Scheduler – REMOTE

by Irma Moore | Jan 14, 2025 | Uncategorized

The Scheduling Data Entry Specialist performs all aspects of Anesthesia scheduling data collection and data entry as defined by the specific needs of the division to include but not limited to: receiving, collecting, entering, and maintaining data from/into various databases.  Answering incoming calls from surgeon’s offices, hospitals, surgery centers and patients.

At this time, US Anesthesia Partners does not hire candidates residing in New York, California, Hawaii, or Alaska.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES (including but not limited to):

• Data entry into scheduling and billing software for all incoming surgical cases received from facilities and surgeon office staff via email, fax or phone calls.
• Identify and resolve any discrepancies, conflicts, or missing information through communication with facilities and surgeon office staff.
• Post cases according to division specific requirements to include general patient demographics, procedure, diagnosis, location, time of case and estimated time required for completion.
• Communicate with various internal and external clients (Anesthesia providers, facilities, surgeon’s office staff, and patients).
• Make assignments as directed by physician scheduler or scheduling team member.
• Notify all providers of his/her daily schedule according to division requirements.
• Collaborate with other divisions for cross coverage needs.
• Performs other duties as assigned.

REPORTING TO THIS POSITION: No direct reports

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

• Excellent verbal and written communication skills.
• Professional telephone/email/text etiquette.
• Excellent customer service/communication skills.
• Basic knowledge of medical terminology.
• Ability to work independently and with others to coordinate workflow.
• Ability to communicate and collaborate effectively with staff, physicians, and external customers.
• Ability to efficiently collect, organize, and maintain data.
• Ability to handle and solve problems under pressure.
• Dependable and committed with a positive attitude and pleasant disposition.
• Accurate data entry skills with attention to detail.
• Strong computer and basic office skills (fax/email/phone).
• Proficient in MS Office, including Outlook, Word, and Excel.
• Ability to read, write, and speak English

Qualifications

EDUCATION/TRAINING/EXPERIENCE:

• High School graduate or equivalent required.
• Proficiency in medical terminology required.
• Previous medical experience preferred.
• Associate or bachelor’s degree preferred.
• Surgery scheduling experience preferred.
• Other healthcare related experience will be considered.

PHYSICAL REQUIREMENTS:

• Requires prolonged sitting at a computer.
• Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment
• Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations. 
• Requires dexterity to type 35-50 wpm.

WORKING CONDITIONS (environment and safety):

• Work performed in office environment
• Involves frequent contact with physicians, leadership, facility and medical office staff.
• Work may be stressful at times
• Interaction with others is frequent and often disruptive

disclaimer:  The above job description has been written to indicate the general nature and level of work performed by employees within this classification.  It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.

Analyst, Data Innovation Operations (Remote eligible) in Sacramento, California

by Irma Moore | Jan 14, 2025 | Uncategorized

Position Description:

Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public- and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics. Our work yields actionable information to guide decisions in wide-ranging areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development. Mathematica offers our employees competitive salaries, and a comprehensive benefits package, as well as the advantages of being 100 percent employee owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in tandem with the company’s growth and financial strength. You will also be part of an independent, employee-owned firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Learn more about our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance

We are seeking a motivated Operations Analyst to join the Data Innovation Lab in managing the priorities of the Health Solutions Insights (HSI) division leadership team including budget, initiative and investment oversight, operational improvements, and knowledge management. This individual can work remotely or hybrid from any of our office locations.

Responsibilities:

• Work closely with Health Solutions Insights (HSI) Data Innovation Lab leaders to develop and implement strategic plans that align with HSI goals and objectives. o Draft communication and guidance. o Coordinate logistics for large meetings, prepare slides and meeting materials, ensure seamless execution of events. o Maintain knowledge in Confluence and SharePoint.
• Optimize processes for the Lab to make them more efficient and transparent.
• Anticipate the needs of the Lab and proactively resolve operational and administrative issues before they arise.
• Manage up to Lab leaders to ensure efficient and timely completion of tasks.
• Analyze and report on financial, staffing, and performance metrics set by leadership.
• Monitor day-to-day operational systems and processes to provide visibility into the goals, progress, and obstacles of key initiatives.
• Addresses knowledge management gaps, implements process improvements, or facilitates key operations that may take significant time and collaboration to stand up successfully.
• Coordinate with the larger operational team supporting the Health Unit to ensure that the Lab’s operations are not duplicative. 

Position Requirements:

• Bachelor’s degree in Business, Communications, or a related field preferred.
• 3+ years of experience in a position that required coordination across multiple stakeholders.
• A combination of equivalent education and work experience may be substituted for the above requirements.
• Experience with enterprise collaboration tools including SharePoint and the Atlassian suite (Confluence and Jira).
• Advanced proficiency and analytic skills with Microsoft Office (including PowerPoint and SharePoint).
• Strong analytical skills with knowledge of business acumen and the communication skills needed to interact with a variety of staff and job functions.
• Excellent organizational, planning, and communication skills, with strong attention to detail and accuracy of work.

