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Accounts Receivable Specialist jobs at Universal Health Services - 4509 jobs

  • Accounts Receivable Specialist - REMOTE

    Universal Health Services 4.4company rating

    Accounts receivable specialist job at Universal Health Services

    Responsibilities This role requires a 3 month training period in office and must be within commuting distance to the King of Prussia, PA headquarters. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and underpaid claims by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for denials correcting and reprocessing claims for payment in a timely manner. Meets or exceeds the department's established performance targets (productivity and quality). Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites the reprocessing of claims and maximizes opportunities to enhance front end claim edits to facilitate first pass resolution. Identifies uncollectible accounts and performs accurate and timely write-offs (e.g. no authorization) adhering to IPM CBO policy guidelines. Demonstrates the ability to be an effective team player. Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team. Key Responsibilities include: * Accurate and timely follow-up on claims that have not received a response, have been denied, or have been under/over paid. Works with payer to determine reasons for denials. Corrects and reprocesses claims for payment in a timely manner. Proceeds with appeals process as needed. Performs eligibility and claim status follow-up inquiries utilizing outbound calls to the payer, web link tools and payer websites. Documents all actions taken on accounts worked according to the department policy to ensure clear understanding of encounter status * Identifies root causes and denial trends and makes recommendations to department leadership to prevent additional denials. Maintains a strong working knowledge of payer requirements and can research payer policies including LCD's and NCD's to help determine root cause for denial trends. * As a last resort after exhausting all efforts, performs accurate write-offs (e.g. no authorization) following the identification of uncollectible accounts. Strictly adheres to IPM CBO write-off policies and procedures and utilizes proper adjustment aliases as defined in departmental job aides. * Participates in regularly scheduled team meetings sharing denial trends specific to claim requirements to enhance front end claim edits to facilitate first pass resolution. Contributes ideas for workflows and approaches to A/R follow-up tasks to maximize opportunities for performance, process, and net revenue collections improvement. * Meets established productivity metrics for the AR Department. Meets routinely with Supervisor to review productivity results and understands best practices and opportunities to create efficiencies in order to achieve maximum performance. * Meets established quality metrics for the AR Department. Meets monthly with Supervisor to review quality results and collaborate on ways to improve scores. Upon receipt of monthly QR report, corrects any errors identified Qualifications High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred. * Work experience: Experience (1-3 years minimum) working in healthcare revenue cycle * Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes * Understanding of the revenue cycle and how the various components work together preferred * Excellent organization skills, attention to detail, research, and problem-solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Strong computer literacy skills including proficiency in Microsoft Office As an IPM employee you will be part of a first class organization offering: A Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and much more! Independence Shared Services is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Shared Services. No fee will be paid in the event the candidate is hired as a result of the referral or through other means. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or ***************
    $33k-41k yearly est. 13d ago
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  • Supervisor Patient Care

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Full Time 36 hours/week 7pm-7am onsite The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander Responsibilities: 1.Understands the business, financials industry trends, patient needs, and organizational strategy. 2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards. 3. Assist in monitoring the department budget and helps maintain expenditure controls. 4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts. 5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers. 6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital. 7. Assist in decision-making processes and notifies the Administrator on call when necessary. 8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively. 9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures. 10. Other duties as assigned. Other information: Technical Expertise 1. Experience in clinical pediatrics is required. 2. Experience working with all levels within an organization is required. 3. Experience in healthcare is preferred. 4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required. 2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required. 3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred. 4. Years of relevant experience: Minimum 3 years of nursing experience required. 5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred. Full Time FTE: 0.900000 Status: Onsite
    $52k-69k yearly est. 13d ago
  • AP/AR Coordinator II

