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Finance Specialist jobs at Trinity Health - 2142 jobs

  • Financial Clearance Specialist full-time - remote

    Trinity Health 4.3company rating

    Finance specialist job at Trinity Health

    Saint Alphonsus Health System is hiring for our Financial Clearance team. This position is full-time working office hours (Monday-Friday). The Financial Clearance Specialist obtains and/or verifies demographic, clinical, financial and insurance information in the process of pre-registering and financially clearing patients for service delivery, including the entry of patient/guarantor information in the patient accounting system. The Pre-Service Specialist is also responsible for insurance eligibility / benefit verification, pre-certification / authorization, referral clearance and financial education on designated cases. **Position Highlights and Benefits:** + 40 hours per week Monday - Friday during traditional office hours + Position is remote (work from home); however, there is required **in-person training** during initial orientation in Boise, ID. **Minimum Qualifications:** + High school diploma or equivalent required. Associate degree preferred. + Required: At least two (2) years of experience in financial clearance. + National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire. + Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.Ideal Candidate will have: + Comprehensive knowledge of financial clearance and insurance verification processes with at least two (2) years of financial clearance experience in an acute care setting. + Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities. + Preferred: Data entry skills (50-60 keystrokes per minute). **What You Will Do:** + Work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem-solving skills are essential. + Ensures patient safety by authenticating patient identity throughout all essential functions. + Meets or exceeds established customer service, productivity and quality standards in all essential functions. + Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence. + Performs activities that relate to pre-registration and financial clearance for multiple patient types and support coverage of other departmental divisions. + Responsible for pre-registering the patient for upcoming visit(s). Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system. + Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms and documenting information within the patient accounting system. + Determines need for appropriate service authorizations and will contact the physician and Case Management/Utilization Review personnel, as necessary. + Informs patient/guarantor of their liabilities and collects appropriate patient liabilities. Calculates patient liabilities and provides financial education, referring the patient to financial counseling, as required. + Validates medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. + May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. + Must be able to sit or stand for extended periods of time and use a telephone headset. + Completion of regulatory/mandatory certifications and skills validation competencies preferred + Working knowledge of medical terminology desirable. Basic computer skills are required. + Excellent communication (verbal and written) and organizational abilities. + Must be comfortable operating in a collaborative, shared leadership environment. + Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran
    $26k-30k yearly est. 6d ago
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  • Financial Advisor - Various area and shifts

    L.E. Cox Medical Centers 4.4company rating

    Springfield, MO jobs

    :The Financial Advisor is responsible for answering questions about billing information and establishing estimates for patients who have a scheduled medical service or procedure. The Financial Advisor works with the patient to establish payment schedules, discuss the financial responsibility and collects prepayments in accordance with CMG policy. The Financial Advisor also monitors overdue accounts, researches accounts and recommended payment plans and works with insurance companies to obtain predetermination or authorization for certain procedures. This position works alongside different departments system wide in order to deliver excellent care and customer service for CoxHealth patients. Education: â–ª Required: High School Diploma or Equivalent Experience: â–ª Preferred: medical billing experience and claims processing knowledge; familiar with the insurance industry and collection process Skills: â–ª Excellent verbal and written communication skills. â–ª Able to work independently and collaboratively in teams. â–ª Self starter. â–ª Proficient in using computers and computer systems â–ª Ability to multi-task and have attention to detail Licensure/Certification/Registration: â–ª N/A
    $38k-75k yearly est. 4d ago
  • Head of Finance

    Asimov 4.1company rating

    Boston, MA jobs

    Our mission at Asimov is to radically advance humankind's ability to design living systems, enabling biotechnologies with societal benefit. We're developing a mammalian synthetic biology platform-from cells to software-to enable biotechnologies with outsized impact, with an initial focus on gene therapies, cell therapies, and protein therapeutics. We are seeking a strategic, hands‑on Head of Finance to build and lead our finance and accounting function from the ground up. In this newly created role, and reporting to the Head of Commercial, you will establish core financial processes, ensure accurate revenue recognition, support budgeting and forecasting, while overseeing all accounts payable and receivable activities. This role offers the unique opportunity to design and optimize financial systems as a team of one within a rapidly growing biotech startup. The ideal candidate will thrive in a fast paced, collaborative environment while bringing financial rigor, process discipline, and forward‑thinking leadership needed to support scientific innovation and fuel the company's next phase of growth. About the Role: Accounting & Controls: Ensure timely and accurate recording of revenue, COGS, and expenses across all product lines. Maintain reconciliations, accruals, and closing schedules. Audit & Compliance: Lead preparation for the annual audit, liaise with auditors on technical issues (e.g., revenue recognition, asset classification), and ensure compliance with tax and regulatory requirements. Budget Tracking: Monitor spend against budget, provide variance analyses, and maintain rolling forecasts with input from department leads. Systems & Processes: Recommend and implement scalable general ledger and procurement systems (e.g., Prendio or equivalents) to improve reporting, visibility, and spend control. Cash & Runway Visibility: Produce monthly cash flow reports, identify risks to runway, and flag required actions. Reporting: Prepare accurate and timely monthly/quarterly financial statements, management reports, and supporting schedules for leadership and investors. Payroll: Manage scalable payroll systems and processes, ensuring accuracy, timeliness, and compliance across multiple states, while partnering with HR to support an expanding and distributed workforce. Strategy: Serve as a strategic thought partner to leaders across the organization to align financial priorities with R&D, product, commercial and operations strategies. About You: You have a Bachelor's or Master's degree in Accounting or Finance with 10+ years of progressive experience in accounting/finance. CPA certification is strongly preferred. You have experience working in a high‑growth company, in the life sciences, biotech, or tools/services industry, You have strong technical accounting expertise, including revenue recognition, COGS tracking, accruals, and GAAP compliance. You have experience with audits, tax compliance, and working directly with external auditors. You are proficient with general ledger systems, procurement platforms, and financial reporting tools. You've demonstrated the ability to build scalable accounting processes and internal controls in a high‑growth company. You have an analytical mindset with attention to detail; able to identify variances, trends, and risks early. You have excellent communication skills, able to translate accounting into clear business insights. We're fueled by a vision to transform biological engineering into a fully‑fledged engineering discipline. Should you join our team, you will grow with a constantly evolving organization and push the frontiers of synthetic biology. Company culture is key to Asimov, and we believe that our mission can only be achieved by bringing together a diverse team with a mixture of backgrounds and perspectives. #J-18808-Ljbffr
    $88k-157k yearly est. 3d ago
  • Finance Rep II - Home Health Billing

