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  • Senior Marketing Strategy Lead (Hybrid)

    Health Care Service Corporation 4.1company rating

    Chicago, IL jobs

    A leading health services organization in Chicago is seeking a Principal Marketing Strategy Consultant to drive strategic alignment and execution within the marketing team. The role involves working closely with various marketing stakeholders to ensure that initiatives are well-defined and aligned. Candidates should have extensive experience in strategy development and project management, alongside strong analytical and communication skills. This position offers competitive compensation and opportunities for professional growth in a fast-paced environment. #J-18808-Ljbffr
    $95k-129k yearly est. 3d ago
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  • Hybrid Provider Contracting Lead

    Health Care Service Corporation 4.1company rating

    Chicago, IL jobs

    A leading health care service organization in Chicago is seeking a Principal Network Management Consultant. The role involves provider recruitment, contracting, and negotiation, ensuring strategic coverage for various lines of business. Requires a Bachelor's or Master's degree combined with extensive experience in provider contracting. This hybrid role allows for 3 days in-office and 2 days remote, offering competitive compensation and a comprehensive benefits package. #J-18808-Ljbffr
    $86k-118k yearly est. 2d ago
  • Hybrid Fitness and Sales Trainer in Wauwatosa, WI

    9Round Fitness 3.6company rating

    Milwaukee, WI jobs

    Responsive recruiter Replies within 24 hours Benefits: Bonus based on performance Employee discounts Opportunity for advancement Training & development ️️ Now Hiring: Fitness & Sales Trainer - 9Round Kickboxing | Wauwatosa, WI Are you passionate about fitness, helping others reach their goals, and working in a high-energy, motivating environment? 9Round Wauwatosa is looking for a Fitness & Sales Trainer who's ready to make an impact in the gym and beyond. This is a hybrid position-part floor training, part remote sales and admin-with flexibility, advancement potential, and perks you'll love. About 9Round 9Round is a unique 30-minute kickboxing-themed fitness program designed to deliver fast, effective workouts in a fun, inclusive atmosphere. With no class times and workouts that change daily, our members enjoy a supportive environment led by passionate, high-energy trainers. What You'll Do On the Floor (In-Gym): * Lead, motivate, and coach members through 30-minute full-body workouts * Demonstrate proper form and technique for kickboxing and strength-based exercises * Create a welcoming, high-energy environment that encourages growth and accountability * Perform fitness assessments and celebrate member milestones Remote Responsibilities (From Home or Office): * Handle new member inquiries, follow-up calls, and lead generation * Schedule first-time workouts and consultations * Assist with member retention through check-ins and social media engagement * Support marketing efforts, events, and digital promotions Opportunities for Growth We're looking for someone with long-term potential. Opportunities for advancement include: * Certified Personal Training roles * Sales management * Lead trainer or assistant manager positions Perks & Benefits * FREE 9Round Membership * Discounted equipment and 9Round apparel * Flexible Scheduling * Ongoing training and certifications * Supportive, team-first environment * Fun, fast-paced atmosphere where no two days are the same What We're Looking For * Passion for health, fitness, and motivating others * Strong interpersonal and communication skills * Self-motivated with a sales mindset * Ability to work both independently and with a team * Experience in fitness, coaching, or sales is a plus (but not required-we'll train the right person!) Schedule & Pay * Pay: $15-$20/hour (based on experience and performance) * Hours: Mix of in-gym shifts (mornings/evenings/weekends) and remote work * Location: 9Round Wauwatosa - 7954 Harwood Ave, Suite 140 Wauwatosa, WI Ready to Join the 9Round Nation? Apply today and let us know why you'd be a great fit for our team! Send in your resume and a brief intro to who you are. Flexible work from home options available. Compensation: $15.00 - $20.00 per hour
    $15-20 hourly 3d ago
  • Maternity Care Authorization Specialist (Hybrid Potential)

    Christian Healthcare Ministries 4.1company rating

    Barberton, OH jobs

    This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity. WHAT WE OFFER Compensation based on experience. Faith and purpose-based career opportunity! Fully paid health benefits Retirement and Life Insurance 12 paid holidays PLUS birthday Lunch is provided DAILY. Professional Development Paid Training ESSENTIAL JOB FUNCTIONS Compile, verify, and organize information according to priorities to prepare data for entry Check for duplicate records before processing Accurately enter medical billing information into the company's software system Research and correct documents submitted with incomplete or inaccurate details Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills Review data for accuracy and completeness Uphold the values and culture of the organization Follow company policies, procedures, and guidelines Verify eligibility in accordance with established policies and definitions Identify and escalate concerns to leadership as appropriate Maintain daily productivity standards Demonstrate eagerness and initiative to learn and take on a variety of tasks Support the overall mission and culture of the organization Perform other duties as assigned by management SKILLS & COMPETENCIES Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management. Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care. EXPERIENCE REQUIREMENTS Required: High school diploma or passage of a high school equivalency exam Medical background preferred but not required. Capacity to maintain confidentiality. Ability to recognize, research and maintain accuracy. Excellent communication skills both written and verbal. Able to operate a PC, including working with information systems/applications. Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access) Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.) About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
    $31k-35k yearly est. 4d ago
  • Hybrid General Radiologist - RP South Carolina

