Memorial Healthcare System Jobs

- 118 Jobs

Hospital Based Outpatient Coder II - HIM - FT - Days - Remote Eligible
Memorial Healthcare System 4.0
Remote Memorial Healthcare System Job
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities: Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Create electronic physicians' queries within allowed scope for hospital outpatient coder.Communicates with insurance companies about coding errors and disputes for physician billing. Reviews and validates accuracy of data in Admission-Discharge-Transfer (ADT) fields following HIM coding policies and procedures. Reviews CRW (Certified Social Worker) documentation to assign correct discharge disposition, notify coding management when clarification needed.Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity. Codes various OP service lines for all MHS specialties that include encounters with high complexity of surgical procedures and assign anesthesia procedure codes (hospital) following specific payer requirements. Reads and interprets all provider documentation which includes all dictated, scanned, and electronically created documents, imaging, pathology reports, and labs pertaining to admission.Enhances and maintains coding knowledge and skills for physician billing. Maintains strict adherence to patient confidentiality according to MHS standards and regulatory requirements.For hospital encounters, routes to billing charge entry errors and/ or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections when advised and follows procedure to notify billing. Reviews chargemaster generated CPT/HCPCS codes, when errors are found Coding Management is notified to alert Charge Management to educate department making errors. Makes appropriate coding corrections when advised and follows procedure to notify billing. For Professional Billing, routes to billing charge entry errors and/ or account edits preventing completion of coding and/or billing.Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.Attends internal and external educational meetings and seminars to maintain certification and continuing education requirements.Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM) coding policies and procedures. Conducts, audits and/or coding reviews with various health care professionals to ensure all documentation is accurate for physician billing.Adjusts and adapts to continual changes in the coding field. Practices ethical coding per AHIMA Standards of Ethical Coding. Meets and maintains HIM coding quality and productivity standards. Submits daily productivity report to HIM manager by defined deadline. Competencies: ACCOUNTABILITY, ACCURACY - CODER, ACCURACY - OUTPATIENT, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTH INFORMATION MANAGEMENT (HIM) SYSTEMS - CODER, HEALTH INFORMATION MNGMT, MEDICAL RECORD CODING, MEDICAL TERMINOLOGY (1), PRODUCTIVITY - OP CODING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR Education and Certification Requirements: High School Diploma or Equivalent (Required) Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - State of Florida (FL), Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA) Additional Job Information: Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work independently with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Proficient in basic computer skills including Microsoft Office applications, computerized encoder, and electronic medical record systems. Ability to perform job duties using an electronic medical record system. Requires a strong proficiency and understanding of Medical Terminology, Anatomy & Physiology, Pathophysiology and Pharmacology. Knowledge of coding classification systems and procedures. Possesses a strong foundation in coding and clinical knowledge with ability to review, research and code diagnoses and procedures with a high level of complexity. Required Work Experience: For HIM coder, two (2) years of hospital-based outpatient coding experience or a graduate of the internal MHS Coder Intern Program.For Physician Billing coder, two (2) years of higher complexities of diagnostic/procedural/office coding experience. Other Information: Additional Education Info: For HIM, completion of coding training program.Additional Certification Info:For HIM: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). For Physician Billing: Certified For Physician Billing, Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, Certified Coding Specialist (CCS), or Certified Coding Specialist - Physician Based (CCSP) by AHIMA. Working Conditions and Physical Requirements: Bending and Stooping = 40% Climbing = 0% Keyboard Entry = 60% Kneeling = 40% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carrying 0 - 25 lbs Non-Patient = 40% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 40% Pushing or Pulling 26 - 75 lbs Non-Patient = 0% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 40% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 60% Running = 0% Sitting = 60% Squatting = 40% Standing = 60% Walking = 60% Audible Speech = 80% Hearing Acuity = 80% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 60% Distinguish Color = 60% Seeing - Far = 60% Seeing - Near = 60% Bio hazardous Waste = 0% Biological Hazards - Respiratory = 0% Biological Hazards - Skin or Ingestion = 0% Blood and/or Bodily Fluids = 0% Communicable Diseases and/or Pathogens = 0% Asbestos = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 0% Hazardous Chemicals = 0% Hazardous Medication = 0% Latex = 0% Computer Monitor = 80% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 0% Potential Electric Shock = 0% Potential for Physical Assault = 0% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 0% Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call ************ (M-F, 8am-5pm) or email *******************************
$59k-74k yearly est. 41d ago
Inpatient Coding Compliance Auditor - HIM - FT - Days - MSS - Remote Eligible
Memorial Healthcare System 4.0
Remote Memorial Healthcare System Job
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities: Performs all other duties as assigned. Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines; possesses substantial knowledge of MSDRG, APRDRG, APC, and Enhanced Ambulatory Patient Groups (EAPG) classification systems and query guidelines for compliant provider documentation. Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Holds educational sessions for coding specialists, documentation specialists, and physicians. Acts as a liaison for electronic physician query process. Utilizes coding audit results to tailor education to increase coding accuracy. Assists the coding staff to format compliant queries and assesses for compliance with AHIMA query standards. Reports results of coding and query compliance audits to management. Coordinates, develops, and implements coder intern education and training. Training will align with AHIMA standards of ethical coding and official coding guidelines. Provides feedback based on audit results and tracks coder intern progression throughout the program. Conducts and reports on electronic medical record audits to verify ICD-10CM/PCS, CPT and APC, MSDRG, and APRDRG coding and grouping accuracy. Serves as an expert resource for all coding staff. Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization. Works closely with inpatient and outpatient coding managers to analyze and resolve claim denials that are rejected by edits from the Revenue Cycle Department. Reviews and responds to all external coding denial audits using ICD-10CM/PCS, CPT and APC, MSDRG, and APRDRG audits. Competencies: ACCOUNTABILITY, ACCURACY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HUMAN ANATOMY, MEDICAL CODING, MEDICAL TERMINOLOGY (3), RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR Education and Certification Requirements: Accredited Program: Health Information Management (Required) Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - State of Florida (FL) Additional Job Information: Complexity of Work: Requires critical thinking, decisive judgment, effective written and verbal communication skills. Demonstrates effective time management skills, professional responsibility and fosters teamwork. Able to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Ability to accurately assign and sequence ICD-10-CM/PCS and CPT codes to principal diagnosis and procedures, complications and co-morbid conditions to complex inpatient or outpatient encounters such as observation, outpatient surgery and interventional radiology. Provides guidance to other departmental staff in identifying and resolving coding issues or errors. Proficient in basic computer skills including Microsoft Office applications and utilizing a computerized encoder and electronic medical record systems. Required Work Experience: For inpatient coding auditor, three (3) years of inpatient coding experience. For outpatient coding auditor, three (3) years of outpatient coding experience. Other Information: For Hospital Coding: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS).For Physician Coding: CPC - Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC - Certified Risk Adjustment Coder, or CPMA Certified Professional Medical Auditor.Additional Credential Info: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS). For Physician Coding: CPC Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC Certified Risk Adjustment Coder, or CPMA Certified Professional Medical Auditor. Working Conditions and Physical Requirements: Bending and Stooping = 40% Climbing = 0% Keyboard Entry = 60% Kneeling = 40% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carrying 0 - 25 lbs Non-Patient = 40% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 40% Pushing or Pulling 26 - 75 lbs Non-Patient = 0% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 40% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 60% Running = 0% Sitting = 60% Squatting = 20% Standing = 60% Walking = 60% Audible Speech = 60% Hearing Acuity = 60% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 60% Distinguish Color = 60% Seeing - Far = 60% Seeing - Near = 60% Bio hazardous Waste = 0% Biological Hazards - Respiratory = 0% Biological Hazards - Skin or Ingestion = 0% Blood and/or Bodily Fluids = 0% Communicable Diseases and/or Pathogens = 0% Asbestos = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 0% Hazardous Chemicals = 0% Hazardous Medication = 0% Latex = 0% Computer Monitor = 60% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 0% Potential Electric Shock = 60% Potential for Physical Assault = 0% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 0% Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call ************ (M-F, 8am-5pm) or email *******************************
$55k-76k yearly est. 60d+ ago
Government Billing Spec 2, Remote, Business Office, FT, 08A-4:30P
Baptist Health South Florida 4.5
Remote or Miami, FL Job
Responsible for working/editing daily download of assigned Governmental Program claims while adhering to all regulatory, contractual, compliance and BHSF mandates/guidelines. Optimizes timely transmittal of accurate and clean claims to achieve daily set thresholds. Protects payer filing deadlines by utilizing all available resources to resolve held claims. Communicates effectively with all BHSF Departments responsible for Revenue Cycle delays and works with Billing Management to achieve resolution. Responsible for training new employees and assisting management with auditing queues during the probation period. Must be willing to take on additional queues as back up to bill all carriers. Estimated pay range for this position is $19.73 - $23.87 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * BA preferred or equivalent Medicare or Medicaid Billing experience required. * 4-7 years prior experience in Billing of claims. * CPC, CPC-H, CCS, RMC certifications a plus. * Current BHSF employees must have a high fully meets or exceeds merit rating 3. * 5 - 4. * 0. * Ability to train personnel a must. * Know all required fields on a 1500 and UB for hospitals and diagnostic facilities a must. * Extensive knowledge with Govt related regulations National, State, and Local, for Medicare, Medicaid,Champus/Tricare. * Medical Necessity and Correct Coding Initiative a must. * Exp in other related Business Office functions incl Government Funded programs. * Adjudication of claims is desirable. * Working knowledge and understanding of: medical terminology ; Revenue Codes ; DRG guidelines ; ICD9/10, CPT4, Modifiers & HCPC codes ; HIPAA ; Online verifications DDE ; Internet savvy ; Knowledge of Microsoft Suite a must. * Extensive analytical ; critical thinking ; detail oriented ; problem solver ; good math, writing, and interpersonal skills required. * Must be able to report issues to management, IT support. * Communicate with other depts in order to resolve pending or missing inf on the claim to meet daily transmissions. * Excellent Time Management skills. * Ability to multi-task and work under press. Minimum Required Experience: 4 Years
$19.7-23.9 hourly 31d ago
Pool Resuscitation Educator, Remote, Resuscitation Education, Per Diem, VARIES
Baptist Health South Florida 4.5
Remote Job
The Pool Resuscitation Educator structures the learning environment for positive student outcomes throughout the different resuscitation education courses and activities. Resuscitation educators are involved in the design, delivery, evaluation, and coordination of best practice resuscitation activities for the education of BHSF staff requiring resuscitation certifications (BLS, ACLS, PALS, NRP) as part of their job description requirements. Resuscitation educators are essential in meeting accreditation agencies standards for resuscitation education for acute care hospitals. The focus of the Resuscitation Educator is the standardized delivery of resuscitation education across Baptist Health and serving as a mentor and role model for other professionals. Responsible for mentoring and developing new and existing BHSF resuscitation instructors. Estimated pay range for this position is $42.50 / hour depending on shift as applicable. Degrees: * Associates. Licenses & Certifications: * Paramedic. * Registered Nurse. * AHA PALS Instructor Certification. * AHA NPR Instructor Certification. * AHA BLS Instructor Certification. * NBRC Registered Respiratory Therapist. * AHA ACLS Instructor Certification. Additional Qualifications: * BS preferred. * Licensure/Certification in Healthcare related field required (Registered Nurse, Paramedic or Respiratory therapist). * Minimum 2 years of education focus preferred. * Recent AHA instructor experience preferred. * ACLS Instructor, PALS instructor, BLS Instructor, and/or NRP instructor with two or more disciplines required. * For NRP instructors one discipline is required. * Ability to lead classroom instruction, organize and prepare hands on learning sessions in a multi-task environment. * Knowledge of course instruction and evaluation preferred. * Experience using Microsoft based software including outlook, work, excel and power point. Minimum Required Experience:
$42.5 hourly 52d ago
Social Worker, LICSW/ LMHC 20 hrs, MGH
Brigham and Women's Hospital 4.6
Remote or Revere, MA Job
Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Clinical Social Worker, LICSW/ LMHC Psychotherapy/ Part Time - 20 hours per week Revere MA Health Center MGH REVERE MASS. * Flexible and Hybrid work schedule available (would include both onsite and remote work). * Sign-on Bonus ($5,000) available for LICSW/LMHC (for eligible non-MGB employees)! Please ask for more details. * Health center location is public transit accessible (MBTA Blue Line). * Enjoy generous and broad benefits package including several medical insurance plans, matched 403B, continuing education, paid time and much more! Job Summary ABOUT THIS JOB: * The mental health department at MGH-Revere seeks a skilled and independent clinical social worker to add to our multi-disciplinary team of clinicians serving the health center's patient population. * The ideal candidate would have a strong, quality-driven work ethic, experience in providing clinical care to adults and children, be proficient in multiple modes of psychotherapy, have awareness and sensitivity to multicultural issues, be able to negotiate psychosocial problems inherent in our patient population, work well with other members of the clinical team and health center staff, and be committed to the mission and values of the organization. * Additional language proficiency is desirable, Spanish language skills beneficial given our diverse patient population. * This position largely involves providing individual psychotherapy to patients with a diverse range of diagnoses. * LICSW / LMHC Qualifications QUALIFICATIONS: * Require either: * a) Master's of Social Work (MSW) from an accredited program and current Massachusetts Licensed Independent Clinical Social Worker (LICSW) * OR * b) Master's degree such as mental health or psychology from an accredited program and current Massachusetts Licensed Mental Health Counselor (LMHC). * Experience providing therapy services. * Strong assessment and treatment skills. * Good organizational skills. * Demonstrates ability to communicate effectively orally and in writing. * Strong interpersonal skills enabling effective team collaboration. * Demonstrated ability to understand the role of social worker in a hospital setting and to work in a complex, fast-paced environment. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: * Knowledge of specific medical/psychiatric illnesses, procedures and treatments, related medications (i.e., psychotropic, chemotherapy, etc.), acuity versus chronicity, and effect on normal growth and development. * Ability to provide rapid clinical psychosocial assessments and brief, short term or long term treatment/management with individuals, families, couples and/or groups. * Ability to provide crisis intervention/treatment/management skills. * Demonstrated competency in age specific, developmental behaviors; cultural issues; effect and management of illness. * Knowledge of community agencies/resources. Ability to advocate/negotiate systems for/with patients. * Documents in medical record according to departmental policies and procedures. * Maintains patient/family confidentiality. * Ability to collaborate with team, consultant with and teach other clinicians. * Adaptability to change - willingness to engage and adjust workflow to changes within the health care delivery system. Additional Job Details (if applicable) Additional Job Description Remote Type Hybrid Work Location 300 Ocean Avenue Scheduled Weekly Hours 20 Employee Type Regular Work Shift Day (United States of America) EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$59k-71k yearly est. 10d ago
Staff Physicist - Berkeley Hospital
Roper St. Francis Health Care 4.7
Remote or Summerville, SC Job
Thank you for considering a career at Roper St. Francis Healthcare! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Roper St. Francis Berkeley Hospital: Expanding to Serve More Our community is growing and so are we! Roper St. Francis Berkeley Hospital is doubling its bed capacity as part of a major expansion, set for completion in early 2026. This growth will bring expanded services to emergency, cardiology, orthopedics, obstetrics, neurology, inpatient dialysis and additional specialties in our Medical Office Building. We are proud to be a trusted place of hope, healing and support for our neighbors, families and friends. Ready to make a difference? Let's build something together. * THIS POSITION IS SCHEDULED TO START SEPTEMBER 2025* * $5,000 SIGN ON BONUS* This position has a primary location that they report to but they must be willing to cover at the other two locations based on the needs of the schedule. The locations - Berkeley Hospital (Summerville,) West Ashley Cancer Center (Charleston,) and Roper Hospital (Charleston.) HOURS: Four shifts of 8:00am - 6:00pm or Five shifts of 8:00am - 5:00pm There is the opportunity for one day per week to be remote based on the department needs. Job Description Primary Function/General Purpose of Position The Radiation Oncology Physicist is responsible for ensuring the best possible treatment given the state of technology and the skills of the other members of the radiation oncology department. The physicist performs with the radiation oncologist, the radiotherapists, and others to ensure accurate delivery of a treatment prescription. Essential Job Functions * Assists radiation oncologist with the physical and radiobiological aspects of patients' treatments and the development of treatment. * Maintains acquisition and storage of data for treatment plans. * Calculates dose distributions and machine settings for patient treatments. * Designs and fabricates treatment aids and treatment-beam modifiers. * Ensures accuracy of treatment unit parameters and settings used for a patient's treatment, including correct transfer of parameters between the simulator, treatment plan and the treatment unit, and periodic review of each patient's chart. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Certification by one of the following organizations in an appropriate area or board eligible (required): * The American Board of Radiology - Therapeutic Radiological Physics * The American Board of Medical Physics - Radiation Oncology Physics Education Doctorate's Degree in Medical Physics (preferred) Work Experience 2 years relevant experience or residency (preferred) Treatment planning experience (preferred) Training None Language None Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Adults (18-64 years) Geriatrics (65 years and older) Working Conditions Periods of high stress and fluctuating workloads may occur. Long-distance or air travel as needed- not to exceed 10% travel. General office environment. May be exposed to high noise levels and bright lights. May be exposed to physical altercations and verbal abuse. May be exposed to limited hazardous substances or body fluids.* May be exposed to human blood and other potentially infectious materials.* May be exposed to adverse weather conditions; cold, hot, dust, wind, etc. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Physical Requirements Physical Demands Frequency 0% 1-33% 34-66% 67-100% Lifting/ Carrying (0-50 lbs.) x Lifting/ Carrying (50-100 lbs.) x Push/ Pull (0-50 lbs.) x Push/ Pull (50-100 lbs.) x Stoop, Kneel x Crawling x Climbing x Balance x Bending x Work Position Frequency 0% 1-33% 34-66% 67-100% Sitting x Walking x Standing x Additional Physical Requirements/Hazards Physical Requirements Manual dexterity (eye/hand coordination) Perform shift work Hear alarms/telephone/audio recordings Repetitive arm/hand movements Finger Dexterity Color Vision Acuity - far Acuity - near Hazards Depth perception Use of Latex products Exposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to potential electrical shock Exposure to x ray/electromagnetic energy Skills Hard/Tech/Clinical Skills: Knowledge of radiation therapy theories, practices, and procedures to provide quality care and treatment. Knowledge of total body irradiation practices. Knowledge of radiation safety to ensure appropriate exposure to patients, staff and the public. Proficient in dose calculations and equipment operations. Soft/Interpersonal Skills: Attention to detail Acceptance of authority Critical thinking Communication with family members Teamwork Conflict resolution Active listening Relationship building Roper St. Francis Healthcare is an equal opportunity employer. Many of our opportunities reward* your hard work with: * Comprehensive, affordable medical, dental and vision plans * Prescription drug coverage * Flexible spending accounts * Life insurance w/AD&D * Employer contributions to retirement savings plan when eligible * Paid time off * Educational Assistance * And much more * Benefits offerings vary according to employment status. Department: SS Human Resources - Talent Acquisition It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at ********************.