    Alvis, Inc. 3.9company rating

    Columbus, OH jobs

    Career Details: We are seeking a passionate Accounts Payable Coordinator to perform a variety of duties to maintain accounting records including calculations, deposits, answer inquiries, process payments and provide statements. The accountant will support more experienced professionals by completing tasks as assigned and may provide support to multiple staff members. Verifies billing data and prepares information for invoicing and providing routine accounting services. Requirements Qualifications: Education: Associate's degree in accounting preferred; finance or business, or the equivalency of a High School diploma and two to four years' experience in accounting, bookkeeping or related field. MUST HAVE A VALID DRIVER'S LICENSE Experience: 2-4 years' experience in bookkeeping, accounting or related field, which includes use of accounting software applications (e.g., QuickBooks, Excel). Skills and Abilities: Computer Skills: Proficient in all Microsoft office applications and skilled in operation of personal computer, peripheral equipment (e.g., copier, fax, printers).
    $32k-39k yearly est. 2d ago
  • Manager, VNA Accounts Receivable

    Cape Cod Healthcare 4.6company rating

    Barnstable Town, MA jobs

    The Manager of Specialized Accounts Receivable provides coordination, leadership and oversight to the VNA Home Health, Hospice and Elder Services AR staff that provide third-party billing, AR follow-up, denials management, underpayment recoupment and credit balance resolution. Coordinates external audits and third-party reviews and works with the Director of Patient Financial Services to meet department AR management and cash collection goals. Researches, develops, and promulgates best practices to ensure that all third-party billing and AR resolution are done timely, accurately, and within compliance to CCHC, payer, state and federal regulations. Supports the training and development of the AR team. Continually seeks improvement in AR Management processes and technology. PRIMARY DUTIES AND RESPONSIBILITIES: Support, oversee, and manage the performance, productivity and quality of the entire Billing, Follow-Up/Denials team as it relates to all AR Management activities and pre-defined and Manager identified goals and targets. Develop, implement, and manage efficient and effective operational policies, procedures, processes and performance monitoring across all third-party AR resolution, denials management, credit balance resolution and payment variance recoupment. Ensure CCHC employees and vendor staff performing AR functions are compliant with policies, procedures and processes; measure and address all areas of non-compliance. Maintain up-to-date knowledge of regulatory and compliance, for state and federal agency, changes impacting billing requirements and operations. Collaborate with other disciplines, IT partner and vendors to implement changes needed to address payer and regulatory billing requirement changes and denial prevention. Ensure vendors and CCHC revenue cycle employees are appropriately educated and trained as well as department policies and processes are modified, as required, to stay current. Work with Managed Care department, payor representative, vendors and all other departments within CCHC and Physician Practices to resolve outstanding account receivable issues Ensure negotiated contracts are being administered and reimbursed according to contractual terms and rates. Assist managed care in the resolution of contract payment issues. Confirm staff are consistently performing performance-monitoring processes. Define, implement, and monitor strategies to improve overall patient financial services processing efficiency. Ensure that denial trends identified are managed and tracked to improvement ensuring mitigation strategies are consistently implemented. Manage to applicable Key Performance Indicators (“KPIs”). Define and implement action plans when performance is not meeting expectations. Assess workflow prioritization on a regular basis to confirm that AR metrics and benchmarks are consistently achieved. Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement Conduct analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collections. Assess direct reports' performance on a consistent basis and provide feedback to reward effective performance and enable proactive performance improvement steps to be taken. Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement. Prepares reports and conducts analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collection. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional healthcare related organizations Uses experience, education, training and judgment to plan and accomplish key performance indicators for AR metrics and other measures of organizational health. Educating, training and setting expectations on using the EHR system efficiently and effectively to meet industry key performance indicators. Maintains up-to-date payer knowledge including regular access to payer websites and portals to ensure the AR is flowing timely and appropriately. Performs additional special assignments, duties, and related functions as required. Works with Director of System PFS, Director PB Revenue Cycle, VP, CFO and vendor(s) to establish customer service / SBO revenue cycle benchmarks Reduce redundancies and re-work through proper use of technology and through staff education. Serves as the main point of contact for Patient AR Management including Client Submitter, and VNA AR. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence. EDUCATION/EXPERIENCE/TRAINING: Bachelor's degree preferred or equivalent combination of education and 10 years experience. Minimum ten years health care with at least five years of healthcare Finance or Accounts Receivable Management experience. Prior experience with customer service and patient billing operations preferred. Home healthcare and hospice experience required. Minimum two years supervisory/management experience in healthcare environment required. Required three to five years of demonstrated experience with electronic health records. Epic experience preferred. Ability to work under pressure and manage multiple initiatives concurrently; must be able to work independently, set own priorities and meet deadlines. Experience and knowledge of regulatory requirements, payer requirements and third-party reimbursement. An understanding of complex corporate relationships, and an ability to influence within such an environment. Excellent communication, leadership, delegation, and interpersonal skills. Ability to evaluate personal performance against established goals. Ability to communicate with and present to a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants. Demonstrated goal-oriented thinking, operational and organizational skills. Ability to coach and support staff in their efforts to improve overall performance. Capable of learning reporting systems and other new tools Exceptional time management skills. Schedule Details: 32 hrs./week- Days-Monday-Friday Pay Range Details: The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare's benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.
    $72k-103k yearly est. 2d ago
  • Radiology Coordinator, Norton Orthopedic Institute - Southern IN, 7:45a-4:15p

