Your search returned 30 jobs

Find your niche at South Carolina´s largest healthcare employer. Whether your career needs are schedule flexibility, benefits, training, or professional advancement, Palmetto Health is standing by to help find the job that´s perfect for you.

Palmetto Health received national recognition this year when it was named one of the top 100 places to work in health care for the second year in a row. Additionally, the American College of Surgeons National Accreditation Program for Breast Centers (NAPBC) awarded Palmetto Health Breast Center full accreditation. It is the only facility in South Carolina and one of 70 in the entire country to receive this status.The Physician Billing Manager directs and coordinates, through subordinate supervisors, billing department activities for Easley Hospital physician practices. Reviews and analyzes reports, records and confers with supervisors to obtain data required for planning department activities, such as departmental goals, status of work in progress, and problems encountered.This is a Full-time position in the Central Billing OfficeKey Responsibilities:PEOPLEManage department human resources by: determining qualifications, competence and performance expectations; implementing and monitoring staffing plans; providing orientation, in-service training and continuing education of all persons in the department and applying policies/procedures pertaining to human resources management.SERVICEProvide effective leadership by coordinating and integrating services within their department, with other departments and with the hospitals primary functions.Manage information by providing information systems and data management for department operations and performance improvement.QUALITYManage the environment (of care) by developing, implementing and monitoring processes to reduce and control environmental hazards and risks; preventing accidents and injuries and maintaining safe conditions for patients, staff and visitors.Continuously assess and improve the departments performance by designing operational processes, monitoring performance through data, analyzing the data, implementing sustainable performance improvement, and participating in multi-disciplinary inter-departmental PI activities.GROWTHImplement policies and procedures that guide and support the provision of the services.FINANCEManage departmental budget including processes to monitor operational and capital costs.REQUIREMENTS:Education: High school diploma required. BS in Business or Healthcare Administration preferredExperience: Minimum of five years related experienceSpecial Training: Thorough knowledge of day-to-day operations of a physician´s office billing including medical terminology, ICD-9 and CPT coding plus a proficiency with personal computer and practice management software required.At Palmetto Health we believe everyone should love the job they´re in. That´s why our first job is listening, to find out what our employees want and need, for both now and in the future. We value their time and talents. And as South Carolinas largest healthcare organization, were able to show our appreciation in big ways, through flexible scheduling, generous benefits, and unlimited opportunities for their personal and professional growth.We have three hospitals in two locations. Palmetto Health Baptist and Palmetto Health Richland are located in the capital city of Columbia, one of CNN Money Magazines Most Affordable U.S. Markets. If you´re considering relocating, Famously Hot Columbia, SC is ready to welcome you with our southern hospitality. Columbia´s cool factor is undeniable. This sultry southern city heats up year-round as a home base for historic exploration, the arts and family fun. Our historic state capital simmers with cool river-edged scenery, open-air restaurants, live music and sports. Columbia´s affordable cost of living and attractions like our world-class zoo, the Southeast´s largest children´s museum and museums of art and history make it an ideal place to call home. Find out why Columbia is the new southern hotspot at www.columbiacvb.com Our third hospital is located in the upstate town of Easley, where you´ll be just a short drive from the breathtaking Blue Ride Mountains and smooth Carolina beaches. This beautiful southern city is rich in Native American history and boasts some of the state´s most beautiful natural treasures, including the cascading wonder of Twin Falls, breathtaking vistas of Table Rock and the boaters delight, Lake Keowee.Palmetto Health offers competitive salaries, excellent benefits and a rewarding work environment. EOESearch all of our open positions at www.palmettohealth.org

Responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims. Ability to process claims for at least one payer type (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) Assure all assigned claims meet clearinghouse and/or payer processing criteria. Assures appropriate follow-up on assigned work lists. Payer response reports and rejection reports are worked timely and meet Departmental Productivity and Quality Review standards. Assures appropriate and timely documentation of all account activity. Correspondences are handled appropriately. All required reports are filed timely and accurately.Requirements: A minimum of 2 years experience in billing, collections, cash posting, and/or administrative support in physician billing office. Working knowledge of Patient Accounting system(s). Keyboard skills. Knowledge of Microsoft Office products (Word, Excel, PowerPoint, Access) or equivalent software.

