by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Department:
Revenue Integrity
Job Description:
General Description: Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting and credit balance resolution. May reconcile daily IDX system receivables reports. May balance monthly transactions and provide summaries to faculty and department administration.
Essential Responsibilities:
- Patient scheduling
- Patient registration
- Review patient admitting records and extracts relevant information
- Records patient identification and demographic information in the computerized billing system
- Contacts agency representatives to verify type and extent of coverage.
- Charge entry
- Performs preliminary review of source documents to determine that sufficient data are present for processing
- Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer
- Batch charges
- Generate cash totals
- Enter charges
- Balances batches by comparing batch proofs to source documents and hash totals
- Billing
- Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas.
- May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information
- Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials
- Completes processing of all inpatient and outpatient documents received on a daily basis
- Assists in resolving department problems with IDX billing
- Maintains records of charges, payments, third party charges, etc.
- Collection
- Answers patient’s questions regarding statements, agency coverage, etc.
- Handles correspondence regarding collection activity and records results
- Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party
- May receive patient payments and/or issue payment receipts
- Coding
- Record CPT codes on billing form
- Record ICD-9 codes on billing form
- Follow-up
- Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims
- May process incoming and outgoing mail
- May receive incoming telephone calls and resolve issues communicated
- Records results of mail and telephone contacts on the computer billing system
- Contacts insurance carriers regarding non-payment and/or improper payment of claims
- Reviews denials
- Interfaces with patients, physicians, and others regarding professional billing operations and funds
- Payment posting
- Post receipts to proper patient accounts
- Posts denials
- Compare batch proofs and source documents for accuracy
- Reporting
- Assists in reviewing and balancing IDX transaction reports for administration
- Reconciles daily IDX receivables reports
- Prepares billing statements from statistical data
- Credit balance resolution
- Review daily billing and accounts receivable credit balance reports
- Prepare daily refund check requests
- Prepare other daily credit balances other than refunds
- Post refund checks to patient accounts
- Mail refund checks with supporting documentation
General Responsibilities:
- Performs other duties as assigned.
Minimum Requirements:
Education: High School Diploma or GED.
Experience: 3-5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.
Licensure/Certifications/Registrations Required: None required.
Knowledge, Skills, and Abilities:
- Attention to detail
- Excellent verbal and written communication skills
- Proficient with the use of Microsoft Office tools
by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Position Title:
HIM Data Integrity Specialist (WFH)
Department:
Health Information Mgmt
Job Description:
This position may be performed remotely from the following locations within the United States of America: Arkansas, Colorado, Florida, Georgia, Indiana, Kansas, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, and Wisconsin.
General Description:
The Data Integrity Specialist is responsible for ensuring that data is accurate in the Master Patient Index (MPI) and consistent across OU Health system. This position communicates with multiple departments enterprise-wide to coordinate, correct and maintain accurate patient information and other required data for new and existing medical records. This individual is responsible for reviewing the EMR and medical records created. The Data Integrity Specialist also supports patient matching activities for population health as well as specific payor platforms. The Data Integrity Specialist will identify and refer very complex discrepancies caused when two patients’ information is combined under one MRN for resolution (also known as patient overlays), resolution of urgent MPI overlay errors which potentially can impact patient care and safety. Data Integrity Specialist participates in on-call coverage rotation for the Data Integrity team.
Essential Responsibilities:
- Responsible for producing and mitigating potential EMR patient overlays, evaluating if overlay was accurate by researching all tools that are available to the Data Integrity team for identification, research and resolution of identity issues
- Requires critical thinking and applying research and decisions on validity of the patient’s identity utilizing these skills as well as decision trees/algorithm provided
- Merge decisions are made utilizing logic appropriate for each source system as documented in Data Integrity standard operating procedure and are executed source systems as appropriate
- Responsible for the chart correction process in the Epic environment that is not identified as needing to take place with the clinical staff only which is identified in the Chart Correction Guide located in the Learning Resource Center in Epic
- Performs investigation and resolution of non-emergent issues concerning potential medical record electronic errors using daily reports and tasks queues
- Reports task completion and errors made as required by the Admin Manager of HIM Operations
- Responsible for providing coverage for any remediation workflow functions and/or team members as requested
- Promotes collaboration and teamwork within the Data Integrity team as well as any department identified to assist with the remediation of issues
- Participates in Chart Correction Task force calls when requested
- Acknowledges and adapts to changing workflow functions and priorities
- Coordinates and communicates consistently and professionally in working any pended tasks or to seek assistance with merge/non‐merge decisions (examples of other departments interaction occurs with are: clinicians, registration, billing, IT and others as needed to facilitate EMR issues, resolution and outcomes)
- Assists in cross‐training other Data Integrity when asked to do so by the Administrative Director of HIM Operations when necessary
- Demonstrates initiative in the accomplishment of work duties and follows up on pended tasks through research and team discussions
- Demonstrates awareness and commitment to the key relationship between each merge/non‐merge data decision, including the impact on data integrity and patient care and safety
- Demonstrates an awareness of the sensitivity and confidentiality of data/materials and the ability to handle them with discretion
- Provides support to the Administrative Director of HIM Operations with remediation workflow and reports issues or trends to the EMPI Manager
- Receives, triages and makes recommendations with calls received via the Data Integrity Hotline
- Educates front line users on the chart correction process and shares any opportunities for improvement to avoid situations that required the chart correction
- Communicates MPI data integrity issues to all impacted ancillary departments referred to as downstream systems (to include department with orders that may be impacted by a chart correct
- Refers potential cases of potential identity theft to the appropriate department but also plays an EMR identity flag on the chart for potential identity theft requesting that an official and valid ID be obtained and scanned into the EMR
- Responsible for maintaining productivity logs as well as maintaining or exceeding minimum requirements
- Maintains or exceeds established quality standards
- Assists with the daily operations of the department and departmental related projects / processes and performs other duties as assigned
General Responsibilities:
- Performs other duties as assigned.
