Your search returned 30 jobs

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.