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A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. The Advanced Practice Provider Fellow participates in a structured six-month fellowship designed to develop safe, high-quality clinical practice in psychiatry, behavioral health crisis care, and substance use treatment.

Brightli

Advance Practice Provider Psychiatry Fellowship

FULL_TIME

OTHER

Processes Provider contracts, run reports, and responds to inquiries regarding contract compliance issues; images and indexes contracts and return images to network subcontractors; conducts quality assurance activities to ensure image quality and completion of image activities. Technical Skills: Proficient with key databases, including Claims System, Medical Management System, Authorization/Referral Systems, and Provider Information Management System(s); working knowledge of claims reimbursement methodology and medical coding; healthcare or managed care experience.

TriWest Healthcare Alliance

Provider Data Resolution Spec

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Ability to collect and analyze cost data and prepare reports and documents utilizing a computer and various software data bases. Priorities will include review of Charge Description Master for completeness and to establish charges for patient related services, procedures and supplies.

University Health.

Revenue Integrity Analyst (Hybrid)

Education and Experience: Bachelor's degree in healthcare administration, Business Administration, or a closely related discipline preferredA minimum of 5 years of related work experience in a medical clinic, hospital, or hospitality setting requiredA minimum of 3 years' supervisory/managerial experience in a medical clinic, hospital setting, or similarly regulated environment requiredExperience with ECW is strongly preferredA passion for mentorship and team-development, particularly across multiple functional areasA problem-solving orientation and eagerness to identify process gaps and implement practical solutions in a matrixed organizationProficient PC skillsFluency in Spanish or other languages spoken by people in the communities we serve (where necessary)Previous multi-site healthcare operations leadership experience preferred. The Center Administrator, Market Float will be responsible for practice profitability, revenue goals and other metrics including clinical quality of care, member satisfaction, staff satisfaction, productivity, revenue enhancement, managed care performance, and staff leadership.

ArchWell Health

Center Administrator/Clinic Manager Market Float

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Education and Experience: Bachelor's degree in Healthcare Administration, Business Administration, or a closely related discipline preferredA minimum of 5 years of related work experience in a medical clinic, hospital, or hospitality setting requiredA minimum of 3 years supervisory/managerial experience in a medical clinic, hospital setting, or similarly regulated environment requiredExperience with ECW is strongly preferredA passion for mentorship and team-development, particularly across multiple functional areasA problem-solving orientation and eagerness to identify process gaps and implement practical solutions in a matrixed organizationProficient PC skillsFluency in Spanish or other languages spoken by people in the communities we serve (where necessary). In partnership with the Market Operations Director, gather appropriate team and member information to build a best-in-class customer service experience with demonstrated continuous improvement to member satisfaction scoresEnsure all systems are running efficiently, including scheduling and billing; continuously monitors administrative team to provide feedback and coaching in use of systemsCreate a positive and productive work environment to attract and retain staff, providers and membersOversight for all compliance, including physician documentation and coding audit program, member and staff safety regulations, and HIPAA guidelines for member/employee confidentiality.

Center Admin- Center Administrator

Position Summary: The Acute Care Unit Secretary supports safe, efficient unit operations through patient-flow coordination, accurate record management, communication, and administrative assistance. Preferred Qualifications: Current CNA certification or equivalent patient-care education, training, or experience that allows assistance with direct patient care within established scope and competencies.

Nevada Regional Medical Center

Unit Secretary

Other: Significant experience in coding and CDM knowledge at an acute care hospital, including awareness of the payor mix specific to Mercy entities and the specific coding requirements based on those payors. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 185 years. It began with an Irish woman named Catherine McAuley, who wanted to help the poor women and children of Dublin. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill her dreams. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to poor women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, the first religious order not bound to the rules of the cloister, whose Sisters were free to walk among the poor and visit them in their homes. By the time Catherine died in 1841, there were convents in Ireland and England, and in 1843, the Sisters of Mercy came to the United States. In 1871, they traveled to St. Louis and from there throughout the Midwest, beginning what would, today be known as Mercy. Mercy, named one of the top five large U.S. health systems in 2018, 2017 and 2016 by IBM Watson Health, serves millions annually. Mercy includes more than 40 acute care and specialty (heart, children’s, orthopedic and rehab) hospitals, 800 physician practices and outpatient facilities, 44,000 co-workers and 2,100 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas. In addition, Mercy's IT division, Mercy Technology Services, supply chain organization, ROi, and Mercy Virtual commercially serve providers and patients in more than 20 states coast to coast.

