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Excellent job opportunity at one of the ten largest children´s hospitals in the country.

DescriptionPhoenix Children´s Hospital is the only specialty children´s hospital in Arizona and it is poised to become one of the foremost pediatric hospitals in the nation. The hospital is home to the state´s largest group of pediatric specialists and sub-specialists. In addition, the hospital continues to evolve its clinical practices and is working with leading local and national research partners to uncover new breakthroughs in pediatric medicine. Currently a 345 bed facility, new construction plans were unveiled in October 2006 that include the building of two new patient bed towers and expansion in bed capacity and other key programs and services over the course of the next several years. In short, PCH is a growing, thriving organization where opportunities for personal development and promotion of our employees will continue in years to come. Primary Purpose: This position is responsible for facilitating proper charge capture, billing and adjudication of claims in accordance with standard billing policies and reimbursement principles, clinical documentation practices, and CPT/HCPCS and ICD-9-CM coding through the use of the hospitals electronic information systems and manual processes. QualificationsMinimum Qualifications: - Associates degree in Finance, Health Administration, Public Health, Business Administration or a related discipline.- Certification in CCS, CCS-P, RHIA, RHIT, CPC, or specialty coding- Five years experience in hospital charge capture process review, medical record review, claims auditing experience with hospital background and working with regulatory and policy compliance issues related to federal and state programs.- Three years experience in hospital working with electronic Patient Financial Management and Medical Records information systems and manual processes outside of these electronic systems.- Two to three years of experience providing charge capture related consulting service in an external healthcare consulting firm or as an external contractor.- Two years of experience in reviewing medical records for medical necessity, charging and coding Preferred Qualifications: - A strong understanding of HIPAA laws and requirements as they relate to review and reporting of documentation.- Experience in working with AMPFM- Knowledge of managed care and third party payer benefits designs and reimbursement requirements.- Nursing certification- Proficient in Microsoft Office applications including Outlook, Word and Excel.- Strong analytical skills with attention to detail and high degree of accuracy in order to produce reports, analyses and other detail as requested

TITLE (REQ ID): PATIENT ACCESS REPRESENTATIVE (72186) DEPARTMENT: PATIENT REGISTRATION EMPLOYMENT TYPE: PART TIME SHIFT: (VARIED) HOURS PER PAY PERIOD: 40 SHIFT HOURS: 8HOUR FACILITY: BAKERSFIELD MEMORIAL HOSPITAL LOCATION: BAKERSFIELD, CA FACILITY INFORMATION 2006 marked the 50th Anniversary of Bakersfield Memorial Hospital and our service to the Kern County community. As a 307-bed tertiary care facility, Memorial is the largest hospital in Kern County. Our areas of excellence include Cardiology, Center for Wound Care and Hyperbarics, Neurosciences, Orthopedics, Surgical Services, and Women´s and Children´s Services. Its full spectrum of care includes a 24-hour emergency services department featuring a specially trained Sexual Assault Response Team and a Heart and Stroke Center. If you like the satisfaction of caring for others, the challenge of keeping up with the latest medical techniques and technologies and the security of a staff and administration who value and reward a job well done - Bakersfield Memorial is a wonderful place to work. POSITION REQUIREMENTS One to two years’ inpatient registration or billing. Medical insurance verification experience. HS Grad or equivalent, Type 40 WPM. Weekend work, Friday, Saturday, Sunday. MUST be flexible. General computer knowledge and 10 key. SEIU Union position. Keywords: PATIENT ACCESS REPRESENTATIVE, PATIENT REGISTRATION, Medical, Insurance, inpatient, Bakersfield, CA, California

Neurosurgery Billing Specialist

Busy Neurosurgical practice located in Fort Worth, Texas is looking for a detail oriented billing specialist. Duties include billing, collections, accounts receivable management and follow up and patient statements. Great physician group offering a competitive salary and a complete benefits package.

Medical biller with excellent organizational, business analysis, and computer skills needed for outpatient physical therapy practice local to GWU. Job SummaryResponsibilities include: charges and payment posting and reconciliation; following-up on denials from insurance carriers; collections process for patients and insurers; maintaining thorough and updated knowledge of ICD-9 and CPT coding; managing billing and clearing house software updates; integrating technological advances into billing and receivables practices; providing customer service to patients; and identifying ways to improve the efficiency and effectiveness of billing operations.Requirements- Degree or certificate in medical billing/ coding (equivalent experience may be experienced) - Demonstrated knowledge of medical billing and clearing house software and processes- Experience in all areas of billing for commercial, Medicare, Workers Compensation and Third Party Liability carriers - Excellent computer skills and IT knowledge- Strong analytical and problem solving skills- Proven track record in reducing and managing A/R - Excellent customer service skills - Ability to write professional correspondenceThere is tremendous opportunity to grow within the organization. We offer an excellent salary, benefits and quality of life package. Information on Sports and Spinal Physical Therapy may be found at www.sportsandspinalpt.com

UT Southwestern Medical Center has an excellent opportunity for a Billing Operations Healthcare Coordinator!