Minimum Requirements:
Education: Associate’s Degree, Health Information Management or related field required.
Experience: 0 – 3 years of experience, Health Information Management and supporting integrity of a MPI or Person Identity preferred.
License(s)/Certification(s)/Registration(s) Required: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required within 18 months of hir.
Knowledge, Skills, and Abilities:
- Understands pertinent regulatory guidelines such as Joint Commission, CMS and HIPAA.
- Excellent decision making skills in carrying out duties in an ever changing environment; ability to think outside the box when needed
- Existing knowledge of the facility’s clinical/operational processes, challenges and EPIC environment.
- Knowledgeable of current application information technologies and trends in healthcare.
- Demonstrates ability to independently make accurate decisions regarding patient record corrections/overlays/merges/unmerges utilizing the tools provided as well as consulting with leadership.
- Ability to be proactive in identifying improvement opportunities in workflow processes.
- Ability to understand the patient safety relationship between the patient’s Medical Record Number and access to all clinical information.
- Ability to understand and apply rules of confidentiality.
- Ability to pay attention to detail.
- Experience with MPI strongly preferred.
- Proficient with the use of Microsoft Office tools
by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Job Details
Job Location
Allied Benefit Systems – CHICAGO, ILRemote Type
Fully RemotePosition Type
Full TimeSalary Range
$19.00 – $21.00 HourlyJob Category
Customer Service
Description
POSITION SUMMARY
This employee will be responsible for all plan member communications in the Allied Advocate Department. Employee will work with plan members throughout the process starting with patient letter and finishing with call to explain final resolution. Communication may be in written or verbal form.
ESSENTIAL FUNCTIONS
- Confer with members by telephone and/or email to answer questions or provide information in response to inquiries on Allied Advocate claims.
- Contact members to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
- Coordinate with member and/or client services to obtain a signed HIPAA release to aide with the negotiation process.
- Keep records of member and provider interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
- Obtain and examine all relevant information to assess need for negotiation on balance due issues.
- Work with other departments (Account Management, Client Services, Customer Service) as needed to resolve member issues
- Meet and sustain productivity and quality metrics determined by management.
- Other duties as assigned.
EDUCATION
- High school diploma or equivalent required.
EXPERIENCE AND SKILLS
- 1-2 years of customer service experience required.
- Insurance knowledge preferred.
- Excellent verbal and written communication skills.
- Excellent interpersonal and customer service skills.
- Proficient with Microsoft Office Suite or related software.
- Excellent time management skills with a proven ability to meet deadlines.
- Strong analytical and problem-solving skills.
- Ability to function well in a high-paced and at times stressful environment.
POSITION COMPETENCIES
- Communication
- Customer Focus
- Accountability
- Functional/Technical Job Skills
PHYSICAL DEMANDS
- This is an office environment requiring extended sitting and computer work.
WORK ENVIRONMENT
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company’s discretion to determine what pay is provided to a candidate within the range associated with the role.
by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Job Description
Senior Reporting Analyst
Remote – United States
The Opportunity:
Anthology delivers education and technology solutions so that students can reach their full potential and learning institutions thrive. Our mission is to empower educators and institutions with meaningful innovation that’s simple and intelligent, inspiring student success and institutional growth.
The Power of Together is built on having a diverse and inclusive workforce. We are committed to making diversity, inclusion, and belonging a foundational part of our hiring practices and who we are as a company.
For more information about Anthology and our career opportunities, please visit www.anthology.com.