    Norton Healthcare 4.7company rating

    Jeffersonville, IN jobs

    Responsibilities The incumbent must demonstrate a thorough knowledge of anatomy and demonstrate a thorough knowledge, skill and understanding of image quality. Must be able to communicate to patients the nature of the tests and relieve their anxiety. The incumbent must demonstrate an understanding of Radiographic Positioning, Radiographic Technique, Radiation Safety, Imaging Equipment, Infection Control and Quality Control techniques. Presents a pleasant and helpful manner to patients, families, physicians, and other staff members. Qualifications Required: Diploma Radiologic Technology Radiologic Technologist (ARRT) State Radiology Technologist License - Must obtain RAD within 12 mos of hire if currently hold RADT. Desired: One year in radiology
    $32k-40k yearly est. 2d ago
  • Billings Clerk

    All Pro Recruiting LLC 4.4company rating

    Cleveland, OH jobs

    Purpose: This position is responsible for all phases of client billing, which may include: performing edits, billing, write-offs, and time transfers. Essential Job Functions: 1. Print and distribute pre-bills monthly to billing attorneys. 2. Edit invoices monthly in a timely manner based on comments received from billing attorneys. 3. Invoice and bill clients in the accounting system each month in a timely manner. This includes clients that are billed electronically. 4. Perform client and matter changes within the accounting system. 5. Process write-offs within the accounting system in accordance with company policy. 6. Work with clients and attorneys in a timely manner to answer inquiries and provide analysis of billings. 7. Perform other tasks as assigned. Required Qualifications: Knowledge, Skills, Abilities and Personal Characteristics 1. High attention to detail; organized. 2. Developed knowledge of basic billing knowledge. 3. Effective interpersonal skills; strong oral and written communication skills. 4. High degree of initiative and independent judgment. 5. Computer skills: accounting system (3E experience preferred), word processing, and spreadsheet capabilities.
    $32k-44k yearly est. 2d ago
  • Billing Specialist

    Spooner Medical Administrators, Inc. 2.7company rating

    Westlake, OH jobs

    Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker. The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices. Essential Functions Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information. Perform fee bill audits according to established procedures and guidelines. Data enter fee fills accurately for electronic transmission. Adhere to established billing performance requirements. Review electronic response to transmitted bills and make modifications accordingly. Respond to telephone inquiries from customers regarding bill payment status. Participate in continuous improvement activities and other duties as assigned. Supervision Received Reports to the Billing Supervisor Experience and Education Required Medical billing certification or at least 2 years of experience working in the medical billing field Data entry experience Additional Skills Needed Effective written and verbal communication Detail oriented Strong organizational ability Basic computer literacy skills Working Environment The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
    $28k-33k yearly est. 3d ago
  • Billing Clerk I