Jacksonville Children’s and Multispecialty Clinic, PA, is seeking a Centralized Business Office Director. We offer a generous benefits package and competitive compensation.

The CBO Director will be responsible for all daily operations of the central business office and all revenue cycle management. Accountabilities:Revenue cycle management including billing, coding, collections, bad debt, denial management, and payor performance management for multiple locations and tax ID numbers.Tracking, reporting and improvement of key metrics of physician billing.Personnel management of all business office personnelSetup and management of billing operations in NextGens EPMAbility to identify opportunities for, and implement process improvementsAble to work closely with other Directors to efficiently manage all areas of the revenue cycle.Other duties as assignedRequirements:Bachelors degree in Health Management, Finance, Accounting or Business5 plus years experience in billing operations, including 3 plus years in a management roleHands-on approachAbility to take a leadership role and motivate employeesIn-depth knowledge of TriCare, Medicaid, Medicare and commercial insurancesUnderstanding of codingProven record of A/R managementStrong problem solving abilityAbility to grow the business as the practice continues to expandKnowledge of and experience using NextGens EPM is a plus.Please forward resume and salary requirements. Applications without salary requirements will not be considered

Westside Internal Medicine is an internal medicine practice located in the West Hills of Portland Oregon. We are seeking an experienced coder with experience in internal med. or family practice. Our practice has 10 physicians and we utilize Centricity Practice Management. Must have experience. Centricity experience is a definite plus. Competitive compensation and benefit package.

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.

This position is responsible for maximizing cash collections in accordance with Government and payer contracts in a timely and cost effective manner, as well as being charged with managing the group´s central revenue cycle functions and activities. This includes charge and payment posting; coding; A/R management; reporting; contracting and data analysis. Will work closely with physicians and other members of the leadership team.Responsibilities include the following key areas:- Development, implementation, and enforcement of policies and procedures- Management of billing staff, including the division of duties and defining productivity expectations- Coordinate efforts with third-party payers to insure accurate reimbursement and efficient and timely collections- Assessment and implementation of technology to improve collections efficiency and maximize staff productivity- Development and reporting of productivity indicators of key revenue cycle functions- Supporting physicians as needed to analyze and improve individual A/R statisticsThe successful candidate will exhibit strong leadership and communication qualities, as well as extensive knowledge of revenue cycle operation. Additionally, this position requires the ability to analyze A/R data, extract it into meaningful presentation formats, and communicate the results. Must be skillful in developing and enacting action plans for continuous process improvement throughout the organization.Minimum requirements:Five years of management experience involving professional fee billing within a physician group practice setting. A Bachelors degree in Business Administration and CPC certification is strongly preferred.

The practice is growing rapidly and is led by two, very patient-centered physicians. You will work with a very friendly team of professionals who are intent on constantly improving the practice and growing their skills.