Primary responsibilities will include:
- Working with different databases and leading the effort to design, migrate and programming effort for these platforms
- Creating information solutions covering data security, data privacy, metadata management, multi-tenancy and mixed workload management within contemporary insights-based tools, technologies, frameworks, platforms, and deployment models
- Providing technical leadership to project team(s) to perform design to deployment related activities, providing guidance, participating in reviews, preventing, and resolving technical issues
- Reviewing escalations from business stakeholders and assisting them to resolve
- Providing best practice recommendations
- Helping customers solve their challenges related to data migration
- Supporting customers to reach the desired goal with respect to migration
- Proactively identifying challenges and communicating to business stake holders with suggestions to overcome
- Ensuring the delivered data matches with the data provided
- Always striving for consistent, quality results
- Working with business stakeholders to understand the business and functional requirements to develop ETL processes
The Candidate:
Required skills/qualifications:
- Great customer service and client engagement skills
- Excellent oral and written communication skills
- Familiarity with education related technologies
- 5-8 years of relevant work experience
- Experience with SQL scripting
- Solid knowledge of SQL Server with the development of complex stored procedures, views, and other SQL objects
- Ability to analyze the output of complex SQL statements
- Deep understanding of database (SQL) operations including debugging
- Demonstrated leadership skills
- Critical thinking and problem-solving skills
- SSRS and PowerBI knowledge
- ADF – Azure data factory understandings
- Ability to travel occasionally and work extra hours as needed
- Fluency in written and spoken English
Preferred skills/qualifications:
Pay range is $99,100 – $100,000/year depending upon experience. We use national and industry-specific survey data to assist in determining compensation. Additionally, we consider factors such as external market rate, budget for the role, and the compensation rates of current employees performing the same function. Some roles will have variable pay.
This job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities that are required. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities at any time.
by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Job Details
Description
SUMMARY
Paragon Professional Services, LLC, is currently seeking a qualified Invoicing Specialist for a government security contract. This position reports directly to the Invoicing Administrator for Paragon Professional Services. This position may be considered for remote work.
ESSENTIAL DUTIES & RESPONSIBILITIES
The Essential Duties and Responsibilities are intended to present a descriptive list of the range of duties performed for this position and are not intended to reflect all duties performed within the job. Other duties may be assigned.
- Ensure all detainee transports are documented and that documentation (trip logs, gas receipts, travel receipts and G-391 forms) is retained with a copy provided to the AOR COR.
- Collect, prepare and submit weekly transportation metrics for the AOR COR.
- Collect transportation metrics and invoice support documentation as required by the contract for the AOR COR.
- Prepare separate monthly invoice materials and present to the Invoicing Administrator for approval to include the G-391 Upload and Fuel Report. Forward approved invoice materials to corporate offices for submittal.
· Attend meetings as required.
QUALIFICATIONS – EXPERIENCE, EDUCATION AND CERTIFICATION
To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. 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 functions.
Required (Minimum Necessary) Qualifications (applies to both this section and KSAO’s)
- Ability to obtain and maintain Public Trust Clearance.
· High School Diploma / GED.
· Experience with Accounting/Finance/Invoicing.
- Must maintain an active cellphone to receive assignments and maintain communication with co-workers and supervisory staff.
- Valid Driver’s License for the State you reside in.
Knowledge, Skills, Abilities, and Other Characteristics
- Proficiency in all Microsoft Office products
- Strong written and verbal communication skills
- Strong organizational skills and attention to detail
- Sensitivity to confidential matters is required
- Ability to obtain and maintain Public Trust Clearance
Preferred
· Public Trust Clearance
· Prior experience with a government contractor or other government entity and understanding of public safety, law enforcement and/or corrections.
NECESSARY PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Employees must always maintain a constant state of mental alertness. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential and marginal functions may require maintaining physical condition necessary for bending, stooping, sitting, walking or standing for prolonged periods of time; most of time is spent sitting in a comfortable position with frequent opportunity to move about.
DOT COVERED/SAFETY-SENSITIVE ROLE REQUIREMENTS
· This position is not subject to federal requirements regarding Department of Transportation “safety-sensitive” functions.
WORK ENVIRONMENT
Work Environment characteristics described here are representative of those that must be borne by an employee to successfully perform the essential functions of this job.
Job is performed in an office setting with exposure to computer screens and requires extensive use of a computer, keyboard, mouse, and multi-line telephone system. The work described herein is primarily in a modern office setting. Occasional travel may be required.
SUPERVISORY RESPONSIBILITIES
· No supervisory responsibilities.
ADDITIONAL QUALIFYING FACTORS
As a condition of employment, you will be required to pass a pre-employment drug screening and have acceptable background check results. If applicable to the contract, you must also obtain the appropriate clearance levels required and be able to obtain access to military installations.
Shareholder Preference. BSNC gives hiring, promotion, training and retention preference to BSNC shareholders, shareholder descendants and shareholder spouses who meet the minimum qualifications for the job.
Bering Straits Native Corporation is an equal opportunity employer. All applicants will receive consideration for employment without regard to any status protected by state or federal law, or any other basis prohibited by law.
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