    Cincinnati Children's Hospital Medical Center 4.5company rating

    Cincinnati, OH jobs

    JOB RESPONSIBILITIES * Billing - Compile and prepare patient charges. Prepare invoices billings, UB-04 and 1500 claim forms to be sent to 3rd party payers for payment indicating individual line items for services and total costs. Review charges. Obtain and evaluate family, third party payers and agency resources for payment of charges. Managing patient billing and ensure procedures are billed according to contracts, transmit or mail all paper and claims, and review correspondence and follow up as needed. * Systems Support - Maintain and update departmental system, including templates, and payer and physician information. * Collaboration - Act as a preceptor for new employees. Perform specialty services functions. Act as a resource within the department/division. Provide instruction for performing non-routine functions. Serve as a liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patent Financial Services and other Cincinnati Children's departments. * Financial Support - Obtain and evaluate family, third party payers and agency resources for payment of charges. Counsel patient on third party coverage and present financial aspects. Determine eligibility for State Medicaid, Social Security and other outside funding. Complete necessary paperwork for eligible patients, including medical and financial applications. Coordinate inpatient and outpatient admissions. Coordinate information with the inpatient and outpatient charge systems. Input charges and relative information. Manage accounts receivable data and collection information, ensure timeliness and accuracy. Research third party payers and community physician charges in order to maintain usual and customary as will as competitive charges. Check and update charge master. Conduct utilization review for the division from insurance companies and working in conjunction with Cincinnati Children's Utilization Review department. Process, post, and balance payments to accounts timely, accurately, and in the correct period. * Quality - Provide Quality Assurance reports for the division. JOB QUALIFICATIONS * High school diploma or equivalent * 2+ years of work experience in a related job discipline Primary Location South Campus Schedule Full time Shift Day (United States of America) Department Home Health Billing Operations Employee Status Regular FTE 1 Weekly Hours 40 * Expected Starting Pay Range * Annualized pay may vary based on FTE status $18.16 - $22.25 Market Leading Benefits Including*: * Medical coverage starting day one of employment. View employee benefits here. * Competitive retirement plans * Tuition reimbursement for continuing education * Expansive employee discount programs through our many community partners * Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions * Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group * Physical and mental health wellness programs * Relocation assistance available for qualified positions * Benefits may vary based on FTE Status and Position Type About Us At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: * Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years * Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding * Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) * One of the nation's America's Most Innovative Companies as noted by Fortune * Consistently certified as great place to work * A Leading Disability Employer as noted by the National Organization on Disability * Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
    $46k-71k yearly est. 7d ago
  • Clearance Specialist

    Soleo Health, Inc. 3.9company rating

    Frisco, TX jobs

    Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time Weekend On-call once monthly Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$27.00 per hour
    $23-27 hourly 1d ago
  • Patient Financial Coordinator

    Boston IVF 4.3company rating

    Waltham, MA jobs

    IVIRMA is seeking a full-time Patient Financial Coordinator to join our growing team in our Revenue Cycle department located in Basking Ridge, NJ. You will be responsible for all aspects of a patients' financial account including explaining financial information, determining insurance coverage, and educating the patients on their financial options. You will also follow up with patients and other parties to ensure accuracy and completeness of information. Schedule: Monday-Friday 9:00am - 5:00pm Responsibilities: Conduct patient consultations to review patient obligations, answer questions related to financial policies and requirements while setting clear expectations of payment protocol Document patient insurance benefits and update documentation in patient progress notes using Intergy and Artemis Furnishing patients with estimates related to upcoming treatment. Collecting estimated liabilities from patients and applying payments to patient accounts. Ability to allocate payments appropriately after clearance and throughout patient's treatment plan Post payments, run and compile weekly reconciliation reports to ensure all aspects of patient's financial obligations are met. Demonstrate the ability to make logical and reasonable decisions regarding patient accounts to ensure quality performance and efficiency Ability to work and review patient accounts quickly regarding outstanding patient balances including following up with other finance teams on outstanding claims, patient insurance, patient correspondence and all other activities that lead to the success of clearing patient balances Respond to patient calls/correspondence regarding billing questions, financial policies, claims submission, etc. Other duties as assigned Requirements: Associates degree or higher - preferred Microsoft Office: Word, Excel and Outlook - required Electronic Healthcare Records (EMR) experience - preferred Excellent interpersonal, listening and communications skills, including ability to communicate accurately and concisely with a sense of urgency Ability to multitask Aptitude to work independently and demonstrate good judgment Ability to work in a stressful environment while remaining persistent in overcoming obstacles Comprehensive benefits package to all employees who work a minimum of 30 hours per week. Medical, Dental, Vision Insurance Options Retirement 401K Plan Paid Time Off & Paid Holidays Company Paid: Life Insurance & Long-Term Disability & AD&D Flexible Spending Accounts Employee Assistance Program Tuition Reimbursement
    $43k-61k yearly est. 1d ago
  • Street Team Specialist