$110k-171k yearly est. 5d ago
Application Coordinator II- Cadence
Brigham and Women's Hospital 4.6
Remote or Somerville, MA Job
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Cadence fundamental experience requirements o Questions o Rules o Subgroups o Visit Type masterfile add/remove settings o Blocks o Tags o SmartTexts o Session Definitions/Limits o Pools o Centers o Modifiers o Reporting workbench report/slicer dicer o Referral Workqueue build/maintenance o Appointment Request Workqueue build/maintenance o Printing/Mapping add/remove settings o Provider Masterfile o Department Build/Facility Structure * Cadence Production Support- General o Strong understanding of Primary and Specilaty clinic workflows o End user general support - Cadence o ServiceNow ticket management or similar system o Cadence Enhancements/Projects as assigned Job Summary Summary Act as part of a team of application and workflow experts to provide design & build supporting Epic and possibly other healthcare systems. Analyzes the organization's current business practices and translates them into configurations and workflows for successful product implementation. Essential Functions * Participates in discussions to inform decisions using application knowledge and analysis. * Documents business requirements and translates those requirements into functional specifications and/or system build/configuration for the software application. * Participates in peer review for quality assurance of team member build and assists with onboarding & mentoring of new team members. * Develops and executes test plans and performs other software quality assurance tasks. * Provides ongoing support of the software applications by identifying and resolving issues, and escalating as needed for timely resolution. * Runs reports, updates tables, and performs other tasks associated with the ongoing operation of the software environment. * Acts as team delegate/representative at department, project, or other meetings, as assigned. * Participates as needed with a review of the training curriculum and end-user documentation for the applications user community. Qualifications Education Bachelor's Degree Computer Science required or Bachelor's Degree Related Field of Study required Can this role accept experience in lieu of a degree? Yes Licenses and Credentials Experience Experience in healthcare information technology 3-5 years required 5+ years Preferred Knowledge, Skills and Abilities * Must be able to obtain required Epic certifications as outlined by program requirements. * Experience in the development, support or operation of software applications, preferably in a healthcare setting. * Excellent oral and written communication skills. * Strong interpersonal skills to effectively communicate with both technical and non-technical staff. * Demonstrated analytic and problem-solving skills. * Knowledge of Microsoft Office 365 and other popular office productivity solutions. Additional Job Details (if applicable) * Onsite Flexible Hybrid working model requires weekly office working days, 1-3 days per week onsite * M-F Eastern Business hours required * Remote working days require stable, secure, quiet, compliant working station Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$91k-119k yearly est. 27d ago
Oncology Infusion Authorization Coordinator 2, Business Clinic Office, FT, 10:30A - 7:00P
Baptist Health South Florida 4.5
Remote Job
The incumbent will be responsible to request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines for Radiation Oncology and/or Oncology Infusion. This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics. Responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members. Degrees: * High School Diploma is required. Additional Qualifications: * Associates Degree preferred with 3 years experience in validating/obtaining authorizations with insurance payers, or 4 years experience in lieu of degree. * Association of Community Cancer Center, Prior Authorization On-Demand Webinars to be completed within 3 months of hire, and updated yearly education required. * Complete and pass the Patient Access training course. * Ability to work in a fast-paced work environment and perform basic mathematical calculations. * Desired: Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA. * Knowledge of authorization guidelines for Radiation Oncology/Oncology Infusion. * Understanding of insurance contracts, medical terminology, authorizations and pre-certifications. * Working knowledge of the Microsoft Office products and EMR applications. * Bilingual English, Spanish/Creole. Minimum Required Experience: 3 years
$52k-73k yearly est. 5d ago
Medical Assistant 2, BHMG Cardiology Scheduling, FT, $3000 Bonus, 8:30A-5P
Baptist Health South Florida 4.5
Remote Job
Works under the clinical supervision of the practice physician(s) and clinic supervisor/manager and is responsible for assisting the physicians in the practice. Assists in examination and treatment of patients, rooms patients and obtains information, measures vital signs (i.e.: pulse rate, temperature, blood pressure, pulse oximeter, pain level, weight, and height), and records information on patients' charts/Electronic Medical Record (EMR). Also collects and prepares specimens for laboratory analysis. Serves as a mentor and helps train new medical assistants regularly and consistently. Estimated pay range for this position is $19.15 - $24.90 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * Licensed Practical Nurse. * Paramedic. * AAMA Certified Medical Assistant. * Emergency Medical Technician. * Certified Nursing Assistant. * Basic Life Support. * Registered Medical Assistant. Additional Qualifications: * Must have at least one of the above required licenses/certifications (MA, CNA, LPN, EMT, Paramedic). * Medical Assistants with a Certificate or Diploma of Completion of a Medical Assistant training program hired after 7/1/16 or foreign Medical Doctor with a foreign medical doctor diploma hired after 5/1/17 will have up to 6 months from start of employment with BHSF to obtain Medical Assistant Certification. * Effective 11/3/17, a Foreign Medical Doctor with a Foreign Medical Doctor Diploma will no longer be qualified to be hired in the Medical Assistant role. * BLS required for all. * For Primary Care Practices, EKG and Phlebotomy Certifications are also required for employees with the CNA license only. * CNA, LPN, EMT license must be from Florida. * Must be a professional, organized detail-oriented team player with effective interpersonal communication skills (verbal and written). * Possesses compassionate demeanor, excellent customer service skills and high ethical standards. * HIPAA/OSHA compliance required. * Ability to work in a high volume, fast paced environment efficiently. * Proficient in computer applications and typing skills. * Proficient in Electronic Medical Record (EMR) systems. * Bilingual preferred. * Knowledge of Health Care regulatory guidelines and Medical Terminology a plus. Minimum Required Experience:
$19.2-24.9 hourly 13d ago
