Director of Quality Assurance and Performance
Pharmacy Charge Description Master Specialist
Coding Compliance and Revenue Enhancement Services
Consultant
Supervisor Cashiers/Cash Posting
Director of Patient Financial Services
Financial Planning/Reimbursement Analyst
Director/Manager of Reimbursement
Reimbursement Specialist
Posted August 20,
2008
Job Info:
It's time you were fully reimbursed for your wide-ranging qualities.
Here's the career-enhancing role that can utilize all your strengths and provide the levels of involvement and stimulus that your talents richly deserve. Your analytical and project management skills will see you developing and maintaining the facility's CDM in multiple financial systems. Your communication and problem-solving skills will be invaluable as you bring your sharp focus to every aspect of the role, from third party cost reporting, revenue budgeting and researching coding/revenue reporting requirements, to providing education to charging departments and billing staff.
Bachelor’s degree in Accounting or Finance with a strong background in accounting principles and experience in third party cost reporting, hospital CDM maintenance and review required. Knowledge of medical terminology, revenue coding guidelines, CPT/HCPCS codes, APCs, and DRGs. Computer skills to include Excel, Access, and Word, and third party cost report software applications.
For immediate consideration, please e-mail your resume indicating Job Code: RS/BR in the subject line to: apply@bergenregional.com or forward your resume indicating Job Code to:
Fax: 201-967-4109.
To learn more about us, visit: www.bergenregional.com . EOE
exp. 11/7/08
Vendor Management Manager
Posted August 20,
2008
Saint Barnabas Health Care System, a proven leader in the health care industry, is seeking dynamic, highly motivated Vendor Management Manager. The Vendor Management Manager is responsible for ensuring the proper working relationship between the System Business Office (SBHCS) and its revenue cycle vendors and collection agencies is maintained and maximized. The candidate is responsible for ensuring accounts are appropriately referred and cancelled from all vendors. The candidate will monitor vendor performance to ensure they are performing according to applicable guidelines and contracts as set forth by SBHCS. Additionally, the Manager is responsible to oversee and ensure the best course of action for SBHCS patients with regard to all Medical Assistance programs including Medicaid and all other state sponsored programs.
Job Info:
The position requires independent thinking skills, good interpersonal skills, problem-solving abilities and an understanding of the operational needs of the SBO and its AR strategy. The position requires good analytical skills to identify trends and issues, as well as to identify possible solutions to address any issues. It is important that the Manager is able to meet deadlines and other requirements set by the SBO administrative team. The candidate must be able to handle potentially stressful situations and multiple tasks at one time. He/she must also be able to present issues and trends to both vendors and SBHCS
Management on a regular basis. He/She must be a positive role model for the SBO by promoting teamwork and cooperation. The candidate must be able to accept constructive criticism and integrate suggestion in effective ways.
4 year degree required or business equivalent.
Please visit our website www.sbhcscareers.com to apply.
exp. 11/7/08
Payment Review Supervisor
Posted August 20,
2008
Saint Barnabas Health Care System, a proven leader in the health care industry, is seeking a dynamic, highly motivated Payment Review Supervisor, with strong organizational and interpersonal skills for its System Business Office (SBO).
Job Info:
The Payment Reviews Supervisor is responsible for day-to-day coordinating for accurate and timely completion of cash posting, contractual adjustments, and A/R variance reconciliation duties. As the primary contact for the Cash Application, Credit Balance, and/or Payment Review Representatives, this candidate must have working understanding of the patient accounting procedures and processes within the business office. These knowledge and skills include comprehensive understanding of posting all payments and adjustments as defined on the remit received from the insurance company, individual patients, vendors via lockbox, electronic remittance and/or live checks; ensuring the accurate and efficient review and resolution of payment variances and credit balances within the context of the System Business Office overall strategy and procedures. This position requires a positive teamwork approach and ability to mentor and act as a role model for staff. Also, this candidate must have prior deep knowledge, skills and experience in either cash posting and adjustments, payment review or credit balance review; however, a working knowledge of the other two areas is essential.
This candidate must demonstrate strong interpersonal skills to ensure cooperation from other departments. The candidate must be able to handle potentially stressful situations and multiple tasks simultaneously. In addition, he/she must be a positive role model and promote teamwork and cooperation. He/she must be able to accept constructive criticism and integrate suggestions in effective ways. Satisfactory completion of the training module for Cash Application. Full understanding of contracts. Demonstrate competency in obtaining and interpreting information. Is knowledgeable in insurance company rules regarding payments and refunds. Minimum of five years experience working in healthcare cash application, credit balance and/or payment review functions required. Computer skills needed, familiarity with all external programs a plus. Excellent interpersonal and communication skills. Good working ability to navigate the Affinity and Siemens systems. Ability to multi-task and escalate
when appropriate. Must have basic typing and data entry, 10-key, PC, spreadsheets, processing skills, and researching skills. CPAT (Certified Patient Accounting Technician) a plus.