    Health Federation of Philadelphia 4.1company rating

    Philadelphia, PA jobs

    Equal Opportunity Employer The mission of the Health Federation of Philadelphia is to promote community health by advancing access to high-quality, integrated, comprehensive health and human services. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status. This commitment applies to all aspects of the Health Federation of Philadelphia's employment practices, including recruiting, hiring, training, and promotion JOB SUMMARY The Street Team will be tasked with increasing harm reduction resources and training in neighborhoods that have been most affected by overdose crisis, particularly North and Southwest Philadelphia. The people filling these positions will work in the field five days per week in zip codes 19121, 19132, 19141, 19144, 19140, 19139 and 19133 (subject to changed based on data) to distribute harm reduction resources and educational materials about the overdose crisis in the city. Street Team staff will interact directly with people in active addiction, people who use substances recreationally, people who are unhoused, as well as people who may have a stigmatizing view of substance use. The Street Team Specialist is a core member of the Community Engagement Program within the Division of Substance Use Prevention and Harm Reduction at the Philadelphia Department of Public Health and will be expected to work collaboratively within and across programs. People from the zip codes of focus, as well as people with lived experience and/or returning citizens are highly encouraged to apply. JOB SPECIFICATIONS Responsibilities/Duties Under the supervision of the Community Engagement Program Manager, the Community Engagement Specialist will perform the following essential job functions: Engage in direct outreach efforts to contract community members in designated Philadelphia neighborhoods. Focus outreach activities within the priority zip codes: 19121, 19132, 19141, 19144, 19140, 19139 and 19133. Engage directly with people using substances, people experiencing homelessness and their communities. Follow and maintain safety protocols and procedures for street team to ensure safe and effective community outreach operations. Build trust and rapport within priority communities to increase access to harm reduction resources. Provide and educate individuals on the proper use of Naloxone, fentanyl testing strips and other harm reduction supplies. Maintain accurate records of distributed supplies, interactions and referrals in compliance with program reporting requirements. Collaborate with the Community Engagement Program at tabling events, special events and/or Narcan training request. Support public health emergency response, including outreach and harm reduction activities during cold- and heat-related weather emergencies. A valid driver's license is required. This position requires regular operations of a departmental vehicle to perform job related duties. Other duties as assigned. EDUCATION: Completion of high school or equivalent degree and 3+ years community organizing and/or harm reduction work. SKILLS/EXPERIENCE Knowledge of substance use is highly required. Knowledge of the impact of drug use and overdose on communities of color in Philadelphia. Sensitivity to and experience working with ethnically, culturally, socioeconomically, and sexually diverse individuals, communities, agencies, and organizations. Excellent oral communication skills. Ability to analyze and think critically to apply reasonable judgment and problem-solving skills. Excellent interpersonal skills and ability to build relationships and collaborate effectively with stakeholders from diverse backgrounds. Experience working with health and prevention services agencies. Excellent organizational skills. Ability to work as part of a team, to prioritize and handle multiple tasks, and to work independently in a high-pressure environment. Ability to establish and maintain effective relationships with people contacted in the course of work. Knowledge of neighborhoods in Southwest, West, Northwest or North Philadelphia or adjacent neighborhoods. Work Environment: 90% Field Work, 10% Office Work. This position also requires extensive time in the field interacting with and linking clients to care. Position Type and Work Schedule: Full time position, typical hours are Monday through Friday 8:30 am to 5:00 pm. This position also requires flexibility to work on weekends and schedules will be adjusted accordingly to flex hours. Travel: Local travel to multiple sites several times per week, as needed. Physical Demands: Ability to transport materials; walking for an extensive distance. Salary: $25 per hour Benefits: Our employees are our most valuable resource, so we offer a competitive and comprehensive benefits package, which can include: Medical with vision benefits Dental insurance Flexible spending accounts Life, AD&D and long-term care insurance Short- and long-term disability insurance 403(b) Retirement Plan, with a company contribution Paid time off including vacation, sick, personal and holiday Employee Assistance Program Eligibility and participation are handled consistently with the plan documents and HFP policy. DISCLAIMER The Health Federation reserves the right to modify, interpret, or apply this in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains "at will." The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals. The Health Federation of Philadelphia (HFP) is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or preference, marital status or any classification protected by federal, state or local law.
    $25 hourly 4d ago
  • RCM OPEX Specialist

    Femwell Group Health 4.1company rating

    Miami, FL jobs

    The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes. Essential Job Functions Manage internal and external customer communications to maximize collections and reimbursements. Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes. Maintain fee schedule uploads in financial and practice operating systems. Review and resolve escalations on denied and unpaid claims. Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted. Monitor accounts receivable and expedite the recovery of outstanding payments. Prepare regular reports on refunds, under/over payments. Stay updated on changes in healthcare regulations and coding guidelines. *NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position. Other Essential Tasks/Responsibilities/Abilities Must be consistent with Femwell's core values. Excellent verbal and written communication skills. Professional and tactful interpersonal skills with the ability to interact with a variety of personalities. Excellent organizational skills and attention to detail. Excellent time management skills with proven ability to meet deadlines and work under pressure. Ability to manage and prioritize multiple projects and tasks efficiently. Must demonstrate commitment to high professional ethical standards and a diverse workplace. Must have excellent listening skills. Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures. Must maintain compliance with all personnel policies and procedures. Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members. Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position. Education, Experience, Skills, and Requirements Bachelor's degree preferred. Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management. Strong knowledge of healthcare regulations and insurance processes. Knowledgeable in change control. Proficiency with healthcare billing software and electronic health records (EHR). Knowledge of HIPAA Security preferred. Hybrid rotation schedule and/or onsite as needed. Medical coding (ICD-10, CPT, HCPCS) Claims management (X12) Revenue cycle management Denials management Insurance verification Data analysis Compliance knowledge Comprehensive understanding of provider reimbursement methodologies Billing software proficiency
    $34k-49k yearly est. 1d ago
  • RCM Specialist

