ability to organize workload to meet deadlines and maintain confidentiality. Excellent written and oral communication skills are required, as well as effective human relations skills for building and maintaining a working relationship with all levels of staff, physicians, and other contacts. Must consistently demonstrate the ability to understand the Medicare Prospective Payment System, and the clinical coding data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic medical records software. PREFERRED QUALIFICATIONS Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Department Name: ALTCS CM Work Shift: Day Job Category: Clinical Care Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. **Travel is required for the role, must be located in Graham or Greenlee counties.** Recognized nationally as an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members in optimal health. Known for our innovative, collaborative, and team-oriented approach, BPN offers a variety of career opportunities and innovative employment options by offering remote and hybrid work settings. We are part of the insurance division with Banner Health. We service the Arizona long term care AHCCCS population. We case manage beneficiaries to ensure services are identified and authorized according to member's person centered assessments. The Case managers evaluate members and determine what type of services are required and authorize services. Our populations include members in the nursing home, assisted living, behavioral health settings and in member's home. Case managers day include phone calls, data entry, setting appointments for pre assessment call and assessments. Case managers travel to member's home. Assist with schedule medical appointments and transportation. Filing grievance from members. Collaborate with department nurses and behavioral health coordinators. Will attend community functions. 8am to 5pm Monday - Friday **Travel is required for the role, must be located in Graham or Greenlee counties.** Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position is responsible for assessing, documenting and monitoring the overall functional, physical and behavioral health status of members assigned to them. Based on the assessments, the case manager, collaborating with the member and his/her support system, develops a service plan that meets member needs in the most cost-effective and most integrated setting. CORE FUNCTIONS 1. Is the primary contact for the ALTCS member, explaining the program to members, including their rights and responsibilities, the grievance and appeal system and other information according to regulations. 2. Comprehensively assesses and documents the member's bio psychosocial functioning in accordance with AHCCCS time frames, identifying the individual's strengths and needs. 3. Develop and implements a service plan based on the member's strengths, needs and placement preferences, authorizes and coordinates with provider agencies. 4. Assists the member to define personal goals, identifying barriers to achieving these goals and encouraging the member to resolve the difficulties identified. 5. Acts as a facilitator and/or advocate for the member in dealing with issues with providers, community programs or other organizations. 6. Acts as a gatekeeper to ensure that the member is receiving the most appropriate, cost-effective services in the most appropriate setting. 7. Facility based while remaining within budgetary allowances. Internal customers: all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary healthcare team. External customers: physicians, payers, community agencies, provider networks and regulatory agencies. MINIMUM QUALIFICATIONS Knowledge, skills and abilities as normally obtained through the completion of a bachelor's degree in social work, and two years of experience serving persons who are elderly and/or persons with physical disabilities or who are determined to have a Serious Mental Illness (SMI). PREFERRED QUALIFICATIONS Bilingual, preferred in some assignments. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

The Patient Access Optimization Analyst role is to configure and provide functional and technical support for access optimization initiatives. This position also assists with the analysis, solutioning, documentation, and implementation of Epic-build related functions. * This is a remote position * Working hours Central time zone - 8AM - 5PM * Two positions available The pay range for this position is $31.73/hour (entry level qualifications) - $54.90/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE * Presentation - able to communicate information professionally and formally to stakeholders through meetings and written presentations. * Independence - proven ability to manage small to medium projects to ensure successful project implementation and engagement. * Excellent verbal and written communication skills, as well as presentation skills. * Strong analytical and advanced research skills. * Solid organizational skills, especially the ability to meet project deadlines with a focus on details. * Ability to successfully multi-task while working independently or within a group environment. * Ability to work in a deadline-driven environment, and handle multiple projects simultaneously. * Ability to interact effectively with people at all organizational levels. * Build and maintain strong relationships. KEY SUCCESS FACTORS * Decision tree design, documentation, and maintenance experience strongly preferred. * Ability to think critically and analyze complex technical solutions. * Epic Cadence Certified strongly preferred. * ServiceNow experience preferred. * Epic Cadence Provider template management and build experience strongly preferred. * Ambulatory and/or Surgery scheduling experience required. * Experienced proficiency in Excel and SQL required. * Able to work through complex business problems and partner with clients using a consultative approach. * Exceptional data/modeling skills with ability to convert raw data into actionable business insights. * Able to apply knowledge of healthcare industry trends and their drivers. * Able to work in a dynamic setting and work well under pressure. * Intermediate to advanced knowledge of statistics (including modeling techniques) preferred. * Lean Six Sigma experience preferred. * 5 years of experience working in Epic strongly preferred. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 5 Years of Experience