Government Programs Regulatory Reporting Lead - Health Plan
Sanford Health 4.2
Remote Job
**Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote MN **Location:** Remote, MN **Address:** **Shift:** Varies **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $32.50 - $52.00 **Department Details** This position can remote or in office. If remote some in-person attendance will be required for training, team meetings, or special projects. These on-site responsibilities will be scheduled in advance. **Job Summary** The Government Programs Regulatory Reporting Lead will serve as the subject matter expert for regulated reporting and audit readiness of the Government Program products, including Medicare Advantage, ACA, and Medicaid, to ensure we are meeting all State and Federal regulations and time frames, and in accordance with Sanford Health Plans policies. This includes, but is not limited to assisting with questions related to data submissions, internal validations, and other task as assigned. Manages reporting, auditing, and data exchange of the government programs - Medicare Advantage, ACA, and Medicaid, in support of business objectives. Works collaboratively with operational units to ensure the products are accurately defined, communicated and configured; all member communications are compliant and data exchanges and reports are accurate, timely and meet State and Federal requirements. Serves as the main point of contact for all reporting related questions, issues, and interpretation. Leads in the development, implementation, process improvement, and education of the government program products. Leads in ensuring certifications, quality reporting, member materials and website content, and regulatory and statutory standards and requirements are met. Carries out operational policies and procedures that support organizational improvements and comply with Federal and State requirements. Other special projects as assigned. Occasional travel required. **Qualifications** Bachelor's degree in health care, finance or a related field. Minimum five years of relevant experience required. A background or experience in health care reimbursement or contract negotiations preferred. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0220555 **Job Function:** Health Plan **Featured:** No
$27k-34k yearly est. 28d ago
Provider Enrollment Coordinator, Remote
Brigham and Women's Hospital 4.6
Remote or Somerville, MA Job
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary General Summary/ Overview: Under the direction of the Supervisor, Revenue Cycle Enrollment, the Provider Enrollment Coordinator will be responsible for the insurance carrier enrollment and re-enrollment of clinical staff and ancillary providers, the maintenance of these providers in the Medical Staff Office system and in CAQH, and the dissemination of the provider information to both internal and external customers. The Provider Enrollment Coordinator must possess a comprehensive knowledge of the MGB payer policies, contract language and procedures to prepare and disseminate provider enrollment applications to the MGB payers. Payer enrollment applications must be executed accurately to ensure the correct set up with health plans. The Provider Enrollment Coordinator is required to demonstrate effective communication skills and the ability to work as a team player with various levels of staff both internally and externally. Principal Duties and Responsibilities: * Prepare paperwork, deliver to provider, then collect all enrollment materials required to enroll or re-enroll a provider with the insurance carriers. * Insure the integrity of and carries out the enrollment process in accordance with the Unit policies. * Acquire a CAQH ID for the provider, complete CAQH information, and update the appropriate enrollment system with the CAQH ID information for the provider. * Submit all enrollment paperwork to the carriers, including but not limited to name, location, and practice guidelines. * If available by the payer enter all enrollment information into the appropriate online portal or system and adhere to all appropriate rules and regulations as established. * Submit re-enrollment/revalidation on a two-year birthday cycle to the carriers or as defined by the payers processes. * Track status of a carrier enrollments, update provider enrollment systems, and notify the appropriate EPIC Team, when necessary, as approval is obtained. * Work with the other Revenue Cycle Operations (RCO) departments, PCPO, the Central Credentialing Office on any enrollment related issues that arise with the provider billing. * Serve as a resource to providers, appointments coordinators, and PBO regarding the enrollment process. * Gather or establish usernames and passwords for the NPI systems, NPPES, for physicians and store the information within the appropriate enrollment systems. * Additional projects and or duties as assigned. Qualifications Qualifications: Bachelor's degree preferred. In lieu of degree, will consider individual with directly related experience in provider enrollment and/or credentialing in health care setting. CPCS certification a plus. § Requires 1 - 3 years experience in a healthcare setting. § Knowledge of managed care or provider credentialing is preferred. § Knowledge of billing processes preferred. Skills/Abilities/Competencies: A successful candidate will possess the following qualities: * Strong analytical and problem-solving skills. * Strong written and verbal communication skills. * Self-motivated, able to learn quickly and be flexible. * Strong computer skills and knowledge of Microsoft Office (Word/Excel). * Prefer knowledge of provider enrollment systems, but not required. * Must be a self-starter with the ability to work both independently and as part of a team. * The ability to multi-task and prioritize work accordingly. * The ability to efficiently adapt to and flourish within a time-sensitive enterprise environment. Supervisory Responsibilities: The individual will have no direct reports. Fiscal Responsibility: The individual will have no direct fiscal responsibility Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$44k-54k yearly est. 8d ago
Grant Administrator Remote
Brigham and Women's Hospital 4.6
Remote or Boston, MA Job
Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Works with Principal Investigators and Department Administrators to develop grant submissions, perform budget forecasting, monitor fund statements, resolve accounting issues, perform accounts payable/accounts receivable, process POs, and function as liaison to grantor agencies and subcontracting institutions. Provides guidance, resolves issues and helps navigate the research proposal and submission and application process. Does this position require Patient Care? No Essential Functions Processes and prepares research grant proposals, awards, and transactions, maintaining grant/contract records in compliance with institutional and research sponsors. * Assists with budgets, justifications, and materials for financial reporting. * Reviews proposals for compliance with sponsor and organizational guidelines; verify all sponsor requirements are met. * Responsible for processing purchase orders, managing accounts receivable/accounts payable, and resolving accounting requests. * Take ownership of managing an assigned portfolio of research departments and serve as the primary Pre-Award/Post-Award resource for department administrators and PIs. * Monitors expenditures and assures budgetary compliance; verifies, identifies, and evaluates excessive charges; and gives advice on allowability of costs to be charged to grant. Qualifications Education Associate's Degree Financial Management required or Associate's Degree Related Field of Study required or Bachelor's Degree Financial Management preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience Research administration experience 1-2 years required Knowledge, Skills and Abilities * Proficient in spreadsheets, databases, accounting, and other computer applications. * Excellent verbal and written communication, interpersonal, and problem-solving skills. * Good organization and coordination skills. * Ability to work with large financial data sets with accuracy. * Good working knowledge of research agency, sponsor, and organization funding guidelines and policies. * Good negotiation skills. * Ability to work independently. * Ability to make good judgments and resolve problems. Additional Job Details (if applicable) Remote Type Remote Work Location 75 Francis Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$66k-83k yearly est. 10d ago
Remote Certified Oncology Data Specialist, Tumor Registry, $6000 Bonus, FT, 8A-4:30P
Baptist Health South Florida 4.5
Remote or Miami, FL Job
Performs data abstraction by capturing a complete patient history, diagnosis, staging, and treatment information for all patients accessioned into the cancer registry by the American College of Surgeon Commission on Cancer (ACS CoC), the Florida Cancer Data System, and customer-specific requirements. Runs edits on abstracts and makes the necessary corrections to the abstracts. Says abreast of changes to industry guidelines and standards. Communicates professionally and effectively with customers, managers, and colleagues orally and electronically and participates in Peer Group activities. Exhibits professionalism, flexibility, dependability, commitment to customer service, and desire to learn. Possesses excellent organizational skills and the ability to adhere to deadlines. The estimated pay range for this position is $25.00 - $32.50 / hour, depending on experience. Associate's Degree required. Must be a Certified Oncology Data Specialist (ODS) through NCRA. Minimum of one year of cancer registry abstracting experience in a Commission on Cancer (CoC) approved cancer registry. Knowledge of CR Star and Cerner preferred. Must be adaptable and flexible in a changing work environment that requires continuous skills upgrading. Must have a demonstrated ability to function independently with little supervision. Takes ownership of certification, including keeping up with education and the required skill set to perform as an ODS.
$25-32.5 hourly 60d+ ago
Clinical Applications Support Analyst - In Patient
Sanford Health 4.2
Remote Job
**Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote WI **Location:** Remote, WI **Address:** **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $26.00 - $41.50 **Pay Info:** Pay starts at $26 and increases according to years of applicable experience. **Job Summary** Gather, analyze, design, develop, modify, test, implement, evaluate, and maintain clinical information technologies to support clinical practice. Use data to support clinical decision-making and identify desired outcomes. Able to research, analyze and make recommendations for application work flow improvements and create and analyze reports created using multiple reporting mechanisms. Utilize Tier Two/high level of customer service while promoting and participating in the team approach. Possess strong problem solving and critical thinking skills, as well as excellent time management and prioritization skills. Training presentation techniques and skills. Proficient verbal and written communication skills and efficient use of Microsoft Office software. A positive attitude and superior customer service skills. Skill level needed to become proficient in Sanford assigned applications as well as a basic knowledge of other Sanford applications. Demonstrate basic knowledge and support of Information Technology Infrastructure Library (ITIL) philosophies in daily work. Skillful in adapting to change. Adjusts to new or changing assignments, processes, and people. Identifies and considers alternative approaches to situations or problems. A willingness to maintain active knowledge in area of specialty in order to maintain current clinical practice and end user perspectives. **Qualifications** Minimum of an Associates Degree in a clinical field or at least three years of clinical experience in their specialty preferred. Previous experience in Information Technology is preferred. Depending upon location, be licensed/registered/certified in a clinical field within Sanford's footprint. Information Technology (IT) certification should be obtained within six months of date of hire. IT certification must be completed within three attempts of certification testing. Electronic Privacy Information Center (EPIC) application certification and truth should be obtained within six months of hire date. Renewal guidelines per discipline. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0223801 **Job Function:** Information Technology **Featured:** No
$26-41.5 hourly 7d ago
Principal Regulatory Strategist - Health Plan - Juris Doctor
Sanford Health 4.2
Remote Job
**Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote MN **Location:** Remote, MN **Address:** **Shift:** Varies **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $53.00 - $87.50 **Job Summary** Responsible for evaluating regulatory, legal, and operational risks associated with new and existing products, sales strategies, and benefit structures. Serves as a key partner to Sales, Operations, Legal, and Public Policy, providing expert guidance on federal and state regulations - including ERISA, ACA, Medicare Advantage, Medicaid, and commercial plan requirements - and assessing the potential impact of regulatory changes on business strategy. Analyze and assess regulatory and legal requirements across government and commercial health plan products including ACA, Medicare Advantage, Medicaid, DSNP, and self-funded/ERISA plans. Develop regulatory risk matrices and decision frameworks to support leadership in evaluating strategic opportunities. Translate federal and state regulations into practical, operational guidance for sales, operations, and product teams. Represent the organization in external policy discussions, industry workgroups, and regulatory engagement efforts as needed. **Qualifications** Juris Doctor (JD) degree required (active bar licensure not required) Minimum of 8+ years of experience in health policy, regulatory strategy, or legal/regulatory roles within a health plan, law firm, consulting firm, or regulatory agency. Extensive experience with ACA, Medicare Advantage, Medicaid, DSNP, and commercial plan regulations, including self-funded/ERISA Frameworks. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0220556 **Job Function:** Health Plan **Featured:** No
$44k-72k yearly est. 31d ago