Our allergy/asthma practice located in Torrance, CA requires a Medical Biller/Collector/Analyst with excellent organizational and computer skills.Please DO NOT apply for this position unless you meet the following minimum qualifications: Candidate Requirements:• High School Diploma or equivalent. • Two to four years experience as a medical biller for private practice physicians (allergy/asthma practice a plus)• Two to four year college degree with Medical Admin Degree preferred and Certificate of Billing preferred. • PROVEN Knowledge of medical billing/collection practices as well as advanced medical coding and third-party operating procedures and practices.• Knowledge of HMO, PPO and Medicare as well as ability to read and explain EOBs.• Demonstrated knowledge of medical billing and clearing house software .• Experience in all areas of billing for commercial, primarily Third Party insurance carriers and patient responsibility.• Excellent computer skills (experience with Meditab/IMS software or other EMR systems) Proven track record in reducing and managing A/R.• Ability to multi-task and willing to jump in and assist with all operational aspects of running a medical practice.• Working knowledge of Microsoft Word, Outlook, Excel, and Web-enabled applications. • Excellent customer service skills.• Ability to write professional correspondence to patients, physicians and insurance companies.• Ability to establish and maintain effective working relationships with patients, employees and the referral sources. • Candidate should live within 10 to 15 miles from Torrance area.Position description: • Manage the entire billing and collections process including end to end collections from patients and insurers with successful outcomes. This will encompass preparation of financial reports and ongoing analysis of trends, forecasting and providing recommendations. The candidate must take PROACTIVE action to identify opportunities for accelerated claims, collection, more efficient processing, improved billing systems and greater patient satisfaction.Specific Duties and Responsibilities: • Quickly become an expert in the practices EMR systems with regard to billing.• Ensure rapid data entry. Quick and accurate Alpha/Numeric data entry skills. Typing minimum: 50 wpm with 10-key by touch.• Post charges and payment including superbills and complete claims reconciliation.• Ensure claims are submitted in a timely manner. • Follow-up on denials/rejections/errors from insurance carriers.• Provide on-going analysis and investigation to recommend actions to avoid recurrence of any future claims rejections, denials or errors.• Perform electronic billing for commercial insurance claims in a timely and accurate fashion.• Maintain thorough and updated knowledge of ICD-9 and HCPCS/CPT coding.• Manage billing and clearing house updates.• Integrate technological advances into billing and receivable practices.• Verify insurance coverage for various insurance companies.• Provide patient statements (electronic and paper) and follow-up with patient communication.• Perform various collection actions including correcting and resubmitting claims to third party payers.• Review all claims for compliance and completeness for claim submissions. • Answer questions from patients, clerical staff and insurance companies in connection with billing. Maintain good filing system for providing copies of medical records when needed.• Conduct quality assurance audits and qualitative/quantitative review of medical records and audit reports to verify completeness and accuracy.• Maintain strictest confidentiality and adhere to all HIPAA guidelines/regulations.Hours: Monday through Friday 8:30 to 5:30 (-one hour lunch.)Job Benefits:There is tremendous potential to grow within the organization. We offer an excellent salary plus a significant bonus, benefits and quality of life package. We require candidates provide authorization for a complete background check, at least THREE professional references and administer medical billing, data-entry writing tests and psych profile.

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

Anchorage Neighborhood Health Center, IncAnchorage, AK

SUMMARY OF POSITION: Responsible for directing and coordinating the overall functions of the Patient Financial Services Department including patient billing, collections, analytical review, regulatory compliance, insurance contract analysis, practice building, information systems efficiency/effectiveness analysis. Works closely with the Finance Director on a daily basis. QUALIFICATIONS: Baccalaureate degree in accounting, business administration, healthcare administration or related field preferred. Familiarity with insurance billing including Commercial carriers, Medicare and Medicaid, Prior billing and accounting experience necessary with progressive responsibility for medical office management. Problem solving and critical thinking and strong analytical skills required. Knowledge of OMB A133, A122, GAAP, non-profit and healthcare industry accounting necessary. Knowledge of coding and billing with a credential preferred. A minimum of 5 years experience in Accounting with supervisory experience required. 5 - 7 years of progressive responsibility in medical billing operations.

Certified Biller with Front Desk ExperienceSmall Family Practice in Moorestown NJ30 hours plus-Must be able to multitask in a fast paced environment.-Certification is required and must be familiar with ICD-9 and CPT coding for family practice.-Experience is preferred for both billing and front desk.-Computer skills needed.

Busy Neurosurgical group desires a highly motivated Billing Office Manager. Ideal candidate MUST HAVE 3-5 years prior experience managing a surgical billing office, Neurosurgical billing a plus!

RESPONSIBLE TO: Practice AdministratorJOB SUMMARY-Work closely with Practice Administrator on all aspects of the Revenue Cycle-Direct and coordinate overall functions of the billing office-Supervision of billing office staff-Plan and direct registration, patient insurance, billing and collections, and data processing to ensure accurate patient billing and efficient account collection;-Develop and utilize comprehensive understanding of physicians practices-Management information systems-Plan implement, monitor and adjust billing and collection schedules for maximum effectiveness;-Identify, and implement best practice opportunities to improve patient service, work flows, and delivery systems, -Develop and implement necessary office policyEDUATIONAL REQUIREMENTS-College Degree strongly preferredQUALIFICATIONS AND EXPERIENCE-Highly experienced in Surgical Billing-Three to five years experience in physician billing office management with demonstrated progressive supervisory/management experience;-Proficient in all aspects of the Revenue Cycle-Comprehensive billing experience;-Outstanding, demonstrated managerial and interpersonal skills;-Ability to critically analyze work flows, identify opportunities for improvement, and implement necessary changes. -Excellent verbal and written communication skills-Outstanding team building skills-Strong computer skills (Microsoft Office and Practice Management/Misys system)

We are currently seeking a Manager of Billing Services for our employed physicians group. The Manager will be responsible for overseeing all billing and collection functions the medical group. They must have demonstrated medical ground experience including: leadership and HR management, customer service, metrics, cash control, fee schedule development and analysis, billing reports, coding and compliance. You must have a Bachelors degree and at least five years managing physician billing and collections services in a hospital, health system or billing firm. An Arizona driver license and auto insurance are also required.

