Cincinnati jobs’ Post

DVA is not associated with this job posting Clinical Auditor 2 USA https://lnkd.in/gSMFPmcK This position performs audits of medical records on behalf of hospital clients for denial review, disallowed charges, and utilization reviews. This position requires critical thinking and judgment and must demonstrate the ability to appropriately use standard criteria such as InterQual, MCG, and CMS in addition to criteria established by state Medicaid programs or hospital contract or policy. Audit and analysis must be accurate and consistently ensure a high level of quality, knowledge of state and federal laws, rules, regulations and guidelines necessary to ensure compliance and protection of information. Must be a licensed RN. Essential Duties & Responsibilities: Defends audits of medical records to identify and/or defend charges, including: Stop-loss Audits Patient Inquiry Audits Charge Hold Audits Biller Requested Audits Completes analysis of records for complex inpatient reviews, including any of the following: DRG Downgrades Managed care or Medicaid reconsiderations/appeals Medicare appeals (RAC) Advanced reimbursement reviews #interview #wearehiring #jobvacancy #applytoday #newjob #opportunity #jobhiring #jobposting #workfromhome #werehiring #cfbr #education #sales #recruitmentagency #customerservice #jobopp #jobfair #jobhunting #recruiters #jobopenings #staffingagency #careerchange #bhfyp #employmentopportunities #motivation #entrepreneur #careeropportunities #dreamjob #marketing #helpwanted

DVA is not associated with this job posting Interim IP Coding Supervisor USA https://lnkd.in/gKJuizeF Coding Supervisor 1. Execute inpatient coding operational mandates as directed by Client’s Interim Inpatient Coding Manager. 2. Approve time and attendance; 3. Answer coding convention questions from Client’s inpatient coders; 4. Act upon Client-generated inpatient coding quality audit data according to Client performance management protocols; 5. Monitor inpatient uncoded volumes and provide appropriate instructions to Client inpatient coders to attain performance goals; and 6. Alert Client’s Inpatient Coding Manager of adverse events in the operations. Minimum Qualifications: An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential Three years of production coding experience Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $90,000 to $100,000. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills #recruiter #jobshiring #jobfair #business #jobhiring #jobopportunities #joboffer #jobvacancies #education #joinourteam #wearehiring #joblisting #bhfyp #employmentopportunities #jobseeking #opportunity #jobopenings #jobsite #jobless #werehiring #cv #cfbr #entrepreneurship #excutiveassistant

Transitioning billing from in-house staff to a billing company presents many challenges. With extensive experience, we've learned valuable lessons and continue to learn every day. Here are some key takeaways: 🖐️ Accept the bad with the good. 🖐️ Earning your client’s trust takes time. A strong reputation may win clients, but consistent excellence keeps them. 🖐️ Expect pushback and doubts. 🖐️ Stay informed and educated. 🖐️ Don’t take criticism personally. 🖐️ Build a network for advice and support. 🖐️ Maintain a positive attitude. #revenuecyclemanagement #rcm #medicalbilling #medicalcoding #healthcare #healthcareprovider #provider #doctor #physician #practicemanagement #clientrelations #customersupport #continuouslearning

Recently a client asked why they should hire a virtual assistant in their Pharmacy, this is what I told them. 1. Enhanced Patient Experience: A virtual assistant can help manage phone calls, answer frequent questions, and respond to patient inquiries, freeing up pharmacists and staff to focus on personalized care and consultations. 2. Increased Efficiency: Virtual assistants can automate tasks like data entry, appointment scheduling, and refill reminders, reducing administrative burdens and enabling pharmacy teams to prioritize core responsibilities. 3. Improved Operations: Virtual assistants can help with inventory management, insurance verification, and billing tasks, streamlining processes and minimizing errors, allowing pharmacists to focus on high-value tasks like medication therapy management and patient counseling. As a Virtual Assistant, Give me answer that you think is better? #Virtualassistance #Shareyouropinion #opentowork

DVA is not associated with this job posting Care Advisor (Registered Nurse) | Work from home, USA https://lnkd.in/g8wpJic3 A typical week in the life of this position: Work independently to make clinical decisions on routine patient care matters (at your license level) Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions Communicate with our organization’s clients as needed and other team members, verbally and digitally Monitor your own performance with dashboard metrics and look for ways to improve Participate in coaching sessions to improve performance Document all patient/member interactions via management software #employeeexperience #people #culture #hiring #talent #skills #passion #leadership #hr #humanresources #team #strategy #hrstrategy #business #team #careers #employment #jobs #hiring #job #jobsearch #recruitment #career #work #careers #recruiting #nowhiring #resume #jobhunt #business #jobseekers #jobopening #jobseeker #hiringnow #interview #jobsearching #vacancy #cfbr #education #jobinterview #jobopportunity #employmentopportunities