High School Education, Associates Degree a plus
Please visit our website www.sbhcscareers.com to apply.
exp. 11/7/08
Billing Compliance Specialist
Posted August 17,
2008
Saint Barnabas Health Care System,
Position Requirements:
• Graduate of an accredited college or university with a Bachelor’s degree in
accounting or related field preferred.
• CPA, CIA or other professional certification preferred.
• At least 2 years applicable experience in either a national accounting firm
or a health care provider.
• Experience managing compliance requirements of government and healthcare
regulatory agencies.
• Working knowledge of:
• Health care compliance
• Hospital management and operations
• Medicare payor requirements
• Clinical coding and reimbursement processes
• Physician management
• Health care finance
• Effective written and verbal communication and interpersonal skills including
proven ability to:
• Make effective formal written and oral presentations
• Conduct investigation and analysis of complex health care billing issues and
communicate findings and recommendations
• Effective project management skills including proven ability to:
• Manage large volumes of written materials and electronic data
• Produce high quality written documentation (e.g. memos and reports) and data analysis
(e.g. Excel spreadsheets)
• Independently manage complex processes with precision and efficiency
• Formulate and implement effective action plans
• Accept direction and input from multiple sources
• Proven ability to function independently and exercise judgment and leadership
in accordance with objective legal and regulatory requirements, under complex
and demanding circumstances.
• Established demeanor and work habits consistent with professional-firm (e.g.
accounting or health care consulting) training and background.
As New Jersey's largest integrated health care delivery system, we strive to
exceed the expectations of our patients and our employees. The Saint Barnabas
Health Care System provides treatment and services for more than 225,000 inpatients
and same day surgery patients, 440,000 Emergency Department patients and 1.5
million outpatients each year, and delivers more than 17,500 babies annually.
The Saint Barnabas Health Care System includes more than 23,000 employees
(second largest private employer in the state), 4,620 physicians and 443
residents.
Throughout the Saint Barnabas Health Care System, our dedicated physicians,
nurses and health professionals are committed to providing the highest quality
of patient care and health education to the community and the region.
We offer a great work environment, competitive rates and excellent benefits,
including:
*A matched 401(k) savings plan
*Comprehensive health and dental benefits
*Generous tuition reimbursement
*Paid time off plan
* Medical and dependent care flexible spending plans
To apply, please go to www.sbhcscareers.com
and type position number "T203185" into the keyword search
field. For questions, please contact Alison Oxman at aoxman@sbhcs.com.
exp. 11/7/08
Director of Quality Assurance and Performance
Posted August 17,
2008
Saint Barnabas Health Care System, a proven leader in the health care industry, is seeking a dynamic, highly motivated Assistant Director of Quality Assurance and Performance, with strong organizational and interpersonal skills for its System Business Office (SBO).
The Assistant Director will be responsible for the management and oversight of the quality assurance, education, audit activities within the System Business Office (SBO), responsible for the development and accomplishments of the operational objectives as outlined by the VP of Revenue Management. Provides leadership and direction to subordinate management and staff who are responsible for monitoring and implementing process improvement initiatives.
Job Info:
Responsible for establishing both short and long term strategies which in turn supports the direction and objectives of the System Business Office.
Directs, delegates and oversees work efforts as appropriate to insure the highest quality and best possible delivery of service.
Responsible for the overall direction, implementation and evaluation of Quality Operations including managing and analyzing data against industry benchmarks and reporting results as well as overseeing RCA's performance improvement plans and initiatives for the System Business Office.
Responsible for ensuring the development, implementation and evaluation and ongoing monitoring of measures to assess the SBO quality performance.
Provides oversight for the development, implementation and evaluation of education focusing on the tools and techniques utilized to achieve the outlined goals of the SBO.
Oversight of the Key Performance Reporting generated out to the SBO, prepares analyzes of key trends and develops action plans to ensure financial and operational performance is maximized within the department.
Provides oversight to the Facility Liaisons regarding problem solving of intra/interdepartmental processes between the Facility Site Director and the System Business Office.
Additional
Requirements:
Must possess exceptional analytical, communication and interpersonal skills.
Must demonstrate strong leadership qualities and problem solving skills.
Ideal candidate will have a minimum of 5 years of senior management experience in a complex Patient Accounting environment. Demonstrated expertise and knowledge of all insurances and their state and federal regulations is required.
Strong ability to handle multiple tasks and flexibility to shift directions as needed.
Must demonstrate maturity and competence in dealing with all varieties of issues.
Bachelors Degree required.
Please visit our website www.sbhcscareers.com to apply.
exp. 11/7/08
CDM Specialist
Posted August 9, 2008
Saint Barnabas Health Care System, a proven leader in the health care industry, is seeking dynamic, highly motivated CDM Specialist for its System Business Office (SBO).