Staff Psychologist, Home Base
Brigham and Women's Hospital 4.6
Remote or Boston, MA Job
Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Interested applicants should apply by emailing a letter of interest, curriculum vitae, and list of 3 references addressed to Joseph Bonvie, PhD, attention Monique Hashimoto, email: ***************************. Home Base Program, 1 Constitution Wharf, Charlestown MA, 02129, ***************** Massachusetts General Hospital is seeking a half-time Psychologist (PhD; PsyD) to work at Home Base, a Red Sox Foundation and Massachusetts General Hospital program. Home Base is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with military service - for Veterans of all eras, service members, military families and families of the fallen through world-class clinical care, wellness, education, and research. We offer multiple clinical services including a 2-week Intensive Clinical Program for PTSD and TBI, an Intensive Outpatient Program for Veterans with co-occurring substance use disorders, an outpatient mental health clinic for local and regional patients, a cognitive and brain health program, a comprehensive evaluation program for Special Operators, family and couples programming, and integrated psychedelic assisted therapy programming. Qualifications Ideal candidates will have experience administering cognitive behavioral therapies (CBT) for PTSD including Prolonged Exposure (PE) and/or Cognitive Processing Therapy (CPT). Additional experience in any of the following specialty areas is preferred but not required: (1) Veteran or military family populations; (2) substance use disorders; (3) psychedelic assisted therapy; (4) massed CBT approaches for the treatment of PTSD; (5) training in the Unified Protocol. The candidate must be licensed or license eligible in Massachusetts, and the position is open to junior, mid-career, and senior clinicians. The staff psychologist may carry a short-term outpatient therapy caseload based on areas of personal interest/expertise (e.g. substance use disorders, anxiety disorders, mood disorders), may assist with evaluations for Special Operators within our Comprehensive Brain Health and Trauma Program, and/or may be involved in psychedelic assisted therapy. Additionally, the staff psychologist may provide services to family members, including groups and couples' therapy. Specialty training in evidence-based couples therapy (e.g., IBCT, EFT) is ideal, although training for IBCT will be available for interested candidates. Home Base is part of an academic medical center that values scholarship and teaching; thus, there are also opportunities to participate in research, program improvement initiatives, and supervision of trainees. It is anticipated that the successful candidate will be appointed as an instructor or assistant professor at Harvard Medical School. The teaching/supervision responsibilities would involve providing didactics and clinical supervision of practicum students, interns, or fellows. Primary appointment will be in the Department of Psychiatry at Massachusetts General Hospital. Interested applicants should apply by emailing a letter of interest, curriculum vitae, and list of 3 references addressed to Joseph Bonvie, PhD, attention Monique Hashimoto, email: ***************************. Home Base Program, 1 Constitution Wharf, Charlestown MA, 02129, ***************** Additional Job Details (if applicable) Remote Type Onsite Work Location One Constitution Wharf Scheduled Weekly Hours 20 Employee Type Regular Work Shift Day (United States of America) EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$71k-90k yearly est. Easy Apply 15d ago
Talent Acquisition Partner, Enterprise Services
Brigham and Women's Hospital 4.6
Remote or Somerville, MA Job
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. We're Hiring: Talent Acquisition Partner (Remote) - Mass General Brigham Are you a strategic recruiter who thrives on building great teams? Join Mass General Brigham, a world-class healthcare system, as a Talent Acquisition Partner (TAP) and help us shape the future of care through exceptional hiring. In this role, you will: * Partner with hiring managers to develop and execute effective recruitment strategies * Own the full recruitment lifecycle: sourcing, screening, assessing, and closing top talent * Build diverse pipelines and champion inclusive hiring * Support key departments like Population Health, Digital, and Ambulatory Contact Center * Collaborate with our sourcing team on tough-to-fill and high-volume roles Why This Role Matters As a Talent Acquisition Partner, you'll serve as a trusted advisor and strategic consultant to hiring managers across key departments including Population Health, Digital, and the Ambulatory Contact Center. You'll develop and execute creative sourcing strategies, ensure a diverse and inclusive hiring process, and own the end-to-end recruitment journey - all while representing the excellence and values of MGB. Job Summary Details: * Remote (Eastern Time hours) * Full-time, Monday-Friday * Competitive salary + full benefits Join a Mission That Matters - Become a Talent Acquisition Partner at Mass General Brigham At Mass General Brigham (MGB), we're not just hiring - we're building teams that are transforming healthcare. As a Talent Acquisition Partner (TAP), you'll be at the heart of that transformation. Your work will have a direct impact on our ability to deliver exceptional care and innovation to our communities. If you're a strategic recruiter, passionate about making meaningful connections and guiding hiring teams through the full recruitment lifecycle, this role is your next great opportunity. Qualifications What you bring: * 2-3 years of corporate or agency recruitment experience * Strong communication and consultative skills * Bachelor's degree (or equivalent experience) * Confidence using talent systems and behavioral interviewing Skills and Abilities for Success * Excellent written, verbal communication skills with exceptional listening, collaboration and interpersonal skills. * Ability to influence and negotiate to provide counsel advice. * Ability to work independently, proactively, multitask and prioritize work. * Business acumen and political savvy. * Demonstrated ability to use talent management and other relevant systems. * Successful demonstrated experience and skill in setting a talent strategy, including ability to build diverse applicant pipelines. * Understanding of employment law. * Ability to demonstrate behaviorally-based interview techniques and strong candidate assessment skills. Additional Job Details (if applicable) Working Model and Requirements * M-F Eastern Business hours required * Full Time weekly benefitted employee * Remote work requires stable, secure, compliant, quiet work station free from others and distractions Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$66k-86k yearly est. 8d ago