    Arroyo Vista Family Health Center 4.3company rating

    Los Angeles, CA jobs

    The Billing Clerk I must be computer literate and have the ability to prioritize, organize, trouble shoot and problem solve. They must have the ability to perform basic mathematical computations. Maintain a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. DUTIES AND RESPONSIBILITIES: Update pay codes. Interviews patients to determine their pay code. For patients without medical insurance, analyses income and family date to determine eligibility for sliding fee scale. Verifies insurance coverage of patient who claims to have private insurance coverage. Explains to patients or responsible relatives, the Health Center's billing policy and the patient's responsibility for paying their bills. Furnishes patients with appropriate "Patient Responsibility" forms, for signature. Informs billing clerk of any changes in patient's medical chart and the date of the next re-screening. Assists cashier with data entry of charges and payments of visit. Actively participates in the Quality Management Program. Responsible for following all Agency safety and health standards, regulations, procedures, policies, and practices. Performs other duties as assigned. REQUIREMENTS: Must be computer literate and have the ability to prioritize, organize, trouble shoot and problem solve. They must have the ability to perform basic mathematical computations. Maintain a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. Must be bilingual in English and Spanish with effective verbal and written communication skills preferred. Knowledgeable with current ICD 9, ICD 10, CPT Codes & HCPCS Must have reliable transportation to commute from clinic locations at any given time during the day to cover the floor or attend meeting and in-service trainings. Must be willing to close the Cashier work station every other day until the last patient is seen by the provider. (Floor schedule will be provided 3 weeks in advance). Must work every other Saturday a full 8 hour shift and some Holidays
    $33k-41k yearly est. 2d 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. 5d ago
  • ECMO Specialist Nights

    Adventhealth 4.7company rating

    Ocala, FL jobs

    **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Night (United States of America) **Address:** 1500 SW 1ST AVE **City:** OCALA **State:** Florida **Postal Code:** 34471 **Job Description:** + Manages ECMO circuits and equipment during patient care, including circuit interventions and change-outs. + Observes, monitors, assesses, and reports patient status and response to ECMO therapy. + Collaborates with multidisciplinary teams to provide comprehensive care for ECMO patients. + Participates in building and priming disposable ECMO circuits and other related equipment. + Leads ECMO patient transport, both within and between hospitals. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Associate (Required), Bachelor's of Nursing, Master's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body, State Registered Respiratory Therapist (RRT) - EV Accredited Issuing Body **Pay Range:** $34.71 - $64.55 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Medical Assistant & Technician Services **Organization:** AdventHealth Ocala **Schedule:** Full time **Shift:** Night **Req ID:** 150661872
    $20k-35k yearly est. 4d ago
  • ECMO Specialist Nights

    Adventhealth 4.7company rating

    Ocala, FL jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Night (United States of America) Address: 1500 SW 1ST AVE City: OCALA State: Florida Postal Code: 34471 Job Description: Manages ECMO circuits and equipment during patient care, including circuit interventions and change-outs. Observes, monitors, assesses, and reports patient status and response to ECMO therapy. Collaborates with multidisciplinary teams to provide comprehensive care for ECMO patients. Participates in building and priming disposable ECMO circuits and other related equipment. Leads ECMO patient transport, both within and between hospitals. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: Associate (Required), Bachelor's of Nursing, Master's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body, State Registered Respiratory Therapist (RRT) - EV Accredited Issuing Body Pay Range: $34.71 - $64.55 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $20k-35k yearly est. 6d ago
  • Outpatient Specialist - Denver