As the Billing Operations Healthcare Coordinator at UT Southwestern, you will provide technical assistance regarding revenue cycle improvements, including being responsible for reviewing, detecting and appropriately reporting payment applications issues to management. Specifically, you will assist management in developing, organizing and analyzing payment applications operating results, procedures, goals and objectives. You will write policies and procedures, report quality control testing results and trends, interpret and properly account for denials from carriers, conduct staff training and work with management and/or IS department to resolve system issues related to payment applications. In addition, you will assist with system implementations/enhancements through testing and evaluation, as well as assess special transaction treatments, including payment corrections. Requirements:Requires a Bachelor's degree in Business or Health Care Administration, Accounting or related field, as well as 4 years experience in the billing, collection or adjustment of patient accounts or equivalent. Six to eight years of equivalent experience is acceptable in lieu of a degree. Self-sufficiency, strong communication skills, and experience working in a healthcare setting with Microsoft Office (Word, Excel and Access) are also required.As one of the leading academic medical centers in the world, UT Southwestern leads the way with medical breakthroughs. Here the best and brightest students are trained to become the physicians and scientists of the future by a faculty that is second to none. If you want to work with the best the world of medicine has to offer--in a caring, supportive environment that feels like home--look no further than UT Southwestern.The University of Texas Southwestern Medical Center is an Equal Opportunity Employer.Join us at UT Southwestern Medical Center in Dallas, Texas. We offer a supportive, culturally diverse environment, competitive salaries and state of Texas benefits that begin the first day of employment.

SALARY: Level I: $2430 - $2967 Approximate Monthly Equivalent; Paid Biweekly.Level II: $2685 - $3278 Approximate Monthly Equivalent; Paid Biweekly.QUALIFICATIONS: High School diploma or GED and one (1) year of experience in fiscal support, bookkeeping, accounting support, medical billing, or related fiscal experience in a hospital setting OR one (1) year of bookkeeping or medical billing training in an approved vocational program or completion of 30 semester or 45 quarter units with coursework in accounting/bookkeeping at an accredited college or university OR an equivalent combination of education, training, and experience sufficient to successfully perform the essential duties of the job.Applicants must submit a copy of their typing or keyboard certificate, issued within the last two years, verifying a speed of 40 net words per minute AND a 10-key certificate, issued within the last two years, verifying a key stroke speed of 120 net words per minute with their completed application by the application filing deadline. Certificates must conform to testing standards adopted by the Civil Service Commission. Inquire at the Personnel Department reception counter about where to obtain certificates.Bilingual (English/Spanish) candidates are encouraged to apply. Applicants who wish to be considered for bilingual employment must submit a Bilingual Certificate issued by the Kern County Personnel Department or its authorized agent by the filing deadline. Employees who occupy positions designated as bilingual are paid dependent upon their required level of proficiency. INQUIRE AT THE PERSONNEL DEPARTMENT RECEPTION COUNTER ABOUT WHERE TO OBTAIN CERTIFICATE(S).FOLLOWING AN OFFER OF EMPLOYMENT, YOU MAY BE REQUIRED TO SUBMIT TO POST OFFER MEDICAL AND DRUG SCREENING TESTS AT COUNTY EXPENSE.ADMITTANCE TO EACH PHASE OF THE EXAMINATION WILL REQUIRE A GOVERNMENT ISSUED PHOTOGRAPH IDENTIFICATION. APPLICANTS WHO ARE UNABLE TO PRESENT PROPER IDENTIFICATION MUST MAKE ARRANGEMENTS WITH THE PERSONNEL DEPARTMENT PRIOR TO THE TEST DATE.This examination will establish an eligible list from which 2 immediate appointments will be made at Kern Medical Center. Other permanent and temporary appointments will be made as needed. Successful candidates will remain on the eligible list for a period of twelve-months, unless specified otherwise by the Civil Service Commission.ESSENTIAL FUNCTIONS: Verifies and processes a variety of financial documents in support of revenue cycle activities. Analyzes and reconciles account activity to determine necessary action or corrections; obtains necessary information to resolve identified issues. Enters a variety of fiscally related information into databases; maintains fiscal records and files; documents all follow-up pertaining to account resolution within the hospital information systems patient financial record. Responds to requests for information and inquiries related to revenue cycle programs, processes, policies, and/or other related information; researches customer discrepancies; resolves customer problems. Collects payments; receives, processes, and posts electronic and manual payments; collects outstanding balances from all payers; reviews and monitors payment arrangements for self pay accounts and offers payment options as appropriate. Researches, reviews, and adheres to all federal, state, and local regulatory billing and collection guidelines, as well as payer specific guidelines. Checks status of claims; identifies and evaluates follow-up problems and issues; obtains and assembles documentation required for accurate follow-up. Investigates claim data to identify and correct payment errors; reviews remittance codes from EOBs and RAs to ensure appropriate payment and identify denials or nonpayment; directs credit balances and refunds to appropriate department for resolution. Performs mathematical calculations to adjudicate accounts. Compiles and maintains financial and statistical data records; prepares and distributes related reports. Performs general clerical duties, which may include opening, sorting, and distributing mail; preparing mailings; maintaining office supplies; filing; and performing other related activities.Other Functions: Handles patient correspondence; resolves issues of returned/undeliverable mail. Assists customers with questions and directions; answers and directs telephone calls. Prepares documents for electronic scanning; performs scanning as assigned. Files a variety of materials; retrieves files and provides information from files as directed; maintains logs. Performs other related duties as assigned.Incumbents must have the ability to perform the Essential Functions of the job.WRITTEN EXAM (Weight 100%): (Qualifying Only): May include knowledge of hospital and professional billing practices and procedures; state and federal government funding programs such as Medicare, Medi-Cal, California Children´s Services, CI/MIA, TRICARE/CHAMPUS, and Workers Compensation; commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical, insurance, and coding terminology; HIPAA privacy and compliance practicesKern Medical Center appointments include both full-time and part-time employment with benefits. APPLICANTS ARE ENCOURAGED TO CHECK BOTH REGULAR FULL-TIME AND REGULAR PART-TIME ON THEIR APPLICATION TO INCREASE THEIR EMPLOYMENT OPPORTUNITIES.For further information about this position and Kern Medical Center visit their web site at kernmedicalcenter.com or call 661-326-2640. APPLICATIONS MUST BE SUBMITTED TO THE KERN COUNTY PERSONNEL DEPARTMENT, 1115 TRUXTUN AVE. BAKERSFIELD, CA 93301.

