field_remote_option

field_job_employment_type

job_industry

field_job_occupational_field_parents_all

field_job_experience

job_organization_name

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!Interested in this position? Apply online and create a personal candidate account!Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.Time Type: Full timeDepartment: OB/GYNAll Locations: 20 Maverick Square – Cradock BuildingPosition Summary: Primarily performs patient access related activities based upon department need in support of the delivery of patient care. All patient access staff is responsible for the delivery of exceptional customer service. This position is generally a front line staff position which includes encounters with patients in person or over the telephone and requires a unique skill set to be successful.<h4>Responsibilities:</h4><ul><li><h4>Interacts with patients and staff with courtesy, concern, respect, and sensitivity.</h4></li><li><h4>Identifies and verifies patient demographics, insurance and account information at the time of patient’s visit. Edits patient demographics, insurance and account information.</h4></li><li><h4>Facilitates efficient patient flow.</h4></li><li><h4>Maintains patient confidentiality at all times.</h4></li><li><h4>Collects, tracks and data enters all co-payments and other payments in the form of cash, checks, and credit card transactions following cash collection policy and procedures and promptly reporting any related issues.</h4></li><li><h4>Actively refers uninsured/underinsured patients to the enrollment Department.</h4></li><li><h4>Promotes a sense of teamwork.</h4></li><li><h4>Telephone support as needed: answers phones in a pleasant and cordial manner and redirects calls appropriately</h4></li></ul>Education:High School Diploma or G.E.D.Experience:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; One year of customer service experience; previous experience in health insurance or medical setting preferred.EEO &amp; Accommodation Statement:NeighborHealth is an equal employment/affirmative&nbsp;action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail <a href="mailto:toHRrecruit@NeighborHealth.com" target="_blank">toHRrecruit@NeighborHealth.com</a>&nbsp;or call 617-568-4480 to let us know the nature of your requestFederal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.E-Verify Program Participation Statement:NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

NeighborHealth

NeighborhoodHealth

Patient Access Representative

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!Interested in this position? Apply online and create a personal candidate account!Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.Time Type: Full timeDepartment: PACE Home Care-Support-HousingAll Locations: 127 Marion Street - Barnes School, 155 Addison Street, 225 Sumner Street - Lewis Mall, 30 Gove Street - Lyman SchoolPosition Summary: Provides Neighborhood PACE participants with in-home assistance with ADLs and IADLs. Must be able to work independently and efficiently in minimally supervised setting, problem solve effectively while recognizing when to seek advice from supervisory staff, and show respect and appreciation for the participant’s home, guests, and community. May be assigned to other supervised settings such as the PACE Center, on occasion and as needed.<ul><li>Consistently monitors participant ADL/IADL care plans and follows plan of care as stated. Documents care provided on participant flow sheets.</li><li>Check the health aide voicemail at the beginning of each shift and every two hours until the end of the shift. Reports any abnormal findings, alterations in participant status and/or care refusal to the team in a timely fashion by reporting to the appropriate day center call in line or Nurse On Call when applicable.</li><li>Assists participants with ADLs per assignment, as defined in ADL/IADL care plan and as needed, for example when a participant requests assistance with toileting.</li><li>Accompanies participants to appointments as assigned.</li><li>Carries out simple treatments under the direction of nursing staff, including simple catheter care, skin assessments during personal care.</li></ul>Qualifications and Requirements:<ul><li>High School graduate or equivalent required.</li><li>Current certification as a H.H.A. /C.N.A. from an approved program. (ex. Red Cross). Must demonstrate competencies before providing participant care.</li><li>A minimum of one year experience working with a frail or elderly population.</li><li>Prior experience as health aide, personal care assistant or similar role.</li><li>Vehicle to travel from home to home preferred.</li><li>Excellent customer service and communication skills; bilingual a plus.</li><li>Physical capability to provide ADL and mobility assistance to all PACE participants.</li></ul>​Pay Range:<ul><li>$22/hr - $31/hr based on experience</li></ul>EEO &amp; Accommodation Statement:NeighborHealth is an equal employment/affirmative&nbsp;action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail <a href="mailto:toHRrecruit@NeighborHealth.com" target="_blank">toHRrecruit@NeighborHealth.com</a>&nbsp;or call 617-568-4480 to let us know the nature of your requestFederal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.E-Verify Program Participation Statement:NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

Health Aide

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!Interested in this position? Apply online and create a personal candidate account!Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.Time Type: Full timeDepartment: OB/GYNAll Locations: 20 Maverick Square – Cradock BuildingPosition Summary: Seeking a Medical Assistant for busy OBGYN/Specialties Department. Medical Assistants are important members of the clinical care team. They work in close partnership with clinical staff. Their primary function is to manage efficient patient flow and to be available to assist clinical staff as needed.Description: Medical Assistants are responsible for department-specific tasks in accordance with their training. Where appropriate they are responsible for preparing the patient and environment for the visit and/or procedure. Medical Assistants are responsible for maintaining non-pharmaceutical supplies and equipment. The Medical Assistant assumes a range of patient care responsibilities dealing with the physical and emotional aspects of department-specific patient age groups. Medical Assistants are supervised by licensed nursing personnel. Excellence in practice.Schedule: Monday – Friday, 8:30 AM – 5:30 PM, may include evening rotation.Essential Duties and Responsibilities:<ul><li>Vital signs.</li><li>Pulse oximetry.</li><li>Use of 02 equipment.</li><li>Obtaining EKG’s.</li><li>Laboratory studies such as glucometer, urine dip stick urinalysis, and others as requested.</li><li>Cleans and wraps instruments for sterilization.</li><li>Follows procedure for operation of autoclave and properly documents each load.</li></ul>Qualifications and requirements:<ul><li>HS Diploma/GED and a graduate of a Certified Medical Assistant program.</li><li>New Grad Medical Assistants welcomed</li><li>One year of Medical Assisting experience preferred.</li><li>One year of Customer Service experience.</li><li>Excellent oral, listening, and written communication skills.</li><li>Computer literacy.</li><li>Bilingual skills (English/Spanish) preferred.</li></ul>Pay:<ul><li>$21.95 up to $31.95 based on experience.</li></ul>EEO &amp; Accommodation Statement:NeighborHealth is an equal employment/affirmative&nbsp;action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail <a href="mailto:toHRrecruit@NeighborHealth.com" target="_blank">toHRrecruit@NeighborHealth.com</a>&nbsp;or call 617-568-4480 to let us know the nature of your requestFederal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.E-Verify Program Participation Statement:NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

