Healthcare revenue cycle accountant

Healthcare facilities are under increasing pressure to analyze and optimize their revenue cycles on an ongoing basis. We are looking for someone with a background in healthcare accounting to serve as a healthcare revenue cycle accountant in a growing business environment.

Do you appreciate the nuances of cash-flow analysis and opportunity in healthcare? Are you looking for an engaging workplace that challenges you to think creatively and work as part of a team? If you answered yes to these questions, our healthcare revenue cycle accountant position is right for you.

Responsibilities

The healthcare revenue cycle accountant works closely with billing, collection, and other accounting professionals. We’re looking for someone who can balance the need for profit opportunity with exceptional patient care. The right candidate possesses knowledge of:

  • Healthcare facility accounting practices
  • Revenue cycle analysis
  • Revenue cycle management

In addition, the healthcare revenue cycle accountant will manage the entire revenue cycle from billing to payment and reconciliation, as well write internal communications regarding the revenue cycle and enter documentation for the patient accounts as needed. You will be accountable for daily productivity goals, such as:

  • Billing
  • Rejection management
  • Denial resolution
  • Collection activity
  • Aging reports

Apply today to advance your career as a healthcare revenue cycle accountant.

Collector/reimbursement specialist

Healthcare financial specialists keep revenue streams in hospitals, doctors’ offices, and specialists’ offices flowing. Healthcare facilities rely on collector/reimbursement specialists to bill for and follow up on outstanding accounts. We are searching for a collector/reimbursement specialist to join a rapidly expanding healthcare business in its finance department.

Do you enjoy working independently to complete tasks, goals and objectives? Are you interested in serving as a financial specialist as well as a client-facing representative in your company? If this sounds like an exciting opportunity, you may qualify as for our collector/reimbursement specialist position.

Collector/Reimbursement Specialist Responsibilities

The collector/reimbursement specialist works directly with a team leader to:

  • Identify discrepancies in billing and collections
  • Provide customer support
  • Manage reimbursement activities
  • Appeal denied and deficient claims
  • Support the collections manager
  • Review insurance denials
  • Work with insurance providers to assist patients

Competitive professionals also demonstrate a willingness to go above and beyond to represent the company as a knowledgeable contact point and to support other goals within the finance department.

Clinical research coordinator

A clinical research coordinator provides support during healthcare clinical research. Whether working in a healthcare practice or a research facility, these professionals ensure the quality and regulatory compliance of each study.

If you demonstrate attention to detail, have experience working in clinical research, and a willingness to learn more about compliance and clinical trial management on the job, consider this position as a step forward in your career. A growing healthcare organization is searching for someone who is creative, organized, and willing to work in a high-energy workplace.

Responsibilities

The clinical research coordinator must prioritize complex workflows to meet deadlines on a consistent basis. The clinical research coordinator must:

  • Organize and coordinate research activities with clinicians, patients, and others
  • Assists with material and tool development
  • Cooperates with compliance and monitoring regulations
  • Collaborates with researcher and the institution to respond to findings

In addition to regulatory and clinical trial knowledge, the clinical research coordinator must possess strong written and verbal communication skills. If you’re interested in pursuing your career in clinical research as a clinical research coordinator, apply today.

Sonographer/Ultrasound Technologist

The Sonographer/Ultrasound Technologist is responsible for independently performing ultrasound examinations on patients as ordered by the physician.

Job Duties:

  • Operate and maintain sonographic scanners used for ultrasound procedures
  • Ascertain and apply the proper amount of gel to the area of the patient being examined
  • Ability to perform ultrasound and notice any changes in the patient simultaneously
  • Collect and communicate ultrasound results with physician
  • Communicate with the patient throughout the entire procedure
  • Track and maintain patient record while they are under your supervision
  • Perform proper procedures to keep the ultrasound room clean and sterilized

Requirements:

  • Successful completion of an accredited Ultrasound Technologist Program
  • Must be a state licensed and a Registered Diagnostic Medical Sonographer
  • Must me a member of the American Society of Radiologic Technology
  • Minimum 1 year prior work experience required

Surgical/Scrub Technician

The Surgical/Scrub Technician’s role is to assist surgeons and other medical professionals in the operating room. Under the guidance and supervision of the Registered Nurse, the candidate will prepare the operating room and equipment prior to the procedure and operate as a part of the operating team during surgery.

Job Duties:

  • Keep abreast of assigned patient procedures to ensure timely preparation of rooms
  • Ensure that every case has the needed supplies to last the duration of the procedure
  • If supplies run low during the procedure, replace as needed
  • Use aseptic techniques when opening and preparing instruments for surgery
  • Place sterile solutions in areas that are easily reachable for doctors
  • Clean and remove hair (if needed) from the area where the patient’s surgery will be performed
  • Transport patients to and from the operating room
  • Lift patients unto the operating table before surgery and remove them after surgery
  • Monitor patient’s vital signs throughout the procedure
  • Pass the needed equipment to the doctors during surgery
  • Help dress patient’s wounds when needed
  • Ability to adapt to constant change in a fast paced environment
  • Maintains confidentiality of all patients, and
  • Adheres to all OSHA and infection control guidelines

Requirements:

  • Successful Completion of a Surgical Technology Program
  • High School Diploma or Equivalent
  • Certification by the NBSTSA preferred
  • Ability to communicate effectively with staff, peers, and patients
  • Ability to frequently lift or move 25 – 50 pounds
  • 1 year operating room experience preferred

Refunds and Credit Rep

The Refunds and Credit Rep is responsible for resolving accounts with a credit balance by initiating refunds to Commercial, Government, Managed Care and patient accounts paid in error by the payer or the patient.