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.

This position will be responsible for the daily administration of tasks, scheduling and problem solving related to the collections department. Position is responsible for approving timekeeping, meeting applicable regulatory standards, approving supply orders and department strategic planning. Must be able to interpret contract reimbursement and be able to maneuver and manipulate Excel spreadsheets. Must be familiar with UB04. Must have a minimum of 3 years of collections experience in a hospital setting. Must have 1+ years supervisory experience with 5+ direct reports. Knowledge of ICD9/ CPT/ HCPCS coding is mandatory.

MinuteClinic is the largest retail health care organization in the world. Since the opening of our first clinics in 2000, MinuteClinic has grown to represent over 500 clinics in 25 states.

This position will be based at the CVS corporate headquarters in Woonsocket RI. The Director of Minute Clinic Revenue Cycle Operations is responsible for planning, organizing, staffing, directing, monitoring and continually improving all aspects of billing, collections, and revenue cycle analysis for the Minute Clinics. The Director will assist with setting up the new Rhode Island based billing operations, hire the new staff, and manage the day-to-day operations of the Minute Clinic revenue cycle.Position requirements include a Masters degree with a minimum of ten years experience in a large health care organization in relevant management level positions, or Bachelors degree with equivalent experience. Minimum of 5 years experience specifically directing centralized billing and accounts receivable activities for large medical groups, with a successful track record in process improvement, implementing new technology, improving collections, and meeting accounts receivable goals in adherence with industry benchmarks. Experience with outsourced billing and collections functions a plus.If you´re passionate about your work, MinuteClinic can help you take your career to exciting new places.CVS Caremark is an Equal Opportunity Employer

PBO Ops Support Director Banner Health, one of the nations largest healthcare providers, has an opportunity for an experienced PBO Ops Support Director. This position will be located in Greeley, Colorado. The PBO Ops Support Director provides supervisory, technical and administrative direction to the Physician Billing Office (PBO) billing managers and technical support to the clinic managers to ensure the accuracy, integrity and quality of the Physician Billing Office Patient Accounts Receivable. In addition, this position holds responsibility for evaluating all physician billing office compliance with contractual requirements, regulatory requirements and company policies and procedures; as well as for providing transition support to new clients of the Physician Billing Office (PBO). The Support Director will provide analysis and recommendations to PBO leaders and clinic leaders on the management of receivables, account processing practices, software systems and compliance practices. This position is also responsible for all physician billing audit activities, supervises all internal and external audit activities, and coordinates the budget process for the PBO and maintains the financial accounts.Requirements:Bachelors degree in business, finance or related field, or equivalent knowledge; Masters degree is preferred Minimum of two years experience with accounts receivable in a patient accounting system, and three or more years of demonstrated managerial and organizational development experienceBroad understanding of medical accounts receivable management and the accounting processes of physician revenue managementGood analytical and interpretive skills are required to evaluate financial and operational performanceHigh level of knowledge and skills in the use of databases, spreadsheets and analytical tools, and the ability to effectively integrate and interface a variety of billing practices and softwareBanner Health offers tuition reimbursement, growth opportunities and many other benefits. Our hospitals are outstanding, updated, high-quality facilities with the latest technological advances. If youre looking for a career with great benefits that makes your future a priority, look to Banner Health. Banner Health is a 2009 recipient of the prestigious Gallup Great Workplace Award, making it one of only 23 major organizations in the world to be recognized for their extraordinary ability to create an engaged workplace culture.EOE/AA

Pacific Region CBO

1-3 years hospital billing/Follow up experience is required. Well versed in collecting and billing of governmental programs. Imperative that candidate has full knowledge of governmental collection regulations and guidelines. Must have strong working knowledge in Medi-Cal. Knowledge in Washington and Oklahoma Medicaid a plus. Requirements 1-3 years hospital billing/Follow up experience is required. Well versed in collecting and billing of governmental programs. Imperative that candidate has full knowledge of governmental collection regulations and guidelines. Must have strong working knowledge in Medi-Cal. Knowledge in Washington and Oklahoma Medicaid a plus.