Under the direction of the Charge Integrity Director, the Charge Description Master Specialist is responsible for interacting with departments across SBHCS to ensure that all billable items and services such as procedures, patient visits, supplies, and pharmaceuticals that are charged for through the Charge Description Master (CDM) are described, coded, and priced appropriately and are representative of services provided. The CDM Specialist is responsible for researching CDM and patient charge issues and inquiries, defining the scope of research required to attain satisfactory resolution, and making recommendations and providing updates to the Charge Integrity Director and Department Directors of issues encountered and potential actions. Upon resolution and approval of recommendations, the CDM Specialist should ensure that appropriate actions are carried out accurately and completely. The CDM specialist is also responsible for completing financial analyses of assigned cases to determine charge and revenue implications related to CDM maintenance; communicating findings to hospital departments to inform them of the status of their requests, performing regulatory due diligence of billable services to
ensure compliance; and overseeing the implementation of approved recommendations to ensure appropriate revenue capture.
All responsibilities and functions within the Charge Integrity Department must adhere to department and SBHCS policies and procedures and regulatory requirements.
Job Info:
Performs a technical review along with the department manager or CDM representative of each departmental CDM. The specific tasks for this process include the following for all payors:
a) Gathers all pertinent CDM files and Revenue and Usage reports
b) Review all CPT and HCPCS codes for accuracy, validity and relationship to each departmental charge description number;
C) Review all procedure and service descriptions for accuracy and clinical appropriateness;
d) Review all revenue codes for accuracy and linkage to charge description numbers;
e) Review all modifiers for appropriateness;
f)Identify potential billable services, procedures,
supplies, and/or pharmaceuticals that may be added to the CDM Coordinates and
conducts departmental interviews throughout the year to ensure timely review of
each department’s
CDM based on the completed technical review and to ensure that old HCPCS/CPT
codes are deleted or revised and new HCPCS/CPT codes are added as necessary.
Documents all changes and/or revisions to each departmental CDM by utilizing tools such as Microsoft Access or Excel programs.
Ensures charging compliance by understanding each department’s charging practices based on the CDM and perform charge capture education as new services are added, deleted, changed and/or revised.
Obtains departmental manager approval for all additions, inactivations, changes and/or revisions made to the CDM.
Performs revenue forecasting by completing a financial analysis for services, procedures, supplies, and pharmaceuticals that have been added, inactivated, changed, and/or revised in order to assess the net financial impact for each department.
Ensures that CDM additions, inactivations, changes and/or revisions are provided to IT&S for implementation into the hospitals clinical and financial systems.
Performs quality reviews in order to ensure that CDM additions, inactivations, changes and/or revisions were accurately completed in the hospitals clinical and financial systems.
Coordinates the updating of charge capture tools to reflect changes made to the CDM.
In conjunction with the Director, Charge Integrity, coordinates pricing updates and facilitates pricing validation meetings with department managers.
Validates system control parameters to ensure appropriate bills.
Communicates CDM changes to appropriate departments where processes may have been affected (e.g., HIM, Patient Access).
Performs quality audits by reviewing claims to ensure that all HCPCS/CPT codes assigned by the CDM and by HIM are transferring appropriately.
Reviews daily claim edit reports and develops a work plan to identify key CDM issues.
Complete work plan tasks to ensure root cause of errors is identified, resolved, and communicated to appropriate staff.
Reviews and takes action daily on all remittance advice denials involving CPT and HCPCS coding or billing guidelines.
Develops, recommends, and monitors procedures to ensure daily charge reconciliations take place for the tests/procedures performed to that of items processed for billing.
Office setting with travel to hospitals/facilities within SBHCS and other local travel as needed.
Minimum Requirements:
Bachelors Degree (BA or BS) or equivalent experience in business, finance or a healthcare related field preferred
Demonstrated progressively more responsible health care experience
Demonstrated success performing CDM reviews, CPT/HCPCS coding expertise, billing and reimbursement knowledge surrounding UB-92 claim submission/generation and hospital mainframe systems; e.g., Siemens, HBOC
Effective communication skills, organization and flexibility
Preferred
Requirements:
Registered Nurse (RN), Registered Health Information Administrator (RHIA),
Registered Health Information Technician (RHIT), Certified Coding Specialist
(CCS) or Certified Professional Coder (CPC) preferred. Other allied health
certification and/or specialized
Please visit our website www.sbhcscareers.com to apply.
exp. 11/7/08
Sr. Financial Analyst
Posted August 9, 2008
Situated on a beautiful 67-acre suburban campus, Robert Wood Johnson
University Hospital Hamilton provides comprehensive acute care and outpatient
services through a unique blend of technology and human achievement. As part of
our family, you’ll find a management team that listens and co-workers who lend
a hand without being asked. Our advanced nationally-recognized quality and
service make us a great a place to learn and grow. A recipient of the
prestigious Malcolm Baldrige National Quality Award, RWJ Hamilton is known for
the higher standard of care we provide. Joining a hospital with our expanding
capabilities presents the opportunity to make a profound impact on the lives of
others as well as our
own.