Director of Billing Systems Integration opening in Washington, D.C.!

Emergency Medicine Associates, a dynamic practice management company with contracts in Maryland, Virginia and Washington, D.C., is seeking a person to run a large medical billing practice. The Director of Billing Systems Integration (DBSI) is responsible for the overall efficiency and effectiveness of the billing processes including coding, customer service, electronic data acquisition, data entry, commercial/managed care billing, chart reconciliation activities, hospital interfaces, support services and remote office personnel. The DBIS is also responsible for the success of the revenue cycle, oversight of the retrieval of all patient encounter records, timely and accurate coding, timely charge entry and A/R management, oversight and knowledge of the electronic claims submission/remittance activities including clean/failed claims percentages, number and percentage of re-bills and coordination with collection agency services. The DBIS must also interact effectively with external vendors, manage automated reporting processes and prepare executive management reports. Requirements:The qualified candidate must have a very strong IT background with continuous focus on automating processes and have advanced knowledge of Microsoft Word and Excel. The candidate must have at least 5 years of medical billing management experience, a Bachelors Degree, excellent analytical skills, knowledge of the statutes related to HIPPA, and be able to handle difficult situations with insight and professionalism. Excellent leadership, coaching and communications skills and the ability to efficiently direct workflow are also required.

Research Billing Compliance CoordinatorA full-time opportunity is available for a Research Billing Compliance Coordinator at Lifespan Corporate Services, based in Providence, Rhode Island. Lifespan is a $1 billion not-for-profit health system that includes three teaching hospitals of Brown Medical School: Rhode Island Hospital and its Hasbro Children’s Hospital; The Miriam Hospital; and Bradley Hospital, the nation’s oldest psychiatric hospital for children. Lifespan also includes Newport Hospital, a community-based hospital in Newport, RI. Under general direction of Director Research Administration, incumbent develops and implements policies and procedures to ensure compliant billing of patient care costs to clinical trials and other third party payers. Assesses need for, develops and coordinates training programs related to clinical trials billing practices and regulations. Collaborates with others within and outside research to oversee appropriate billing and collection activities occur for clinical trial contracts. Ensures adherence to hospital policies, sponsor requirements and federal regulations. Requirements:• RI licensed RN or equivalent.• BA in nursing, business administration or related field preferred.• 5 years of related experience, of which 3 years is related to clinical trial and billing within an academic medical center or university. • A thorough knowledge of regulatory, financial and administrative requirements, as well as knowledge of standards of care provided for variety of health issues.