Total 15 health beauty fitness job vacancies in Finance / Banking / Insurance category in SITE - Royal Oak Hospital - 3601 W 13 Mile Road - Royal Oak

Job Responsibilities:

• Check client’s eligibility of medical benefits

• Check validity of claims prior to data entry into system

• Data entry of medical claims for both outpatient and inpatient services within a strict timeline

• Count, sort and stamp all incoming claims received

• Scan weekly invoices

• Prepare letters of rejected claims

• Process medical claims reimbursement and generate report

• Problem solve operational and system issues

• Handle client enquiries via phone and email

• Other administrative duties as assigned

Job Requirements:

• Meticulous and detailed at work with accuracy of data entries into system

• Responsive to client needs

• Team player

• Problem solver

• Willing to learn and adaptable to working environment with minimal supervision

• Able to work within KPIs set

• Must be familiar with Microsoft Office applications (Excel, Word and Power Point)

Thank you for your interest. We regret that only shortlisted candidates will be notified.

Proud member of the Disability Confident employer scheme

Proud member of the Disability Confident employer scheme

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary: 

The Insurance Billing Specialist’s main focus is to obtain maximum and appropriate reimbursement for Bozeman Health and all related entities,  hospital (HB) and/or professional (PB) claims from third party payers.  Supports the timely development and accurate submission of claims to third party payers to include insurance follow-up related to no response, returned claims, denied claims, or claim edits preventing claim submission, submitting corrected or replacement claims, and combining hospital accounts in accordance with payer billing policies.   Monitor, resolve or escalate payer denials, returned claims, claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the Revenue Cycle as well escalating identified concerns to the HB or PB Supervisor.   Collaborate and coordinate with other Revenue Cycle functions or departments to resolve DNBs, claim edits, denials that are preventing  timely claim submission or appropriate reimbursement.  Prioritizes and completes accounts routed to billing WQs to reduce accounts receivable days and escalates high-dollar accounts or systemic issues to either the HB or PB Billing supervisor for resolution.   

Minimum Qualifications:

• High School Diploma or Equivalent
• One (1) year of general or medical office experience
• Preferred: Epic experience
• Preferred: Completion of program in medical billing degree or certification program
• Preferred: Two (2) years of healthcare hospital and/or professional billing experience

Essential Job Functions:

• Submits timely and accurate claims to primary, secondary, and tertiary insurances for both electronic and paper submission
• Follows up on applicable No Response WQs and Rejected Claims WQs through phone contact or written correspondence to ensure that no account reaches 180 days old from discharge date and still due by insurance, regardless of dollar amount
• Reviews accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and submitting adjustments for approval when necessary, routes claims for appeal, resubmits claims, or moves balances from insurance responsibility to patient responsibility when appropriate
• Ensures that claims have appropriate information on them for submission to insurance companies or agencies by reviewing claim edit WQs and other prebilling insurance WQs and escalates systemic issues identified to supervisor
• Assists Customer Service with claim processing questions
• Identifies and escalates concerns regarding claim processing to Billing Supervisor

Knowledge, Skills and Abilities

• Demonstrates sound judgment, patience, and maintains a professional demeanor at all times
• Exercises tact, discretion, sensitivity, and maintains confidentiality
• Performs essential job functions successfully in a busy and stressful environment
• Learns current and new computer applications and office equipment utilized at Bozeman Health
• Strong interpersonal, verbal, and written communication skills
• Analyzes, organizes, and prioritizes work while meeting multiple deadlines
• Works varied shifts as scheduled and/or needed

Proud member of the Disability Confident employer scheme

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CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

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Help change health care; help change the world.  We want to change the lives of those in our care – and the people who choose to take on this challenge. If you’re ready to change lives, we want to hear from you.

Arizona is a year-round destination. Sunny skies and low humidity prevail 300 days a year across the state.  From awesome natural wonders to culinary treats, tribal lands, vibrant cities, world-class resorts, renowned golfing and historic Western towns, there are some truly breathtaking moments to be had in the Grand Canyon State.

Banner Health has been recognized by Becker’s Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweek’s list of America’s Greatest Workplaces 2023 for Diversity. These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement.