Job Info:
Reporting to the Director of Budget and reimbursements, some of the duties will include, but not limited to:
*Knowledge of Medicare reimbursement principles.
*Knowledge of decision support systems.
*Prepares profitability analysis by revenue/cost and center/service.
*Examines payer profitability utilizing cost accounting techniques to adequately reflect operating costs.
*Assists with the preparation of the Medicare and SHARE cost reports.
*Assists with the monthly third party analysis/reconciliation to determine estimated settlements.
*Knowledge of cost accounting principles and the ability to apply the knowledge in the development of product line
*costing and profit and loss statements for hospital services.
*Ability to do complex financial modeling and forecasting.
*Assists in the preparation of the annual Capital and Operating budget working in conjunction with the Director of Budget and Reimbursement.
*Preparation of various statistical reports and analysis.
*Support strategic planning efforts by developing pro-forma financial models.
*Analyzes and examines trends in key hospital indicators.
*Provides analysis of revenue and expense budget variances by working with Department leaders.
*Supports the RWJUHH Benchmarking initiative utilizing Solucient.
*Provides periodic productivity reporting to management.
Bachelor’s degree with major in Accounting/Finance; along with 6-10 years of Financial analysis experience in a hospital setting. Must have strong computer,
problem solving, and communication skills, as well as strong customer orientation and the ability to work with all levels of management.
Interested applicants should apply online at www.RWJHamilton.org. Please enter the job title.
exp. 11/7/08
Charge Capture Specialist
Posted August 9, 2008
Saint Barnabas Health Care System, a proven leader in the health care industry,
is seeking a dynamic, highly motivated Charge Capture Specialist, for its
System Business Office (SBO).
Under direction of the Manager of Charge Integrity, the Charge Capture
Specialist is responsible for documenting and evaluating charge capture work
flow processes and charge reconciliation. Maintains a detailed understanding of
current systems, system tools, and business policies in order to improve the
accuracy and efficiency of the charge capture phase of the revenue cycle.
Achieves high customer satisfaction by building relationships with Clinical
Departments, and demonstrates a keen understanding of the specialty and values.
Oversees various and diverse charge capture improvement projects of a highly
complex nature: In some cases by individually carrying out the investigation
and taking the necessary actions including assembling project teams, assigning
individual responsibilities, identifying appropriate resources needed, and
developing a schedule to ensure timely completion of projects.
Job Info:
Responsible for supporting hospital charge capture and revenue improvement
initiatives.
Will collaborate with clinical, charge entry, medical records, coding, billing,
and information systems staff in order to ensure accuracy in charging. Supports
and enhances the compliance efforts of the hospital by adhering to regulatory,
departmental and organizational guidelines related to charging for services.
Must possess the ability to organize work effectively, manage multiple
concurrent priorities with competing deadlines, and pay careful attention to
detail and presentation.
Sets strategic direction of projects. Develops project plans which identify key
issues, problems, approaches, performance metrics and resources required.
Instructs and educates on all aspects of project Establishes team membership
and negotiates time commitments and resource allocation.
Motivates team members and facilitates team meetings.
Acts as liaison, problem solver, and facilitator.
Designs research plans for data gathering and analysis.
Actively participates or may lead in analyzing data and developing
recommendations and action plans.
Accountable for the development of project documentation for senior executives
and other key management members to facilitate sharing of project outcomes and
best practices.
Establishes effective professional business relationships with all levels of management.
Travel is required between all 6 facilities.
Minimum Requirements:
Bachelors Degree (BA or BS) or equivalent experience in business, finance or a
healthcare related field preferred.
Five years of Operational Business experience Demonstrated progressive
responsibilities in health care environment.
Demonstrated success performing CDM reviews, CPT/HCPCS coding expertise,
billing and reimbursement knowledge surrounding UB-92 claim
submission/generation and hospital mainframe systems; e.g., Siemens, HBOC.
Effective communication skills, organization and flexibility Familiar with
Charge Capture processes.
Ability to work independently, as well as a member of a team.
Ability to evaluate current workflows and processes with a critical eye and develop
proposals for improvement.
Strong inter-personal skills and collaborative style with the ability to convey
a positive and professional image in person, on the telephone and in written
correspondence.
Expertise in Microsoft Office products such as word and excel.
Preferred Requirements:
Registered Nurse (RN), Registered Health Information Administrator (RHIA),
Registered Health Information Technician (RHIT).
Please visit our website at www.sbhcscareers.com to apply.
exp. 11/7/08
Pharmacy Charge Description Master Specialist
Posted August 9, 2008
Saint Barnabas Health Care System, a proven leader in the health care industry, is seeking a dynamic, highly motivated Pharmacy Charge Description Master Specialist, with strong organizational and interpersonal skills for its System Business Office (SBO) in the Charge Integrity Department.
The ideal
candidate will have a proven track record in financial management and health
care reporting, as well as a working knowledge of various payment and coding systems,
particularly the Outpatient Prospective Payment System (OPPS), and HCPCS and
CPT-4 coding schemes.
