Call Center/AI Engineer – Remote

by Irma Moore | Nov 11, 2024 | Uncategorized

Job Description

Overview

Contact Center/AI Engineer – Remote – Information Technology 

Position Highlights:

• Full-Time, 40 hours 
• Hours: Monday-Friday; 8 a.m. to 5:00 p.m. 
• Location: Remote

Benefits: 

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year. 
• Immediate 401(k) match.
• 40 hours paid volunteer time off. 
• A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact.
• 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members. 

The Contact Center/AI Engineer will focus on managing and optimizing our cloud contact center solution, while also taking on service desk tickets and participating in on-call duties. The ideal candidate will possess strong technical expertise, excellent problem-solving skills, and the ability to work collaboratively within a fast-paced environment.
Responsibilities

What you will do:

Under direct supervision of Information Technology leadership, the Call Center/AI Engineer will be responsible for:

• Contact Center Administration:
  • Develop, troubleshoot, and optimize, the Five9 Cloud Omni-channel platform, including call flow scripts, voice recordings, voice bots, chatbots, SMS, email flow scripts, IVA self-service engines and end user configuration.
  • Monitor and maintain the Five9 contact center and other voice platforms to ensure optimal performance and reliability.
  • Implement and support telephony integrations with 3^rd party adjunct API’s
  • Respond to and resolve service desk tickets related to Five9 and other voice-related technologies in a timely manner.
  • Provide tier two-level support to users, troubleshooting issues and escalating complex problems as needed.
  • Escalate service impacting issues with 3^rd party vendors while coordinating and communicating with the Duly Health Incident Management team 
  • Provide training and support to end-users, and managers to enhance their understanding and effective use of the Five9 platform including WFM.

• On-Call Duties:
  • Participate in an on-call rotation to provide after-hours support for critical voice services and systems.
  • Proactively monitor system performance and address any issues that arise during off-hours.

• Documentation and Reporting:
  • Maintain accurate documentation of system configurations, processes, and procedures.
  • Create and refine existing knowledgebase articles to empower end users and reduce service requests.

Qualifications

Experience: 

• Five or more years’ experience with Five 9 platform and adjuncts.
• Strong understanding of VoIP technologies, telephony systems, and call center operations and design.
• Experience with service desk tools and ticketing systems.
• Excellent troubleshooting skills and the ability to diagnose and resolve technical issues quickly.
• Strong communication skills, both verbal and written, with the ability to explain technical concepts to non-technical users.
• Ability to work independently and collaboratively in a team environment.
• Working knowledge of Nice InContact and Cisco CUCM is a plus
• Experience with LLM’s, NLM, IVA scripting, and APIs.
• Experience with scripting or programming for automation tasks.

Apply

Accounts Receivable Specialist 2

by Irma Moore | Nov 11, 2024 | Uncategorized

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

The Accounts Receivable Specialist II is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables.

Responsibilities:

• Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers. 
• Updates patient demographics and/or insurance information in appropriate systems. 
• Conducts research and appropriately statuses unpaid or denied claims.
• Monitors claims for missing information, authorization, and control numbers (ICN//DCN). 
• Research EOBs for payments or adjustments to resolve claims. 
• Contacts payers by phone or through written correspondence to secure payment of claims. 
• Accesses client systems for information regarding received payments, open claims, and other data necessary to resolve claims. 
• Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems. 
• Secures medical documentation as required or requested by third party insurance carriers. 
• Obtains billing guidelines and requirements by researching provider billing manuals.  
• Writes appeal letters for technical appeals. 
• Verifies accuracy of underpayments by researching contracts and claims data. 
• In the event of an authorization, coding, level of care and/or length of stay denial, prepares claims for clinical audit processing.  
• Supports Savista’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista’s business practices. This includes becoming familiar with Savista’s Code of Ethics, attending training as required, notifying management or Savista’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations. 

Requirements:

• High school diploma or GED. 
• At least two years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or commercial insurance payers. Preferably Arizona AHCCCS.
• Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials. 
• Experience reviewing EOB and UB-04 forms to conduct A/R activities. 
• Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.  
• At least two years of experience with accounts receivable software. 
• Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up. 
• Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools. 
• Demonstrated success working both individually and in a team environment. 
• Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter. 
• Ability to work effectively with cross-functional teams to achieve goals. 
• Demonstrated ability to meet performance objectives. 

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 $13.13 to $20.63. 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.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

Data Scientist – 315748

by Irma Moore | Nov 11, 2024 | Uncategorized

ainger is a leading broad line distributor with operations in North America, Japan and the United Kingdom. We achieve our purpose, We Keep the World Working®, by serving more than 4.5 million customers with a wide range of products that keep their operations running and their people safe. Grainger also delivers services and solutions, such as technical support and inventory management, to save customers time and money.

We’re looking for passionate people who can move our company forward. We have a welcoming workplace where you can build a career for yourself while fulfilling our purpose to keep the world working. We embrace new ways of thinking and recognize everyone is an individual. Find your way with Grainger today.

Grainger Corporate Services LLC is seeking a Data Scientist in Lake Forest, IL with the following requirements: Master’s degree in Data Science, Analytics or related field plus 1 year related experience. Prior experience must include: Utilize querying languages (e.g., SQL) and programming languages (e.g., Python) to facilitate streamlined analysis and decision-making; Design and deploy automated data ingestion processes to streamline the uploading of large datasets into relational databases, leveraging database-dependent procedures, UDFs, and scripting languages; Lead research lifecycle for machine learning projects, from problem scoping to testing different algorithms (e.g., Naïve Bayes, bagging and boosting trees, SVM), and translate business problems into technical solutions using machine learning frameworks and advanced data science toolsets (e.g., Pandas, scikit-learn); Manipulate high-volume, high-dimensionality data from multiple sources, visualize patterns, spot anomalies, perform feature engineering and selection, and build interpretable statistical models, contributing to better decision-making and strategic planning; Build scalable machine learning workflow with the help of cloud-based services (e.g., AWS, Kubeflow) and container orchestration technologies (e.g., Docker, Airflow); Utilize CI/CD tools and deployment best practices (e.g., Linux, shell command, Git, GitHub). Up to 90% remote work allowed from anywhere in the U.S.Please submit resume to https://jobs.grainger.com, reference job #315748.