This is an onsite position working 40 hours a week at Banner Estrella Medical Center.

POSITION SUMMARY
This position provides overall direction of the Finance functions for separate operating unit(s) to support the achievement of facility and related entities' financial and strategic objectives.

CORE FUNCTIONS
1. Reports financial performance metrics for assigned facilities.

2. Directs and manages key processes including financial, management and cost reporting and analysis; net revenue modeling; operating and strategic financial planning; annual operating and capital budgeting; decision support and business analysis.

3. Establishes systems to monitor performance and assure all departments are delivering financial goals as committed through the budget. Recommends redistribution of resources when necessary to deliver outcomes.

4. Assures adherence to company financial policies and internal controls, regulatory compliance, and generally accepted accounting principles. Develops and implements financial policies and/or procedures as needed.

5. May direct personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations. Provides on-going financial education opportunities for staff, department managers and administration, as necessary.

6. May leads teams and models behaviors to improve processes, customer satisfaction, and profitability. Works with department managers and other department personnel to identify financial improvement opportunities through monthly budget variance analysis, studying trended data, comparing benchmark information and reviewing productivity data.

7. Provides financial decision support to assigned operating unit(s) and selected service lines by providing program, payer and service profitability reports and operating and capital investment analysis and forecasting.

8. Ensures the achievement of financial goals and performance metrics for operating unit. Primarily supports senior leadership across the operating unit and facility.
 

MINIMUM QUALIFICATIONS

Knowledge and understanding of business and financial healthcare as normally obtained through the completion of a Bachelor’s Degree in Business, Accounting, Finance or other related degree

Requires a proficiency level typically attained with seven or more years experience in healthcare finance. Employees working at Banner Behavioral Health Hospital or the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

Requires ability to prepare detailed operating and financial reports using advanced computer skills. Requires strong interpersonal, leadership and communication/presentation skills.

PREFERRED QUALIFICATIONS

Master of Business Administration or Certified Public Accountant (MBA/CPA) is highly desirable or equivalent work experience with an in-depth knowledge of accounting principles, budgeting, cost accounting and healthcare reimbursement methodologies. Previous management of professional level staff highly preferred.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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Job Summary

Hybrid role that will be responsible for the day-to-day operations of Corewell Health's investment portfolios, which include operating, defined benefit pension, and health insurance assets. Support the investment team by providing operational and analytical assistance in managing the portfolios across all asset classes: equity (public and private), fixed income, and hedge funds. Success in this role requires strong attention to detail, excellent communication, and the ability to work with key stakeholders, both internally (Treasury and Finance/Accounting) as well as externally (investment consultant, custody bank, auditors, and actuaries).

Essential Functions

Qualifications

Required:

Physical Demands

Primary Location

Department Name

Employment Type

Shift

Weekly Scheduled Hours

Hours of Work

Days Worked

Weekend Frequency

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Job Summary

Interns will work closely with finance leadership and staff for direction on projects, tasks and responsibilities.  Work will involve hands on work on business plans, financial analysis, budgets, projections, and various other areas.  Interns will be involved in trending and analysis of reimbursement, costs related to supplies, pharmaceuticals and other areas of financial optimization. Interns will meet and work with various clinical, operational, and other leaders at various levels of the organization, including senior leadership. Training will include modules provided by the HFMA which will provide significant training in the healthcare business and financial environment.  Additionally staff and leadership will spend time exposing interns to topics and projects. The internship will provide broad exposure to the healthcare system, including physician practices, inpatient services, outpatient operations, surgery, nursing, and various other departments.

Essential Functions

Qualifications

Physical Demands

Primary Location

Department Name

Employment Type

Shift

Weekly Scheduled Hours

Hours of Work

Days Worked

Weekend Frequency

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary: 

The Hospital / Professional Insurance Billing Supervisor is responsible for assisting with planning, directing, organizing, monitoring and staffing departmental services subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the hospital executive team in collaboration with the Patient Financial Services (PFS) manager. Oversees and coordinates the insurance billing function for Bozeman Health and all related entities, to include insurance follow-up related to no response, returned claims, denied claims, or claim edits preventing claim submission. Supports billing staff in maintaining team discipline to support the accurate and timely claims development and submission to payers to maximize reimbursement for the system. Conducts training and education for all billing functions to prevent and mitigate returned claims or claims denied due to lack of timely response or timely filing requirements.  Collaborate and coordinate with other Revenue Cycle functions or departments to resolve discharged not billed (DNB) or claim edits that are preventing timely claim submission.  Monitor denials, returned claims, claim edits, and payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the Revenue Cycle as well escalating identified concerns to the PFS manager.   

