Jobs Posted on the Whova Community Board of Mega Conference
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Patient Financial Counselor
Hayward Area Memorial Hospital Job Description The Patient Financial Counselor serves as the hospital's primary contact for reimbursement issues and patient education in the areas of insurance benefits, levels of coverage, Financial Assistance and throughout the billing and collection processes. The Patient Financial Counselor assures that maximum reimbursement is received by identifying services that require preauthorization by contacting various insurance companies to determine benefits that are available, and communicating those benefits to the patient early in the revenue cycle. Primary responsibilities include securing payment arrangements and determining patient ability to pay prior to discharge of inpatient services and major outpatient services. Patient Financial Counselor performs this role by developing solid patient relationships that will provide a "one touch* customer service experience that exceeds the expectations of our customers, physicians and other departments in making the patient's visit at Hayward Area Memorial Hospital a pleasant one. approves all Financial Assistance application per FAP Policy. Demonstrates the ability to be flexible and organized in stressful situations. 10. Ensures departmental functions are coordinated with the financial process to ensure our customer needs are being met, and the hospital's financial liability is protected. Oversees balancing processes between Patient Financial Services, Earty out and Bad debt vendors 11. Acts as a liaison between the patient and/or third-party payers and the Patient Financial Services Dept. Works closely with inter-related departments and clinics to ensure that completion and assistance with the insurance eligibility or Financial Assistance eligibility process meets the patient's and hospital financials needs 12. Able to assists patients / families with price estimate for services and billing questions
Benefit & Pre-Certification Specialist
Fort Healthcare This position obtains pre-certification, authorizations and insurance benefits for scheduled services to ensure insurance payments.
Claims Support Specialist
Fort Healthcare This individual resolves insurance claim issues to allow for maximum efficiency and accurate reimbursement in claims submission based on established benchmarks of Accounts Receivable and patient satisfaction goals. Position will support the recognition, development and implementation of system corrections to manage claim corrections. Works with Information Systems department to implement claim rules to improve workflows.
Patient Financial Advocate
Fort Healthcare This position will assist FHC’s patients (inpatient and outpatient) to resolve the account balance through knowledge of state and federal program education and our internal Community Care program.
Patient Financial Counselor
Fort Healthcare Responding to inbound patient calls, this position assists patients to resolve patient self-pay balances.
Billing and Insurance Specialist
Prairie Ridge Health, Inc. Responsible for interactions with payers regarding timely and accurate claims filings, follow-up, appeals and applicable claims re-submissions. Oversee all aspects and edits of electronic and paper claims submissions and self-pay billings.
Prairie Ridge Health, Inc. Responsible for the monthly accounting and close processes of the Hospital and related entities. Other responsibilities include performing financial analysis of income statement and balance sheet accounts, preparing components of the budget, and completing special projects as requested by the Finance Manager and the CFO.
PFS Revenue Cycle Specislist
Hayward Area Memorial Hospital The Revenue Cycle Specialist is responsible for responding to and resolving a variety of account, billing and payment issues from patients and insurance companies. Reviews the medical record and abstracted information as necessary to provide insurance claim information or to resolve incoming correspondence regarding patient services. Reviews accounts to determine correct adjustments have been applied, payments posted and refunds distributed. Uses excellent customer service and interpersonal skills when interacting with patients and insurance companies, following confidentiality guidelines. Makes appropriate decision that require individual and/or team analysis - utilizing good problem solving skills. Interprets, applies and communicates federal regulations, insurance contracts hospital-wide policies regarding the medical and financial aspects of patient care to ensure optimal third party payment for the patient and the hospital.
Gundersen Boscobel area Hospital and Clinics The Financial Counselor provides system-wide support relating to identifying, coordinating and securing all aspects of financial obligation for self-pay patients and patients with balance after insurance.
Manager, Revenue Cycle
Gundersen Boscobel Area Hospital and Clinics Manager will be responsible for the day to day operations of our Business Office, Health Information Management and Materials Management.
Patient Accounts Insurance Follow-Up Representative – Hybrid or Remote Option Available
Rogers Behavioral Health As a Patient Accounts Insurance Follow-Up Representative, you will be directly responsible for examining denied and underpaid professional and facility claims to determine reasons for discrepancies. The Patient Accounts Insurance Follow- Up Representative will be responsible for communicating with commercial and governmental payers to resolve billing issues to secure appropriate reimbursement in a timely manner.