    Radiology Partners 4.3company rating

    Rock Hill, SC jobs

    RP South Carolina a newly established radiology practice is adding a Hybrid General Radiologist to their existing team of radiologists and APP's. * Monday-Friday, 8am-5pm. * Equal share of weekends reading from home. * General radiology. Neuro and light IR a plus. * 12 weeks PTO and full benefits. * Malpractice insurance plus tail coverage. * 1 year partnership track. * Located in the suburbs of Charlotte, NC. We offer a highly competitive salary, significant sign-on/retention bonus, Physician expense account for CME, cell phone etc., generous time off, a relocation package and a full complement of benefits that includes 401K. LOCAL PRACTICE AND COMMUNITY OVERVIEW RP South Carolina is a newly formed practice of 9 employed Radiologist and 3 APP's, covering a variety of subspecialty work and supporting 2 local, community hospitals in Rock Hill, SC. Our employed radiologists have the ultimate in work/life balance. Rock Hill, SC is located 25 minutes from Downtown Charlotte, NC, where you have access to major sports, international airport, and all the big city amenities, while being in a growing suburban community. Piedmont Medical Center, located in Rock Hill, SC, is a 288-bed full-service hospital. Piedmont is a premier healthcare system, committed to ensuring that all patients have access to the highest quality of care. Through innovative programs, collaborations and technological advances, Piedmont is continuously expanding the scope of its services to meet the needs of the growing community. Piedmont has received recognition for growth and leadership, along with numerous industry accolades and designations. DESIRED PROFESSIONAL SKILLS AND EXPERIENCE * Fellows and residents welcome to apply * Candidates must be a Doctor of Medicine or Osteopathy, Board-certified and residency trained in the practice of Diagnostic Radiology * Licensed or ability to obtain license in South Carolina * Board eligible or certified by American Board of Radiology or the American Osteopathic Board of Radiology COMPENSATION: The salary range for this position is $500,000-700,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). For More information or to apply: For immediate consideration, send your CV to Physician Recruiter, Shea Lipp at ************************** or call/text ************. RADIOLOGY PARTNERS OVERVIEW Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
    $138k-254k yearly est. Easy Apply 28d ago
  • Clinical Quality Documentation Specialist, Full-time, Days, Hybrid (Sign-on bonus eligible)

    Northwestern Medicine 4.3company rating

    Chicago, IL jobs

    is $37.35 - $48.56 (Hourly Rate) $4,000. Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Clinical Quality Documentation Specialist I reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Clinical Quality Documentation Specialist I position facilitates improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing staff, interdisciplinary quality committees, multidisciplinary teams and clinical coders. The Clinical Quality Documentation Specialist I applies clinical expertise, knowledge of the national Quality agenda, professional nursing standards, current research, best practices, and interdisciplinary collaboration to advance problem analysis and creative process redesign for clinical documentation. The Clinical Quality Documentation Specialist I acts as a change agent to systematically drive and implement change as prioritized by Clinical Documentation Leadership and Senior Clinical and Senior Quality leadership and/or through the quality and safety committees. Participates in performance improvement initiatives, receives and monitors control plans and data trends under the purview of the Clinical Documentation and Clinical Quality Programs and in collaboration with clinical interdisciplinary quality committees and physician practices. Key to this role is the ability to compel changes in documentation through in-person interaction to facilitate accurate representations of patient characteristics within the medical record so that process and outcome measures based on documentation reflect performance accurately. Responsibilities: * In partnership with Clinical Documentation Leadership and the Medical Directors of Clinical Documentation, maintains integrated relationships with business unit and system physician and administrative leaders to advance quality metrics through front-line documentation efforts. * Rounds daily with physician and advanced practice providers (APPs) in assigned service line(s) or business units to ensure appropriate and accurate documentation in the medical record. Ensures the level of services and acuity of care will accurately be reflected in quality outcomes. * Partners with operational and medical leadership in a given service line or business unit to identify, develop and implement successful communication and education, to engage physicians and improve processes and outcomes. * Performs daily medical record reviews in assigned service line(s). Performs data collection activities to identify documentation issues, quality issues, and opportunities for improvement in patient care and services. * Basic understanding of clinical documentation through the lens of local and national quality and ranking methodologies, including but not limited to, U.S. News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation in execution of and maintenance of key strategies to effect change. * Understands the basics of leveraging their NM network to initiate conversations, identify root causes and resolution, and align resources. * Analyzes quality and patient safety data to identify patterns in the management of patient care and services using reported 1.) Hospital acquired conditions, 2) Patient safety indicators, 3) Case Mix index, and 4) Expected mortality. * Collaborates with the Clinical Quality Team to model, teach and improve upon the culture of safety with shared improvement in all venues. * Presents updates to operational and medical leadership, attending and resident physicians and interdisciplinary quality committees. * Communicates effectively and collaborates with colleagues and the Clinical Coding Team. Fosters an environment to execute a shared vision in creating a model of best practice in the accurate reporting of patient diagnoses, comorbid conditions and treatment rendered. * Professional Development and Education: * Masters evidence and literature in relevant clinical area, discipline, and improvement science, including clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources. * Applies knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign. * Other: * Participates in a minimum of one NM Clinical Documentation committee as approved by Manager, Clinical Documentation * Participates on departmental and hospital committees and task-forces as assigned. * Participates in concurrent performance improvement activities and on-going review activities. * Performs other job-related duties as requested, including special projects. * Complies with Northwestern Memorial Hospital policies on patient confidentiality including HIPPA requirements and Personal Rules of Conduct. Qualifications Required: * Registered Nurse in the State of Illinois * Bachelor's or Master's degree in nursing * Minimum 2 years of experience of bedside nursing care and participation in clinical quality, patient safety, or related initiatives with evidence of effective change management skills. * Must possess and consistently demonstrate: * Strong interpersonal, communication, conflict management, diplomacy and negotiation skills. * Proven leadership to affect positive clinical quality outcomes. * Analytical skills necessary to independently collect analyze and interpret clinical data. * Basic computer skills and willingness to learn computer applications relative to this position Preferred: * Master's Degree * Five years' experience in medical/ surgical, critical care, intensive care or emergency care preferred Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $37.4-48.6 hourly 47d ago
  • Senior Director, Graduate Campus Relationships (Remote)