Baylor Genetics, one of the world leaders in clinical molecular genetics, is excited to announce an opening in the Clinical Genomics Interpretation (CGI) division. This role requires a comprehensive understanding of clinical genetics, familiarity with reviewing clinical notes, and ability to interpret a pedigree. As part of the WGS Clinical Indication Team, the “Clinical Genomic Scientist” reviews clinical notes and converts patient phenotypes into Human Phenotype Ontology (HPO) terminology, records prior genetic testing history, interprets family history from pedigrees, and confirms consent answers from test requisition forms. The Clinical Genomic Scientist position is a remote work opportunity, with daily huddles, clear objectives, and flexible scheduling. Come join our team from the comfort of your home office! Duties and Responsibilities on the WGS Clinical Indication Team: 80 to 100%: Reviewing test requisition forms and clinical notes, extracting clinical information into structured data, such as HPO terms Up to 20%: As needed, opportunities for cross-training in WGS variant curations or WGS report writing may become available Qualifications Degree: Master's in Genetic Counseling, MD/PhD with a background in clinical genetics Preferred: Master's in Genetic Counseling Experience: Expertise in concepts of clinical medicine, genetics, genomics, and molecular biology. Experience in communicating genetic details effectively. Excellence in reading/writing medical language. Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook). Desired: Experience in genetic counseling, familiarity reviewing clinical notes and medical writing. Desired: Familiarity with American College of Medical Genetics (ACMG) variant curation guidelines. Desired: Knowledge of genomic variation and its correlation with human disease. Rank: Clinical Genomic Scientist - Clinical Indication I Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 0-1 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication II Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 2-4 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication III Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality and leading projects toward goals Rank: Clinical Genomic Scientist - Clinical Indication - Senior Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality, leading projects toward goals, training coworkers, demonstration of workflow process improvement Competencies: Quality Assurance, Analytical and Problem-Solving Skills, Technical Skills, Interpersonal Skills, Oral and Written Communication, Teamwork, Organizational Support, Safety and Security, Dependability, Innovation, Adaptability. Physical Demands and Work Environment: At your Home Office: Frequently required to sit, using screen, keyboard, and mouse. Punctuality attending virtual meetings Occasional weekend rotation may be needed (for example, once a month)

Background: The healthcare industry faces many problems - affordability, substandard customer service and inconsistency in care quality, and is not designed around the customer needs, leading to a subpar service experience. Despite encouraging improvements in treatment innovation, the delivery of care is inconsistent, resulting in variations in the quality of care that further compound these problems. We must reimagine a system that is built around the needs of the people we serve with high-value solutions to these pain points. Baylor Scott and White Health (BSWH) is building a customer-focused strategy to solve these problems. We are innovating products and services as a part of Baylor Health Enterprises, an internal startup within the health system. The Customer Solutions team serves as a major growth engine for responsible for developing and launching new digital customer solutions. Customer Solutions generates growth from innovative "white space" opportunities, with a special emphasis on ideas that span digital and traditional in-person channels. The Customer Solutions team enjoys unparalleled access to the executives at BSWH, major investors, and cutting-edge startups across the industry. Entrepreneurial-minded candidates will find a challenging environment, a supportive team and an opportunity to develop a broad skillset while affecting meaningful change in health care. We are looking for people to join this exciting new team who are passionate problem solvers that want to develop a new paradigm to transform how customers are served. Position Summary: The Product Associate will be a critical member of the Muscle and Joint Care product team, responsible for overseeing its development and implementation. They will track key metrics and OKRs and troubleshoot any issues that may arise during the creation and commercialization process, and will be responsible for day-to-day product operations post-launch. This role requires a customer-focused, strategic, and tech-savvy communicator who strives to improve the healthcare experience for customers. The Product Associate will have a high visibility to the Customer Solutions leadership team. This is an exciting opportunity to be part of an innovative team that is changing the status quo in how a healthcare provider goes to market and provides an environment that stimulates professional growth. The products and services built by the Customer Solutions business will have a direct impact on solving the healthcare complexities and easing hardships endured by customers. * Hybrid position, will travel to Dallas, TX one week each month The pay range for this position is $34.58/hour (entry level qualifications) - $53.60/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. Jobs to Be Done: 1. Execute the product roadmap to deliver solutions that are aligned with product strategy and organizational objectives * Participate in agile team to develop features and user stories, determine downstream operational and technical impacts as well as advocate for product needs * Set and execute sprint goals and communicate with leadership to ensure prioritization aligns with business objectives * Support project management processes including stakeholder training and communication, risk management, status updates and project plans. 