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Search Results Page 64 of 211

**Sign-on Bonus and up to $10,000 Education Assistance Available**   As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-133299
Department
Physical Rehabilitation Care
Facility
ALG HLTH-IMMANUEL MEDICAL CTR
Shift
Night
Employment Type
Full Time
Location
NE-OMAHA
  Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!     New Grads and Experienced RN's encouraged to apply    Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-133298
Department
Physical Rehabilitation Care
Facility
ALG HLTH-IMMANUEL MEDICAL CTR
Shift
Day
Employment Type
Part Time
Location
NE-OMAHA
  Imagine your career in Inpatient Rehab helping ensure that our patients have the best care for recovery.   ****Sign-on Bonus and Education Assistance Available!****   New Grads and Experienced RNs are encouraged to apply!   For more information on CHI Health Immanuel Inpatient Rehab Center click here - https://www.chihealth.com/en/services/rehabilitation-care/inpatient-rehabilitation.html   Job Responsibilities As a Inpatient Rehab Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians, nurses and therapists to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Patient education and facilitate repetitions of skills learned in therapies at the bedside - Fostering a supportive and compassionate environment to care for patients and their families We are looking for a responsible and compassionate Registered Nurse with top-notch clinical skills, a caring attitude, and the ability to work independently with minimal supervision. It is also important to display excellent verbal and written communication and interpersonal skills as well as the ability to effectively educate patients and their families on the in-home healthcare process.
Job ID
2020-133297
Department
Physical Rehabilitation Care
Facility
ALG HLTH-IMMANUEL MEDICAL CTR
Shift
Day
Employment Type
Part Time
Location
NE-OMAHA
****Sign-on Bonus and Education Assistance Available!****   New Grads and Experienced RNs are encouraged to apply!   Imagine your career in Inpatient Rehab helping ensure that our patients have the best care for recovery.   For more information on CHI Health Immanuel Inpatient Rehab Center click here - https://www.chihealth.com/en/services/rehabilitation-care/inpatient-rehabilitation.html   Job Responsibilities As a Inpatient Rehab Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians, nurses and therapists to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Patient education and facilitate repetitions of skills learned in therapies at the bedside - Fostering a supportive and compassionate environment to care for patients and their families We are looking for a responsible and compassionate Registered Nurse with top-notch clinical skills, a caring attitude, and the ability to work independently with minimal supervision. It is also important to display excellent verbal and written communication and interpersonal skills as well as the ability to effectively educate patients and their families on the in-home healthcare process.
Job ID
2020-133296
Department
Physical Rehabilitation Care
Facility
ALG HLTH-IMMANUEL MEDICAL CTR
Shift
Night
Employment Type
Full Time
Location
NE-OMAHA
    New Grads and Experienced RNs are encouraged to apply!   Imagine your career in Inpatient Rehab helping ensure that our patients have the best care for recovery.   For more information on CHI Health Immanuel Inpatient Rehab Center click here - https://www.chihealth.com/en/services/rehabilitation-care/inpatient-rehabilitation.html   Job Responsibilities As a Inpatient Rehab Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians, nurses and therapists to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Patient education and facilitate repetitions of skills learned in therapies at the bedside - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-112451
Department
Physical Rehabilitation Care
Facility
ALG HLTH-IMMANUEL MEDICAL CTR
Shift
Night
Employment Type
Part Time
Location
NE-OMAHA
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!  Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-136394
Department
Physical Rehabilitation Care
Facility
SAINT FRANCIS MEDICAL CENTER
Shift
Night
Employment Type
Part Time
Location
NE-GRAND ISLAND
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!   Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-129683
Department
Physical Rehabilitation Care
Facility
GOOD SAMARITAN HOSPITAL
Shift
Night
Employment Type
Part Time
Location
NE-KEARNEY
$15,000 Sign-on BonusUp to $10,000 Education Assistance Available  Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!  Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-111717
Department
Physical Rehabilitation Care
Facility
GOOD SAMARITAN HOSPITAL
Shift
Night
Employment Type
Full Time
Location
NE-KEARNEY
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!   **Eligible for New Hire $9K Sign-on Bonus**   Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-111632
Department
Physical Rehabilitation Care
Facility
SAINT FRANCIS MEDICAL CENTER
Shift
Night
Employment Type
Part Time
Location
NE-GRAND ISLAND
You’d look great in purple! Join our team in Des Moines where we help build future healthcare professionals. We not only offer students an exceptional education, but we also offer employees a challenging and rewarding work environment. Our core values of knowledge, reverence, integrity, compassion and excellence are at the foundation of how we work and what we do. We are committed to providing the best environment for students to learn and employees to work.   - Teaches and supervises students learning advanced life and pediatric life support skills. - Evaluates student's skills learned. - Ensures classroom is equipped with appropriate supplies and teaching tools.  