Job Information:
Possesses a working knowledge of the UB-92, MA claim form, and the HCFA-1500.
Demonstrates knowledge of the charge development process and the
interrelationship of cost accounting, cost management, and related functions.
Understands charging processes and compliance issues and has the ability to
provide resolutions by performing internet research, utilizing third party
payor regulations, referencing coding guidelines, and referencing local Fiscal
Intermediary and CMS guidelines.
Demonstrates knowledge and proficiency of standard PC word processing,
spreadsheet, database and presentation applications (e.g., Word, Excel, Access,
PowerPoint) to develop, prepare and analyze statistical reports.
Requires knowledge of the hospital financial system, the A/R system, and the
Charge Description Master role within such systems.
Requires the ability to communicate clearly and concisely, verbally and in
writing Requires knowledge of medical terminology Excellent problem solving and
analytical skills.
Excellent verbal and written communication and interpersonal skills
Detail oriented and independent worker.
Minimum Requirements:
Pharmacy Technician or 3-5 years of Pharmaceutical billing experience.
Demonstrated progressive responsibilities in health care environment.
Demonstrated success performing CDM reviews, CPT/HCPCS coding expertise,
billing and reimbursement knowledge surrounding UB-92 claim
submission/generation and hospital mainframe systems; e.g., Siemens, HBOC.
Effective communication skills, organization and flexibility.
Preferred Requirements:
Pharmacy Technician, Registered Nurse (RN), Registered Health Information
Administrator (RHIA), Registered Health Information Technician (RHIT).
Travel required between all six facilities.
Please visit our website at www.sbhcscareers.com to apply.
exp. 11/7/08
A/R Analyst
Posted August 9, 2008
This newly created position will be responsible for the monthly revenue review of the allowances, payments and adjustments in the calculation of the overall A/R valuation & reconciliation.
The candidate
must have a bachelor's degree with a minimum of three years experience in
hospital finance or patient accounts.
To apply, please contact Sue Guy at:
Hackensack University Medical Center
Telephone #
(201) 996-3781
Fax # (201) 336-8348
e-mail Sguy@humed.com
exp. 11/7/08
Federal Collections Manager
Posted July 28, 2008
Saint Barnabas Health Care System, a proven leader in the health care industry, is seeking a dynamic, highly motivated Federal Collections Manager for its System Business Office (SBO)
The Federal Collections Manager is responsible for managing the activities associated with hospital third party collections for all SBHCS sites and the Denials Management Unit. The Manager must support, oversee, and manage the performance and productivity of the team as it relates to AR management and pre-defined goals/targets, providing continual feedback and guidance to the team. The Manager is the recipient of all escalated and trended issues and is responsible for resolving and/or taking appropriate action on all related issues.
The candidate must have sharp analytic skills, be proactive in resolving outstanding accounts, be adept at dealing with insurance companies, government payors and patients, and have a thorough understanding of all hospital third party payor contracts.
Minimum of 5 years health care collections and denials supervisory/management experience preferred.
Associates Degree required, Bachelors Degree a plus.
Please visit our website at www.sbhcscareers.com to apply.
EOE
exp. 11/7/08
Collection Supervisor
Posted July 28, 2008
Saint Barnabas Health Care System, a proven leader in the health care industry, is seeking a dynamic, highly motivated Collection Supervisor for its System Business Office (SBO).
The Collection Supervisor is responsible for supervising and coordinating the activities associated with hospital third party collections for the North or South Sites, including but not limited to: receivable management, correspondence, pre-collection, and third party interaction. The Supervisor manages the work and daily functions of the Follow-up Representative I and II. The Supervisor must support, oversee, and manage the performance and productivity of the team as it relates to AR management and pre-defined goals/targets, providing continual feedback and guidance to the team. The Supervisor is the recipient of all escalated and trended issues; he/she is responsible for resolving and/or taking appropriate action on all escalated issues.
Minimum of 2 years of hospital billing or follow-up experience in Medicare and Medicaid is preferred. Minimum of 2 yrs supervisory/management experience preferred. Demonstrate leadership and management abilities in the daily coordination of billing activities. Well developed problem solving skills, including the ability to identify appropriate solutions within the system, and follow through with the timely filing of the claim. Possess exceptional communication and interpersonal skills in order to effectively interact with customers, payer representatives, and SBHCS staff. Thorough knowledge of UB92
and 837 data elements (each field). Familiarity with basic medical terminology and concepts preferred. Knowledgeable with billing systems and/or claim-editing systems (E.g. EDI systems, Riverbend, RAS, host systems). Typing, data entry, 10-key, PC, and word processing skills preferred. Proficiency in Microsoft Office products (Excel and Word) is preferred.
Associates Degree a plus.
Please visit our website at www.sbhcscareers.com to apply.