    Stryker Corporation 4.7company rating

    Chicago, IL jobs

    A financial services company is seeking a Senior Director of Graduate Campus Relationships to support its In-School Student Loan business. This role involves developing strategies to enhance graduate school relationships, managing campus outreach initiatives, and collaborating with various stakeholders to optimize services. Ideal candidates will have over 10 years of experience in higher education administration and significant knowledge of the student loan market. A Bachelor's degree is required, with a Master's preferred. Competitive salary and benefits are offered. #J-18808-Ljbffr
    $155k-210k yearly est. 4d ago
  • Remote Tourism Advisor

    Wanderlust Adventures 4.0company rating

    Chicago, IL jobs

    Our company is family owned and operated! We truly strive to keep an upbeat and positive environment. We love to see our agents succeed and our clients enjoy the smooth process of allowing us to book their vacation! Job Description Our company is looking for remote Tourism Advisors ! As a Tourism Advisor, you are responsible for accurately and efficiently handling incoming requests via multiple channels (i.e. smart phone, email, etc.). You are the primary point of contact for the client and will be responsible for handling all booking needs for travelers, both business and leisure, while providing exceptional customer service to exceed clients' expectations. In addition, you have access to sell package options, tours, event ticket and more. No experience required as all training and certifications are provided to become a certified agent. Responsibilities: Prepare, plan and execute travel sales (including but not limited to airline, car rental, cruises, hotels, and ticket/events) Provide exceptional customer service to clients Maintain relationships with travel partners and vendors Work well in a group/team setting Stay up to date on the travel industry and policies Complete required certification within a timely manner Complete ongoing training with our company and travel partners Qualifications Must be at least 18 years of age Must reside in the Unites States Must have a smartphone with reliable internet access Laptop or desktop computer (highly recommend, however, not required) with reliable internet access Additional Information Skills: Ability to interact, communicate and negotiate effectively Ability to make travel and event recommendations based on clients interests Ability to manage time and be organized Attention to accuracy and detail Strong verbal and written communication skills Computer and Internet knowledge Personal travel experience is not required but will be considered an advantage Perks & Benefits: Certification and Credentials Business Opportunity High Commission Travel Discounts Various Tools & Resources & Support Company Growth Opportunity
    $69k-112k yearly est. 60d+ ago
  • BCI Special Agent