Job ID
2020-120989
Department
Mercy College
Facility
MERCY COLLEGE OF HEALTH SCI
Shift
Varied
Employment Type
Part Time
Location
IA-DES MOINES
- Competent in effective delivery of practical knowledge in community health care in a variety of settings – classroom, work-site, telecommunication/distance learning. - Teaches in an interactive manner - Implements adult learning strategies. - Displays initiative and adherence to Mercy’s core values in recruiting, organizing, conducting and record keeping. - Communicates well with a variety of community/client populations. - Knowledge of education and industry/safety standards.
Job ID
2020-121001
Department
Mercy College
Facility
MERCY COLLEGE OF HEALTH SCI
Shift
Varied
Employment Type
Part Time
Location
IA-DES MOINES
Job Summary:   Responsible for follow up of insurance to include: claims submitted, appeal processes and inquiries; monthly accounts receivable reports to ensure timely and maximum reimbursement from assigned insurance carriers.   Essential Responsibilities: - Field patient and insurance calls regarding patient account receivables. - Audit patient accounts for accuracy regarding charges, payments, demographics, insurance informaiton and filing to ensure contractual agreements are being met. - Request adjustments, write-off, payment, refunds/recoups, and transfers when appropriate. - Work insurance aging reports, review claism status, patient eligibiilty, accuracy of account information and modify as needed to ensure proper and timely payment while maintaining A/R aging per company guidelines to maximize reimbursement. - Submit patietn claims, paper and electronic, after corrections have been made or when rebilling is needed. Create appeal letters to submit to insurance carrier for timely payments. - Review and reply (as needed) to all insurance correspondence, including assigned carrier newsletters adn guidelines as well as maintain a working knowledge of assigned carrer websites. - Maintain current knowledge of insurance guidelines through newsletters and websites. - Assist with demographics/charge entry and capture of all hospital charges. - Work in all areas of hte department during peak times, vacations, illnesses, etc.
Job ID
2020-143429
Department
Cardiology Clinic
Facility
MEMORIAL HEART INSTITUTE LLC
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                         Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2021-149145
Department
Insurance Services
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                         Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2021-149068
Department
Insurance Services
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                       Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-133427
Department
Insurance Services
Facility
MOUNTAIN MANAGEMENT SERVICES
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                       Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts.  - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-133426
Department
Insurance Services
Facility
MOUNTAIN MANAGEMENT SERVICES
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                         Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-131265
Department
Insurance Services
Facility
MOUNTAIN MANAGEMENT SERVICES
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
JOB SUMMARY / PURPOSE This job is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and non-coding denials in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. ESSENTIAL KEY JOB RESPONSIBILITIES Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is receive. Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Resubmits claims with necessary information when requested through paper or electronic methods. Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Accurately documents patient accounts of all actions taken in billing system. Other duties as assigned by leader and organization.  
Job ID
2020-111892
Department
Physicians Billing System
Facility
ALEGENT CREIGHTON CLINIC
Shift
Day
Employment Type
Full Time
Location
NE-OMAHA
JOB SUMMARY / PURPOSE This job is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and non-coding denials in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. ESSENTIAL KEY JOB RESPONSIBILITIES Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is receive. Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Resubmits claims with necessary information when requested through paper or electronic methods. Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Accurately documents patient accounts of all actions taken in billing system. Other duties as assigned by leader and organization.  
Job ID
2020-111891
Department
Physicians Billing System
Facility
ALEGENT CREIGHTON CLINIC
Shift
Day
Employment Type
Full Time
Location
NE-OMAHA
JOB SUMMARY / PURPOSE This job is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and non-coding denials in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. ESSENTIAL KEY JOB RESPONSIBILITIES 1. Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is receive. 2. Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. 3. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. 4. Resubmits claims with necessary information when requested through paper or electronic methods. 5. Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. 6. Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. 7. Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. 8. Assists with unusual, complex or escalated issues as necessary. 9. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. 10. Accurately documents patient accounts of all actions taken in billing system. 11. Other duties as assigned by leader and organization.   
Job ID
2020-111832
Department
Physicians Billing System
Facility
ALEGENT CREIGHTON CLINIC
Shift
Day
Employment Type
Full Time
Location
NE-OMAHA
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