This position offers an anticipated annual base salary range of $65,000 – $85,000. To apply, please submit a cover letter, resume, location preference, and salary expectations.

STAFFING AGENCIES AND THIRD-PARTY RECRUITERS: Mathematica is not accepting candidates for this role or any technical role from staffing agencies or third-party recruiters. Please do not contact technical or senior staff at Mathematica or share unsolicited resumes. All agency inquiries go through the talent acquisition team and will be routed accordingly.

Available Locations: Remote; Washington, DC; Princeton, NJ; Ann Arbor, MI; Chicago, IL

To select “Remote” as your location, please choose “no preference.”

#LI-DI1

#remote-USA

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

Payment Receipts Specialist – Cash Posting (Remote: OR, WA, AK)

by Irma Moore | Jan 14, 2025 | Uncategorized

PeaceHealth is seeking a Payment Receipts Specialist – Cash Posting for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $18.76 – $28.14. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Must live in Oregon, Washington or Alaska.

Job Summary

Responsible for performing payment related tasks using a manual and/or computerized system which involves receiving, distributing, transferring, and accounting for funds; receipt of payments by cash, checks, credit card, electronic funds transfer.

Details of the position

• Performs daily cash posting and reconciliation of payments, adjustments and rejections from private and third-party payors.
• Performs reconciliation of accounts receivable and payment posting.
• Prepares deposits in accordance with departmental procedures.
• Processes and monitors the electronic remittance files to ensure accuracy.
• Maintains and/or enforce security procedures to ensure safety of funds.
• May research and resolve credit balances that occur due to overpayment at the time of posting.
• May assist customers by answering inquiries and providing information.
• Assists with departmental coverage as needed.
• Performs other duties as assigned.

What you bring

• High School Diploma Preferred: or equivalent
• Minimum of 2 years Required: Experience in medical office, billing or insurance account follow-up

Skills

• Billing/ Payment posting, provider level adjustments (Required)
• Knowledge of insurance processes and billing guidelines and regulations (Required)
• Knowledge of payer EOBs/835s and bank lockbox processes (Required)
• Knowledge of insurance processes and billing guidelines regulations (Preferred)
• Proficiency in use of 10-key (Required)
• Proficient use of computers including MS Office applications and payer portals (Required)
• Knowledge of insurance and reimbursement policies (Required)
• Strong data entry skills (Required)
• Skills in problem solving, organizational and time management (Required)
• Knowledge of basic accounts skills (Required)
• Ability to work under pressure and meet deadlines (Required)
• Excellent verbal and written communication skills (Required)
• Excellent attention to detail and ability to multi-task and to handle high volume workload (Required)
• Ability to process and reconcile provider level adjustments (Required)
• Ability to effectively and accurately post payments to meet department deadlines (Required)
• Knowledge of banking lockbox processes (Required)
• Ability to manage complex accounts to resolve debit and credit balances, missing payments, and unposted cash (Required)
• Knowledge of major insurance products such as Medicare, Medicaid, Workers Compensation and Commercial payers (Required)
• Detail oriented (Required)
• Ability to work remotely with minimal oversight, independently, as well as in a collaborative team setting (Required)

Working Conditions

Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.

Mental/Visual

• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

Data Entry (Remote)

by Irma Moore | Jan 14, 2025 | Uncategorized

About ABC Legal Services:

ABC Legal Service is proud to be the national leader in filing service of legal documents. We are growing and are looking for talented new team members to support our growth and solve exciting challenges!

We are a team of over 400 with offices in Los Angeles, Phoenix, Oklahoma City, Brooklyn, Chicago, and more. Seattle is our home and headquarters. We’ve been successful in this unique business for over 30 years and we continue to advance our technology and business processes to remain years ahead of what our competition is able to offer.

Job Overview: 

The e-File Specialist reviews and files legal documents utilizing online platforms and tools developed by ABC Legal. This role works closely with the e-Fulfillment and e-Filing team to collaborate on projects, resolve issues as they arise and meet common goals. This position is remote but must be located in the United States. 

Key Responsibilities: 

• Review and file legal documents using internal systems and email
• Participate in ongoing training to expand knowledge of industry and process
• Investigate discrepancies as they arise
• Complete additional projects as assigned

Qualifications: 

• No experience necessary; data entry experience a plus 
• Tech experience is strongly preferred 
• Must be able to read, write, and speak English
• High school diploma or GED required
• Ability to perform repetitive tasks with accuracy
• Exceptional attention to detail
• Desire and ability to be a team player
• Experience and basic proficiency with Microsoft Office
• Typing speed of at 50 to 60 wpm 

We know that a company’s success starts with its employees. We also know that an individual’s success starts with the right career opportunity. Join our team today!