PERM-ZL

#LI-DNI

#IN-DNI 

Grainger is an equal opportunity/affirmative action employer. We provide equal employment opportunities regardless of race, color, national origin, sex, sexual orientation, gender identity or expression, religion, age, disability status, veteran status, or any other protected characteristic. Our commitment to inclusivity includes offering reasonable accommodations during the hiring process. If you require an accommodation during interviews, please let us know and we will provide the appropriate assistance.

Apply now »

Remote Professional Fee Coder

by Irma Moore | Nov 8, 2024 | Uncategorized

Overview

Now hiring a Remote Professional Fee Coder!!

This opportunity is open to remote applicants in the United States, with the exception of the following states:

Wyoming, North Dakota, and Ohio

Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures

How you belong matters here.

We value our employees’ differences and find strength in the diversity of our team and community.

At Presbyterian, it’s not just what we do that matters. It’s how we do it – and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time – Exempt: No
• Job is based Rev Hugh Cooper Admin Center
• Work hours: Varied Days and Hours
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Qualifications

• High school diploma/GED required.
• Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• Three to five years experience as a coder required.
• Inpatient Coding experience preferred

Credentials:
Essential:
* Certified Professional Coder

Responsibilities

• Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership..
• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner. Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed.
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, and DRG, APC and/or HHRG updates and changes.
• Responsible for resolving any and all pre-bill edits, denials, etc. for assigned accounts.
• Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
• Communicates issues to the EW Clinical Coding Manager , as appropriate.
• Maintains at least a 95% accuracy rate.
• Maintains average to high productivity based on PHS Productivity Standards.
• Maintains continuing education (CE) requirements per PHS policy.
• Performs other functions as required. 

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian’s Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers’ markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state’s largest private employer with nearly 14,000 employees – including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Maximum Offer for this position is up to

USD $34.27/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

It Systems Analyst (Cardiology PACS, Enterprise Imaging)

by Irma Moore | Nov 8, 2024 | Uncategorized

UC Health is hiring a Full Time, Remote IT Systems Analyst (Cariology PACS, Enterprise Imaging) for the IS&T department

The Systems Analyst (Cardiology PACS, Enterprise Imaging) is responsible for implementing and maintaining IT systems used to view and result medical imaging exams, primarily cardiology and point-of-care ultrasounds. This role is also responsible for designing, implementing and supporting designated software applications in accordance with departmental standards and procedures, works with users to define system functionality, information flow, reports and data requirements and develops specifications and documents operational procedures, tests software, and coordinates software release procedures.

About UC Health 

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching—a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. 

Responsibilities

System Development and Support:

• Facilitates effective system design and definition for existing and new system functionality.
• Demonstrates detail knowledge of the application data and database.
• Acts as a resource/subject matter expert.
• Facilitates complex system upgrades.
• Assists in the evaluation for system hardware and software products.
• Documents system requests.
• Develops and tests complex testing scenarios.
• Develops accurate complex Functional Specifications.
• Develops accurate complex Technical Specifications.
• Follows change management procedures.
• Audits application processes or personnel to ensure highest quality outcomes.
• Provides Production support on specified applications.
• Develops adhoc reports.
• Acts as a mentor to less experienced staff.

Project Support:

• Serves as a Project Manager for complex projects.
• Serves as a Test Coordinator for complex projects.
• Maintains an ability to create complex project work plans.
• Maintains an ability to create complex project charters.
• Determines schedules and skill sets of team for projects.
• Works with departmental sponsorship to resolve project issues and risk.
• Determines and manages workload priorities.
• Facilitates activities across IS&T Departmental Teams.
• Ensures that project plans are followed and updated.
• Provides accurate and timely individual and project status reports.
• Documents and ensures timely resolution of project issues.
• Facilitates complex system upgrades.
• Is a resource to other projects.

System Definition:

• Defines and designs system tables, parameters and set up that optimizes application functionality.
• Effectively interacts with vendors and end users to evaluate and implement products.
• Provides information and designs for testing applications and contingency plans.
• Provides timeline for all system enhancements that do not warrant project charters and work plans.
• Develops accurate application functional and technical specifications.

Customer Relationship:

• Facilitates coordination of end user meetings.
• Develops consensus within user groups.
• Encourages and displays actions that result in high client satisfaction.
• Provides effective written and verbal communication to end users.
• Provides consults to end users.

Coordination:

• Assesses and escalates user request and issues.
• Coordinates vendor and consultant activities independently.
• Completes and Monitors system design for technical team.
• Facilitates complex system upgrades.
• Works with programming teams on development system programs.
• Provides consults to IT Staff.

Other duties as assigned:

• Assists in the development of departmental policies and procedures.

Qualifications

• Minimum Required: Required: Bachelor’s degree in IS&T or related field**.
• Two or more years experience with computer applications (programming or analysis) in a PC or mainframe environment required. 
• **4 years equivalent experience can substitute for a Bachelor’s degree.  
• Experience in medical imaging, EMR, and healthcare IT strongly preferred.  
• Experience with Merge Cardio CPACS, Merge Hemo, and/or Telexy QPathE preferred.

Remote Candidates must live in OH, KY, or IN.

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!  

At UC Health, we’re proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. 

As the region’s adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you’ll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment.  Apply Now