    Biomerieux Inc. 4.7company rating

    Durham, NC jobs

    The Outpatient Specialist's main mission is to maintain and grow the current customer base while creating new opportunities through selling the BIOFIRE product line. This includes the sales of instruments, reagents and other services to drive increased adoption and market share within a defined geographical region. The Outpatient Specialist is directly responsible for achieving the territory sales goal through outpatient clinics affiliated with IDNs and clinics not affiliated with IDNs within their assigned territory. Additionally, the Outpatient Specialist will manage both direct sales as well as sales through our distribution partners to achieve high performance in the areas of customer satisfaction, revenue, and profitability. Primary Responsibilities Deliver effective sales call management, opportunity management, pipeline management and forecast accuracy. Identify and establish relationships with key customers and opinion leaders within defined territory. Establish and maintain relationships with our distribution partners to support and advance opportunities and closes. Assess, clarify, validate, and quantify the customer's existing and unmet needs on an ongoing basis. As a part of the Regional Sales team, the Outpatient-Market specialist will identify high value targets within assigned territory and develop strategies to close new business those accounts. Maintain existing customer business to minimize lost business. Work cooperatively in a matrix team and other colleagues to advance and close opportunities. Serve as a liaison between the Outpatient market and Marketing. Channel competitive intel from the field to Marketing and participate as needed in marketing projects and new product launch request. Identify key opinion leaders (KOLs) within defined territory. Manage opportunity pipeline to ensure the timing of closes matches the monthly forecast as it is represented in our CRM tool and related dashboards. Ensure the compliance of business activities meet the most stringent requirements of legal and ethical standards and current company policies. Education and Experience Associates degree and a minimum of 4 years of professional sales experience ORBachelors degree and a minimum of 2 years of professional sales experience required Bachelors degree with 4 years of customer facing experience within the IVD market in lieu of professional sales experience will receive consideration. Strong Knowledge of molecular biology technologies, techniques, and disciplines preferred. In vitro diagnostic (IVD) capital equipment preferred. Point-of-care (POC) sales experience preferred. Distribution-sales experience preferred. Knowledge, Skills, and Abilities Business Skills Functional skills including critical thinking, adaptability, time management, communication, problem-solving and digital literacy. Leading without authority through influence and guidance of others towards a common goal by using expertise, persuasion, and personal qualities to inspire action. Business acumen to understand how a business operates and how to make it successful. Intellectual Horsepower Effective and efficient problem analysis that leads to high-quality decisions. Understand complex information and interpret it accurately, often requiring critical thinking and analysis to grasp the full picture. Manage and meet competing deadlines, requiring careful prioritization and time management to ensure all tasks are completed on time. Creating the New and Different Influence change using skills and relationships to persuade others to adopt new ideas, behaviors, or processes. Perspective to see the world from another person's viewpoint thus gaining new insights and finding creative solutions to challenges. Effectively deal with ambiguity requiring adaptability, critical thinking, and proactive communication to navigate situations with limited details Maintaining Focus Make timely decisions by quickly choosing effective solutions in high-pressure situations for optimal outcomes Priority setting that align with business objectives Thriving in a fast-paced environment by managing tasks, multitasking, and adapting quickly to maintain productivity. Getting Organized Organizing work and resources efficiently to ensure smooth operations Planning objectives and strategies to achieve them within a set timeline Practicing time management to allocate tasks, balance priorities, and meet deadlines efficiently Getting Work Done Through Others Informing others by sharing clear, timely information to ensure alignment. Managing and measuring work by tracking progress, performance, and goal achievement using metrics and KPIs. Managing Work Processes Collect and analyze data to drive informed decision-making to improve performance and identify issues Dealing with Complex Situations Communicates instructions clearly and effectively Demonstrates assertiveness and confidence in the face of a challenge Conflict Management Solution oriented in the face of conflict Comfortable giving clear, direct, and actionable feedback Ability to deal with difficult situations in a timely and bold manner Focusing on the Bottom Line Drive for