    Aspen Dental 4.0company rating

    East Syracuse, NY jobs

    The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Revenue Cycle Management (RCM) Specialist based in our East Syracuse, NY office. Essential Responsibilities: RCM Specialists care for the people who care for our patients by performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail. Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals. Partners with internal departments to resolve issues related to all tasks and assignments supporting the business. Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries. Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting. Plans, organizes, and executes tasks and activities with urgency and in accordance with managers' delegated assignments. Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for non-routine inquiries or escalated concerns. May be required to meet position related productivity and quality standards. Other duties as assigned. Requirements/Qualifications: Education Level: High School diploma or equivalent. Job related/Industry experience preferred. Excellent verbal and written communication skills. Excellent organizational and time management skills. Excellent problem solving/analysis collaboration. Self-motivated individual with strong attention to detail. Leadership experience preferred. Additional Details: Base Pay Range: $17.00 - 21.00 per hour (Actual pay may vary based on experience, performance, and qualifications.) This position will be based on-site in our East Syracuse, NY office working a hybrid schedule of 4 days/week and 1 day remote. A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.
    $17-21 hourly 4d ago
  • MRO Specialist

    Quest Global 4.4company rating

    Windsor Locks, CT jobs

    Who We Are: Quest Global delivers world-class end-to-end engineering solutions by leveraging our deep industry knowledge and digital expertise. By bringing together technologies and industries, alongside the contributions of diverse individuals and their areas of expertise, we are able to solve problems better, faster. This multi-dimensional approach enables us to solve the most critical and large-scale challenges across the aerospace & defense, automotive, energy, hi-tech, healthcare, medical devices, rail and semiconductor industries. We are looking for humble geniuses, who believe that engineering has the potential to make the impossible possible; innovators, who are not only inspired by technology and innovation, but also perpetually driven to design, develop, and test as a trusted partner for Fortune 500 customers. As a team of remarkably diverse engineers, we recognize that what we are really engineering is a brighter future for us all. If you want to contribute to meaningful work and be part of an organization that truly believes when you win, we all win, and when you fail, we all learn, then we're eager to hear from you. The achievers and courageous challenge-crushers we seek, have the following characteristics and skills: What You Will Do: On-site contact for MRO facility and issues Troubleshoot repair issues Coordinate with operators and engineers Preparation and maintenance of program tracking metrics Utilize SAP to run reports and analyze large volumes of data Understand and appropriately allocate critical detail parts across repair facilities to facilitate on time delivery metrics and engine centers testing requirements Prepare status reports as required, present weekly data packages and complete monthly MRO overdue reports Lead status and operational meetings for internal and external stakeholders What You Will Bring: Bachelor's degree in engineering 10+ years of experience working within an MRO facility Extensive knowledge of the aerospace industry, processes, and components Strong emphasis on data management, analysis, forecasting, and SAP knowledge. Strong communication and presentation skills Ability to work within both a shop Pay Range: $70,000 to $80,000 per year Compensation decisions are made based on factors including experience, skills, education, and other job-related factors, in accordance with our internal pay structure. We also offer a comprehensive benefits package, including health insurance, paid time off, and retirement plan. Work Requirements: This role is considered an on-site position located in Windsor Locks, CT. You must be able to commute to and from the location with your own transportation arrangements to meet the required working hours. Shop floor environment, which may include but not limited to extensive walking, and ability to lift up to 40 lbs. Travel requirements: Due to the nature of the work, no travel is required. Citizenship requirement: Due to the nature of the work, U.S. citizenship is required. Benefits: 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Employer paid Life Insurance, Short- & Long-Term Disability
    $70k-80k yearly 3d ago
  • PAY EQUITY ANALYST

    Moffitt Cancer Center 4.9company rating

    Tampa, FL jobs

    At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999. Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision. Summary Position Highlights: The Pay Equity Analyst is responsible for developing competitive base salary offers for internal promotions, demotions, reclassification and other transfers to retain top talent. This role involves extensive research and analysis to recommend competitive pay, while ensuring Moffitt's compensation practices are equitable, motivating, and aligned with the organization's policies and goals. The position conducts pay audits and takes appropriate action to ensure internal equity is maintained. The Pay Equity Analyst may provide support for annual compensation events and the triage of compensation questions and inquiries, as needed. Responsibilities: Develops competitive base salary offers * Using candidate experience, internal incumbent pay data and established policies/procedures, develops competitive base salary offers for internal candidates, including promotions, demotions, reclassifications and other transfers. * Collaborates with Talent Acquisition and Strategic Workforce Management representatives to understand extraordinary circumstances that may help inform base salary offers, e.g., tight labor market, small supply of candidates, etc. * Assists with team member pay and position change communication by creating offer letters and other documentation. Conducts pay audits to maintain internal equity * Performs analysis of team members, positions and salary grades to ensure internal equity among team members is maintained. * Prepares presentations to communicate findings and leads the development of action plans to address any identified deficiencies. * Ensure compliance with federal, state, and local compensation regulations. Supports annual compensation events * Provides support for annual compensation events, which may include market, merit, incentive, and other special projects. Responds to compensation inquiries and requests * As needed, provide backup for triaging emails that come through the compensation department shared email address by responding to requests or escalating issues to the appropriate. Credentials and Qualifications: * Bachelor's Degree in Human Resources, Business, Finance or related field. * Minimum of 3 years of demonstrated experience with the development of base salary offers for candidates or related experience. Preferred: * SHRM-CP/SCP, PHR/SPHR, or related HR/Compensation certification. * Prior Human Resources and/or health care experience. * Experience using HRIS or Performance Management systems. Share:
    $63k-88k yearly est. 60d+ ago
  • Corporate Coding Analyst