Physician - Diagnostic Radiology - Non-Interv/Non-Invasive
Sanford Health 4.2
Remote or Bismarck, ND Job
Specialty Diagnostic Radiology - Non-Interventional/Non-Invasive Visas Accepted N/A Practice Details Sanford Health is seeking BC/BE Radiologist to join a successful, well-established group of physicians. Join an experienced team of 8 diagnostic, 3 interventional and 5 APP's General or fellowship trained considered 14 weeks vacation guaranteed Full work station provided for at home reading Variable shifts daily/inhouse or work from home Flexible group controlled shift scheduling No call duties after 9 pm Work 6-7 weekends per year from home ACR Accredited Radiology Department Newly remodeled department with state of the art imaging equipment Physician led organization Compensation Package Sanford Health offers a nationally competitive compensation plan with an additional physician benefits package including health, dental and vision insurance, 401K plan, short-term and long-term disability, life insurance, CME allowance, paid time away, malpractice insurance and tail coverage, and a relocation allowance. About this Community As the capital city of North Dakota, Bismarck is truly one of a kind. The city offers picturesque landscapes and farmland, a fast-growing community of more than 130,000 and economic diversity. Centrally located in the state, Bismarck borders the east side of the Missouri River and has a community full of friendly people. Job Function Physicians Req Number R-0195681 Equal Employment Opportunity Sanford and its affiliate brands have consistently operated under the principle of equal treatment for all persons without regard to race, color, creed, religion, national origin, gender, gender identity, age, sexual orientation, genetic information, marital status, disability, military or veteran status, in regard to public assistance or any other basis prohibited by applicable federal, state or local law.
$364k-583k yearly est. 60d+ ago
Physician Practice AR Collection Specialist, Remote, BHMG Revenue Management, FT, 08A-4:30P
Baptist Health South Florida 4.5
Remote or Miami, FL Job
Provides AR/follow up including denial management support to collect on outstanding accounts receivables. Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to resolve claims management issues. Estimated pay range for this position is $18.59 - $22.49 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * Associate's degree preferred. * Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. * Excellent computer proficiency (MS Office - Word, Excel and Outlook) . * Knowledge of physician billing,regulatory and compliance guidelines Knowledge of ICD-10, HCPCS, CPT-4 and modifiers. * CCA, CCS or CCS-P certification or any billing/coding certification preferred. * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independent and carry out completion of workload. Minimum Required Experience:
$18.6-22.5 hourly 9d ago
APP - Certified Nurse Practitioner | Virtual Care
Sanford Health 4.2
Remote Job
**Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote MN **Location:** Remote, MN **Address:** **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Department Details** Joining a growing team supporting preventative care video visits from the provider's home, to members in their homes. These visits take place Monday - Friday 8-5 with 1 night per month of visit support and 1 Saturday morning per month, identified by the NP. **Job Summary** The Nurse Practitioner (NP) provides service to patients in designated care settings, including: acute, short and long-term care, by assisting physicians, assessing patients, and treating injuries and ailments. Provides service to patients in acute, short and long term care settings by assisting physicians, assessing patients, and treating injuries and ailments. Obtains a thorough medical history from patient and dependent on patient population and setting will perform an examination and/or assessment to determine patient's needs. With other healthcare professionals, analyze and interpret information collected from patient, medical records, symptoms, physical findings, or diagnostic information, to develop and establish appropriate diagnosis. Acknowledges and demonstrates the importance of care coordination and navigation by rounding on patients when necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the patient and prescribes medications based on efficacy, safety, and cost as legally authorized if necessary, in order to aid recovery and manage pain. Maintain complete and detailed records of patients' health care plans and prognoses in a timely manner. Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise. Provide patients with information needed to promote health, reduce risk factors, or prevent disease or disability. Counsels' patients and family members about self-management on prevention and treatment plan for health issues, tailoring instructions to patients' individual circumstances. May cover hospital consultations, rounding, and assist with patient procedures as needed. Conducts research into area of specialty and uses findings to provide measurable improvements in patient care and clinical outcomes. Incorporates evidence based practice guidelines into care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources, as applicable. Demonstrate extensive advanced knowledge of medical principles, practices and techniques. **Qualifications** Completion of a master's, postmaster's, or doctorate from an nurse practitioner program accredited by the Commission on the Collegiate of Nursing Education or National League for Nursing Accrediting Commission. Licensing prior to August 1, 1995, master's degree in nursing is preferred. Demonstrated current competence and provision of care, treatment, or services for an adequate volume of patients in the past twelve months, or completion of master's/post-master's degree program in the past twelve months. Experience must correlate to the privileges requested. Current licensure by the applicable state board of nursing for advanced practice. Current Drug Enforcement Administration (DEA) permit to prescribe controlled substances. Certified Family Nurse Practitioner (NP-C) or (FNP-BC). Obtains and subsequently maintains required department specific competencies and certifications. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. **Practice Details:** Supporting Sanford Health Plan's Medicare Advantage and ACA (Affordable Care Act) members via 45 minute video visits reviewing the full patient, supporting education and referrals back into Sanford as needed. **Req Number:** R-0220349 **Job Function:** Advanced Practice Provider **Featured:** No **Specialty:** Family Medicine **Visas Accepted:** N/A
$81k-119k yearly est. 44d ago

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