Results: Drive for Results while successfully removing barriers Action Oriented: Takes action even when facing challenges Being Organizationally Savvy Ability to cooperate with others at all levels including leadership Ability to work cross-functionally allowing for better collaboration and communication when working across teams to achieve shared objectives Communicating Effectively Effective verbal communication skills Written Communications - including the ability to communicate technical data in written form Effective Presentation Skills - including the ability to present technical data Relating Skills Build and maintain positive, productive interactions with colleagues Easily accessible and open to communication Effectively navigate social interactions in the workplace Developing and Inspiring Others Reach mutually beneficial agreements through effective communication and compromise Managing Diverse Relationships Participate in a way that enhances team performance and cohesion. Fosters a culture of inclusiveness among all team members Acting with Honor and Being Open Consistently uphold and reflects the core ethical principles and values that bio Merieux promotes Actively and attentively listen to others, ensuring a clear understanding of their messages, needs, and concerns. Emotional intelligence by having the ability to recognize, understand, and manage one's own emotions, as well as the emotions of others. Maintain composure by having the skill of staying calm, focused, and professional in high-pressure or stressful situations. Working Conditions and Physical Requirements Ability to remain in stationary position, often standing, for prolonged periods. Ability to ascend/descend stairs, ladders, ramps, and the like. Ability to adjust or move objects up to 50 pounds in all directions. Domestic travel required 70% of time Location dependent the selected incumbent will be required to be masked while working in client locations for extended periods when on site in hospitals. Ability to conduct client visits which entails the safe operation of motor vehicles, physically accessing customer facilities and frequent air travel in performance of assigned duties. The estimated salary range for this role is between $87,700 - $140,000. This role is eligible to receive a variable annual bonus based on company, team, and individual performance per bio Merieux's bonus program. This range may differ from ranges offered for similar positions elsewhere in the country given differences in cost of living. Actual compensation within this range is determined based on the successful candidate's experience and will be presented in writing at the time of the offer.In addition, bio Merieux offers a competitive Total Rewards package that may include: A choice of medical (including prescription), dental, and vision plans providing nationwide coverage and telemedicine options Company-Provided Life and Accidental Death Insurance Short and Long-Term Disability Insurance Retirement Plan including a generous non-discretionary employer contribution and employer match. Adoption Assistance Wellness Programs Employee Assistance Program Commuter Benefits Various voluntary benefit offerings Discount programs Parental leaves #LI-US#biojobs Please be aware that recruitment related scams are on the rise. Fraudulent job postings are being placed on other websites, and individuals posing as bio Merieux Talent Acquisition team members are reaching out via email or text message in an attempt to collect your personal and confidential information. In some cases, these scammers are also conducting bogus interviews prior to extending fraudulent offers of employment. Beware of individuals reaching out using general phone numbers and non-bio Merieux email domains (i.e. Hotmail.com, Gmail.com, Yahoo.com, etc.). If you are concerned that an interview experience or offer of employment might be a scam, please make sure you are searching for the posting on our careers site or contact us at [emailprotected]. BioMerieux Inc. and its affiliates are Equal Opportunity/Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Please be advised that the receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant's identity and legal authorization to work in the United States are required of all new hires. Any misrepresentation, falsification, or material omission may result in the failure to receive an offer, the retraction of an offer, or if already hired, dismissal. If you are a qualified individual with a disability, you may request a reasonable accommodation in BioMerieux's or its affiliates' application process by contacting us via telephone at , by email at [emailprotected], or by dialing 711 for access to Telecommunications Relay Services (TRS).
    $87.7k-140k yearly 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: 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 Strong emphasis on data management, analysis, forecasting, and SAP knowledge. Strong communication and presentation skills Ability to work within both a shop floor and office environment Ability to work independently 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 4d ago
  • Enterprise Accreditation Specialist III