    Orlando Health 4.8company rating

    Orlando, FL jobs

    At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. Reviews, analyzes, and resolves accounts that have failed coding and charge related edits, including medical necessity, National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE), and other exceptions requiring clinical/coding expertise. Responsibilities Essential Functions: • Extracts statistical data, performs Root Cause Analysis to generates supporting trends reports, and notifies Clinical Liaisons and Manager(s) of any trends identified. • Works assigned Epic work queues specializing in assessment and correction of Correct Coding Initiative (CCI) and Medical Necessity (MN) Edits and post bill denials relating to the same. • Manages and prioritizes tasks to meet deadlines for any projects and audits assigned. • Performs documentation reviews of CCI and MN to necessitate clean claims and denial reconciliation. • Provides ad-hoc multivariate reports to management. • Works closely with the Revenue Integrity Clinical Liaisons to assure reconciliation of edits to meet department and organization goals. • Able to locate and interpret local coverage determination (LCD) from our MAC (First Coast) and national coverage determination (NCD) from CMS. • Assists with the training of new Revenue Integrity team members. • Interacts independently to coordinate edit resolution workflow. • Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills. • Communicates cooperatively and constructively with multi-disciplinary teams. • Demonstrates professional verbal and written communication skills. • Provides statistical reports to management as requested. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Maintains established work production standards. • Works as a team member in facilitating efficient and effective problem solving to meet goals. • Assumes responsibility for professional growth and development. • Attends department meetings as required. Qualifications Education/Training: • Associates degree in business, healthcare, or related field required. Four (4) years of directly related work experience may substitute for the Associates degree (in addition to requirements listed in the Experience section). • Medical terminology required. Licensure/Certification: • Current coding certification (e.g., RHIA, RHIT, CPC, CCS) from AAPC or AHIMA required at the time of hire or must obtain within 6 months of hire. Experience: • Two (2) years of Revenue Cycle experience. Extensive PC and Excel experience is required. • EPIC Experience a plus. • Expertise in health records review and abstracting of required data to satisfy CCI and MN edits. • Exceptional understanding of electronic medical records (EMR) and charge management. • Extensive knowledge of ICD-10-CM, CPT, HCPCS, and modifiers. Education/Training: • Associates degree in business, healthcare, or related field required. Four (4) years of directly related work experience may substitute for the Associates degree (in addition to requirements listed in the Experience section). • Medical terminology required. Licensure/Certification: • Current coding certification (e.g., RHIA, RHIT, CPC, CCS) from AAPC or AHIMA required at the time of hire or must obtain within 6 months of hire. Experience: • Two (2) years of Revenue Cycle experience. Extensive PC and Excel experience is required. • EPIC Experience a plus. • Expertise in health records review and abstracting of required data to satisfy CCI and MN edits. • Exceptional understanding of electronic medical records (EMR) and charge management. • Extensive knowledge of ICD-10-CM, CPT, HCPCS, and modifiers. Essential Functions: • Extracts statistical data, performs Root Cause Analysis to generates supporting trends reports, and notifies Clinical Liaisons and Manager(s) of any trends identified. • Works assigned Epic work queues specializing in assessment and correction of Correct Coding Initiative (CCI) and Medical Necessity (MN) Edits and post bill denials relating to the same. • Manages and prioritizes tasks to meet deadlines for any projects and audits assigned. • Performs documentation reviews of CCI and MN to necessitate clean claims and denial reconciliation. • Provides ad-hoc multivariate reports to management. • Works closely with the Revenue Integrity Clinical Liaisons to assure reconciliation of edits to meet department and organization goals. • Able to locate and interpret local coverage determination (LCD) from our MAC (First Coast) and national coverage determination (NCD) from CMS. • Assists with the training of new Revenue Integrity team members. • Interacts independently to coordinate edit resolution workflow. • Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills. • Communicates cooperatively and constructively with multi-disciplinary teams. • Demonstrates professional verbal and written communication skills. • Provides statistical reports to management as requested. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Maintains established work production standards. • Works as a team member in facilitating efficient and effective problem solving to meet goals. • Assumes responsibility for professional growth and development. • Attends department meetings as required.
    $48k-60k yearly est. Auto-Apply 5d ago
  • Patient Financial Services Specialist I

    Shirley Ryan Abilitylab 4.0company rating

    Chicago, IL jobs

    By joining our team, you'll be part of our life-changing Mission and Vision. You'll work in a truly inclusive environment where diversity and equity are championed through words and actions. You'll contribute to an innovative culture that is second to none, one that embraces curiosity, discovery and compassion. You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes - as we Advance Human Ability, together. Summary The Patient Financial Services Specialist I will perform basic billing and collection functions that assist in reducing the open receivable for Shirley Ryan Ability Lab (SRAlab). Ensures compliance with insurance payer and SRAlab policies. The Patient Financial Services Specialist I will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute. The Patient Financial Services Specialist I will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties. Job Description The Patient Financial Services Specialist I will: Obtain and track claim status via online portals and via phone. Compose and follow up on claim appeals. Identify, address, submit or process adjustments, overpayments and outstanding balances. Process billing for all financial classes including Commercial, Federal, and State plans, as assigned, ensuring confidentiality of patient billing information and HIPPA compliance. Review Insurance Explanation of Benefits to facilitate account resolution. Allocate co-insurance and deductible appropriately within the Cerner system Review and address incoming mail correspondence. Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab. Reporting Relationships: Reports directly to the Manager, Patient Financial Services. Knowledge, Skills & Abilities Required: Educational level appropriate with what is typically gained through the acquisition of a High School Diploma. Minimum 1 year of experience with hospital billing and/or collecting from health insurance carriers. Knowledge of governmental billing regulations preferred. Previous experience with insurance collections, appeals, follow-up in hospital setting.Familiar with UB-04 and HCFA 1500 billing regulations. Ability to build relationships with insurance carriers and representatives. Understand business implications of decisions. Maintain all production standards as outlined for assigned work. Ability to keep up to date with insurance billing regulation changes as assigned. Ability to quickly learn to bill specific financial classes/Payors as assigned as assigned. Strong verbal and written communication skills.Ability to perform basic mathematical functions. Working Conditions: Formal office environment with little or no exposure to dust or extreme temperature. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Pay and Benefits*: Pay Range: $16.60 - $27.45 Benefits: Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations: ******************************* *Benefits and benefits' eligibility can vary by position. Actual compensation will be determined by equity and qualifications of the role. Equal Employment Opportunity Employer Shirley Ryan AbilityLab is an Equal Employment Opportunity Employer. All applicants will be afforded equal employment opportunity without discrimination because of race, color, religion, sex, marital status, national origin or ancestry, citizenship status, age, disability, sexual orientation, gender identity, genetic information, military status, order of protection status, unfavorable discharge from military service, or any other characteristics protected by law. EEO is the Law | EEO is the Law - Know Your Rights | View our Full Policy Shirley Ryan AbilityLab is an Affirmative Action Employer as required by law.
    $16.6-27.5 hourly Auto-Apply 4d ago
  • PATIENT FINANCIAL SERVICES SPECIALIST- South Miami