2. Support the team in efficient product development * Collaborate with Product Manager to understand and support the development of the product vision, strategic product direction, and product roadmap. * Build detailed workflows based on the product roadmap * Support the Product Manager to work with internal stakeholders (e.g. digital, operations, finance) to understand use cases, assess costs and feasibility * Engage subject matter experts on the agile team to scope and define technical work to support the product roadmap and operational processes * Maintain a deep understanding of the problem space, competitors, and industry * Develop communications and materials to represent the product to stakeholders 3. Monitor and analyze performance to continually improve products * Actively identify and resolve issues and risks, communicating impact and recommended resolutions to leadership * Troubleshoot and resolve issues associated with technology, application, or product feature that impacts customer experience, by coordinating with the digital and in-person teams * Monitor, analyze, and report on product performance Success Factors: * Successful product releases which address a customer problem with a delightful customer experience * Structured approach to troubleshooting and escalating problems as they arise * Effective management of product development * Strong written and verbal communication skills, including developing presentations Preferred Candidate Profile: * Three to four years of professional experience in management consulting, digital product management, product operations, or similar roles in healthcare * Prior experience in a healthcare organization or health-related startup or tech-enabled services environment * Strong program management skills and ability to collaborate with multiple stakeholders to drive a process forward * Excellent organization and time management skills * Exhibits a growth-mindset; can be nimble, is able to continuously test, learn, iterate, and pivot to meet customer needs * Embraces ambiguity and thrives in a startup environment * Ability to travel to Dallas 1 week per month BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelor's * EXPERIENCE - 1 Year of Experience

**Per Diem Hospice Medical Directorin Beautiful Northern, CO** **Remote Only & Flexible Schedule** **BANNER HEALTH and the Home Care & Hospice Division** , one of the countrys premier, nonprofit health care networks with more than 1,500 physicians and advance practice providers, **has an excellent opportunity for a compassionate, skilled clinician to join our interdisciplinary team!This position serves the growing community in Northern Colorado in partnership with the current care team.** Utilizing a multidisciplinary approach, the qualified candidate will provide remote support to the Home Care & Hospice team of Advanced Practice Providers. **Position Requirements and Information:** + BC/BE in a relevant specialty + Colorado state licensed + Fellowship training in Hospice & Palliative Medicine - NOT REQUIRED + Experience preferred, new graduates also welcome to apply + Flexible schedule primarily providing back-up coverage for the acting Medical Director **Compensation & Benefits:** + **$140/hr** + Malpractice and Tail Coverage **About the area:** With more than 300 days of sunshine, Northern Colorado is one of the best places to live and work offering spectacular views along the Rocky Mountain Front Range, great weather, endless recreational activities, cultural amenities, education, and professional opportunities. + Within one hour of majestic Rocky Mountain National Park & 90 minutes to world-class ski resorts + Numerous outdoor activities including golf, biking, hiking, camping, rock climbing, hunting, and fishing + Thriving cultural and retail sectors + Highly educated workforce & broad-based business sector leading to substantial growth along the front range + Variety of public and private education options for K-12 and easy access to three major universities **PLEASE SUBMIT YOUR CV TODAY FOR IMMEDIATE CONSIDERATION** As an equal opportunity employer, Banner Health values culture and encourages applications from individuals with varied experiences and backgrounds. Banner Health is an EEO Employer. POS15101 Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability.

Department Name: Digital Transform Fdn Clin App Work Shift: Day Job Category: General Operations Estimated Pay Range: $19.00 - $19.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Find your path in health care. We want to change the lives of those in our care - and the people who choose to take on this challenge. If you're ready to change lives, we want to hear from you. This is a temporary part-time Internship position working in either Colorado or Arizona, 20hr/wk, typically 8:00a-1:00pm with some flexibility. This opportunity is open to Graduate level students pursuing degrees in Health Informatics, Data Analytics, Public Health, or related field, with strong analytical skills, attention to detail, and experience with Python. In this internship you will have the opportunity to work with our Quality Improvement team by reviewing and validating datasets prior to submission to National and State Registries. * Please note the email you apply with is where all updates and information will be sent to, even after you graduate. We recommend applying with a personal email rather than a school email address. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position typically will be up to one year in length and will work under the direct supervision of a department manager or designee. The position is responsible for expanding experiences and knowledge of practices and procedures as they relate to assigned department and area of study. These activities may include participation in a wide variety of projects. CORE FUNCTIONS 1. Expands and develops knowledge with exposure to a variety of roles related to area of study. 2. Participates on work teams, contributes to projects and initiatives, and performs various tasks as needed by the assigned unit/department. 3. Performs research and prepares reports on assigned topics and /or projects when required. 4. Works as a member of a team providing service to internal and external customers. MINIMUM QUALIFICATIONS Currently enrolled in an accredited college program with course work related to the internship or general knowledge normally obtained through the completion of a college degree. Must demonstrate effective verbal and written communication skills. Must have general knowledge related to the department/unit/area of study. PREFERRED QUALIFICATIONS Proficiency with commonly used office software and personal computers may be necessary, depending on assignment. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