    Caresource 4.9company rating

    Dayton, OH jobs

    The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or other accrediting bodies. This person will serve as the subject matter expert for various accreditations, including but not limited to NCQA Health Plan Accreditation, LTSS Distinction, Health Equity, UM, and Population Health. This person will work cross-functionally with business owners to identify gaps and deficiencies between current processes and the accreditation requirements and assist in implementing any necessary mitigation activities as needed. They will also ensure all changes made by accrediting bodies are communicated and incorporated into business processes. Essential Functions: Serve as subject matter expert in accreditation standards, including NCQA Health Plan, LTSS Distinction, Health Equity, UM and Population Health. Clearly define deliverables associated with delegation agreements including appropriate responsible parties Maintain a strong understanding of the business processes within the assigned Market Collaborate with the business owners to obtain documents, reports, and materials for accreditation submission Provide oversight and monitoring of all surveys and deliverables within assigned Market Monitor, track, and document deliverables related to accreditation process by applying accreditation standards to CareSource processes and documents in conjunction with the business owners Act as advisor to business areas on appropriate documentation and data analysis needs for required improvement opportunities to meet the intent of the NCQA standards Maintain an in-depth knowledge of the standards within the scope of work and ensure that changes made by NCQA are communicated and incorporated into business processes Review and analyze documents, reports, and materials for submission. Ensures accuracy prior to submission Facilitate ongoing annual qualitative and quantitative analyses, assuring business owners are acting on their opportunities for improvement Responsible for preparing materials including but not limited to updating and reformatting for submission to accrediting entities in accordance with standards, coordinating efforts with internal business owners, and tracking readiness against work plans and timelines Manage survey submission process for assigned Market Maintain accreditation roadmaps/workplans Identify and communicate survey status, gaps, and escalations and ensure mitigation plans are implemented, gaps are closed and escalations are resolved Provide management recommendations for improvement related to accreditation processes and document processes Ensure all workplans and dashboards are updated for reporting Manage and execute on multiple module activities consistency Perform a variety of complex work in planning, coordinating, and managing accreditation activities Provide education to staff and business owners on accreditation standards and provide timely updates to affected departments including accreditation activities, survey dates and timelines for deliverables Act as a mentor to the Accreditation Specialist II Assist with the onboarding of new team members on module and Market specific requirements Participate in Market Quality Committees and other applicable committees as required Perform any other job duties as assigned Education and Experience: Bachelor's degree in science, arts, healthcare or other related field or equivalent years of relevant work experience is required. Minimum of three (3) years of experience in a Managed Care Organization or other healthcare related field is required Project Management Experience is preferred Accreditation experience is required Knowledge of IHI, DMAIC, or other process improvement methodologies preferred Competencies, Knowledge and Skills: Knowledge of accreditation bodies and various forms of accreditations, distinctions and recognitions. Expert knowledge of the NCQA Submission process Strong interpersonal skills and high level of professionalism Strong critical thinking/listening skills Excellent problem-solving skills with strong attention to detail Excellent written and verbal communication skills Ability to work independently and within a team environment Ability to develop, prioritize and accomplish goals Analytical and organizational skills Ability to coordinate complex projects and multiple meetings Proficient in Microsoft Office Suite to include Word, Excel, Adobe Pro and SharePoint Excellent written and verbal communication skills Proficient knowledge of the healthcare field and with Medicaid, Medicare, and Marketplace Training/teaching and technical writing skills Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-JM1
    $62.7k-100.4k yearly 4d ago
  • Grievance & Appeals Specialist II (Must live in Indiana)

    Caresource 4.9company rating

    Indianapolis, IN jobs

    The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. Must live in Indiana. . Essential Functions: Prepare the appeals for clinical review and be responsible for recording and tracking on a regular basis Review submitted appeals daily for validation of the appeal Identify appropriate claim problem within the appeal Prepare all clinical edit appeals for review by computer research, print claim from Facets system, and print off all the code descriptions to assist the reviewer in decision making for committee meetings Attend and participate in Appeals Committee meetings as needed Maintain spreadsheet of all appeals reviewed with the outcomes resulting from the Appeals Committee Meetings Document within Facets the detailed information as to the outcome of the claim appeal Identify System changes, log the ticket and track the resolution Complete claim appeal through claim adjustments or letters of denials Review claim appeals for possible fraud and abuse and report to SIU Research and release claim appeals with other health insurance, notifying the COB unit when there is other insurance Process a variety of appeals, including but not limited to: dental appeals, low difficulty appeals, non-clinical appeals - (i.e. tobacco surcharge, etc.), medically frail appeals, RCP appeals, member and provider appeals Resolve assigned appeals within regulatory timeframes, achieve departmental quality expectations, and meet daily production requirements Identify and log any related issues Perform UAT testing when necessary Perform any other job related instructions, as requested Education and Experience: High school diploma or equivalent is required Associates Degree or equivalent years of relevant work experience preferred Minimum of two (2) years of healthcare customer service, claims, compliance or related experience is required Competencies, Knowledge and Skills: Technical writing skills Intermediate level skills in Microsoft Word & Excel with Access skills a plus Communication skills (written, oral and interpersonal) Multitasking ability Able to work independently and within a team environment Familiarity of the Healthcare field Knowledge of Medicaid Time Management Decision-making and/or problem solving skills Proper grammar skills Phone etiquette skills Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Hourly Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SD1
    $41.2k-66k yearly 5d 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. 28d ago
  • Billing Coordinator - Stop Area Six

    Healthright 360 4.5company rating

    San Diego, CA jobs

    . The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources. The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing. Key Responsibilities Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered. Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.). Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: High School Diploma or equivalent. Previous work experience working with spreadsheets. Previous work experience performing data entry. Type 45 wpm. Strong math skills. Desired: Bilingual. AA Degree; Experience may substitute for this on a year-by-year basis. We will consider for employment qualified applicants with arrest and conviction records. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Senior Accounts Payable Payment Specialist