#hiring Healthcare - Care Manager III, New York City, United States, fulltime #jobs #jobseekers #careers #NewYorkCityjobs #NewYorkjobs #HealthcareMedical Apply: https://lnkd.in/gMwdgw3Y Job Title: Care Manager IIILocation: RemoteDuration: 6 Months Job Description: Will the position be 100% remote? There are some circumstances that CM need to visit mbr at home or in facilityBut the chance is extremely low.• Are there any specific location requirements? No- They can sit anywhere in US as long as they are licensed in NY State but they will not be able to convert to perm if they are not in tri state area.• What are the must have requirements? Knowledge of MLTC and NY Medicaid policyActually creating the care plans for adult/ geriatric patientsNot just working with MLTC dept coordinatorAlso NOT in just a hospital or nursing home or facility.• What specific experience do they need to have/know? MLTC experience, Acknowledge of UAS Assessment.• What are the day to day responsibilities? Outreach calls and Person-Centered Care Plan reviewsCoordinate care, manager caseload, create Patient Centered Service Plans.• Is there specific licensure is required in order to qualify for the role? RN/LMSW/LCSW- Licensed in the State of NY• What languages are required? Spanish• What sort of case load will this person manage? 2-3 PCSP review per day, or 225-230 caseloadFor context the NY Health plan added 940 new members last month.Must have previous experience working remoteSelf-motivated, tech savvy and able to work indecently to complete a min of 7 successful calls a day,At the end of the month the CM must have 125 contacts with members.Will require- laptop, keyboard, mouse, headset, dual monitors and a docking station.Summary: Responsible for health care management and coordination of members in order to achieve optimal clinical, financial and quality of life outcomesWorks with members to create and implement an integrated collaborative plan of careCoordinates and monitors Client members progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelinesEssential Functions:Provides case management services to members with chronic or complex conditions including: o Proactively identifies members that may qualify for potential case management serviceso Conducts assessment of member needs by collecting in-depth information from Clients information system, the member, members family/caregiver, hospital staff, physicians and other providerso Identifies, assesses and manages members per established criteriao Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needso Performs ongoing monitoring of the plan of care to evaluate effectivenesso Documents care plan progress in Clients information systemo

#hiring RN Care Manager, Nashville, United States, fulltime #opentowork #jobs #jobseekers #careers #Nashvillejobs #Tennesseejobs #HealthcareMedical Apply: https://lnkd.in/dsC5-zup Description: The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare. Through our elevated value-based care programs, we're revitalizing an antiquated system that's far too long relied on misaligned incentives that reward quantity of care not the quality of it. Our enlightened approach-covering everything from care coordination to coding to marketing- ties the healthy outcomes of patients directly to healthier earnings for primary care providers. Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated 24/7 care that is nothing short of life changing. Recently named by Insider as one of 33 startups investors expect to take off in 2023, we're one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be. We're looking for a Registered Nurse

Remote Medical Directors (RMDS) are key players in patient safety initiatives. They provide expert oversight, ensure compliance with safety standards, and promote continuous improvement in care quality. Hiring an RMD will improve your operational efficiency and help you maintain compliance. This staffing decision is the best way to give your patients the treatment they deserve. #PatientSafety #RMDS #HealthcareSafety

The lack of qualified workers in admin roles - support functions, is one of the most urgent problems, ...which also makes for the high rates of stress and burnout among Healthcare professionals. #Businessowners and #founders have to re-evaluate their operational strategy as a result of this staffing shortfall. One workable answer to these problems is outsourcing non-core tasks like medical billing. Healthcare facilities can lessen the workload on their in-house employees by delegating certain responsibilities to specialist back-end service providers, in #Sleep labs #Pharmacies #Clinical Diagnostics #Clinics/ Doctor office #DME/ #HME suppliers #Skilled nursing facility #Women & Children Care #Assisted living & Palliative care #Patient centric recovery planning centers (PCRP) Share with us the one major challenge you're facing in your staffing or hiring- that RND SOFTECH's 1month FREE trial could help demonstrate you overcome. #rcmservices #bposolutions #cfo #outsourcingservices #fao #remotestaffing #Businessowners #backofficesolutions #founders

#hiring *Patient Access Site Director II*, San Antonio, *United States*, fulltime #opentowork #jobs #jobseekers #careers #SanAntoniojobs #Texasjobs #ExecutivePositions *To Apply -->*: https://lnkd.in/gYyybZap JOB SUMMARY Manage the daily operations of a Patient Access department to effectively implement process improvements and ensure the safe, timely, accurate processes of patients through the Patient Access flow. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Implement process improvement initiatives as directed and needed to achieve both Conifer and Client goals. Continuously focused on meeting metrics and proactively identifying areas of opportunity by working collaboratively, professionally and fostering positive relationships with both internal and external peers. Develop and implement action plans as identified. Actively practice budget/cost management. Understand and be able to speak to all aspects of Patient Access, from technology, processes and regulations. Consistently manages staffing activities in areas of responsibility. This includes documentation and identification of needs, selection of staff, wage/salary activities, orientation and training. Grow/Mentor supervisors and ensure staff engagement and commitment to strategy, mission and goals. Communicate proactively and positively with direct supervisor to ensure personal growth in knowledge and skill set. Work positively with Client Services to ensure that client needs/concerns/requests in relation to Patient Access are being addressed proactively and in a way which does not negatively impact efficiencies or operational flows established. Effectively and proactively communicate and address issues that may be impeding performance, including technology or processes. FINANCIAL RESPONSIBILITY/SCOPE (Specify Revenue/Budget/Expense): Varies based on hospital size, volume and payor mix. Bed size: 300+ OR Points of Entry: 8+ (clinic/satellite is 1 POE) OR Number of facilities: 2-3 mid-sized hospitals or multi-site AND $200M+ in Net Patient Revenue SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (titles) Manager or Supervisors, Patient Access Indirect Reports (titles) Rep, PA I-IV; Rep, PA Scheduler KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential fu