A Business Analyst in the Healthcare field would support the development and quality of the healthcare platform. They would have an extensive knowledge and experience in diverse environments and applications. A Business Analyst has the ability to discuss industry and marketplace trends and directions, and cite relevant case studies. They are able to manage a wide variety of projects of varying complexity simultaneously, and is able to manage cross-functional projects and teams.

Job Duties

• Conduct research and stays current on quality measures, evolving healthcare policies, and clinical guidelines to understand needs and opportunities of the business
• Identify key policies and requirements that the organization will need to comply with
• Utilize subject matter expertise to help maintain business requirements
• Convey product features and benefits to stakeholders included but not limited to IT, operations, and management
• Oversee projects to see initiatives through to execution
• Perform additional duties as necessary and assigned by management

Qualifications

• Generally, a bachelor’s degree in a related field is required in a related field, or experience equivalent
• Experience in managed health care is preferred
• A minimum of a few years healthcare business process experience
• Thorough knowledge of the Microsoft suite of applications
• Project management experience preferred
• Excellent critical thinking and analytical skills

A behavioral case manager in the healthcare field is primarily a social worker who works with clients who have behavioral disorders such as, drug or substance abuse, eating disorders, or other mental illnesses detrimental to their health. They are responsible for creating and coordinating treatment plans suited to each individual client. Helping clients achieve their set goals and overall success are cornerstones of being a behavioral case manager.

Education

• A current, unrestricted RN license in your state of residence is required
• Entry level behavioral case manager positions require a Bachelor’s degree at the very minimum, and often require at least some experience in a related healthcare field such as acute care or coaching members with psychiatric disorders
• Mid-level and higher behavioral case manager positions require a Bachelor’s degree in a related field, and a few years’ experience in case management and a related field like case management or coaching members with psychiatric disorders is required.

Job Duties

• Creation of both long and short term treatment plans for clients
• Assisting clients to set achievable goals to aid in their recovery
• Coordinate resources required to help clients achieve success
• Education and support of the client through both face-to-face assessment and home visits
• Assesses and fixes gaps in client care, and determines additional needs or requirements related to a specific clients disease or disorder

As a behavioral healthcare coordinator/behavioral health coach, you would be assisting psychiatric providers on a day to day basis to coordinate patient visits and working with patients to reduce no-shows. You would be a core member of a care team that includes the patient’s primary care provider, psychiatric provider, and mental health provider that works to ensure the quality of care for the patient. You would be responsible for having a working knowledge of both local and state behavioral health, medical, social programs, and other resources in order to serve as a liaison between patients and providers.

Education/ Experience

• Some positions in this field allow a High School Diploma or GED, but generally a Bachelor’s degree in a related field such as social work is desired
• Minimum of about a year of experience in psychiatric patient care coordination or working with behavioral health patients is required
• For some positions, the ability to be insured is required
• Some positions require a current CPR certification

Job Duties

• Provide assistance to psychiatric providers in the form of answering the phone and taking messages
• Taking vital signs and reporting to physician provider for interpretation
• Interviews patients and obtains basic information
• Assisting patients with scheduling appointments
• Responsible for meeting with patients who no-show to develop personalized plans to help eliminate no-showing

A healthcare administrative assistant works to insure that the clinic, doctor’s office, or hospital they work at functions as smoothly as possible. You are not just in charge of checking patients in when they arrive, your responsibilities are much more than that. As a healthcare administrative assistant, you would provide a wide variety of support to one or more departments or managers. You would prepare documents for personnel changes, produce operating reports for your respective department, and serve as a liaison for internal and external inquiries for your respective department.

Education/ Experience

• Generally, a Bachelor’s degree is required, although some companies may accept a High School Diploma or GED as well
• Minimum of a couple years’ experience with Microsoft Office is required for most positions
• Previous experience with administrative support duties are generally preferred, though not always required
• Being bilingual is a requirement for some positions, but is generally preferred for good customer service
• The ability to multi-task in a fast paced environment is generally a required ability

Job Duties

• Performing clerical duties such as photocopying, faxing, mail distribution, and filing
• Maintains records for staff, phones, company credit cards, and office keys
• Creates various types of documentation using Microsoft Office
• Coordinates meetings or conference calls as needed
• Answers phones in a timely manner using good customer service skills and judgement in the distribution of messages
• In charge of keeping inventory of all office supplies, and placing replenishment orders as needed
• Records minutes at meetings and archives them accordingly
• Performs other related duties as assigned

Healthcare accounting clerks can work at various healthcare facilities, including hospitals and private practices. They are responsible for collecting account payments for the services performed on patients, maintaining all staff and patient files, and handling all billing duties.

Education, Experience, and Responsibilities

At a minimum, a high school diploma or equivalent training is required to take on this position. An accounting clerk job usually requires a few years of experience in accounting and payroll duties, and a firm understanding of numbers and ledgers and how they relate to invoices. Experience processing claims in health, disability, and accident insurance is a definite plus.

Some of the duties accounting clerks in the healthcare field are responsible for are:

• Balancing patient accounts and taking payments for services rendered,
• Reviewing bills and claims for accurate information,
• Entering data into the company’s database,
• Handling incoming and outgoing email and physical mail,
• Maintaining and protecting employee payrolls,
• Maintaining all staff and patient files in the company’s database,
• Preparing billing reports and other documents to provide to state or federal government agencies as needed,
• Identifying and resolving problems and inaccuracies in date entries, and
• Extensively interacting with patients, physicians, policy representatives, and other people as necessary to collect payments.

The healthcare accountant clerk may be required to perform other specialized clerical duties, as needed.

A healthcare accountant can specialize in several positions, such as bookkeeping, internal accounting and auditing, budgeting, and managing finances. Accountants balance the financial records of hospitals, private care facilities, health insurance companies, and other health-related organizations.

Education and Training

Most of these positions require a two-year bachelor’s degree at a minimum, from an accredited institution, but exact requirements may vary. A master’s degree in accounting or healthcare (with an optional concentration in business accounting) can help you find the position that’s right for you.

The Commission on Accreditation Healthcare Management Education (CAHME) often hosts workshops and seminars to keep professionals in the field up-to-date with the latest advancements and legal changes in healthcare. Healthcare accountants are required to operate according to all legal codes regarding healthcare and business.

Responsibilities of a Healthcare Accountant

The balance sheet is one of the most important things healthcare accountants handle. A balance sheet presents monetary estimates of real financial assets, along with intangible assets the company has legal claim to. It also shows the total amount of debt the company owes and the difference between total assets and total debt. Altogether, the statement the balance sheet makes provides the total of the company’s assets as the combination of the sum of its debt and the value of its net worth.

At year’s end, and generally at the close of each quarter, the healthcare accountant estimates and reports the dollar values of everything on the balance sheet, as accurately as possible.