    Highland County Joint Township 4.1company rating

    Ohio, IL jobs

    What You'll Do: The Ohio Attorney General's Office is currently seeking an experienced individual for a BCI Special Agent vacancy in the Bureau of Criminal Investigation (BCI) Section, Crime Scene Unit. This position will primarily be designated for remote working. There may be in person requirements for training and operational needs. The headquarter location is London, OH. The Bureau of Criminal Investigation, known as BCI, is the state's official crime lab serving the criminal justice community and protecting Ohio families. BCI also provides expert criminal investigative services to local, state, and federal law enforcement agencies upon request. With offices throughout the state, BCI stands ready to respond 24/7 to local law enforcement agencies' needs at no cost to the requesting agency. Staff at BCI work every day to provide the highest level of service. This includes special agents who are on call 24/7 to offer investigative assistance at crime scenes, knowledgeable scientists and forensic specialists using cutting edge technology to process evidence to bring criminals to justice, and criminal intelligence analysts and identification specialists who help local law enforcement solve cases. Experienced special agents, forensic scientists, and other law enforcement experts' staff BCI's three main divisions: 1) Identifications 2) Investigations and 3) Laboratory. The successful candidate must reside in or be willing to relocate within 90 days to one of the following counties: Ashland, Delaware, Fairfield, Fayette, Franklin, Hocking, Knox, Licking, Marion, Morrow, Pickaway, Richland, Ross, Union, counties only. The duties for this position include, but are not limited to, the following: * Serves as case agent assuming responsibility for conducting overt and/or covert criminal investigations. * Performs various tasks in the field such as crime scene processing, subject, victim and witness interviewing. * Develops informants and confidential sources. * Conducts raids, searches and surveillance. * Performs background investigations. * Makes arrests. * Gathers, evaluates and forwards criminal intelligence information. * Completes and submits investigative reports for criminal and/or administrative actions. * Serves as liaison to and works in cooperation with local, state, federal and other law enforcement/investigatory agencies. * Provides courtroom evidence and testifies in court. * Confers with prosecuting attorneys. * Delivers speeches or presentations to specialized audiences and/or general public. * Other duties as assigned. Completion of undergraduate core program in criminal justice, social sciences (e.g., criminology, sociology, psychology) or related field; OPOTC Peace Officer certification; 2 yrs. experience in investigations with a law enforcement agency; valid driver's license. * Or 2 yrs. Exp. as a BCI Investigator, Class No. 26130AG; OPOTC Peace Officer certification or equivalent Peace Officer certification (e.g., another state, another government agency, military); valid driver's license. * Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Investigation, Critical Thinking, Collaboration, Decision Making, Attention to Detail, Confidentiality
    $60k-68k yearly est. 14d ago
  • Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $45k-58k yearly est. 36d ago
  • Associate Project Manager - Knowledge Content Manager (Remote)

    Maximus 4.3company rating

    Chicago, IL jobs

    Description & Requirements The Knowledge Content Manager will serve as a Subject Matter Expert to the Program Manager on the knowledge/content management services to deliver, operate and maintain knowledge management capabilities for the contact center. This position will develop and manage knowledge content used by agents. This role will make recommendations for processes and integration of tools that can improve automation, collaboration, or knowledge processes. This position will assist in determining which scripts (knowledge articles) need revisions and/or removal and ensure all resources provided to agents contain the correct information. This role also works with the client's content team to incorporate information that may currently not be housed in the database. This position requires a strong understanding of immigration law, which includes knowledge of the laws, policies, and practices that govern who can enter, stay, or become a citizen in the United States. Essential Duties and Responsibilities: - Support project management initiatives . - Schedule, plan, and coordinate project management activities. - Maintain project tracking tools and project documentation. - Communicate with project stakeholders. Job Specific Duties: - Build and maintain knowledge base in SharePoint or other Content Management Systems. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work cross-functionally with internal teams for maximum efficiency and accuracy in documentationcontent. - Design and implement workflows to manage documentation process. - Create training material in support of the Knowledge management process. - Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint. - Continuously improve knowledge-sharing processes based on feedback and agency needs. Minimum Requirements - Bachelor's degree in related field. - 3-5 years of project management experience required. - Equivalent combination of education and experience considered in lieu of degree. Job Specific Minimum Requirements: - 3+ years of Knowledge/Content Management or Information Governance experience - 1 - 3+ years of immigration law experience. - 3+ years of analytics, plain language and business writing skills. Preferred: - Experience working at a contact center and deep knowledge of contact center trends and best practices as it relates to knowledge/content management. - Experience developing content tailored to the needs of contact center agents and customers. - Experience working in a government or federal contracting environment. - Certifications such as Certified Knowledge Manager (CKM) or AIIM Certified Information Professional (CIP). EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 66,800.00 Maximum Salary $ 106,800.00
    $119k-244k yearly est. Easy Apply 3d ago
  • Executive, Client Delivery

    Ensemble Health Partners 4.0company rating

    Toledo, OH jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: * Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. * Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. * Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: Join an award-winning company Five-time winner of "Best in KLAS" 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 * Innovation * Work-Life Flexibility * Leadership * Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: * Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. * Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. * Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. * Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $94k-126k yearly est. Auto-Apply 60d+ ago
  • Provider Relations Specialist (Remote Option within SHP Service Area)