EOE
exp. 11/7/08
Billing Manager
Posted July 28, 2008
Saint Barnabas Health Care System, a proven leader in the health care industry, is seeking a dynamic, highly motivated Billing Manager, with strong organizational and interpersonal skills for its System Business Office (SBO).
Billing Manager (Job # 1296280)
The Billing Manager is responsible for the daily operations of the Billing Department within the System Business Office. The primary function is to ensure all claims are produced and submitted to the appropriate carriers in an accurate, compliant, and timely manner. The Manager is responsible for providing leadership and direction to the Billing Supervisors to ensure all department goals and best practice performance measures are achieved. A thorough understanding of all hospital insurance billing requirements for federal, state, local agencies, and third party payers is required. The Manager must have excellent problem-solving skills, possess exceptional communication and interpersonal skills, and be a positive role model for the staff.
A Minimum of 5 years of hospital billing or follow-up experience is required; supervisory and management experience in a hospital patient accounting environment is required. Must have proven and demonstrated leadership and management abilities in the daily coordination of billing activities. Well developed problem solving skills, including the ability to identify appropriate solutions within the system, and follow through with the timely filing of the claim is needed. Possessing exceptional communication and interpersonal skills in order to effectively interact with customers, payer representatives, and SBHCS staff is required. The candidate must have a knowledge base of UB92 and 837 data elements. Familiarity with basic medical terminology and concepts preferred as well as knowledgeable with billing systems and/or claim-editing systems (E.g. EDI systems, Riverbend, RAS, host systems).
Associates Degree or Business Equivalent Required
Please visit our website at www.sbhcscareers.com to apply.
EOE
exp. 11/7/08
Accountant, Cost & Budget
Posted July 28, 2008
Full time position available must be flexible to meet the needs of the department. Assists with the internal auditing functions including:
1) Prepares,
maintains and analyzes all reports, files and worksheets related to the
2) Prepares various reports utilized to monitor the operating budget on a monthly basis.
3) Initiates interaction with Department managers as required in resolving questions regarding the budget and cost accounting.
4) Performs other statistical duties and financial analysis as assigned.
Bachelor’s degree in accounting, finance or related field and 1-3 years experience in accounting required. Personal computer skills required. Ability to conduct analyses, and general reports to reflect findings. Ability to perform the manipulation of numbers and basic math calculations.
Contact Human Resources, Jean Marie Keich email: jmkeich@caperegional.com
phone: 609-463-2173 Fax: 609-463-2379
exp. 11/7/08
Accounting Manager
Posted July 14, 2008
We are conveniently located in a beautiful suburban area of
We seek an Accounting Manager to provide direct oversight to our Accounting Dept. Your responsibilities will include:
*Analysis of monthly financial system generated reports
*Preparing standard monthly journal entries as assigned
*Assisting with preparation and analysis of monthly financial statements and supporting schedules
*Maintaining computer master file and general ledger report interface
*Assisting Assistant Controller in updating computer technologies applicable to the General Accounting department
*Assists with year-end audits, reporting and closings. Other duties as assigned
Requires BS in Accounting, 5-7 years' financial reporting, accounting experience, proficiency in Excel and Access. Healthcare background preferred.
We offer excellent working conditions a very competitive salary and superb benefits package.
To apply, please go to www.englewoodhospital.com, click on careers, then on Management.
exp. 11/7/08
Director of Managed Care
Posted July 14, 2008
We currently have an opportunity for a Director of Managed Care who will be responsible for securing contracts with payers, including health plans and ancillary providers for an entire system under the direction of the CFO. Successful candidate will serve as a liaison between Managed Care Organization/Payers for all contract issues relating to Managed Care including negotiations, financial modeling, contract review, internal educator, physician relations and claims processing. Internal liaison for all Departments relating to Managed Care issues. Duties include assisting with development of educational
initiatives and orientation sessions to provide managed care updates for Solaris departments. He/She will work with patient accounts department to monitor payment trends by Managed Care Payers and resolution of all claim issues and other duties as required.
This position is key to capturing and retaining business for the System and improving the financial performance of managed care agreements.
Minimum 5-7 years’ experience of direct managed care contracting, ability to redline agreements for change, negotiate contracts, and assess the financial and operational impact of contracts; an understanding of the healthcare industry, reimbursement methodologies and patient billing regulations; excellent administrative, analytical, organizational verbal and written communication and presentation skills required.
Bachelor’s Degree required. Masters preferred.
Must be knowledgeable in computer application (MS Excel, MSWord, and MS Outlook). Familiarity with Payer Websites a plus.
We offer a competitive salary and comprehensive benefits including Medical, Prescription, Dental, Vision, Life Insurance, Long Term Disability, and Tuition Assistance. Interested candidates are invited to forward resumes with salary requirements to:
Pat Cooke
Human Resources Manager
Solaris Health System
Fax: 732-548-4595
pcooke@solarishs.org
We welcome online applications at: www.solarishs.org.