Job Duties:

  • Proactively seek and handle credit accounts prior to requests
  • Gather complete supporting documentation before processing refund
  • Ensure all refund requests are processed within 72 hours
  • Ensure that all refunds are processed within payer and government guidelines
  • Maintain compliance and productivity guidelines as provided by management
  • Identify any previously unnoticed trends in refunds and present to management
  • Reconcile refund postings

Required:

  • High School diploma/GED or equivalent
  • 1 Year prior customer service experience
  • Basic knowledge of medical terminology
  • Ability to work independently with minimal supervision
  • Efficiently operate a multiple line phone system
  • Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred.

Remote Coding Specialist

The remote coding specialist will work off site to assign codes to patient’s services and medical diagnosis.

Job Duties:

  • Maintain a reliable mode of receiving medical charts, medical records, and other documents
  • Appropriately code the received documents within the predetermined timeline
  • Send coded documents to insurance companies or back to medical facilities as appropriate
  • Ensure medical coding software is updated and operating properly
  • Keep records extremely organized and accurate
  • Maintain current knowledge of coding guidelines and federal regulations
  • Remain familiar with the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Diagnosis-related Group (DRG) codes

Requirements:

  • Minimum Associate’s degree in medical coding
  • Minimum 3 years’ experience as a coding specialist
  • Certification as a coding specialist through the American Health Information Management Association (AHIMA)
  • Certified professional Coder by the American Association of Medical Coders (AAMC)
  • Knowledge of medical terminology
  • In depth knowledge of computer operation

Pharmacy Bill Auditor

The role of the Pharmacy Bill Auditor is to ensure that filled prescriptions are billed in accordance with the negotiated insurance rates. They will work closely with assigned pharmacies to certify that prescriptions are dispensed and claims are filed within the appropriate state’s rules and regulations.

Job Duties:

  • Visit assigned pharmacies and perform announced or unannounced billing audits of previously filed claims
  • Perform remote mini audits to encourage continued compliance
  • Observe pharmacist to ensure they are dispensing medication within guidelines
  • Inspect inventory and pharmacy computer programs for accuracy and discrepancies
  • Ensure all equipment is in proper working order and in compliance with industry standards
  • Investigate inquiries into claims to determine the nature of errors

Requirements:

  • Bachelor’s degree in Business or other health care related field
  • Pharmacy Technician certification with an accredited certifying body
  • In depth knowledge of the health insurance process
  • Background in medical billing and pharmacy operations
  • Basic computer skills and knowledge of Microsoft Office suite required
  • Ability to communicate effectively with peers and pharmacy employees

Clinical Nurse Specialist

The clinical nurse specialist applies their expertise, theory, and research to ensure each patient is successfully treated. They focus on patient and family needs while employing their experience in nurse management to get the job done. The ideal candidate will also serve as a mentor to less experienced nurses and champion change to meet patient care goals.

Job Duties:

  • Patent data analysis
  • Manage the allocation of employees and resources
  • Create appropriate and efficient patient treatment plans after patient examination
  • Provide patient care education to the patient and family members for post discharge
  • Work with nursing staff to enhance patient care by assessing current procedures and considering alternative options
  • Work with various patient care managers to ensure staff has required knowledge of procedures
  • Consult with physicians, nurses and other health care providers to meet the needs of patients
  • Ensure staff works as a team to provide patients the best possible care

Requirements:

  • Masters of Science in Nursing (MSN) degree or better
  • Clinical Nurse Specialist certification
  • Minimum 3 years of experience in a clinical setting
  • Clinical expertise in an area of specialty preferred

A/R Insurance Rep

The A/R Insurance Rep will work with patients, insurance companies, and other third party payers to ensure accurate and timely payments for each patient’s account. The ideal candidate will be a great multitasker as they will also work with patients professionally to understand their account details; provide an accurate and timely response if there is any concern,; and provide a resolution if needed.

Job Duties:

  • Generate patient statements daily
  • Handle patient concerns and provide resolutions
  • Ensure accurate payments to patient’s accounts by insurance companies or other payers
  • Meeting collection goals and metrics
  • Provide any needed reimbursements to appropriate payers
  • Maintains confidentiality for patient accounts and the financial affairs of the healthcare facility

Job Requirements:

  • High school diploma, GED, or equivalent
  • Minimum 1 year experience in a clinical office
  • Knowledge of payment and collection systems in the medical field
  • Knowledge of computer use and Microsoft Office
  • Ability to think critically and work in a fast paced, every changing environment
  • Previous customer service experience preferred
  • Basic knowledge of medical terminology preferred