    Marshfield Clinic 4.2company rating

    Marshfield, WI jobs

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Provider Relations Specialist (Remote Option within SHP Service Area) Cost Center: 682891544 SHP-Provider Network Mgmt Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; day shifts (United States of America) Job Description: JOB SUMMARY The Provider Relations Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver superior service to our comprehensive network of affiliated health care providers. This individual serves as the primary liaison between Security Health Plan (SHP) and affiliated providers for escalated and contractual issues across various lines of business, with limited supervision. The Provider Relations Specialist is responsible for relationship management activities for hospital, professional, vendor, care system and/or ancillary providers including: development and execution of issue escalation strategies, educational programs, onsite visit criteria, special initiatives, and building and preserving strong provider relationships JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: Associate degree or 60+ credits in health care, business, marketing, education, or related field. Preferred/Optional: Bachelor's degree in business administration, accounting, health care, finance, or related field. EXPERIENCE Minimum Required: Three years' experience in a medical group practice or health insurance/Health Maintenance Organization (HMO) environment. Experience with healthcare claims and insurance reimbursement methods, and understanding of contract terminology. Working knowledge of health care delivery systems and concepts of managed care. Demonstrated proficiency with the Microsoft Office suite. Excellent written and verbal communication skills. Demonstrated ability to take initiative, utilize critical thinking, and bring forth solutions to identified issues. Preferred/Optional: Experience in provider relations, including well-defined communication skills and a demonstrated aptitude for communicating with both business users and technical staff. Strong interpersonal, problem solving and relationship building experience. Credentialing or claims experience preferred. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: None Preferred/Optional: None Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $43k-58k yearly est. Auto-Apply 8d ago
  • Director, Government Reimbursement

    Ensemble Health Partners 4.0company rating

    Ohio jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. This role will serve in a consultancy capacity, advising our clients-large health systems-in managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement. Additionally, this position provides key support in the preparation and analysis of Medicare cost reports, ensuring compliance with federal regulations and maximizing financial performance for healthcare providers. Essential Job Functions Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. Assist in gathering and analyzing data for the preparation of Medicare cost reports, ensuring accurate reflection of hospital costs for reimbursement optimization. Provide expert advice on reimbursement strategies for governmental lines of business, including Medicaid and Tricare Support 340B program compliance, eligibility, and ensure correct billing processes. Analyze hospital eligibility for DSH payments, assess financial impact, and ensure complete and accurate capture of Medicaid days and other considerations. Monitor Medicaid Directed Payment programs, optimizing revenue opportunities for participating providers. Serve as a trusted advisor to clients, offering strategic insights and recommendations on reimbursement-related matters. Maintain expert-level knowledge of state and federal healthcare reimbursement policies, ensuring strict compliance with CMS guidelines, Medicaid Managed Care rules, and HRSA 340B program regulations.. Assist healthcare providers in navigating reimbursement complexities, including audits, appeals, and compliance inquiries. Analyze financial data to identify trends and areas for improvement in the reimbursement process. Build and maintain strong relationships with payers, government agencies, and other stakeholders. Provide guidance and training to client staff on reimbursement regulations and best practices. Job Competencies Leadership Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results. Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers. Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement. Executive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others' attention (appropriate, impactful, and clear). Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results. Other Preferred Knowledge, Skills and Abilities Strong analytical, communication, and negotiation skills. Ability to work effectively in a fast-paced and ever-changing environment. CPA Licensed This position pays between $134,000- $200,000 based on relevant years of experience. Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $134k-200k yearly Auto-Apply 60d+ ago
  • Medical Central Scheduling Specialist - Remote

    Qualderm Partners 3.9company rating

    Oak Brook, IL jobs

    Job Description Candidates must reside within a reasonable driving distance of Lombard, IL. Hours Scheduled: Mon-Thurs 9:30am-6pm/Fridays 8am-5pm QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and care for your skin while delivering the highest quality dermatological services. We strive to make skin health accessible to all while fostering a rewarding work environment for both our patients and employees. Position Summary: The Remote Central Scheduling Specialist will be responsible for managing and coordinating the scheduling of patient appointments across our various practice locations. This role requires exceptional customer service skills and the ability to handle a high volume of calls while ensuring that each patient feels valued and supported throughout their scheduling experience. Requirements High School Diploma required; Associate's Degree preferred. Minimum of 1 year customer service experience in a healthcare setting preferred. Strong communication and interpersonal skills. Ability to manage multiple tasks efficiently in a fast-paced environment. Proficiency in scheduling software and Microsoft Office applications. Understanding of HIPAA regulations is a plus. Benefits Competitive Pay Medical, dental, and vision 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 floating days Company paid life insurance and additional coverage available Short-term and long-term disability, accident and critical illness, and identity theft protection plans Employee Assistance Program (EAP) Employee Discounts Employee Referral Bonus Program QualDerm Partners, LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Compensation Range: $17.00 - 19.50 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.
    $17-19.5 hourly 1d ago
  • Clinical Quality Documentation Specialist, Full-time, Days, Hybrid (Sign-on bonus eligible)