    Community Health of South Florida, Inc. 4.1company rating

    Miami, FL jobs

    TAVERNIER HEALTH CENTER The purpose of the Patient Financial Services Specialist is to ensure that the Billing and Encounter Forms are processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from Data Processing. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience : A minimum of High School Diploma or GED Equivalent. ICD 9 Coding experience preferred. Experience with Patient Services. Must have knowledge of Medicaid / Medicare Insurance, collection and setup. Licensure / Certification: Maintain current CPR certification from the American Heart Association. Skills / Ability : Ability to work as a team member. Must have clerical skills, ability to type 20 - 30 wpm and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. POSITION RESPONSIBILITIES (THIS IS A NON-EXEMPT POSITION) Register new client on Intergy as per guidelines issued by Community Health of So. Florida.Researches files for previous enrollment in CHI computer system before creating a new medical record number.Re-new or update existing clients profiles as per guidelines issued by Community Health of South Florida.Performs financial screening on active clients who have requested services from Community Health of South Florida, Inc.Attempt collection o Completes assigned task in a timely manner.f past due debts as clients request services from CHI.Check-in clients for needed medical services.Check-out clients upon receiving medical services.Process of patient payments.Review and balance out daily batches.Submit daily journal to assigned supervisor.Submit cash and copies of daily batches to the Accounting Department for deposit.Complete statistical data and submit daily.Reviews Quality Care Guidelines/Patient Reminder print-out to identify overdue items e.g. Advance Directives, Learning Needs Assessment, Depression Screening, etc.Identifies patients who have not executed an Advance Directive and provide them with the Advance Directive form to read.Identifies patients who need a Learning Needs Assessment and gives them the form to complete.Identifies patients due for Depression Screening and provide them with a PHQ-9 form in the appropriate language to complete.Gives all new patients a New Patient History form to complete before Nursing Staff calls the patient.Attaches a completed new patient lab request form to the encounter form of every new patient.Consistently informs patients that their Provider wants them to read or complete the appropriate forms or education material while waiting to see the Provider.Verifies Medicare, Medicaid and all other insurance carriers.Performs daily balance closing and ensures that all procedures and payments are posted accurately.Performs cashier duties, collect patient funds for services and enters data into computer for payment received.Train new employees on all functions of Patient Services (i.e. registration, cashiering, posting of B&E's and Payments).Use appropriate and correct telephone etiquette at all times.Participates in Continuing Educational In-services and Performance Improvement Activities.Reports to work on time and ready to work with minimal absenteeism.Completes & Post all B&E (billing and encounter) forms within the same of service.Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations.Performs other duties as assigned, including variable shifts if needed. WE ARE AN EQUAL OPPORTUNITY EMPLOYER
    $32k-58k yearly est. Auto-Apply 22d ago
  • PATIENT FINANCIAL SERVICES SPECIALIST II

    Community Health of South Florida Inc. 4.1company rating

    Miami, FL jobs

    Job Description The purpose of the Patient Financial Services Specialist II is to ensure that the batches and daily registration have been processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from data processing and supervising closing by staff. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: High School Diploma or GED Equivalent. Some College Credits Preferred, Five years' experience in Health Care. Knowledge of Medicaid / Medicare insurance, collections and setup. Must know how to post B&E's. Licensure / Certification: Maintain current CPR certification from the American Heart Association Skills / Ability: Ability to work as a team leader and independently. Must have clerical skills, ability to type 35 WPM and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. POSITION RESPONSIBILITIES (THIS IS A EXEMPT POSITION) Complete statistical data and submit daily. Plans, supervises and coordinates the work of Patient Financial Services Specialist staff and supporting clerical staff in various Departments. Assist with training of new employees and work related problems. Answers inquiries of staff as questions arise in connection with obtaining needed information. Spot check work in progress to ensure prompt work flow to and from Data Processing. Ensures that decisions are in accordance with CHI Policies. Make credit decisions regarding admission deposit in problem situations. Discuss with patient the status of their accounts and make payment arrangements. Verifies Medicare, Medicaid and all other insurance carriers when needed. Coordinates and directs balance of daily closing and ensures that all procedures and payments are posted accurately by staff. Performs cashier duties, collects patient funds for services and enters data into computer for payment received. Performs voids, deletions, corrections on payments, B&E's and batches. Performs billing audits to ensure compliance by the PFSS. Provides instruction regarding posting in computer correctly. Verifies batches of PFSS. Provides updates and training of cashier functions. Provides reports to the Director of Finance or appropriate staff. Use appropriate and correct telephone etiquette at all times. Participates in Continuing Educational In-service and Performance Improvement Activities. Report of PFSS errors. Report of Medical Coding errors. Ensures that all B&E (billing and encounter) forms are posted by the PFSS within the same of service. Ensure batches are scanned into the Imaging system on time and accurately. Allocation of Personnel to cover staff shortages. Reports to work on time and ready to work with minimal absenteeism. Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. Performs other duties as assigned, including variable shifts if needed.
    $32k-58k yearly est. 16d ago
  • PATIENT FINANCIAL SERVICES SPECIALIST II