Mercy

Director-Clinical Chargemaster/Remote

The Center Administrator will be responsible for practice profitability, revenue goals and other metrics including clinical quality of care, member satisfaction, staff satisfaction, productivity, revenue enhancement, managed care performance, and staff leadership. Develop and maintain positive relationships with healthcare partners, community organizations, senior‑service agencies, and marketing collaborators to support membership growth and reputation.

ArchWell Health LLC

As a Hospice Nurse Practitioner, you’ll contribute to our success in the following ways: Complete routine and emergency face-to-face recertification visits for hospice patients, including admissions, transfers, and extended stays. Must possess a valid driver's license, maintain an acceptable driving record, OR have reliable transportation to travel between patient homes and assigned work locations.

Elara Caring

PRN Hospice Nurse Practitioner

As a Hospice Nurse Practitioner, you'll contribute to our success in the following ways: Complete routine and emergency face-to-face recertification visits for hospice patients, including admissions, transfers, and extended stays. Must possess a valid driver's license, maintain an acceptable driving record, OR have reliable transportation to travel between patient homes and assigned work locations.

Nurse Practitioner

Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. The Advanced Practice Provider Fellow participates in a structured six-month fellowship designed to develop safe, high-quality clinical practice in psychiatry, behavioral health crisis care, and substance use treatment.

Burrell Behavioral Health

The Specialty Account Coordinator is also responsible for knowing what assistance programs, such as drug copay cards, that patients may qualify for, assisting patients in enrolling in those programs, monitoring services rendered, and billing the assistance programs for the applicable funds. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Specialty Account Coordinator (Full Time)

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. TheSpecialty Account Coordinator Iis responsible for multiple facets of patient account coordinationincluding insurance/benefit verification, rejection and denials management and collections.

Specialty Pharmacy Account Coordinator

Specialty Pharm Account Coordinator

The Speech Therapist collaborates with interdisciplinary teams, including physicians, caregivers, and other healthcare professionals, to ensure comprehensive patient care. The Speech Therapist evaluates, diagnoses, and treats speech, language, cognitive-communication, social communication, and swallowing disorders in children and adults.

Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC). As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.

Community Health Systems Inc

Speech Language Pathologist - PRN

Collaborates with Managed Markets to educate customers surrounding Commercial Payers, state Medicaid Agencies, Managed Medicaid Organizations, Healthcare Maintenance Organizations, Pharmacy Benefit Organizations, Health Care Plans, GPOs, DOD and Veterans Integrated Service Networks and other strategic healthcare entities specific to assigned initiatives and product requirements. The Sleep Access and Reimbursement Manager (ARM) is responsible for executing the Xywav market access business plan pertaining to the assigned geography, working with provider offices and outpatient care centers to ensure both providers and their staff are educated on payer and reimbursement policies and procedures, as well as providing expertise on the REMS program and patient support services.

YEAR

Jazz Pharmaceuticals plc (NASDAQ: JAZZ) is an international biopharmaceutical company focused on improving patients’ lives by identifying, developing, and commercializing meaningful products that address unmet medical needs.
We have a diverse portfolio of products and product candidates, with a focus in the areas of sleep and hematology/oncology. We also support commercial products in other therapeutic areas where we can meaningfully address serious medical needs.
As part of our unwavering commitment to improve patients’ lives, we are continuing to expand our commercial product portfolio and our research and development pipeline in therapeutic areas that can leverage our unique expertise. We do this through a growth strategy of growing sales of the existing medicines in our portfolio; acquiring commercial products or product candidates that are in late-stage development; and pursuing focused development of our pipeline of differentiated therapies.