Minimum Qualifications:

• Associate's degree in Business or Accounting; an equivalent combination of education and experience will be considered
• Three (3) years of experience in a medical billings and claims
• Three (3) years of supervisory experience
• Prior experience with Epic billing

• Prior experience in healthcare administration, revenue cycle, or accounts receivable management
• Knowledge of electronic healthcare payment transactions
• Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing
• Preferred: Bachelor’s degree in business or related field

Essential Job Functions:

• Assists department leadership with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and hospital requirements
• Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization
• Coordinates and oversees the organization-wide departmental services.  Continuously assesses, measures and improves departmental performance utilizing key performance indicators. Helps plan initiatives to increase performance as needed
• Demonstrates responsible management of all departmental resources
• Monitors quality and productivity levels for all billing staff members
• Manages WQ assignments in Epic and ensures accounts are not left unworked
• Demonstrates clinical/technical and supervisor competency.  Ensures staff professional needs are met
• Leads, teaches, inspires, helps and consistently demonstrates hospital behavioral standards
• Analyzes data and prepares reports on performance as required or requested
• Reviews denial and underpayment trends in collaboration with PFS Manager, Contract Specialist, and Compliance as appropriate and follow up staff to develop improvement initiatives; communicated with payers to resolve issues and foster working relationships
• Identifies payer trends and communicates with PFS Manager for escalation
• Ensures timely billing and proactively investigates and addresses potential billing process inefficiencies
• Approves appropriate account adjustments within identified thresholds and ensures PFS Manager is aware of trends in adjustment spaces (timely filing etc.)
• Oversees recruiting, hiring, and training practices; monitors and provides performance evaluations for billing staff
• Works with external resources as appropriate and brings issues that arise to the PFS Manager

Knowledge, Skills and Abilities

• Strong leadership managerial skills; ability to plan, delegate, train, monitor and improve work performance
• Demonstrates ability to lead to and motivate staff
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Familiar with business and medical terminology, billing codes, and coding systems (ICD-10, HCPCS, CPT)
• Strong interpersonal, organizational, multi-tasking, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality

• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, internet applications and proficient in Epic.
• Ability to work varied shifts

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Starting Pay Rate Range

to

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Conducts timely follow up of claims as needed.
• Demonstrates application of compliance standards and payer specific data to properly file claims, ensures prompt, appropriate reimbursement of services and supplies billed to third parties and appropriate payment of services and supplies due from patients, as evidenced by documentation, observation and feedback.
• Demonstrates a working knowledge of third party payor procedures including, but not limited to; Medicare, Medicaid, Champus, Blue Cross and all other third party contractual agreements entered into.
• Uses tools provided to track and trend patterns of claim submission issues that might require Compliance and Charge master staff to resolve, or HIPAA transaction code set review. Research payor requirements and offer suggestions to leadership for claims submission issues.
• Maintains and updates appropriate system documentation to provide information regarding claim processing to internal or external customers.
• Identifies unresolved requests of patient responsibility and transfers account to self pay. Performs duties and provides best customer service using behaviors that demonstrate responsibility and accountability.
• Participates in departmental activities related to performance improvement and quality control.
• All other duties as assigned.

Additional Requirements

Preferred:
Experience - 1+ years of Clerical Experience; 1+ years of Medical Patient Accounts/Financial Services Experience
Education - Bachelors degree in Accounting, Business, Health Related Field
Certifications - Certified Clinical Account Technician (CCAT) - Accredited University or accredited training professionals; Certified Patient Account Technician (CPAT) - Accredited University or accredited training professionals

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Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Job Summary - Senior Vice President of Finance

Physical Demands

Primary Location

Department Name

Employment Type

Shift

Weekly Scheduled Hours

Hours of Work

Days Worked

Weekend Frequency

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.