Moreland OB-GYN Associates Leading a team that is responsible for scheduling and coordinating clinic, outpatient, and inpatient procedures/visits through effective leadership, involvement and quality control audits. Works closely with the Operations Manager to address workflow improvement opportunities and changes that challenge the continuation of achieving superior results. Duties and Responsibilities include: Perform routine quality control audits, that are effective to team improvement and growth. Develops and maintains process document library for team. Responsible for onboarding new team members and team development. Problem solves to resolution team issues with internal departments and/or external resources to ensure minimal disruption in workflow. Ability to rotate throughout team to be a resource when staff shortages present, to achieve organizational/team goals are not sacrificed. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third-party payer requirements/on-line eligibility system. Provides timely and accurate patient and physician communications. Communicates patient questions and concerns to physicians. Provides patients with oral instruction and an individualized material appropriate to their procedures in a time sensitive manner. Schedules and maintains calendar of appointments for inpatient, outpatient, and in-office surgeries. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up with physicians, business office, patients and third-party payers to complete the pre-certification process. Leads in the collaboration with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. Maintains knowledge of and reference materials of the following: Medicare, Medicaid & third-party payer requirements, guidelines & policies, insurance plans requiring pre-auth
Human Resource Coordinator
Moreland OB-GYN ESSENTIAL DUTIES AND RESPONSIBILITIES: Enhances the organization’s human resources by planning, implementing, and evaluating employee relations and human resources policies, programs, and practices. Structured onboarding of all employees to ensure consistent orientation to culture, mission, organization expectations. Maintains the work structure by updating job requirements and job descriptions for all positions. Communicating updates with employees and Team Leads while simultaneously updating company records for visibility through organization. Supports organization through recruiting, testing, and interviewing program; partnering with Team Leads on candidate selection; conducting and analyzing exit interviews; and recommending changes as needed for organizational growth. Manages a pay plan by conducting periodic pay surveys; scheduling and conducting job evaluations; preparing pay budgets; monitoring and scheduling individual pay actions; and recommending, planning, and implementing pay structure revisions Hearing and resolving employee grievances; and counseling employees and supervisors Partnering with Executive Director to evaluate employee benefits; recommending benefit programs to Executive Director as needed; directing the processing of benefit claims; obtaining and evaluating benefit contract bids; and designing and conducting educational programs on benefit programs to communicate updates effectively. Ensure legal compliance by monitoring and implementing applicable human resource federal and state requirements, maintaining records. Retains historical human resources records by designing a filing and retrieval system and keeping past and current records. Maintaining, updating, and communicating Employee Handbook policies to all staff Maintaining and updating organization Policies and Procedures Responsible for maintaining personnel records for all employees and physicians. Computes payroll and coordinates with payroll service
Wisconsin Health & Educational Facilities Authority (WHEFA) After nearly 26-years at the Wisconsin Health and Educational Facilities Authority (WHEFA), Executive Director Dennis Reilly has decided to pursue a new career opportunity with Fifth Third Bank as Vice President of Commercial Banking, with a primary focus on nonprofit lending in Wisconsin. Mr. Reilly will remain as Executive Director until such time a successor is hired and in place.
As a result, a job posting is now available to hire the next Executive Director of WHEFA. Interested candidates should email email@example.com to request a job description. All applications for the position are due by Monday, February 7, 2022.
Sr Financial Analyst
Froedtert Health Summary: The Financial Analyst Sr. will be responsible for the coordination and performance of accurate and timely analyses of accounts and assigned as point of contact for a service line or costing for the monthly close process. The Analyst will also: Model short and long-term impact of new businesses initiatives. Proactively measure and report key business trends that will impact financial result. Lead ad hoc analyses. Partner with service lines and departments to develop innovative reporting and/or solutions to business needs/questions, and work closely with leadership to identify opportunities for improvement. Other duties as assigned.
Three to five years of finance experience is required. Healthcare finance experience is preferred. Bachelor’s degree with an emphasis in Finance or Accounting is required.