GENERAL SUMMARY: Under the general supervision of the Business Office Manager, performs billing/follow-up functions, acts as a team problem solver/trainer, and performs analysis of patient accounts.PRINCIPAL DUTIES AND RESPONSIBILITIES:1. As a team leader, is responsible for coordinating instruction to staff on billing/follow-up procedures; assists in regulation implementation and problem solving, assures quality control is performed daily. Supervises in absence of Supervisor.2. Performs specific billing/follow-up functions such as corrections to third party billing edit holds, analysis of third party errors, CPT coding, secondary billing/rebilling follow up.3. Performs patient account analysis by running accounts receivable reports by aging by insurance. Provides accounts receivable reports for day-in receivables and patient account analysis. Follows up on third party insurances and answers questions for patients, physicians, insurance companies, and staff.4. Works in a total quality management environment on development of new policies/procedures, compliance issues, reducing rework, and streamlining billing follow-up procedures. 5. Performs other duties which may include credit balance procedures such as invoices, retractions for third party insurances, patient and insurance refunds. Performs duties of Patient Administration Services. OTHER JOB KNOWLEDGE, EXPERIENCE AND REQUIREMENTS:1. Level of knowledge equivalent to that ordinarily acquired through completion of a High School Diploma. 2. Minimum of 3 to 5 years of Medicaid and Medicare billing experience in a hospital environment. Previous supervisory experience is also required.

St. Luke´s, Idaho´s large award-winning hospital system!

St. Luke´s Boise location is seeking a System Contracting Coordinator who will work closely with the Manager of System Contracting, participating in all Third Party Payer negotiations and will be the key responsible individual on select payer contracts. The Contracting Coordinator will assist in contracting by providing intellectual talent on payer and reimbursement strategies as they relate to the health care sector. This position will interact with and provide reimbursement guidance to each facilitys executive leadership team. Minimum Requirements1) Bachelors degree is required. A Masters degree in Business Administration, Healthcare Administration or related field is desirable. 2) Minimum of five years experience in contracting and managed health care. 3) Demonstrate a strong understanding of reimbursement methodologies with potential impacts and benefits they offer to facilities and physicians.4) Possess solid knowledge of billing and payment systems, statistical and financial analysis, budget preparation, cost analysis, reimbursement and productivity measurement. 5) Strong knowledge of Federal, State and local regulations governing St. Luke´s Health System activities as well as Federal and Idaho regulations regarding payment for health care.6) Human resource management skills, specifically those related to managing staff across organization boundaries and function areas within the organization.From the blue skies of Boise to the world-famous mountains of Sun Valley, St. Luke´s provides leading-edge hospital facilities in a vibrant, quickly growing region. Our award-winning health system has locations in Boise, Meridian (Magnet Accredited hospitals), Wood River (Sun Valley), and Twin Falls. We are the largest employer in Idaho, and provide our system staff of 7,400 employees and medical staff of 970 physicians with numerous opportunities to grow professionally and in clinical practice. If youre looking for a quality career and quality of life, choose St. Lukes and Idaho. EOE/ AA

Is responsible for the daily receipt of cash; posting receipts to both hospital and physicians patient accounts; reconciling cash posted to remittances, deposits and GL receipts; and resolving non-post able receipts.Job Description*Manage Data Entry, Cash Posting, and Cash Intake Unit Staff:*Manage Implementation & Development of Data Entry & Cash Posting Systems:*Day to Day OperationsManage the receipt and prompt accurate posting of all paper charge ticketsManage the receipt and working of selected charge conversion error reports from ITManage the Charge Conversion Error reporting functionsManage the receipt and prompt accurate posting of all cash receipts-Escrow receipts to forward to client-Electronic Remittances-Payments received and forwarded by the client on paper-Payments received and forwarded by the client electronicallyManage Weekly / Monthly Balancing of charges and cashApproving and processing of programmatic allowancesManage zero pay correspondence posting in the cash posting area.Preferred Qualifications: Bachelors Degree in Business, Accounting, Finance or related field, or an equivalent combination of education, training, and related experience. Three years of direct management/leadership experience overseeing both supervisory and staff level positions. Cash posting and health care accounts receivable experience required.