    Carislifesciences 4.4company rating

    Irving, TX jobs

    At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments for goods and services. This role is critical in ensuring that sensitive financial information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment portals as well as internal account transfers. This position is located at the Irving, TX headquarters of Caris Life Sciences, directly reporting to the Senior Manager-Accounts Payable, and will work closely with the Finance, Accounting, and Treasury teams to produce accurate and timely transactional processing related to purchasing and financial operations. The successful candidate will utilize strong business understanding, accounts payable payment expertise, solid communication skills, and keen attention to detail to become an effective team member at every level of the organization, understanding business objectives and providing insightful accurate reporting in support of those objectives. Job Responsibilities Process weekly payments, utilizing check, ACH, and wire formats Manage purchasing and credit card payments in ERP system and payment portals Handle employee reimbursement batches and payments Generate weekly payables aging and payment reports Void and reissue payments as needed Prepare wire packets with appropriate documentation and approvals Process wire payables and payments in ERP system Distribute and mail paper checks with required documentation Research stale-dated checks and prepare escheatment records Verify supplier banking information to support fraud prevention Support internal and external audit requests Perform ad hoc payment and research tasks as needed Participate in special projects and initiatives within the Accounting department Collaborate with AP, Finance, Accounting, and Treasury teams to improve processes Ensure policies, procedures, and documentation are current and accurate Help standardize workflows for efficiency in a growing environment Required Qualifications High school diploma 3+ years accounts payable experience 1+ years payment processing experience, including bank wire transfers and foreign currency transactions Strong attention to detail and thoroughness Strong organizational and time management skills Excellent written and verbal communication skills Ability to multitask, problem-solve, and meet deadlines Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use Preferred Qualifications Associate degree in accounting or related field Oracle software experience is a plus CashPro experience is a plus Physical Demands Must possess ability to sit and/or stand for long periods of time Must possess ability to perform repetitive motion Training All job specific, safety, and compliance training are assigned based on the job functions associated with this employee Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
    $47k-66k yearly est. Auto-Apply 44d ago
  • REIMBURSEMENT AND BILLING COORDINATOR

    Toledo Clinic Inc. 4.6company rating

    Toledo, OH jobs

    Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis. Principal Duties & Responsibilities: Example of Essential Duties: * Responsible for the update and control of the fee schedule files. * Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices. * Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases. * Generate payor analysis as requested by Administration/Contracting Committee. * Assist offices with any fee schedule issues they may have. * Work with IT and eCW testing new applications. * Pull contracting information as requested. * Communicate with Payors on issues regarding reimbursement Other Essential Duties May Include (but are not limited to): * Other duties as assigned. Knowledge, Skills & Abilities: Required: * Extensive knowledge of Excel pertaining to Formulas and Pivot Tables * Working knowledge of a physician based medical office practice. * Knowledge of physician coding and federal/state regulations of patient care. * Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. * Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed. * Demonstrates adaptability to expanded roles. Education: * HS diploma or GED, Medical billing * Bachelors Degree
    $39k-45k yearly est. 9d ago
  • Reimbursement And Billing Coordinator

    Toledo Clinic 4.6company rating

    Toledo, OH jobs

    Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis. Principal Duties & Responsibilities: Example of Essential Duties: Responsible for the update and control of the fee schedule files. Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices. Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases. Generate payor analysis as requested by Administration/Contracting Committee. Assist offices with any fee schedule issues they may have. Work with IT and eCW testing new applications. Pull contracting information as requested. Communicate with Payors on issues regarding reimbursement Other Essential Duties May Include (but are not limited to): Other duties as assigned. Knowledge, Skills & Abilities: Required: - Extensive knowledge of Excel pertaining to Formulas and Pivot Tables - Working knowledge of a physician based medical office practice. - Knowledge of physician coding and federal/state regulations of patient care. - Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. - Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed. - Demonstrates adaptability to expanded roles. Education: - HS diploma or GED, Medical billing - Bachelors Degree
    $39k-45k yearly est. Auto-Apply 7d ago

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