We are committed to diversity at all levels of our organization. We encourage applications from underrepresented groups for this key management position.
exp. 11/7/08
Coding Compliance and Revenue Enhancement Services Consultant
Posted July 14, 2008
The Revenue Recovery practice of IMA Consulting, a national
healthcare consulting firm located in
Please email resume to info@ima-consulting.com, or fax to 484.840.0124.
exp. 11/7/08
CDM Coordinator
Posted July 1, 2008
St. Peter's
We are looking for a CDM Coordinator with 5 years hospital chargemaster maintenance and review skills. Experience in medical terminology, revenue coding guidelines, CPT/HCPCS codes and APC reimbursement. Knowledge of Cerner and /or McKesson STAR a plus. Advanced computer skills, i.e. MS Word, Excel and Access. BA/BS in Business, Accounting/Finance or equivalent preferred.
Responsibilities include:
1. Maintains the CDM by incorporating new charges/services identified by the departments, third party changes, CMS special requirements, and coding updates.
2. Performs a detailed, annual review of the CDM which includes identifying CPT and HCPCS Level II codes which have been deleted, added or replaced; assigning CPT and HCPCS specific codes when appropriate; identifying description changes; and ensuring the nomenclature reflects the procedures performed.
3. Identifies services that are reimbursable but are not being coded; reviews, assigns, and validates revenue codes.
4. Coordinates annual and bi-annual meetings with department managers, staff and/or physicians regarding new program and procedure developments, equipment acquisitions and validation of inactive codes.
5. Determines charge and charge attributes for new services and products.
6. Communicates CDM changes to the hospital departments and administration, patient accounting and others who are impacted by the change.
7. Maintains audit trail of CDM changes.
8. Distributes correspondence of third-party requirements for coding changes to departments for review of the impending changes.
9. Researches and resolves CPT code, revenue code and other issues referred by the Patient Accounting department. Utilizes third party payors and local Fiscal Intermediary as a technical resource.
11. Serves as a resource to hospital departments, i.e., assists with the start-up process for new programs, answers implementation questions.
Interested parties should submit a resume to:
Cathy Wuestefeld
Manager, Budget & Reimbursement
St. Peter's
Tel: (732) 745-8600 ext: 8731
Fax: (732) 828-3316
e-mail: cwuestef@saintpetersuh.com
exp. 9/7/08
Supervisor Cashiers/Cash Posting
Posted July 1, 2008
At
In this role, you will ensure that all cash and checks received are deposited daily, as well as handle all correspondence received by cashiers and cash posting. You will supervise the transfer of monies from one campus to another and reinstate accounts no longer active and in collection to do Charity Care write-offs. To qualify, you must have 3 or more years of relevant supervisory experience in Accounts Receivable, Cashier Services, or Patients Accounting. A Bachelor's degree in a related field is preferred.
We offer a competitive salary and a comprehensive benefits package. For consideration, please apply online at: www.trinitashospital.org. We are an equal opportunity/AFFIRMATIVE ACTION employer.
exp. 9/7/08
Director of Patient Financial Services
Posted July 1, 2008
At
In this leadership position, you will design and implement appropriate billing and collection procedures, manage internal controls over Accounts Receivable and case receipt functions, as well as be responsible for the patient access function. Must have a Bachelor's degree in Finance, Business, or a related field, along with 5 or more years of relevant experience, preferably in a healthcare environment. Supervisory/leadership experience is essential.
We offer a competitive salary and a comprehensive benefits package. For consideration, please apply online at: www.trinitashospital.org.
We are an equal opportunity/AFFIRMATIVE ACTION employer.
exp. 9/7/08
Cost Accounting Analyst
Posted June 20, 2008
St. Luke’s Hospital is currently seeking a Cost Accounting Analyst to be responsible for:
• Coordinating the development, implementation and organization of a cost accounting system for the health network.
• Maintaining the cost accounting system, ensuring the integrity and validation of data in a timely and consistent manner.
• Assisting in determining and implementing cost accounting procedures and processes for the network.
• Ensuring that the proper cost accounting policies, appropriate controls and approvals are maintained and adhered to.
• Collecting operational data as needed to determine standards for cost accounting system.
• Analyzing cost accounting data and output for reasonableness and investigates and makes decisions on variances as needed.
• Providing costs and models by service line, product, case, or other basis as needed for financial planning projects.
• Recommending actions by analyzing and interpreting data and making comparative analyses.
• Determining calculations for overhead costs.
• Reconciling costs to general ledger on a consistent and reasonable basis.
• Explaining cost accounting processes and policies to in-house customers.
• Integrating system upgrades and new modules as necessary.
• Ensuring operation of software with preventative maintenance requirements and coordination of data base backups
Bachelor’s degree in Accounting or Finance and three years of cost accounting experience are required.
This position is for Monday through Friday, day shift. Additional hours as needed, particularly during system installation and upgrades.
