Medical Biller – Remote – Doral

by Irma Moore | Dec 20, 2024 | Uncategorized

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.

The Central Business Office has an exciting opportunity for a Full-Time Medical Biller to work Remote. The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records.

• Reviews and releases all physician charges from the assigned WQ’s in a timely fashion.
• Reviews encounters received for all pertinent information: patient demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements.
• Runs insurance eligibility and fixes registration issues.
• Manually enters paper vouchers received for missing charges.
• Reviews and fixes erroneous and/or rejected charges.
• Distributes credits from patient payments as needed.
• Assigns charges to cases and phases.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

MINIMUM QUALIFICATIONS 

• High School diploma or equivalent
• Minimum 1 year of relevant experience
• General knowledge of office procedures and operations.
• Skill in data entry with minimal errors.
• Ability to communicate effectively in both oral and written form.
• Ability to understand and follow instructions.
• Skill in completing assignments accurately and with attention to detail.

Any appropriate combination of relevant education, experience and/or certifications may be considered.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida’s only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We’re the challenge you’ve been looking for.

The University of Miami is an Equal Opportunity Employer – Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:Full time

Employee Type:Staff

Pay Grade:H3Explore Location

Apply Now 

Financial Analyst III / TSRI Research Finance / Full Time

by Irma Moore | Dec 19, 2024 | Uncategorized

ob Description

NATIONAL LEADERS IN PEDIATRIC CARE
Ranked among the top 10 pediatric hospitals in the nation, Children’s Hospital Los Angeles (CHLA) provides the best care for kids in California.

Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.

The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.

Join a hospital where the work you do will matter—to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.

It’s Work That Matters.
Overview

**This position is Remote. Candidates must reside in California.**

Purpose Statement/Position Summary: The department is accountable for research operations yearly budget, monthly core recharges, AR reporting, Intramural Awards, Research Ops funded awards, OTC royalty income, and administration of TECPAD projects. The Financial Analyst III is responsible for overseeing the preparation and review of monthly, quarterly, and yearly financial analytics reports for Research Operations and CHLA leadership as related to research. Includes production, visualization and review of all departmental metrics to ensure accuracy and compliance with hospital policy. May assist in preparation of interim and final financial reports, variance analysis and budgets for the department. Performs the responsibilities of the position with minimal supervision, ensuring compliance and sound business practices. Perform complex account analysis. Mentors entry-level finance staff.

Minimum Qualifications/Work Experience: 5+ years of financial analyst experience. Healthcare or academic experience preferred. Intermediate MS excel/word knowledge required. Post Award or Research Administration experience preferred.

Education/Licensure/Certification: Bachelor’s degree in Finance, Accounting or related field.
Pay Scale Information

$68,432.00-$123,053.00

CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.

Children’s Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you’ll find an environment that’s alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures – for our patients, as well as for you and your career!

CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.

At Children’s Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.

Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.

Diversity inspires innovation. Our experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.

TSRI Research Finance

Actuarial Analyst

by Irma Moore | Dec 19, 2024 | Uncategorized

The Position: We are looking for an Actuarial Analyst with a strong interest in contributing to a mission-driven environment, while working on meaningful projects with internal and external stakeholders. This exciting role will provide you with an opportunity to support a dedicated client project team providing health and employee benefit projects, while sharpening your business and actuarial acumen. In addition, you’ll have the opportunity to interact with clients and participate in the many components of supporting a new business.

In the Actuarial Analyst role, you will take ownership of your work product and work closely with managers and lead actuaries to effectively report on and present actuarial information. In this role, you will hone your ability to manage your own workflow, ask the right questions, and demonstrate your desire to go above and beyond to serve clients.

This is a paid, salaried position.

Responsibilities:

• Research and gather information
• Review and analyze work products, including plan data and financial statements
• Provide input to the development of solutions
• Input data into and update actuarial models utilizing Excel, or other actuarial programs
• Create and update actuarial programs and spreadsheets
• Assist with report preparation
• Perform self-checks on analysis completed
• Demonstrate exemplary level of personal and professional integrity, and ability to support and promote Athena’s mission and values

Location: This position is remote. There will be multiple opportunities, and requirements, to travel to clients, and other Athena hub cities for team building and in-person work weeks.

Candidate must be a US citizen or permanent resident.

Requirements:

• Ideal candidates have 1-3 years of experience in health or pension actuarial field and a willingness to work on multiple project streams
• Working towards ASA or FSA
• Adaptable to ambiguity and able to handle undefined assignments, serving as a flexible team player ready to tackle new and evolving tasks.
• Strong organization skills
• Insatiable curiosity and interest in learning new things
• Demonstrated commitment to Athena’s mission, vision, and values
• Experience in MS Excel, MS PowerPoint, and MS Word
• Ability to work independently in a remote environment and travel as needed for client requirements

Nice to Have:

• At least one completed actuarial exam
• Prior work with OPEB Plans

Benefits: To grow our diverse workforce, Athena offers flexible work hours with the opportunity to choose to work a percentage of a full-time schedule, to meet the work/life needs of our employees. Athena also offers:

• Flexible Time Off
• Medical/Dental/Vision coverage
• Short Term Disability and Long-Term Disability
• Life Insurance
• Paid Parental Leave
• 401(k) with Employer Match
• Competitive actuarial study program

Why Athena?

• Opportunity for unique, entrepreneurial experience in fun, growing, collaborative team environment.
• Flexible work schedule, with encouraged well-being breaks and accommodation of study schedule.
• Direct exposure to Athena leadership, clients and partner organizations.
• We believe that Diversity, Equity, and Inclusion (DEI) must be intentional. Athena’s mission is to create a welcoming workplace that promotes belonging for employees from all walks of life. Here’s how we “walk the walk” (link).

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

Premium Auditor/ Sr Premium Auditor (Remote)

by Irma Moore | Dec 19, 2024 | Uncategorized

• New Jersey, United States
• At Selective, we don’t just insure uniquely, we employ uniqueness.
• Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective’s unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2024 and certification as a Great Place to Work® in 2024 for the fifth consecutive year.
• Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.
• Overview
• Under limited supervision and working remotely, this position is responsible for performing audits (in-person and virtually) on Property / Casualty Commercial Line policies in accordance with company, industry and government rules and regulations to ensure accurate earned premiums, appropriate classifications and exposures. Will primarily audit small and middle market accounts. However, depending on territory, may be required to audit large accounts with Manager/Senior Auditor guidance. All job duties must be carried out in compliance with applicable legal and regulatory requirements.
• Responsibilities
• Manage, schedule and conduct physical / virtual audits for selected Commercial Lines policies based on auditable exposures. Audit consists of reviewing the insured’s business operations, examining and recording data from financial / business records. Evaluate all subcontractor operations and detail exposures according to manual rules. Verify claims data. Determine and/or develops premium basis and classification. All in accordance with company, industry and government rules and regulations.
• Manage and schedule territory and inventory to optimize efficiencies, auditor expectations and meet internal and external customer needs. Responsible for automobile travel within territory traveling to insureds. Car travel represents approximately 70-80% of employee’s time.
• Upon audit completion, provide notification to underwriting team of any changes in exposures, business operations, products/services, additional or deleted classifications, locations, entities, new construction, etc.
• With Manager/Senior Auditor guidance, respond to and resolves audit disputes and make appropriate changes to revise audits as needed. Compile pertinent facts related to disputes, document and communicate the results of the analysis, and prepare amended audits and submit for billing. Resolve test audit disputes for non-National Council on Compensation Insurance (NCCI) states.
• Maintain a positive customer relationship and develop relationships with internal and external customers to provide ongoing technical expertise.
• Utilize automated premium audit work management system, commercial lines automated system and other tools to complete assignments in accordance with established goals.
• Develop, apply, and maintain working knowledge of company premium audit technical policies and procedures and demonstrate an understanding of the property/casualty insurance business.
• May provide mentoring to newly hired auditors.
• Qualifications
• Knowledge and Requirements
• Remain informed with all insurance manuals, premium audit manuals, handbooks, guides and related materials.
• Ability to effectively communicate and work independently without direct supervision.
• Demonstrate a proficiency in usage of computer tools including: Microsoft Excel, Internet research applications, etc. Able to climb stairs and consistently carry 20 pounds.
• Must be able to travel to insureds’ offices on a daily basis within the assigned territory, or outside of the assigned territory depending on inventory levels, which may require overnight travel.
• Must have valid state-issued driver’s license in good standing.
• Education and Experience
• College degree in Insurance, Accounting, Finance or related field is preferred or related work experience desirable. Work towards achieving Associate in Premium Auditing 91 (APA 91) and Associate in Premium Auditing 92 (APA 92) is encouraged.
• 1 year Premium Audit experience
• 2 years Underwriting experience
• 2 years Accounting experience
• Total Rewards
• Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and paid time off plans. Additional details about our total rewards package will be provided during the recruiting process.
• The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective’s footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
• Pay Range
• USD $59,000.00 – USD $85,000.00 /Yr.
• Additional Information
• Selective is an Equal Employment Opportunity employer. That means we respect and value every individual’s unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences – and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.

Electrical Apprentice

by Irma Moore | Dec 19, 2024 | Uncategorized

Description

Introduction

Do you have the career opportunities as a(an) Electrician Apprentice you want with your current employer? We have an exciting opportunity for you to join Work from Home which is part of the nation’s leading provider of healthcare services, HCA Healthcare.

Benefits

Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Electrician Apprentice where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

An Electrical Apprentice is a technically skilled worker who has an aptitude for working with electrical systems in acute healthcare, commercial, or industrial settings. As an Electrical Apprentice, responsibilities include assisting the Journeyman Electrician with installing new electrical systems and maintaining and repairing existing ones. Journeyman Electrician are experts regarding electrical equipment, lock-out/tag-out processes and all manner of electrical systems in the hospital environment and the Electrical Apprentice will receive training and instruction on these tasks and systems, with the goal of preparing the apprentice to achieve Journeyman status. 

What you will do in this role: 

• Inspects and tests electrical lighting, power circuits, and other related equipment. 
• Removes and replaces defective wiring and conduits. Tests circuits to comply with safety regulations. 
• Isolates defects in wiring, switches, motors, and other electrical equipment using instruments such as ammeter, voltmeter, ohmmeter, growler, etc. 
• Replaces faulty switches, sockets, plugs, fuses, insulators, and other simple elements of electrical systems, fixtures, and appliances. 
• Installs new pipe, wiring, and electrical equipment. 
• Removes and installs motors, transformers, lighting fixtures or other equipment and completes circuits according to diagram specifications 
• Assembles, installs, and connects components to switchboards and distribution panels and connects them to units controlled. 
• Fastens fixtures, switches, and outlet boxes in position. Runs wire through conduit and makes connections to complete circuits. 
• Estimates the quantities of materials needed to complete work assignments and requisitions them properly. 
• Performs required preventive maintenance and emergency repairs in a complete and timely manner. 
• Conform to regulatory testing and inspections requirements on emergency power systems including emergency generators and automatic transfer switches 

What qualifications you will need: 

• High School Graduate / GED Required 
• Enrolled in or attended electrical trade program is Required 
• Driver’s License Required 
• Healthcare related work experience is Preferred 

HealthTrust Supply Chain is a critical part of HCA Healthcare’s strategy. Our focus is to improve performance and reduce costs. We do this by joining non-clinical and administrative functions. HealthTrust Supply Chain best practice methodologies. We develop, apply and monitor cost-efficient initiatives and programs for HCA Healthcare. By improving facility efficiency, medical professionals can focus on our mission – patient care.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.