    Northwestern Medicine 4.3company rating

    Crystal Lake, IL jobs

    is $37.35 - $48.56 (Hourly Rate) $4,000. Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Clinical Quality Documentation Specialist I reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Clinical Quality Documentation Specialist I position facilitates improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing staff, interdisciplinary quality committees, multidisciplinary teams and clinical coders. The Clinical Quality Documentation Specialist I applies clinical expertise, knowledge of the national Quality agenda, professional nursing standards, current research, best practices, and interdisciplinary collaboration to advance problem analysis and creative process redesign for clinical documentation. The Clinical Quality Documentation Specialist I acts as a change agent to systematically drive and implement change as prioritized by Clinical Documentation Leadership and Senior Clinical and Senior Quality leadership and/or through the quality and safety committees. Participates in performance improvement initiatives, receives and monitors control plans and data trends under the purview of the Clinical Documentation and Clinical Quality Programs and in collaboration with clinical interdisciplinary quality committees and physician practices. Key to this role is the ability to compel changes in documentation through in-person interaction to facilitate accurate representations of patient characteristics within the medical record so that process and outcome measures based on documentation reflect performance accurately. Responsibilities: * In partnership with Clinical Documentation Leadership and the Medical Directors of Clinical Documentation, maintains integrated relationships with business unit and system physician and administrative leaders to advance quality metrics through front-line documentation efforts. * Rounds daily with physician and advanced practice providers (APPs) in assigned service line(s) or business units to ensure appropriate and accurate documentation in the medical record. Ensures the level of services and acuity of care will accurately be reflected in quality outcomes. * Partners with operational and medical leadership in a given service line or business unit to identify, develop and implement successful communication and education, to engage physicians and improve processes and outcomes. * Performs daily medical record reviews in assigned service line(s). Performs data collection activities to identify documentation issues, quality issues, and opportunities for improvement in patient care and services. * Basic understanding of clinical documentation through the lens of local and national quality and ranking methodologies, including but not limited to, U.S. News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation in execution of and maintenance of key strategies to effect change. * Understands the basics of leveraging their NM network to initiate conversations, identify root causes and resolution, and align resources. * Analyzes quality and patient safety data to identify patterns in the management of patient care and services using reported 1.) Hospital acquired conditions, 2) Patient safety indicators, 3) Case Mix index, and 4) Expected mortality. * Collaborates with the Clinical Quality Team to model, teach and improve upon the culture of safety with shared improvement in all venues. * Presents updates to operational and medical leadership, attending and resident physicians and interdisciplinary quality committees. * Communicates effectively and collaborates with colleagues and the Clinical Coding Team. Fosters an environment to execute a shared vision in creating a model of best practice in the accurate reporting of patient diagnoses, comorbid conditions and treatment rendered. * Professional Development and Education: * Masters evidence and literature in relevant clinical area, discipline, and improvement science, including clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources. * Applies knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign. * Other: * Participates in a minimum of one NM Clinical Documentation committee as approved by Manager, Clinical Documentation * Participates on departmental and hospital committees and task-forces as assigned. * Participates in concurrent performance improvement activities and on-going review activities. * Performs other job-related duties as requested, including special projects. * Complies with Northwestern Memorial Hospital policies on patient confidentiality including HIPPA requirements and Personal Rules of Conduct. Qualifications Required: * Registered Nurse in the State of Illinois * Bachelor's or Master's degree in nursing * Minimum 2 years of experience of bedside nursing care and participation in clinical quality, patient safety, or related initiatives with evidence of effective change management skills. * Must possess and consistently demonstrate: * Strong interpersonal, communication, conflict management, diplomacy and negotiation skills. * Proven leadership to affect positive clinical quality outcomes. * Analytical skills necessary to independently collect analyze and interpret clinical data. * Basic computer skills and willingness to learn computer applications relative to this position Preferred: * Master's Degree * Five years' experience in medical/ surgical, critical care, intensive care or emergency care preferred Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $37.4-48.6 hourly 47d ago
  • Abdominal Radiologist - REMOTE