    Community Health of South Florida, Inc. 4.1company rating

    Miami, FL jobs

    The purpose of the Patient Financial Services Specialist II is to ensure that the batches and daily registration have been processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from data processing and supervising closing by staff. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: High School Diploma or GED Equivalent. Some College Credits Preferred, Five years' experience in Health Care. Knowledge of Medicaid / Medicare insurance, collections and setup. Must know how to post B&E's. Licensure / Certification: Maintain current CPR certification from the American Heart Association Skills / Ability: Ability to work as a team leader and independently. Must have clerical skills, ability to type 35 WPM and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. POSITION RESPONSIBILITIES (THIS IS A EXEMPT POSITION) Complete statistical data and submit daily. Plans, supervises and coordinates the work of Patient Financial Services Specialist staff and supporting clerical staff in various Departments. Assist with training of new employees and work related problems. Answers inquiries of staff as questions arise in connection with obtaining needed information. Spot check work in progress to ensure prompt work flow to and from Data Processing. Ensures that decisions are in accordance with CHI Policies. Make credit decisions regarding admission deposit in problem situations. Discuss with patient the status of their accounts and make payment arrangements. Verifies Medicare, Medicaid and all other insurance carriers when needed. Coordinates and directs balance of daily closing and ensures that all procedures and payments are posted accurately by staff. Performs cashier duties, collects patient funds for services and enters data into computer for payment received. Performs voids, deletions, corrections on payments, B&E's and batches. Performs billing audits to ensure compliance by the PFSS. Provides instruction regarding posting in computer correctly. Verifies batches of PFSS. Provides updates and training of cashier functions. Provides reports to the Director of Finance or appropriate staff. Use appropriate and correct telephone etiquette at all times. Participates in Continuing Educational In-service and Performance Improvement Activities. Report of PFSS errors. Report of Medical Coding errors. Ensures that all B&E (billing and encounter) forms are posted by the PFSS within the same of service. Ensure batches are scanned into the Imaging system on time and accurately. Allocation of Personnel to cover staff shortages. Reports to work on time and ready to work with minimal absenteeism. Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. Performs other duties as assigned, including variable shifts if needed.
    $32k-58k yearly est. 21d ago
  • Patient Financial Services Specialist II

    Community Health of South Florida Inc. 4.1company rating

    Miami, FL jobs

    The purpose of the Patient Financial Services Specialist II is to ensure that the batches and daily registration have been processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from data processing and supervising closing by staff. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: High School Diploma or GED Equivalent. Some College Credits Preferred, Five years' experience in Health Care. Knowledge of Medicaid / Medicare insurance, collections and setup. Must know how to post B&E's. Licensure / Certification: Maintain current CPR certification from the American Heart Association Skills / Ability: Ability to work as a team leader and independently. Must have clerical skills, ability to type 35 WPM and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. POSITION RESPONSIBILITIES (THIS IS A EXEMPT POSITION) Complete statistical data and submit daily. Plans, supervises and coordinates the work of Patient Financial Services Specialist staff and supporting clerical staff in various Departments. Assist with training of new employees and work related problems. Answers inquiries of staff as questions arise in connection with obtaining needed information. Spot check work in progress to ensure prompt work flow to and from Data Processing. Ensures that decisions are in accordance with CHI Policies. Make credit decisions regarding admission deposit in problem situations. Discuss with patient the status of their accounts and make payment arrangements. Verifies Medicare, Medicaid and all other insurance carriers when needed. Coordinates and directs balance of daily closing and ensures that all procedures and payments are posted accurately by staff. Performs cashier duties, collects patient funds for services and enters data into computer for payment received. Performs voids, deletions, corrections on payments, B&E's and batches. Performs billing audits to ensure compliance by the PFSS. Provides instruction regarding posting in computer correctly. Verifies batches of PFSS. Provides updates and training of cashier functions. Provides reports to the Director of Finance or appropriate staff. Use appropriate and correct telephone etiquette at all times. Participates in Continuing Educational In-service and Performance Improvement Activities. Report of PFSS errors. Report of Medical Coding errors. Ensures that all B&E (billing and encounter) forms are posted by the PFSS within the same of service. Ensure batches are scanned into the Imaging system on time and accurately. Allocation of Personnel to cover staff shortages. Reports to work on time and ready to work with minimal absenteeism. Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. Performs other duties as assigned, including variable shifts if needed.
    $32k-58k yearly est. Auto-Apply 60d+ ago
  • Financial Clearance Specialist part-time As Needed

    Trinity Health Corporation 4.3company rating

    Finance specialist job at Trinity Health

    Saint Alphonsus Health System is hiring for our Financial Clearance team. This position works on an as needed basis during the week (Monday-Friday). The Financial Clearance Specialist obtains and/or verifies demographic, clinical, financial and insurance information in the process of pre-registering and financially clearing patients for service delivery, including the entry of patient/guarantor information in the patient accounting system. The Pre-Service Specialist is also responsible for insurance eligibility / benefit verification, pre-certification / authorization, referral clearance and financial education on designated cases. Our ideal candidate has experience with EPIC, has worked in healthcare, and is local to the Treasure Valley in Idaho. Position Highlights and Benefits: * Schedule Information: Position is scheduled as needed based on the needs of the team Monday - Friday during traditional office hours. Hours are subject to change. * Position is remote (work from home); however, there is required in-person training during initial orientation in Boise, ID. * PRN position is not eligible for benefits. Minimum Qualifications: * Required: High school diploma or equivalent. * Required: at least 2 years of experience working in financial clearance or patient access. * Preferred: at least 2 years of experience within healthcare and/or payer environment performing patient access and/or customer service activities. * National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire. * Preferred: Associate degree or equivalent combination of education and experience. * Preferred: Data entry skills (50-60 keystrokes per minute). What You Will Do: * Work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem-solving skills are essential. * Ensures patient safety by authenticating patient identity throughout all essential functions. * Meets or exceeds established customer service, productivity and quality standards in all essential functions. * Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence. * Performs activities that relate to pre-registration and financial clearance for multiple patient types and support coverage of other departmental divisions. * Responsible for pre-registering the patient for upcoming visit(s). Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system. * Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms and documenting information within the patient accounting system. * Determines need for appropriate service authorizations and will contact the physician and Case Management/Utilization Review personnel, as necessary. * Informs patient/guarantor of their liabilities and collects appropriate patient liabilities. Calculates patient liabilities and provides financial education, referring the patient to financial counseling, as required. * Validates medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. * May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. * Must be able to sit or stand for extended periods of time and use a telephone headset. * Completion of regulatory/mandatory certifications and skills validation competencies preferred * Working knowledge of medical terminology desirable. Basic computer skills are required. * Excellent communication (verbal and written) and organizational abilities. * Must be comfortable operating in a collaborative, shared leadership environment. * Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. Highlights and Benefits: When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon. * We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one. * Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop. * We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow. Visit ****************************** to learn more! Ministry/Facility Information: Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based. * Top 15 Health Systems in the country by IBM Watson Health; * The region's most advanced Trauma Center (Level II); * Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $26k-30k yearly est. 19d ago
  • Patient Financial Services Specialist

