FULL_TIME

FEED

YEAR

This role provides physician-level judgment on disputed, high-dollar, high-risk, and clinically complex matters and serves as a supervisory and consultative resource to physician reviewers, nurse auditors, coders, quality teams, operations, and client-facing leaders. We are seeking a Senior Physician Reviewer reporting to the Senior Medical Director to serve as a physician leader and clinical subject matter expert for complex payment integrity reviews, clinical validation determinations, DRG validation, readmission reviews, appeals, peer-to-peer discussions, and regulatory complaint resolution.

MedReview

Senior Physician Reviewer

partner JazzHR

UNKNOWN

While reviewing a patient account history if an account with a credit balance is identified refer the account to the appropriate employee to research and process third party and patient refunds and/or to correct the misapplication of funds. Immediately follow up on paperwork received Resolution Analysts, Admit Scheduling, or Insurance Verification Personnel for private pay patients or patients with a large deductible or co-payment.

North Oaks Health Systems

FINANCIAL COUNSELOR - FINANCIAL ASSISTANCE CENTER

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Our team of board-certified, fellowship-trained medical oncologists and certified advanced practice providers deliver on-site care and treatment, including chemotherapy, immunotherapy, targeted therapy, and hormone therapy, at affiliated infusion centers throughout our region. None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.

Covenant Health

PATIENT ACCOUNT REP II

[AW]-iCims

Our team of board-certified, fellowship-trained medical oncologists and certified advanced practice providers deliver on-site care and treatment, including chemotherapy, immunotherapy, targeted therapy, and hormone therapy, at affiliated infusion centers throughout our region. Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.

Patient Account Representative, Proton Therapy Services

Responsibilities Universal Health Services (UHS) - Western Region Consolidated Business Office (WCBO) The Western Region Consolidated Business Office delivers comprehensive insurance revenue services to our affiliated UHS facilities, encompassing billing, collections, cash posting, pre-access management, variance analysis, and customer service. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

University Health Services Inc

INPATIENT CODER

Reviews and updates CPT, HCPC and ICD-10 codes for individual departments, communicates and educates departments on upcoming changes prior to implementation. Works with clinical departments to identify and restore missing charges and builds edits in EPIC to prevent future missed charging.

HealthPartners Institute

Charge Master Coding Analyst

Experience with Microsoft Office, Outlook, Excel, Word, Power Point, Windows XP, Windows 7, utilization of website search engines [Preferred]. UChicago Medicine AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.

HOUR

AdventHealth

Patient Access Representative

Supports, models and adheres to the desired behaviors of the KBOS Constitution and Covenant Health for service which are; take ownership for our mistakes, resolve customer problems on the spot whenever possible, treat all people with respect and kindness, strive to meet or exceed customer expectations, collect and use customer feedback/data to improve processes and service and set an example for accountability and responsiveness: return e-mail and phone calls promptly, assure deadlines are met, keep commitments. Supports, models and adheres to desired behaviors of the KBOS Constitution for caring which are; build a trusting environment by listening with an open mind and valuing different opinions; asking questions for understanding and allowing others to speak openly, do not gossip or criticize people behind their back, resolve conflicts, notice and express appreciation for good work and respect differences by listening with an open mind.

REVENUE INTEGRITY SPEC

Revenue Integrity Specialist

ADAPTED_NOW

Review and resolve outstanding A/R accounts to ensure activities regarding patient accounts are reviewed and resolved in a timely and thorough manner, ultimately resulting in full payment on the account. Report payer trends to Supervisor and Director of Patient Financial Services· Maintain courtesy and respect at all times when working with internal and external customers.

In 1999, two historic Catholic charities became one, forming CHRISTUS Health and creating a unique purpose in the modern health care market - to take better care of people. To extend the healing ministry of Jesus Christ, the mission that the Sisters of Charity Health Care system and Incarnate Word Health system shared for more than a century, is now also the mission of CHRISTUS Health. Ranked among the top 10 Catholic health systems in the United States by size, the CHRISTUS Health system includes more than 40 hospitals and facilities in seven U.S. states, Chile and six states in Mexico, with assets of more than $4.6 billion. Whether seeking care in Alexandria Louisiana, or Coahuila, Mexico, patients discover that the healing spirit is alive at CHRISTUS Health.

CHRISTUS Health

Collections Specialist - Alamogordo Admin Office 500 10th Street

General Ledger activities including: Suspense account clearance, JE postings, Prepaids, Balance sheet reconciliations, Coding review, Accrual review, Contractual reconciliation, non-patient accounts receivable, Community benefits, Cash activities, (e.g., daily monitoring, bank reconciliation, transactions posting, etc.), Reconciliation activities (e.g. UofL Health is a fully integrated regional academic health system with eight hospitals, four medical centers, nearly 200 physician practice locations, more than 1,000 providers, the Frazier Rehab Institute and Brown Cancer Center.