HOSPITAL BUSINESS OFFICE SPECIALIST I/II needed!

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.

Seeking a manager of a busy business office, supervising the billing and compliance function of a 10 physician orthopaedic group. Knowledge of all areas of reimbursement and regulatory requirements necessary. Certified coder preferred. Orthopaedic experience preferred.

Billing and collection opportunity!

Premier Surgical Services, PC is looking for a biller and Collector that has experience. This is the company that provides first assist only. Position available immediately. Great compensation. Per Diem/ Part time/ Full Time.

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.

Cedars-Sinai Health System, an integrated healthcare delivery system, has the following opening within the Physician Billing Department, located in the Torrance area.

Cedars-Sinai Health System, an integrated healthcare delivery system, has the following opening within the Physician Billing Department, located in the Torrance area. If you are seeking an exciting career opportunity with a world-class organization, take another look at Cedars-Sinai. You will perform professional fee billing and collections activities for Orthopedic specialties. Requires 3 years physician billing experience, CPT & ICD-9 coding, Medicare/MediCal/private insurance experience, excellent customer service skills, as well as excellent verbal & written communication skills.

Adena Health System is seeking a Manager, Reimbursement, for their multi-hospital system in Chillicothe, Ohio. With gross revenue in excess of $510M and growing, this 2 hospital system also has a premier 150 physician employed group. Located just 45 miles south of Columbus, Adena Health System is looking for a finance executive with deep reimbursement experience. Must have excellent analytical and critical problem solving skills with a bias towards action. The Reimbursement Manager will be responsible for the completion of all Medicare/Medicaid cost reports to obtain appropriate reimbursement in full compliance to federal and state regulations and companys policies and procedure and monitor the hospitals compliance to Adenas reimbursement policies. The Manager also monitors the hospitals accounting for Governmental contractuals and adherence to Adenas reimbursement policies. Prepare accounting entries to record the cost report, including final settlements. Revise data elements used to compute contractual adjustments based on the latest annual cost report and periodic interim cost reports. Review proposed adjustments to cost reports and make recommendations for adjustments and appeals. Serves as a resource on reimbursement matters to all hospital personnel. Communicates issues to the System Director, Decision Support.The successful candidate will have a Bachelors degree in Accounting/Finance with a minimum of 4 years of healthcare reimbursement experience. Must possess excellent written and oral communication skills, be self-motivated and able to meet deadlines.

Join our unique, personalized approach to healthcare at University Hospitals.

Our world-renowned health care network is anchored by our flagship facility, University Hospitals Case Medical Center. Located in Clevelands historic University Circle, this 947-bed academic medical center and tertiary-care hospital is ranked by U.S. News and World Report as one of Americas best hospitals in 13 medical and surgical specialties. It comprises three centers of excellence: Ireland Cancer Center, MacDonald Womens Hospital, and Rainbow Babies and Childrens Hospital; and The Center for Clinical Research, the largest medical research center in Ohio. Detailed Position Description Insures hospital case-mix index and severity profiles are accurate by performing Documentation Improvement program activities. Works collaboratively with Medical, Nursing, ancillary staff and Case Managers to improve the quality of chart documentation and to accurately reflect a patients severity of illness and risk of mortality. Meets operational standards Insures appropriate DRG, SOE and ROM (APR-DRG) assignment. Performs other duties as assigned Initiates and maintains positive relationships with patients/customers. Initiates and maintains positive relationships with co-workers. Takes responsibility for self-development and supports a learning environment. Displays commitment to the mission of the hospital and its values. Position Requirements 3-5 years ICD-9-CM coding experience, preferably in a large, academic medical center. Thorough, up-to-date clinical skills, current working knowledge of pathology, pharmacology, surgical procedures, etc. Experience in working directly with physicians. Utilization Review/Management experience strongly preferred. Assertive personality and team player, dependable, aptitude for accuracy, detail and organization skills, PC and encoder experience. Position will need to work independently and have strong time-management skills. Education Requirements Bachelors degree or Associates in health related field with commensurate experience. License/Certification Requirements Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) or Registered Nurse (RN) or Licensed Practical Nurse (LPN) Additional Details Employment Status Regular Full Time Regular Full Time Shift Days Days

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.