    Cleveland Clinic 4.7company rating

    Cleveland, OH jobs

    Remote Abdominal Radiologist The Division of Subspecialty Radiology at Cleveland Clinic is currently seeking a highly qualified Remote Radiologist to join our Section of Abdominal Imaging. This is a full-time remote position with some home state restrictions, including California, Colorado, and a few others. As part of our team, you will have the chance to work closely with fellows and residents, as well as participate in multidisciplinary conferences 2-3 times per month. Most of these interactions will be conducted remotely, with an expectation of one to two onsite weeks per year at our main campus in Cleveland, Ohio for valuable clinical work and team-building activities. To support this, we offer a travel stipend. Our remote positions are well-established and come with excellent support and cutting-edge technology. We provide all necessary equipment, including a work phone and workstation, at no cost to you. Additionally, we offer 24/7 IT support and imaging support navigators to assist with provider and site communications. All our sites utilize the same PACS (AGFA EI), dictation software (PowerScribe 360), and electronic medical record (EPIC) to ensure smooth and efficient operations. QUALIFICATIONS * Completion of formal fellowship training in Abdominal Imaging * Board Certified by the American Board of Radiology * Commitment to providing the highest quality and timely clinical care in a high-volume clinical environment. * Passionate about the field, and eager to collaborate with other specialties. SCHEDULE * Regular business hours (8am - 4pm or 5pm EST depending on the rotation) * Limited number (1 per mo.) of weekday late shifts (3pm - 9pm), and 6-7 weekends on call per year (Friday-Sunday 3pm - 9pm) * No overnight coverage required as there is a separate Overnight team to cover after-hours' work. A faculty appointment at a rank commensurate with academic accomplishments is available at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. The Section of Abdominal Imaging includes 19 ABR-certified Abdominal Imagers. Our team works closely with medical and surgical specialties across the organization. Our clinical service lines encompass all aspects of GI and GU imaging, from fluoroscopic exams to advanced body MRI exams. Our department is equipped with state-of-the-art US, CT, and MRI technology, including Photon counting and Dual-energy CT scanners, a large fleet of 1.5 and 3T magnets and a PET/MRI. There are ample opportunities for career development in clinical, research, education, and leadership tracks. Many of our staff are nationally and internationally recognized thought leaders in the field and have taken on important roles within the organization and in radiological societies. We pride ourselves on having a very collegial environment rooted in mutual respect and commitment to excellence. The Division of Subspecialty Radiology is housed within the Department of Radiology, which is one of the largest providers of imaging services within an academically oriented institution. The Department of Radiology interprets over 2.7 million exams annually and employs over 280 radiologists in 5 divisions: General Radiology, Subspecialty Radiology, Nuclear Medicine, and Florida Radiology. The Department is proud to be in the top quartile for employee engagement and experiences incredibly low staff turnover, and many of the staff are nationally recognized for their clinical and scientific contributions. Cleveland Clinic offers a pleasant, stable, and collegial work environment with an unmatched quality of life. BENEFITS THAT GO BEYOND * Competitive salary among academic institutions * Comprehensive health plan * Competitive retirement matching and tax-advantage options * Internal Moonlighting Opportunities for Additional Compensation * Relocation reimbursement * Professional reimbursements * Professional liability insurance * Parental leave equal to 100% pay * Life insurance * Disability coverage Learn more about Cleveland Clinic About Cleveland Clinic Living in Cleveland Take a Tour About Us Cleveland Clinic's vision is to become the best place for care and the best place to work in healthcare. We are committed to providing a safe, stable, and financially fulfilling work environment. Cleveland Clinic is ambitiously investing in growth. Being a physician-led organization means doing what is best for the patients, every day. Cleveland Clinic is one of the world's largest and busiest health centers. Patients come to Cleveland Clinic from all over the world. We offer advanced treatment for all illnesses and disorders of the body. Cleveland Clinic is a nonprofit, multispecialty academic medical center that's recognized in the U.S. and throughout the world for its expertise and care. Cleveland Clinic integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual America's Best Hospitals survey. Among Cleveland Clinic's 80,642 employees worldwide are more than 5,743 salaried physicians and researchers, and 20,166 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,690-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, more than 270 outpatient facilities, including locations in northeast Ohio; southeast Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2024, there were 14.1million total outpatient visits, 333,000 hospital admissions and observations, and 320,000 surgical cases throughout Cleveland Clinic's health system. Patients came for treatment from every state and 185 countries. Information for Candidates Candidates will only be asked to provide personal documents once an offer of employment has been made and accepted. Recruitment scams are becoming increasingly common online, with false advertisements and requests for payment or personal details claiming to come from reputable organizations. Please be assured that our physician recruiters will never ask for payment from candidates at any stage of the recruitment or offer process. The salary range displayed in this job posting reflects the anticipated salary range for new physicians hired into full-time (100% FTE) positions. This range is generally aligned with or below the 50th percentile of nationally recognized compensation benchmarks by specialty. A successful candidate's actual compensation will be determined in accordance with fair market value, considering factors such as professional experience, clinical expertise, board certification, work history, and FTE. This stated range excludes the value of Cleveland Clinic's comprehensive benefits package, which includes healthcare, dental, vision, retirement, and other offerings. Our Culture Cleveland Clinic is pleased to be an equal employment opportunity employer. Smoke/drug free environment. Disclaimer Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with the program, which will include obtaining an influenza vaccination or an exemption. Pay Range Minimum salary: $500,000 Maximum salary: $700,000
    $500k yearly 42d ago
  • Risk Adjustment Revenue Manager (Remote)