As a Senior Genetic Counselor, you'll assume an advanced leadership role within the Clinical Support team, providing expert guidance, oversight, and mentorship in genetic counseling while facilitating communication among various stakeholders. Your duties will involve managing escalated, complex cases, leading protocol development and maintenance, and serving as a mentor to the broader counseling team. EDUCATION AND EXPERIENCE: Degree: Master of Science or Master of Arts in Genetic Counseling from an ACGC-accredited program or equivalent. Certification: Board-certified Genetic Counselor. Experience: Significant experience (5+ years) demonstrating leadership and expertise in clinical and laboratory genetics. Work Authorization: Must be eligible to work in the USA without restrictions. Training: Onsite training and occasional meetings may be required; remote work available for experienced Senior Genetic Counselors with relevant laboratory experience. DUTIES AND RESPONSIBILITIES: Provide strategic leadership and oversight in the coordination of complex and escalated cases, ensuring effective communication between Baylor Genetics and professional clients. Conduct comprehensive review and analysis of test orders and laboratory reports, ensuring accuracy and adherence to quality standards. Act as a key liaison for professional clients, offering expert guidance on testing strategies and recommendations based on genetic findings. Mentor and support junior genetic counselors and trainees, providing advanced expertise and guidance in clinical and laboratory genetics. Lead in the development of new testing protocols, policies, and procedures, guiding the enhancement of clinical operations. Assist in training new hires on existing protocols, policies and procedures and existing team members on new and updated processes Collaborate closely with the Medical Affairs team to lead the development of manuscripts and presentations focused on genetics. Collaborate closely with the Client Services team to ensure efficiency and quality in inquiry resolution Skills: In-depth expertise in clinical and laboratory genetics, demonstrating proficiency in analyzing and interpreting complex genetic data. Exceptional communication skills, both written and verbal, to effectively convey genetic information and recommendations to various stakeholders. Strong leadership abilities, fostering a collaborative and supportive environment while guiding junior team members. Impeccable attention to detail and organizational skills to ensure thorough review and precise reporting. Proficiency in relevant computer applications and databases used in genetic counseling and analysis. PHYSICAL DEMANDS AND WORK ENVIRONMENT: Frequently required to sit. Frequently required to stand. Frequently required to utilize hand and finger dexterity. Frequently required to talk or hear. Frequently required to utilize visual acuity to operate equipment, read technical information, and/or use a keyboard. Occasional exposure to bloodborne and airborne pathogens or infectious materials. EEO Statement: Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local law.

The Manager, Lab Cost & Finance will be responsible for creating and maintaining lab costing model(s) and providing financial support to organizational teams. Actively supports FP&A or other lab team members on projects as needed or requested. Work as a contributing member of a highly functioning remote FP&A team. QUALIFICATIONS: Education: Required: Bachelor's Degree in Business Management, Finance, Accounting, or related concentration; MBA or related certification preferred. Experience: Required: Minimum of 5-6 years of experience in a financial analytic or cost accounting role, preferably with a healthcare, insurance, laboratory, or related company. Exceptional analytical skills to process large amounts of financial and statistical information. Proven experience in cost analysis, financial analysis, or a related field, with a strong background in cost management or decision support. Ability to take initiative, engage staff, and create change. Excellent in time management - proven ability to work on and manage multiple projects within tight timelines and in a fast-paced growth environment. Must be a self-starter with strong work ethic, desire to learn, attention to detail, and have a dedication to quality. Experience with Microsoft Excel building spreadsheets and utilizing formulas, pivot tables and graphs. Experience with Microsoft PowerPoint updating and creating presentations that explain financial results. NetSuite experience, preferred. Must possess excellent written, presentation, and oral business communication skills. Adaptable to change in a rapidly growing company. DUTIES AND RESPONSIBILITIES: Develops and maintains standards for COGS and various costing templates. Develops and maintains labor, materials, and overhead cost application rates. Develops pricing solutions for the company's practice groups in conjunction with market trends and profitability goals. Performs detailed financial analysis and creates pricing scenarios in support of the development of pricing alternatives in response to client requests and RFP's. Develops and documents processes related to pricing and COGS, identifies areas for automation and improvement. Challenges assumptions and seek/support cost improvements in lab, be an active contributor to improvement projects and initiatives, validate and review proposed savings. Partners with lab teams to manage costs and review capital proposals. Pro-actively looks at the impact of historic data on future outcomes. Recommends changes to processes and policies to reduce costs and maximize profit. Establishes key performance indicators (KPIs) to measure the success of pricing strategies. Advises management on appropriate use of cost based financial data modeling. Participates in product planning and pricing. Performs modeling as needed. Works with team(s) to develop new product costing in accordance with costing standards. Leads the quarterly client rate review process, including communicating with commercial operations to identify pricing adjustments, working closely with the billing team to ensure all are updated without delays in billing. Ensures the accuracy of client pricing in the company's financial system, including verifying pricing requests and required approvals as well as communicating changes to billing coordinators and others. Supports company decision making with accurate costs and financial information. Must have analytical and problem-solving skills, be detailed, and result oriented. Support other ad hoc analysis, projects, or data request. Adheres to Code of Conduct as outlined in the Baylor Genetics Compliance Program. Performs other job-related duties as assigned. PHYSICAL DEMANDS AND WORK ENVIRONMENT: Remote work role Frequently required to sit Frequently required to stand Frequently required to utilize hand and finger dexterity Frequently required to talk or hear Frequently required to utilize visual acuity to operate equipment, read technical information, and/or use a keyboard EEO Statement: Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local laws. Note to Recruiters: We value building direct relationships with our candidates and prefer to manage our hiring process internally. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics ("Agreement"). Any resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics' authorized signatory, will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees.

** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair **- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty **- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) **- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations **Lower Extremity:** **- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy **- Pelvis:** Fracture repairs **- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs **- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy **- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain **WORK MODEL/SALARY** Days: Monday - Friday Hours: 8hrs a day, 80hrs a pay period 100% Remote The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **JOB SUMMARY** + The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. + Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. + Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) + The Coder 2 will abstract and enter required data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **KEY SUCCESS FACTORS** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of the following Certifications: + Registered Health Information Administrator (RHIA) + Registered Health Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Certified Inpatient Coder (CIC) + Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package includes the following: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **MQUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Department Name: Amb Billing & Follow Up Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $18.02 - $27.03 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. The PFS Insurance Follow-Up Representative (Ambulatory Denials) is responsible for following up with assigned payer for various denials, such as no authorization, eligibility denials, etc. This position is a higher-level PFS role, as it does range across all groups of patients and all types of provider specialties. Experience within medical insurance accounts receivable (AR) and physician fee-for-service billing is ideal. Location: Remote Schedule: Monday-Friday, varying shifts 6am-6pm after successful completion of training program. Ideal Candidate: Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing clearly reflected in uploaded resume; Minimum of 1 year experience writing appeal letters for payer/payor denials; Intermediate to Advanced skill level in Microsoft Excel. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the organization. The Data Governance Analyst provides data analytics, data management, data architecture support and alignment. This role is responsible for designing, implementing, and optimizing metadata management, data catalogs, lineage documentation, and governance workflows and platforms. This position leverages advanced analytical tools to uncover meaningful insights that support strategic initiatives and performance improvements. Partnering with stakeholders across the organization to translate complex data into actionable intelligence. Functions as a bridge between IT, business, legal, and compliance teams to ensure data is accurate, compliant. Working closely with data product managers, business SMEs, and technology teams, the analyst enhances data discoverability, quality, and compliance across the enterprise; supporting BSWH Data Strategy and enabling timely, data-driven decisions built on trusted information. The Senior Data Governance Analyst is a key contributor to the data governance program by conducting regular assessments of data assets establishing standards, creating necessary policy documentations, identifying areas for improvement and ensuring alignment with business objectives. By fostering a culture of data stewardship, this role helps maximize the value of data as a strategic asset and promotes consistent, high-quality analytics across the enterprise. 100% remote position **_The pay range for this position is $40.35/hour (entry level qualifications) - $62.52/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** + Study and research features of new database versions and tools to prepare for future growth. + Establishes technical standards and guidelines for the effective use of databases. + Train, educate and assist in the development of personnel including data governance tools, principles and practices. + Develop, implement, and manage practices/policies for data quality, security, access, and usage. + Provide data literacy oversight and support to ensure data integrity and quality. + Ensure data privacy, security, and compliance. Support PHI classification, data quality checks, and lineage validation. + Act as liaison between data stewards and analytics team, promoting adoption of best practices. + Monitor and assess data quality for key metrics, identify issues and provide pragmatic recommendations. + Catalog and manage data assets, ensuring they are properly classified and accessible to authorized users. + Prepare and present reports and presentations on data governance activities, metrics, and outcomes. + Ensure Data Governance key assets (Glossaries, Data Dictionary, Reference Data List, Lineage and Business Process Maps, technical assets) are maintained and used effectively. + Develop and deliver data management technology and Data Steward training, keeping training materials up-to-date. + Liaising closely with Data Stewards to understand their data needs and requirements, and chairing data meetings. + Leading the design and build of data catalogue content, metadata models, and workflows. + Design, implement, and maintain governance processes, and workflows (e.g., stewardship approvals, data access protocols) and supporting their use by Data Governance members. + Implement and monitor data quality standards to maintain high levels of accuracy, completeness, and reliability. + Handle data lifecycle management, support governance tools, monitor KPIs, and operationalize data standards across systems. + Stay updated on industry trends and best practices in data governance, applying new insights to enhance organizational practices. **KEY SUCCESS FACTORS** + Deep understanding of healthcare data and operations. + Knowledge of Data Warehousing, ODS, or other reporting environment in a work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL queries against relational databases. + Must possess excellent documentation and communication skills. + The ability to understand, model, and interpret data. + Accuracy and attention to detail. + Must possess good social skills. + Excellent written and verbal communication and collaboration skills. + Experience working across business and technical teams. + Strong analytical and problem-solving skills to identify and solve complex business problems. + Knowledge of data management, data governance frameworks/platforms, data cataloging/lineage concepts, data architecture, data analytics best practices and techniques. + Knowledge of metadata management concepts, modeling, tools. standards and best practices. **BENEFITS** Our competitive benefits package includes the following + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification EXPERIENCE - 5 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Description - External The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. SALARY The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience ESSENTIAL FUNCTIONS OF THE ROLE This position will be supporting Hospital and Professional areas of billing compliance: * Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. * Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. * Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. * Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters. KEY SUCCESS FACTORS * Continually demonstrates initiative by learning business processes and applicable auditing techniques. * Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. * Excellent written and oral communication skills based on level of expertise. * Proficient in Microsoft Word and Excel. * Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level Belonging Statement We believe that all people should feel welcomed, valued, and supported. QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience

As the Manager of Genetic Counseling Clinical Review, you will oversee a team responsible for clinical review of genetic testing orders, ensuring accuracy, consistency, and timely processing. This role provides day-to-day leadership, coaching, and performance management while fostering a collaborative, high-quality work environment. The manager evaluates and improves workflows, conducts routine quality audits, and partners with cross-functional teams to enhance efficiency and customer experience. They also maintain up-to-date SOPs and training materials and ensure effective onboarding and ongoing competency development for all team members. This position plays a key role in supporting operational excellence and the delivery of high-quality genetic testing services. EDUCATION AND EXPERIENCE Master of Science or Master of Arts in Genetic Counseling from an ACGC-accredited program or equivalent. Board certified or board eligible in Genetic Counseling by ABMGG or ABGC. Must be eligible to work in the USA without restrictions. Experience: 3-5+ years of genetic counseling experience, preferably in a clinical genetic testing laboratory, with 3+ years of supervisory experience Training: Onsite training and occasional meetings may be required; remote work may be available depending on experience and operational needs. DUTIES AND RESPONSIBILITIES Essential Functions: Lead, mentor, and manage the clinical order review team, including workload oversight, staffing, coaching, and performance evaluations. Oversee quality assurance by conducting routine QA checks, monitoring accuracy of clinical order reviews, and implementing corrective actions or retraining as needed. Drive process improvement by analyzing workflows, identifying inefficiencies, and partnering with cross-functional teams to implement scalable, data-informed solutions. Maintain and update SOPs, work instructions, and training materials to ensure compliance, clarity, and alignment with evolving workflows and test offerings. Manage onboarding, training, and competency assessments to ensure all GCAs are properly prepared, up-to-date on workflow changes, and consistently delivering high-quality work. Serve as a clinical stakeholder in cross-functional projects, including workflow and system improvements. Assist in managing clinical process improvements to enhance efficiency, reduce error rates, and support scalability. Educate and support trainees, including new clinical team members. Skills: In-depth knowledge of clinical and laboratory genetics. Excellent written and verbal communication skills, with ability to simplify complex scientific concepts. Superior organizational skills and attention to detail for content accuracy and workflow documentation. Ability to work independently and collaboratively across laboratory and clinical teams. Understanding of regulatory and quality standards relevant to genetic testing laboratories (e.g., CLIA, CAP). Proficiency with learning management systems, document management tools, and general computer applications. PHYSICAL DEMANDS AND WORK ENVIRONMENT: Frequently required to sit. Frequently required to talk or hear. Frequently required to use visual acuity for reading technical materials, reviewing documents, and working on a computer. Occasional exposure to laboratory environments or biohazard materials depending on operational needs. EEO Statement: Our organization is an equal opportunity employer committed to fostering an inclusive, diverse, and equitable workplace. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, veteran status, pregnancy or related conditions, or any other protected status.

Hospital Medicare Biller (Remote) (Job Number: 549918) Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job SummaryThe Patient Account Representative I performs a variety of revenue cycle activities including billing, collections, cash posting, and customer service in support of hospital and physician accounts. This position ensures accurate and timely financial documentation and reimbursement through effective communication with patients, insurance companies, and other stakeholders. The representative maintains compliance with all regulations including HIPAA, and adheres to organizational policies and procedures. Essential FunctionsAccurately and efficiently processes patient accounts, including billing, collections, and payment posting. Responds to and resolves inquiries from patients, insurance carriers, and internal departments. Prepares and submits claims using billing systems; works claim edits and rejections. Follows up on unpaid accounts and performs collections activities as appropriate. Researches and applies unidentified payments. Balances daily cash posting and reconciles discrepancies. Files appeals and reconsideration requests as per department protocol. Identifies and reports overpayments; ensures appropriate refunds. Participates in A/R clean-up projects and other revenue cycle initiatives. Maintains productivity and quality standards while managing daily work queues. Demonstrates ownership and accountability in completing assignments. Knowledge/Skills/Abilities/ExpectationsAbility to communicate effectively, both verbally and in writing. Ability to work independently with minimal supervision. Strong customer service and interpersonal skills. Basic general accounting and bookkeeping knowledge. Knowledge of medical billing practices and medical terminology. Proficient in Microsoft Excel, Word, Outlook, and experience with systems such as Epic and SSI (preferred). Operates 10-key pad efficiently (for cash posting roles). Demonstrates flexibility and teamwork across all business office functions. Qualifications EducationHigh School Diploma or GED EquivalentLicenses/CertificationsRelevant licensure and practices obtained within timeframe required by facility policy Experience1-2 years previous hospital and/or physician business office experience preferred Job: Administrative/Clerical/SecretarialPrimary Location: TN-Brentwood-Corp Personnel Area 8Organization: 0297 - Corp Personnel Area 8Shift: Day