To apply visit www.slhhn.org, select “employment opportunities”, and apply to Job: 5558
exp. 9/7/08
Financial Planning/Reimbursement Analyst
Posted June 20, 2008
St. Luke’s Hospital is currently looking for a Financial Planning/Reimbursement Analyst with financial analysis experience and strong analytical skills.
Financial Planning Related:
Candidate will provide support to the Coordinator of Financial Planning and Analysis in calculating profit and loss analyses for existing or proposed Network programs and product lines and analyze/organizes data to support financial planning projects.
Reimbursement Related
Candidate will be responsible for:
• Preparing supporting schedules used for the completion of interim and annual third party cost reports.
• Establishing and maintains all computerized third-party logs to be used in the preparation of interim/annual cost reports, monthly financial reviews, and insurance contract analyses.
• Preparing supporting analyses to be used in the preparation of monthly financial statements, including "statistics" page and case mix index (CMI).
• Performing daily cash posting reconciliation of third-party carriers including all Medicare, Blue Cross, and Medical Assistance payments.
• Preparing and maintains schedules on an ongoing basis of third party cash postings, charges, and pass-through payments to be recorded to the general ledger monthly.
• Monitoring third-party payments for appropriateness, via rate audits.
• Posting charges and allowances for laboratory vendor accounts onto mainframe computer system, monitors accounts for payment and performs follow-up procedures when accounts are outstanding over three months.
• Assisting in the preparation of simulated cost reports to estimate the reimbursement impact of audit adjustments, amended filings, appeals, re-openings and mergers.
• Preparing supporting analyses to be used in the preparation of the annual revenue budget.
• Preparing roll-forward schedule to summarize amounts due to/from third party payers.
• Assisting cashiers with, but not limited to, Blue Cross, Medicare, and Medical Assistance cash posting problems.
• Seeking opportunities to enhance data gathering and current Reimbursement Department internal systems.
Bachelors degree in accounting, finance or business and at least two years of reimbursement, general accounting, cost accounting or financial analysis experience; computer knowledge, specifically in Microsoft Excel and Word are required.
To apply visit www.slhhn.org, select “employment opportunities”, and apply to Job # 5555
exp. 9/7/08
Director/Manager of Reimbursement
Posted June 4, 2008
Princeton HealthCare System, with revenues in excess of
$300M, is seeking a motivated, high-energy professional to oversee the cost
reporting and reimbursement functions for the Health System. Responsibilities will include preparation of
third party cost reports,
We offer a competitive salary and excellent benefits. Please
apply online using Job ID 8789 at www.princetonhcs.org.
EOE.
exp. 9/7/08
Project Manager
Posted May 21, 2008
WFS Services, Inc. is a leader in providing Revenue Cycle Management services for hospitals and physician practices across the country. Our core competency is high quality and technologically advanced accounts receivable management, through streamlining the cash recovery process for our clients. Through our proprietary system, ARGIS, WFS provides Day 1 self-pay management, aged insurance follow up, Day 1 billing, project work, system runout support, and many other A/R management support services. For more information on WFS, please visit our website at www.wfs-services.com
We are currently seeking a
self-starting, dynamic individual to work in Operations in our corporate office
in
Ø Manage workflow on projects and ensure that staff maintains high level of productivity
Ø Communicate with customers, provide project status, resolve issues, and manage expectations
Ø Act as a team/project leader and train other staff in applicable areas of demonstrated expertise
QUALIFICATIONS INCLUDE:
Ø Bachelor’s Degree required (Master’s Degree preferred)
Ø Five years progressive experience in the healthcare industry
Ø Strong analytical, technical and problem-solving skills
Ø Familiarity with billing and reimbursement terms, concepts, and methodologies
Ø Excellent organizational, interpersonal and verbal and written communication skills with attention to detail
Ø Ability to work with all levels of management, work independently and as part of a team, manage multiple projects simultaneously
Ø Proficiency with Hospital Information Systems
Ø Advanced proficiency in the use of Microsoft Access, Excel, and Word
We offer a competitive wage along with a comprehensive benefit package. For immediate consideration, please contact:
WFS Services, Inc.
Attn: Project Manager
exp. 9/7/08
Accountant
Posted May 21, 2008
At AtlantiCare, a rapidly growing health system on the
Wherever you join our team, you’ll be proud of the many ways
we are working together to build healthy communities. For instance, our
2-campus, 600-bed
You’ll also love the communities we serve. Thriving
In this role, you will prepare, review and analyze financial and statistical information required for third-party reimbursement and internal reporting and ensure accuracy and consistency of financial and statistical information. You will also assist in the preparation of special cost studies and the maintenance of procedure master, as well as maintain the property ledger.
Qualifications:
• Bachelor’s degree in Accounting or Finance required
• Accounting experience required
• Healthcare experience preferred
• Computer experience with spreadsheets and related software preferred
Apply online at www.atlanticare.org, or send resume to Edward.Kyle@atlanticare.org or fax to 609-441-8121. EOE, M/F/D/V
exp. 9/7/08