    Marshfield Clinic 4.2company rating

    Marshfield, WI jobs

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Risk Adjustment Revenue Manager (Remote) Cost Center: 682891390 SHP-Strategic Finance Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description: The Risk Adjustment Revenue Manager is responsible for risk adjustment strategy and related revenue management for Security Health Plan's Medicare, Affordable Care Act and Medicaid business. This individual provides development and implementation of programs and initiatives to improve the accuracy of the coding, including education; retrospective and prospective review processes; and vendor contract management; accountability for preparation for and management of the Centers for Medicare and Medicaid Services (CMS) and the Department of Health Services (DHS) auditing processes; management of encounter data processes; and management of applicable state and federal guidance. The Risk Adjustment Revenue Manager works collaboratively with Security Health Plan executives and leadership as well as Marshfield Clinic Health System (MCHS) executives and leadership to lead risk adjustment strategy and process. JOB QUALIFICATIONS EDUCATION Minimum Required: Bachelor's Degree in Business Administration, Finance, Health Care Administration, Management or related field required. Preferred/Optional: Post graduate degree(s) desirable. EXPERIENCE Minimum Required: Five years of experience in risk adjustment or related area. Three years of experience in a management or leadership role and experience in the healthcare industry. Demonstrate a broad understanding of healthcare and health insurance. Demonstrate proficiency with verbal and written communication, strategic planning and business acumen. Preferred/Optional: Working knowledge of CMS and/or Medicaid risk adjustment methodologies. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: Certifications in professional coding and risk adjustment coding from American Academy of Professional Coders. State of Wisconsin driver's license with an acceptable driving record. Preferred/Optional: None Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $81k-128k yearly est. Auto-Apply 12d ago
  • Associate Project Manager - Knowledge Content Manager (Remote)

    Maximus 4.3company rating

    Springfield, IL jobs

    Description & Requirements The Knowledge Content Manager will serve as a Subject Matter Expert to the Program Manager on the knowledge/content management services to deliver, operate and maintain knowledge management capabilities for the contact center. This position will develop and manage knowledge content used by agents. This role will make recommendations for processes and integration of tools that can improve automation, collaboration, or knowledge processes. This position will assist in determining which scripts (knowledge articles) need revisions and/or removal and ensure all resources provided to agents contain the correct information. This role also works with the client's content team to incorporate information that may currently not be housed in the database. This position requires a strong understanding of immigration law, which includes knowledge of the laws, policies, and practices that govern who can enter, stay, or become a citizen in the United States. Essential Duties and Responsibilities: - Support project management initiatives . - Schedule, plan, and coordinate project management activities. - Maintain project tracking tools and project documentation. - Communicate with project stakeholders. Job Specific Duties: - Build and maintain knowledge base in SharePoint or other Content Management Systems. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work cross-functionally with internal teams for maximum efficiency and accuracy in documentationcontent. - Design and implement workflows to manage documentation process. - Create training material in support of the Knowledge management process. - Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint. - Continuously improve knowledge-sharing processes based on feedback and agency needs. Minimum Requirements - Bachelor's degree in related field. - 3-5 years of project management experience required. - Equivalent combination of education and experience considered in lieu of degree. Job Specific Minimum Requirements: - 3+ years of Knowledge/Content Management or Information Governance experience - 1 - 3+ years of immigration law experience. - 3+ years of analytics, plain language and business writing skills. Preferred: - Experience working at a contact center and deep knowledge of contact center trends and best practices as it relates to knowledge/content management. - Experience developing content tailored to the needs of contact center agents and customers. - Experience working in a government or federal contracting environment. - Certifications such as Certified Knowledge Manager (CKM) or AIIM Certified Information Professional (CIP). EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 66,800.00 Maximum Salary $ 106,800.00
    $112k-232k yearly est. Easy Apply 3d ago
  • Medical Central Scheduling Specialist - Remote

    Qualderm Partners 3.9company rating

    Lombard, IL jobs

    Job Description Candidates must reside within a reasonable driving distance of Lombard, IL. Hours Scheduled: Mon-Thurs 9:30am-6pm/Fridays 8am-5pm QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and care for your skin while delivering the highest quality dermatological services. We strive to make skin health accessible to all while fostering a rewarding work environment for both our patients and employees. Position Summary: The Remote Central Scheduling Specialist will be responsible for managing and coordinating the scheduling of patient appointments across our various practice locations. This role requires exceptional customer service skills and the ability to handle a high volume of calls while ensuring that each patient feels valued and supported throughout their scheduling experience. Requirements High School Diploma required; Associate's Degree preferred. Minimum of 1 year customer service experience in a healthcare setting preferred. Strong communication and interpersonal skills. Ability to manage multiple tasks efficiently in a fast-paced environment. Proficiency in scheduling software and Microsoft Office applications. Understanding of HIPAA regulations is a plus. Benefits Competitive Pay Medical, dental, and vision 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 floating days Company paid life insurance and additional coverage available Short-term and long-term disability, accident and critical illness, and identity theft protection plans Employee Assistance Program (EAP) Employee Discounts Employee Referral Bonus Program QualDerm Partners, LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Compensation Range: $17.00 - 19.50 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.
    $17-19.5 hourly 2d ago

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