**Healthy Weight Coach** **REMOTE - Monday through Friday, no weekends** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health coaching experience **Preferred Training** - Licensed RD - Experience with MNT for obesity, diabetes, HTN, Lipid disorders - NBC-HWC - Mastery of the coaching process, foundational theories/principles of behavior change - Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam - Only coaching credential recognized by the National Board of Medical Examiners * **No Credentialing required*** **JOB SUMMARY** The Clinical Dietitian 2 provides nutrition therapy and education to patients, families and the community. Performs nutritional assessments of patients and develops care plans. Develops and conducts educational programs and in service training programs. Participates in multi disciplinary patient rounds and patient case conferences. **ESSENTIAL FUNCTIONS OF THE ROLE** Conducts patient nutrition assessments on a combination of low and higher acuity patients within scope of practice, which may include both inpatient and outpatient. Utilizes assessment techniques which take into consideration the various needs of age specific populations as well as cultural, religious and ethnic concerns. Provides appropriate and timely documentation that summarizes the nutrition care plan in the patient's medical record, including nutrition assessment, diagnosis, plan, implementation, and progress toward goals in the course of performing primary duties. Assesses educational needs and the presence of barriers to learning. Provides nutrition counseling for individuals and groups, taking into consideration any adaptations to teaching methods necessary to meet patient learning needs. Provides education to both low and higher acuity patients within practice scope. Facilitates education to ensure compliance with food safety, sanitation and overall workplace safety standards within the Food and Nutrition Department, if applicable. Evaluates achievement of learning objectives by the patient and family. Provides appropriate follow-up in accordance with the patient's treatment goals, and refers patient for outpatient counseling, community, or home health services, as appropriate. Conducts ongoing evaluations to lead to a correct nutritional diagnosis of the patient's problems and progress while maintaining safety and professional standards. Interacts with medical staff as well as food and nutrition staff to ensure conformance with medical nutrition therapy. Interacts effectively with multidisciplinary teams to provide patient care that is integrated and compatible with the patient focused medical and nutritional goals. Leads team conferences and provide food and nutrition related in services to other medical staff as required. Assists in developing nutritional care and research protocols. Participates in quality assurance program by assisting in development of patient care criteria and analyzing actual care delivered. Participates in organizing and executing health fairs and other related community events. Assists in the development, research and revision of facility policies. **KEY SUCCESS FACTORS** Accountable for the proper use of patient protected health information. Ability to deal with complex situations and resolve patient and customer service concerns. Ability to give clear, concise and complete education and instructions. Works well in a patient-centered environment as an integral team player. Ability to adapt communication style to suit different audiences. Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful. Ability to calm upset patient in a composed and professional demeanor. Licensed Registered Dietitian preferred. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - Masters' - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Dietitians (RD) * **No Credentialing required*** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health experience **Preferred Training** - Licensed RD - Experience with MNT for obesity, diabetes, HTN, Lipid disorders - NBC-HWC - Mastery of the coaching process, foundational theories/principles of behavior change - Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam - Only coaching credential recognized by the National Board of Medical Examiners As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward - always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better. The Lead Development Representative (LDR) will focus on implementing Concentra's outbound sales strategy, specifically by prospecting and filling the field sales funnel with qualified opportunities. This position's primary responsibility will be to vet leads, make phone calls to prospective customers and schedule appointments. The LDR will work various lead types to identify opportunities that meet a minimum qualification criterion to hand off to field sales. This position will initially report to the Senior Director of Sales Effectiveness where the focus will be on training and special projects until a defined LDR territory becomes available. Responsibilities Initiate a high volume of prospecting/calling Effectively use CRM (Microsoft Dynamics) to accurately track activity and account information of all prospects Work various lead types defined by the sales organization to qualify or disqualify based on specific criteria Build rapport with prospects by offering resources (webinar invitations, white papers, relevant blog articles, etc.) and understanding based on where the prospect is in the buying process When a lead is identified the LDR utilizes tools such as CRM, Google and LinkedIn to determine organizational structure, decision makers, and key influencers in the prospect organization Gather key information during conversations with the decision makers by asking pertinent discovery and follow up questions to determine current needs and challenges Execute a precise contact cadence (phone calls, emails, social media) in efforts to schedule appointments with qualified prospects Consistently meet and exceed daily activity metrics in areas of leads worked, completed calls, and appointments scheduled Compliment quantity of work with quality and effectiveness of work performed Nurture a lead effectively until they are Sales Ready Learn and demonstrate a fundamental understanding of Concentra services and state regulations to clearly articulate capabilities and advantages to prospective customers to successfully manage and overcome prospect objections This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Education Level: High School Diploma or GED Job-Related Experience Customarily has at least one year of sales experience Telephonic sales experience a plus Remote work environment experience a plus Experience in occupational health care or workers' compensation industry is a bonus Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Display a self-discipline/self-starter attitude and focus to effectively manage and prioritize in an intense and high-volume business Strategic thinking skills: critical thinking is a must when identifying customer concerns, revenue maximization opportunities, and customer next steps Team player who possesses a desire and ability to work in a fast paced, goal oriented, high growth sales environment Demonstrated success in prospecting Strong organizational and time management skills Exceptional verbal communication skills coupled with excellent listening skills through telephonic conversation Excellent written communication skills with the ability to write a relevant message to the buyer Flexibility in moving between diverse job tasks Possesses an outstandingly warm, positive, energetic and professional demeanor Solid work ethic and integrity with a desire to work with a high level of energy and be a Concentra brand advocate Comfortable and familiar with technology Ability to leverage sales automation and tools to streamline efforts

Utilization Management Manager, PRN - Remote (Job Number: 550618) Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job SummaryThe Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. This position blends strong relationship-building skills with clinical knowledge to navigate complex payer requirements, streamline the authorization process, and support seamless patient transitions. From start to finish, this role drives the authorization process-reviewing prospective, retrospective, and concurrent medical records; coordinating with referring hospitals to secure prior authorizations; and partnering with case management teams at ScionHealth facilities to complete concurrent review authorizations. Acting as a navigator and liaison between Business Development, facility administration, managed care organizations, and payors, the specialist ensures determinations are communicated promptly and accurately to all relevant stakeholders. By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity, reduces delays, and supports the organization's mission of delivering exceptional patient care. This role actively contributes to quality improvement, problem-solving, and productivity initiatives within an interdisciplinary model, demonstrating accountability and a commitment to operational excellence. Essential FunctionsExtrapolates and summarizes essential medical information to obtain authorization for admission and continued stay to/at ScionHealth Level of Care. Prepares recommendations to sumbit timely request for reconsideration of denial determination in attempt to have denied authorization requests overturned. Ensures authorization requests are processed timely to meet regulatory timeframes. Reviews medical necessity assessments completed by case management, evaluating documentation for specific criteria related to severity of illness, and level of care appropriateness. Generates written appeals to medical necessity-based payor denials for denials prior to admission and concurrent review authorizations. Appeal letters may be processed on behalf of the physician, combining clinical and regulatory knowledge in efforts to have consideration of authorization. Documents authorization information in relevant tracking systems. Effectively builds relationships with business development team, admissions team/clinical staff and managed care team, to coordinate the patient admission functions in keeping with the mission and vision of the hospital. Supports review of patient referral for clinical and financial approval and/or escalation to leadership for approval following the Care Considerations grid. Coordinates and facilitates pre-admission Prior Authorizations for patients from the referral sources:Identifies /reviews medical record information needed from referring facility. Applies appropriate clinical guidelines to pre-authorization determination process. Communicates specific patient needs for equipment, supplies, and consult services as related to prior authorization requirements. Acts as a liaison with the Business Development team through every stage of the authorization process through determination. Initiates appeals process as appropriate. Facilitates and coordinates physician-to-physician communication as appropriate to support the denial management process. Communicates to appropriate teams, including business development and facility administration when clinical authorization and financial approval is complete, following standard authorization process. Provides hospital team with needed prior authorization information on pending / new admissions. Coordinate with managed care payor on all coverage issues and supports the LOA process as requested. Coordinates and facilitates Concurrent Review Authorizations for patients actively in-house at a ScionHealth facility Identifies /reviews medical record information needed from facility. Applies appropriate clinical guidelines to concurrent review authorization process. Review medical necessity review information provided by the case management team and communicates any additional questions or information requests Acts as a liaison with the Case Management team through every stage of the concurrent review authorization process through determination. Initiates appeals process as appropriate. Communicates with Medical Advisors or case managers of managed care company as necessary, including during Care Coordination / Managed Care calls Maintains a knowledge of areas of responsibility and develops and follows a program of continuing education. Participates in continuing education/ professional development activities. Learns and develops full knowledge of the CAAT Admission Processes and actively seeks to continuously improve them. Knowledge/Skills/Abilities/ExpectationsStrong relationship building skills and a spirit to serve to ensure effective communication and service excellence Knowledge of regulatory standards and compliance guidelines Working knowledge of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare and Medicaid rules, regulations, coverage guidelines, NCDs and LCDsWorking knowledge of Medicare, Medicaid and Managed Care payment and methodology Extensive knowledge of clinical symptomology, related treatments and hospital utilization management Excellent interpersonal, verbal and written skills to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers Critical thinking, problem solving, and decision-making capabilities with the ability to discern, collect, organize, evaluate, and communicate pertinent clinical information with effective verbal and written skills. Technical writing skills for appeal letters and reports Effective time management and prioritization skills Computer skills with working knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook), word-processing and spreadsheet software Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers and others Adheres to policies and practices of ScionHealthMust read, write, and speak fluent EnglishMust have good and regular attendance Approximate percent of time required to travel: N/APay Range: $32. 71-$40. 98/hr. ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications EducationPostsecondary non-Degree (Cert/Diploma/Program Grad) of an Accredited School of Nursing required Associate's Degree in healthcare or related field required Bachelor's Degree in healthcare or related field preferred Equivalent combination of Education and/or Experience in lieu of education (3+ years in a related field) may be considered Licenses/CertificationsHealthcare professional licensure preferred In lieu of licensure, 3+ years of experience in relevant field required Some states may require licensure or certification Experience3+ years of experience in a healthcare strongly preferred Experience in managed care, case management, utilization review, or discharge planning a plus Job: Case Mgmt/MDSPrimary Location: IL-Chicago-Mid America Region OfficeOrganization: 4294 - Mid America Region OfficeShift: Day

The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.