• Retirement plan with company matching
• Medical, Dental, and Vision insurance
• PTO 
• 11 paid holidays per year
• Referral program

Starting Pay: $14.00 to $18.00 per hour

Schedule: Full-time, Monday through Friday, 8am to 5pm PST 

Quality Officer III (Medicare)

by Irma Moore | Jan 14, 2025 | Uncategorized

The Quality Officer 3 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking and a higher level skill set due to the complexity and risk relative to Medicare patients. Quality Officer 3 must also sustain an excellent organizational average accuracy rate. Adherance to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set forth by RWJBH, American Hospital Association (AHA) and the American Medical Association (AMA) must be maintained.

Qualifications:

Required:

• Bachelor s degree or equivalent in experience.
  • 5+ years acute care coding and/or auditing experience with a concentration on inpatient Medicare records is required with a Bachelor s degree.
  • 9+ years acute coding and/or auditing experience required without a Bachelor s degree.
• Extensive knowledge of ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required.
• Knowledge of Medicare and Medicaid billing and coding regulations.
• Must have excellent interpersonal, oral, and written communication skills.
• Must be capable of critical thinking and analysis and written conveyance of same.
• Must have excellent organizational and time management skills.
• Must maintain a professional demeanor.
• Must be able to work independently and cooperatively with minimal supervision.
• Must foster positive relationships with fellow co-workers and the coding team.

Certifications and Licenses Required:

• CCS required
• ICD-I0-CM/PCS proficiency required.

Preferred:

• CPC-H, RHIT, RHIA and/or RN also encouraged.

Scheduling Requirements:

• Position is primarily remote with occasional onsite requirement.

Essential Functions:

• Ensures the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines.
• Critically analyzes each Medicare inpatient medical record to apply appropriate coding, DRG judgements, SOI, ROM and POA.
• Independently manages SMART pending queues for all acute care RWJBarnabas facilities. Reviews ICD-10-CM/PCS coding and DRG assignment of medical records as flagged by SMART.
• Independently manages EPIC SMART WQ s to assure proper workflow of identified accounts.
• Directs coders with appropriate case-specific recommendations. Educates and coaches coders in the application of coding principles, code assignment and sequencing, DRG assignment and clinical disease processes. Coding advice must be clearly and concisely written with appropriate clinical indicators cited. Additional facilities that may join the System receive the same education and coaching from the Quality Officers to ensure a unified methodology within the RWJBH organization. This results in improved outcomes in DRG assignment, coder education and DNB lag time within all facilities.
• Sustains an excellent organizational average accuracy rate by leveraging advanced knowledge of coding practices leading to exceptional results.
• The Quality Officer s coding analysis is reviewed by the Coding Specialists on a biannual basis. The consequences of incorrect judgments affecting the DRG may include an increased monitoring, until quality scores of 90% or better for two consecutive months are obtained. The consequences of incorrect coding resulting in erroneous DRGs includes under reporting and/or over reporting. Incorrect coding may result in an incorrect reporting of diagnoses and procedures to the patient s EHR which may affect the patient s future care, insurance claims and coverage. When accounts are not reviewed and released in a timely manner, there is a detrimental impact to the reimbursement flow for the facility (DNB).
• Productivity Standards must be met for all Quality Officers. Failure to meet productivity standards will result in progressive disciplinary action.
• Provides Guidance to Quality Officer 1 and 2 as requested.
• Independently monitors SMART queues to ensure all records imported by SMART are reviewed and properly directed, with/or without coding or other recommendations, or released to billing as appropriate and within department accepted timelines.
• Works as a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities.
• May review ICD-10-CM/PCS coding associated with RAC audits and/or other additional medical records as needed, and provides appropriate written feedback including rationale, research, and coding guidelines to management and/or the Coding Specialists.
• Reviews Discharge Status, Admission and Discharge Dates, and other related demographic information coded and entered by affiliate staff for accuracy and completeness. Communicates the need for Case Management review to the RWJBarnabas facilities when appropriate.
• Reviews Present on Admission (POA) indicators for all diagnosis coded and entered by coders for accuracy and completeness.
• Reviews Physician Queries submitted by staff for necessity, accuracy and completeness and communicate recommendations to the sites as appropriate.
• Participates in the review of other payers as directed.
• Independently reports problems with any and all computer system to RWJBarnabas IT&S or SMART helpdesk for resolution.
• May perform classroom training in ICD-10-CM/PCS and CPT coding for affiliate staff when needed at the internal RWJ Barnabas Coding School which may be held to train new facility coders.
• Maintains proper computer and written records of all review activity.
• Effectively communicates coding recommendations and rationale to Coding team.
• Performs regulatory coding research as needed.
• May be required to perform other related duties.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Additional Information:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,

high-quality academic medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer