by Irma Moore | Mar 27, 2025 | Uncategorized
Job Description
Position Title: Medical Billing Refunds Specialist – Digitech Computer
Req ID: 4936
Location: United States
Remote: Remote
Job Description
Overview
The Medical Billing Refunds Specialist is responsible for properly and accurately handling refunds to insurance companies and patients. You will correspond with attorneys, no fault insurances, worker’s compensation and the Veterans Administration. You will deal with correspondence, faxes, and pending issues. This position reports to the Manager of the Refunds Department.
This is a permanent, full-time remote position.
Cash Posting or Refunds experience is required.
Responsibilities
Sarnova is the leading national specialty distributor of health care products in emergency medical services (EMS) and respiratory markets and is the industry leader in revenue cycle management within emergency medical services (EMS). The company operates through several market-leading companies including Tri-anim Health Services, the largest specialty distributor of respiratory products, Bound Tree Medical, the largest supplier of EMS products, EMP and Cardio Partners, a full Sudden Cardiac Arrest Solution provider, and Digitech, the leader in EMS revenue cycle management.
Organizational Impact:
In this role for Digitech, you are our brand ambassador for our clients ensuring all refunds are properly submitted and recorded.
Essential Duties and Responsibilities:
- Receive refund requests and handle appropriately and in a timely manner
- Post/record refunds accurately and in a timely manner
- Make phone calls to attorneys, no fault, worker’s comp and the VA as needed
- Perform other assigned duties as requested by Department Manager
Skills/Experience Required:
- Ability to multi-task
- Collaborative team player; able to work with clients, external parties and internal departments
- Pleasant and professional demeanor
- Able to handle pressure and always maintain composure
- Computer literacy; able to work two monitors
- Strong follow-through
- Must have strong mathematical ability
- Must have the ability to read and understand Explanations of Benefits (EOBs)
- Ability to work on deadlines
- Previous experience dealing handling refunds helpful
- Punctual
- Dependable
- Quick learner
- Accountable for your work
- Comfortable asking questions
Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EEO/M/F/Veterans/Disabled.
Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.
by Irma Moore | Mar 27, 2025 | Uncategorized
Job Responsibilities:
The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software. The Contract Management Auditor works closely with team members and the client to ensure necessary and up to date contract information is provided and works with the TruBridge modeling team to confirm terms are modeled correctly.
Essential Functions:
Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided.
Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed.
Works with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims as well as identifying overpayment refunds due from the client to payors as required. Manage Contract Management processes for multiple clients.
Maintain tracking system and reporting on appeals and under payment recoupments.
Other duties as required.
Minimum Requirements:
- 3 Years of health care billing multiple payors.
- Above average knowledge of healthcare billing processes.
- High degree of self-motivation, strong organizational skills.
- Ability to positively collaborate and communicate with the team.
- Can work independently and has a high degree of critical thinking skills.
Preferred Qualifications:
- 5 years of health care billing multiple providers Health Care Contract Management Experience
Why join our team?
- Work remotely with a work/life balance approach
- Robust benefits offering, including 401(k)
- Generous time off allotments
- 10 paid holidays annually
- Employer-paid short term disability and life insurance
- Paid Parental Leave
by Irma Moore | Mar 27, 2025 | Uncategorized
Greenberg Traurig (GT), a global law firm, with locations across the world in 15 countries, has an exciting employment opportunity for you. We offer competitive compensation and an excellent benefits package along with the opportunity to work within an innovative and collaborative environment.
Join our Technology Team as an Audio Visual Programmer located in either our New York, Chicago, Denver, Las Vegas or New Jersey office.
We are seeking a professional who thrives in a fast-paced, deadline-driven environment. The ideal candidate possesses strong problem-solving and decision-making abilities, ensuring efficiency and accuracy in every task. With a dedicated work ethic and a can-do attitude, you will take initiative and approach challenges with confidence and resilience. Excellent communication skills are essential for collaborating effectively across teams and delivering exceptional client service. If you are someone who demonstrates initiatives, adaptability, and innovation, we invite you to join our team.
This role will be based in either our New York, Chicago, Denver, Las Vegas or New Jersey office, on a remote basis. This role reports to the Director of Enterprise Audio Visual.
Position Summary
The Audio Visual Programmer will be responsible for programming, troubleshooting, and maintaining Audio Visual systems using Q-SYS, Crestron, Biamp and Shure technologies. This role requires a detail-oriented professional who can manage AV-related repairs, design and implement new room setups, update existing code, and commission rooms as needed. Candidate should also be flexible to work overtime. Some travel required.
Key Responsibilities
Programming & Configuration:
- Develops and programs control systems using Q-SYS, Crestron, Biamp and Shure platforms.
- Updates and modifies existing code to enhance system performance.
System Design & Implementation:
- Designs and implements AV solutions for new rooms, ensuring optimal performance and user experience
- Collaborates with stakeholders to understand requirements and deliver customized solutions
Maintenance & Support:
- Troubleshoots and resolves AV-related issues promptly
- Conducts regular maintenance checks to ensure system reliability
- Monitors AV systems using XIO and Reflect
Commissioning:
- Commissions newly installed AV systems, ensuring all components are functioning correctly
- Provides end-user training and support as necessary
Documentation:
- Creates and maintains comprehensive documentation for all programmed systems and configurations
Qualifications
Skills & Competencies
- Excellent problem-solving skills and attention to detail
- Ability to work independently and as part of a team
- Stays up to date with AV trends
Education & Prior Experience
- High school diploma or equivalent required; College degree preferred
- Certification in Q-SYS, Crestron, and Biamp
- 10 years’ experience in troubleshooting & programming audio visual systems
- Strong understanding of AV integration and system design
Technology
- Proficiency with Windows-based software and Microsoft Word, Excel and Outlook required
- Ability to configure Netgear AV Line switches
The expected pay range for this position is:
$125,000 to $145,000 per year
Salary will be determined based upon education, experience, job related factors permitted by law, internal equity, and market data, including geographic pay differentials in locations where market pay differs from the national average. Full time employees may be eligible for a discretionary bonus, health insurance with an optional HSA, short term disability, long term disability, dental insurance, vision care, life insurance, Healthcare and Dependent Care Flexible Spending Accounts, 401K, vacation, sick time, and an employee assistance program. Additional voluntary programs include: voluntary accident insurance, voluntary life, voluntary disability, voluntary long term care, voluntary critical illness and cancer insurance and pet insurance. Commuter and Transit programs may also be available in certain markets.
GT is an EEO employer with an inclusive workplace committed to merit-based consideration and review without regard to an individual’s race, sex, or other protected characteristics and to the principles of non-discrimination on any protected basis.
by Irma Moore | Mar 26, 2025 | Uncategorized
Job Description
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values – integrity, patient-centered, respect, accountability, and compassion – must guide what we do, as individuals and professionals, every day.
The Professional Coding Audit Educator is an essential part of the Professional Coding Leadership Team. This role is responsible for being the department subject matter expert in professional coding and helps to support physicians, practices, coders, and coding and operational leadership. This individual is responsible for developing an educational pathway for professional coders to grow and develop in their positions to become more accurate and knowledgeable coders. This position is responsible to develop the professional coding education program, which includes supporting coders, clinicians and others within professional revenue cycle. Additionally, this individual is responsible to conduct audits to assess risk and implement any necessary action plans resulting from findings. This individual is essential to develop and maintain coding compliant controls for consistent and accurate coding with the department and to ensure optimal charge capture.
EEO/AA/Disability/Veteran
Responsibilities
- 1. Educates and provides direction to providers and coding staff on proper CPT, ICD-10 and HCPC coding. Serves as a subject matter expert on interpretation and application of professional fee and professional coding rules and regulations.
- 2. Reviews and responds to coding questions by physicians, coding staff and practice/operations leadership within a timely manner
- 3. Facilitates virtual events, calls, and training to meet coding needs and requests on charging, documentation or compliant coding.
- 4. Creates and maintains all training materials and educates providers, coders, and other coding professionals on coding related topics. This includes but is not limited to creating and rolling out coding curriculum, workflows, tip sheets, coding policies, physician communication (query) templates, etc. in conjunction with coding leadership. Delivers training using a variety of delivery methods, including and not limited to: 1:1, small -group, large group, webinar style or live education.
- 5. Tracks the efforts tied to the audit education program, including but not limited to: trainings, policies, procedures, audits and staff certifications. Communicates regularly with department leadership on status of educational initiatives, department accuracy, and opportunities for additional educational needs.
- 6. Assesses new and existing coder skillsets and develop coding training for onboarding and ongoing skill development and reports findings and recommendations to coding leadership. Develops follow up coding educational plans based on individual performance and challenges. Leads apprentice initiatives.
- 7. Conducts reviews of charging to identify opportunity for charge capture, ICD-10 specificity, denial prevention and proper coding for professional services and works with staff and others within the health system to provide feedback, guidance and education to support optimal charging and workflows. Develops action plans as needed to improve department accuracy and to share information regarding physician workflow opportunities.
- 8. Performs coding audits, when needed, as defined by compliance requirements and client expectations, determines when additional education is necessary and assists the education team in meeting those needs
- 9. Develops department audit workplan to mitigate risk and to assess areas of opportunity and implement corrective actions.
Qualifications
EDUCATION
Bachelor’s degree or currently enrolled in a bachelor’s degree program required.
EXPERIENCE
Five (5)+ years of coding and/or coding audit educator work experience required. A certified AAPC Instructor credential can be substituted in lieu of 2 years of work-related experience. Expert subject matter coding knowledge, including in-depth understanding of applicable coding guidelines, payment methodology, CMS regulations and leveraging coding resources to research to answer questions. Epic experience preferred. Must have past experience with training and education in large and small groups, working with physicians and building training material and coding curriculum.
LICENSURE
Must have a CPC credential (Certified Professional Coder) through AAPC and either has or will have a coding instructor designation through the AAPC within 6 months of hire. Additional coding specialty credentials are highly desired.
SPECIAL SKILLS
Ability to work under minimal supervision and prioritize educational needs of the department with support needed by clinicians and other areas within the health system. Strong presentation skills. Must be able to develop customized coding curriculum and deliver training in a clear logical and informative manner. Subject matter expert in professional coding. Must be able to work with individuals at all levels of the health system, especially physicians and practice leadership. Must be organized and meticulous with documentation and reviews.
PHYSICAL DEMAND
Hours may vary depending on training needs.
by Irma Moore | Mar 26, 2025 | Uncategorized
Job Title:
Reimbursement Educator (Remote in Wisconsin)
Cost Center:
101651059 Coding-Audit Appeals Educ
Scheduled Weekly Hours:
40
Employee Type:
Regular
Work Shift:
Mon-Fri; 8:00 am – 5:00 pm (United States of America)
Job Description:
JOB SUMMARY
The Reimbursement Educator is a professional who is directly responsible for planning, coordinating, evaluating, developing, and implementing educational activities related to reimbursement issues. This individual delivers clear and accurate information pertaining to reimbursement policy, documentation and coding guidelines, and other reimbursement issue to physicians, allied providers, administrative and managerial personnel and staff members.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: Bachelor’s degree in education, health care, nursing, or related field.
Preferred/Optional: If degree in nursing (BSN preferred); clinical field is desirable.
EXPERIENCE
Minimum Required: Course work and/or other evidence of skills related to adult education, educational methodology, teaching and learning, educational principles, health education, or community education; three years broad based clinical or healthcare experience.
Preferred/Optional: Knowledge of CPT, ICD-10, HCPCS, and reimbursement policy, as well as, coding experience within inpatient and outpatient environments.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: If a Registered Nurse, license awarded by the State of Wisconsin. Coding certification within three years of hire.
Preferred/Optional: Current coding certification from the American Academy of Professional Coders, American Health Information Management Association or other approved coding certification program at time of hire.
Primarily remote position with minimal on-site work in Marshfield, as needed.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
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