Jazz Pharmaceuticals Plc

Access & Reimbursement Manager, Sleep

Works as part of a multi-disciplinary team to provide answers to inquiries and questions; Troubleshoot problems and provide information; Handle intervention or referrals with a professional and respectful customer service focus telephonically and/or in person; Provides a variety of support services in connection to the day-to-day operations in a health care environment; Maintains working knowledge of regulatory guidelines for billing; Ability to verify and load insurance coverages correctly for accurate billing; Provides claim submission for services provided at SEH; Work an resolve claim edits and errors daily; Provides follow up on claims which did not process correctly; Provides follow up with insurance companies or individuals to obtain accurate reimbursement; Understands the use of and navigation of Medicare's DDE system and other governmental and commercial payer websites for claim status and corrections; Accurately determines Part A and Part B Medicare coverages and billing requirements; Reviews correspondence daily for appropriate follow up; Able to read and understand explanation of benefit files; Works closely with clinical team for accurate charges and modifiers; Verifies third party payer coverage; Coordinates authorizations when appropriate; Works closely with coding team for accurate submission on claim; Process and follow up on payer denials, consulting with various entities for completion; Understands hospice billing requirements and regulations; Research and resolve client billing problems or issues; Provide communication on the methods and principles used for billing to the customers and resolve concerns; Study contractual terms and conditions of payment to ensure payments are made consistent with terms; Conduct work functions to assist with late charge processes; Works closely with third party collection vendors for accurate payment records; Assist patients and their families with applying for financial assistance; Establish payroll deduction transactions; Make daily deposits to the bank; Ensure change fill requests are complete for department's daily function; Work with patients to develop self-pay arrangements and payment plans when applicable; Post payments for both insurance and individuals; Review accounts and initiate refunds when applicable; Communicate self-pay balances for upcoming services and collect balances due; Work with accounting department for accurate financial documentation; Edit account for correct coverage documentation; Apply contractual adjustments in accordance with contracts; Print, scan and index correspondence to the appropriate account; Works closely with electronic payment process vendor for accurate posting and adjustments electronically; Oversee the electronic flow of the account through the billing process to include bad debt; Performs all other duties as assigned. Performs daily activities involved in the reimbursement process, i.e. claims filing/follow-up, entry of payments/adjustments, and follow-up on non-payment or payments below contracted fee schedule amount.

Southeast Alabama Medical Center

Medicare Specialist I

Experience supporting clinical and operational workflows in areas such as Rehabilitation Therapy, Radiology, Radiation Oncology, Laboratory Services, Respiratory Care, Wound Care, Nutrition Services, Endoscopy/GI, Emergency Department, and other hospital service lines is highly desirable. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC HealthCare

Revenue Integrity Analyst

Who we are seeking (preferred): The Patient Service Representative is highly visible in their interactions with patients and must therefore project a positive office image at all times including smiling, greeting patients with enthusiasm, and maintaining an upbeat, positive attitude in all interactions with patients and coworkers. Available benefits: Medical, Dental, Vision, Life, Long/Short Term Disability, Health Savings Account/Flexible Spending Account, Fraud Protection, Legal, Pet and other miscellaneous.

Medical Billing And Coding Jobs in Missouri

Advance Practice Provider Psychiatry Fellowship Brightli

Provider Data Resolution Spec TriWest Healthcare Alliance

Revenue Integrity Analyst (Hybrid) University Health.

Center Administrator/Clinic Manager Market Float ArchWell Health

Center Admin- Center Administrator ArchWell Health

Unit Secretary Nevada Regional Medical Center

Director-Clinical Chargemaster/Remote Mercy

Center Admin- Center Administrator ArchWell Health LLC

PRN Hospice Nurse Practitioner Elara Caring

Nurse Practitioner Elara Caring

Advance Practice Provider Psychiatry Fellowship Burrell Behavioral Health

Specialty Account Coordinator (Full Time) Mercy

Specialty Pharmacy Account Coordinator Mercy

Specialty Pharm Account Coordinator Mercy

Speech Language Pathologist - PRN Community Health Systems Inc

Access & Reimbursement Manager, Sleep Jazz Pharmaceuticals Plc

Medicare Specialist I Southeast Alabama Medical Center

Revenue Integrity Analyst BJC HealthCare

Patient Service Representative - Doctor's Office - Chesterfield Esse Health

Patient Service Representative - Doctor''''s Office - Chesterfield Esse Health

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