    Tampa Family Health Centers 4.1company rating

    Tampa, FL jobs

    Job DescriptionPatient Financial Services Specialist At Tampa Family Health Centers, healthcare is more than a service-it's our mission. As a Federally Qualified Health Center (FQHC), we provide quality, caring, and accessible healthcare to a culturally diverse community across Hillsborough County. Our team thrives on innovation, compassion, and positive change, and we are proud to be recognized as a leader in empathy-driven care. Joining TFHC means becoming part of a mission-driven organization where professionals receive the training, recognition, and support they need to grow and thrive while making a lasting impact in their community. Position Summary We are seeking a Patient Financial Services Specialist to join our team. This remote role is responsible for providing exceptional support to patients and healthcare providers using the EPIC system. The specialist will handle inquiries, resolve issues, and ensure a positive patient experience while managing Work Queues (WQs) and collaborating with multiple departments to maintain high standards of service. Essential Responsibilities Respond to patient and provider inquiries via phone, email, and live chat with timely, accurate information Monitor and manage Work Queues (WQs) to ensure timely resolution of tasks and issues Maintain detailed documentation of customer interactions, issues, and resolutions in patient accounts Provide training and support to users on effective use of the EPIC system Collaborate with the Revenue Cycle Management (RCM) team and Operations to ensure seamless service delivery Generate and analyze reports on customer service activities, identifying trends and opportunities for improvement Communicate regularly with leadership regarding trends, issues, and system optimization opportunities Qualifications High School Diploma or equivalent required; EPIC certification preferred Minimum of 2 years of healthcare customer service experience Skills & Abilities Excellent communication and interpersonal skills Strong problem-solving and troubleshooting abilities Proficiency in using the EPIC system Ability to manage multiple tasks and prioritize effectively Strong attention to detail and accuracy Ability to interpret insurance correspondence and remittance, and communicate clearly with responsible parties Ability to work independently and collaboratively as part of a team Benefits & Rewards TFHC offers a comprehensive benefits package designed to support your well-being and professional growth (for all eligible employees): Medical, Dental, and Vision Insurance Life and Disability Insurance Generous PTO and 7 paid company holidays 401(k) program with employer contribution after one year Employee discount program for tickets, movies, travel, and other entertainment options Why Join TFHC? At TFHC, you'll be part of a team that values innovation, compassion, and excellence. We are committed to supporting our employees with opportunities for growth, professional development, and the chance to make a meaningful impact in the lives of patients and families across Tampa Bay. Join Us If you're ready to embark on a career journey that's more than just a job, apply today and help us deliver exceptional patient financial services at Tampa Family Health Centers.
    $31k-42k yearly est. 9d ago
  • Patient Financial Services Specialist

    Tampa Family Health Centers 4.1company rating

    Tampa, FL jobs

    At Tampa Family Health Centers, healthcare is more than a service-it's our mission. As a Federally Qualified Health Center (FQHC), we provide quality, caring, and accessible healthcare to a culturally diverse community across Hillsborough County. Our team thrives on innovation, compassion, and positive change, and we are proud to be recognized as a leader in empathy-driven care. Joining TFHC means becoming part of a mission-driven organization where professionals receive the training, recognition, and support they need to grow and thrive while making a lasting impact in their community. Position Summary We are seeking a Patient Financial Services Specialist to join our team. This remote role is responsible for providing exceptional support to patients and healthcare providers using the EPIC system. The specialist will handle inquiries, resolve issues, and ensure a positive patient experience while managing Work Queues (WQs) and collaborating with multiple departments to maintain high standards of service. Essential Responsibilities * Respond to patient and provider inquiries via phone, email, and live chat with timely, accurate information * Monitor and manage Work Queues (WQs) to ensure timely resolution of tasks and issues * Maintain detailed documentation of customer interactions, issues, and resolutions in patient accounts * Provide training and support to users on effective use of the EPIC system * Collaborate with the Revenue Cycle Management (RCM) team and Operations to ensure seamless service delivery * Generate and analyze reports on customer service activities, identifying trends and opportunities for improvement * Communicate regularly with leadership regarding trends, issues, and system optimization opportunities Qualifications * High School Diploma or equivalent required; EPIC certification preferred * Minimum of 2 years of healthcare customer service experience Skills & Abilities * Excellent communication and interpersonal skills * Strong problem-solving and troubleshooting abilities * Proficiency in using the EPIC system * Ability to manage multiple tasks and prioritize effectively * Strong attention to detail and accuracy * Ability to interpret insurance correspondence and remittance, and communicate clearly with responsible parties * Ability to work independently and collaboratively as part of a team Benefits & Rewards TFHC offers a comprehensive benefits package designed to support your well-being and professional growth (for all eligible employees): * Medical, Dental, and Vision Insurance * Life and Disability Insurance * Generous PTO and 7 paid company holidays * 401(k) program with employer contribution after one year * Employee discount program for tickets, movies, travel, and other entertainment options Why Join TFHC? At TFHC, you'll be part of a team that values innovation, compassion, and excellence. We are committed to supporting our employees with opportunities for growth, professional development, and the chance to make a meaningful impact in the lives of patients and families across Tampa Bay. Join Us If you're ready to embark on a career journey that's more than just a job, apply today and help us deliver exceptional patient financial services at Tampa Family Health Centers.
    $31k-42k yearly est. 60d+ ago

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