UofL Health

Senior Accountant

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Utilization Manager Medical Chart Auditor Completes retrospective medical necessity reviews for compliance with regulatory or payor-specific guidelines for all short-stay Medicare inpatients and outpatients (DUH), all observation encounters, all combined/segmental billing encounter questions, and any encounter sent to the UM MCA from PRMO for patient status/post-bill medical necessity denials/coding questions. Works collaboratively with physicians, staff and service line leadership on quality and performance improvement activities related to optimal utilization of resources, efficient delivery of high quality care, patient flow, capacity management and other clinical cost reduction initiatives.

Duke University

Utilization Manager PRN

General Ledger activities including: Suspense account clearance, JE postings, Prepaids, Balance sheet reconciliations, Coding review, Accrual review, Contractual reconciliation, non-patient accounts receivable, Community benefits, Cash activities, (e.g., daily monitoring, bank reconciliation, transactions posting, etc.), Reconciliation activities (e.g. Shift: Job Description Summary: UofL Health is a fully integrated regional academic health system with eight hospitals, four medical centers, nearly 200 physician practice locations, more than 1,000 providers, the Frazier Rehab Institute and Brown Cancer Center.

University of Louisville Physicians Inc

Maintains necessary certifications to teach assigned classes including specialty HHS classes developed for interaction with SSLC individuals such as trauma-informed care, response blocking (Ukeru) and Safe Use of Restraints (SUR) and/or general public response classes such as CPR. The Training Specialist II works under the general supervision of the Facility Competency and Training Department (FCTD) Director and assists other trainers in class-type settings including training other trainers as needed.

Texas Health and Human Services Commission

Competency, Training & Development Instructor

The Accountant I routinely performs entry-level accounting work for the financial office, such as, handling trust fund and petty cash reimbursements, requisition entry, telecommunication coordination, expenditure transfer vouchers, payroll/paymaster duties (employees and client/resident), and backup Accounting Technician II as needed. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/ Entities (LEIE).

Accountant I

According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE).

Cook III

Checks the folding/worker program for enough products to begin the day; lines out the folding scheduled for the day; notifies the Regional Laundry Director findings and makes a plan for the day; checks with the Laundry Manager to see where the empty carts need to be delivered from the folding/worker program; delivers unfolded product to the folding/worker program; picks up folded product from the folding/worker program and completes a Folding Log with cart number, facility, item, linen weight, cart weight, and initials on one side and completed Inventory Log on the other side; transfers the completed Folding Log info to the appropriate clean shipping form load sheet when returning to laundry; turns in the completed Folding Log to the Regional Laundry Director. Checks for proper fluid levels for crankcase oil, transmission and power steering fluid, and brake master cylinder fluid prior to each over the road trip; makes all safety checks (windshield wipers, lights, etc.) prior to, during, and after operations; drains brake air lines daily, if applicable to the assigned vehicle; follows all driver checklist items, and performs all operators preventative maintenance service on schedule; fills out daily Drivers Vehicle Inspection Report and files reports with the Laundry Clerk; fuels and checks tire pressure in all laundry vehicles; checks and ensures load is secure and lift gate is secure before leaving.

Truck Driver - Laundry

Oversight includes ensuring adequate facility coverage and staff/individual ratios are met, ensuring information is professionally communicated to the appropriate people, ensuring confidentiality for situations which require confidentiality, ensuring required monitoring, including restraint monitoring, is completed correctly, ensuring reassignments are handled appropriately, and ensuring all other campus/shift coordinator essential job functions are carried out as required. The Program Supervisor I, Campus/Shift Coordinator Supervisor, performs routine administrative and supervisory level work to ensure that the campus/shift coordinators are effectively coordinating and overseeing activities and ensuring facility-wide staff coverage at the SSLC, taking into account the changing levels of supervision required by individuals.

Campus Coordinator Supervisor

Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 7 years of healthcare experience, including experience in care management, utilization management, behavioral health, and/or managed care operations - preferably in an auditing capacity, and at least 3 years of experience in LTSS, quality improvement, and/or member health and safety oversight, or equivalent combination of relevant education and experience.

Nurse Auditor Jobs in the United States

Senior Physician Reviewer MedReview

FINANCIAL COUNSELOR - FINANCIAL ASSISTANCE CENTER North Oaks Health Systems

PATIENT ACCOUNT REP II Covenant Health

Patient Account Representative, Proton Therapy Services Covenant Health

INPATIENT CODER University Health Services Inc

Charge Master Coding Analyst HealthPartners Institute

Patient Access Representative AdventHealth

REVENUE INTEGRITY SPEC Covenant Health

Revenue Integrity Specialist Covenant Health

Collections Specialist - Alamogordo Admin Office 500 10th Street CHRISTUS Health

Senior Accountant UofL Health

Utilization Manager PRN Duke University

Senior Accountant University of Louisville Physicians Inc

Competency, Training & Development Instructor Texas Health and Human Services Commission

Accountant I Texas Health and Human Services Commission

Cook III Texas Health and Human Services Commission

Truck Driver - Laundry Texas Health and Human Services Commission

Campus Coordinator Supervisor Texas Health and Human Services Commission

Manager, Long-Term Services & Supports Audit (must reside in WI) Molina Healthcare Inc

Manager, Long-Term Services & Supports Audit (Must Reside In WI) Molina Healthcare Inc.

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