Medical Assistant I

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:IP Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for 4 or more specialties for one or more clients, facility, or multiple facilities or clients. The IP Coding Specialist will be an Inpatient coder or could be asked to help out and coder other chart types. Candidates will be considered with the following requirements: Requires experience in Level 1 Trauma setting for IP coding Requires CCS certification Minimum 2+ yrs experience Competitive pay, sign-on bonus, and full benefits offered (including education reimbursement and a platform for CEUs)! This is a fully remote opportunity (equipment provided), Monday-Friday 40hrsESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Team Member must be able to work from home and be independent in their coding skills.<ul><li>Provide various components of coding services to support our clients.</li><li>Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10-CM and PCS codes</li><li>Recognize critical care cases by patient acuity.</li><li>Work with CDI team on DRG mismatches and queries.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.</li><li>Interpret coding guidelines for accurate code assignment.</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Must maintain quality and productivity standards.</li><li>Communicate with clients in a professional manner that fosters an excellent working relationship to support the company and its business interests</li><li>May assist Leadership, or Lead Coding Specialist, with reports as needed</li><li>Potential opportunity to begin helping with auditing.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>All Coders must maintain at least one credential either through AAPC or AHIMA.</li><li>Actively participate in Company provided training and education.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P)</li><li>Preferred Certification is CCS</li><li>Must have a minimum of 2 years of experience.</li><li>Must have advanced working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying, and create a basic pivot table.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Must have current coding materials such as CPT and ICD-10-CM coding references.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher.</li><li>Will be required to maintain an ongoing quality score of 95% or higher.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines.</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth

Level 1 Trauma Inpatient Coding Specialist - CCS required

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Account Executives are subject matter experts of zero balance projects, conducting in depth research of hospital contracts, data, and other sources to address client questions. They manage external project relationships, which includes compiling and presenting reports and analysis. They also manage internal projects and assignments.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Role &amp; Responsibilities: <ul><li>Manage client projects and relationships by participating in meetings, managing action items through to completion, answering client questions, and independently writing client emails</li><li>Compile, QA, and independently manage client processes from start to finish, such as provider relation escalations, bulk issues, regular reports, and invoices</li><li>Manage internal staffing and project needs, including answering questions from other team members on assigned client and monitoring project profitability</li><li>Research and determine next steps for complex and new payer issues and reimbursement areas to uncover potential opportunities, such as reimbursement guidelines and healthcare legislation</li><li>Create and update project plans, including outlining potential risk areas of a hospital-payer contract based on reimbursement structure and how to manually identify within the data</li><li>Review and summarize pricing documents based on hospital contracts to calculate expected payments, including Medicaid, percentage of charge, per diems, Medicare IPPS, MSDRG, outlier and/or stoploss, implants, drugs, and other reimbursement models</li><li>Make thorough client observations and recommendations after completing a project audit regarding underpayment exposure, contract risk, and other potential issues</li><li>Work with other account executives and managers to effectively submit bulk listings of accounts to insurance companies for reprocessing (e.g. rebill)</li><li>Escalate accounts to insurance provider relations for resolution and payment, including corresponding appropriately with provider relations teams, tracking progress of issues and ensuring that deadlines are met</li><li>Examine feedback from other internal teams on project activity and provide teams appropriate direction regarding account action when auditing and/or pursuing payments</li><li>Contribute meeting content to team meetings, AC biweekly meetings, and internal project related meetings</li><li>Help create and implement process improvements and trainings to protect future revenue</li><li>Understands and implements best practices for internal processes, communication, and documentation</li><li>Other duties as assigned</li></ul>Skills &amp; Experience<ul><li>A minimum of 3 years of experience in areas of research and analysis</li><li>A minimum of 3 years of verifiable work history</li><li>A minimum of 3 years of experience with managed care contracts and hospital reimbursement</li><li>A minimum of 2 years of experience working with clients or equivalent</li><li>Must have achieved High School Diploma or GED</li><li>3 years of experience working in MS Office, with emphasis on advanced Excels skills, requiring experience with formulas, graphing, and reports to manipulate pricing tools and edit project reports</li><li>Demonstrated problem solving and critical thinking skills</li><li>Demonstrated ability to meet project deadlines</li><li>Demonstrated excellent written and verbal communication skills, to include writing professional documents and delivering presentations.</li><li>Diligent and strong attention to detail</li></ul>Preferred Skills:<ul><li>Access: Update and link queries and tables, create steps to calculate reimbursement</li><li>Understanding the basics of MySQL (specifically: modification in a field or table- following field and data requirements)</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Revenue Account Executive, Zero Balance

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Will be Coding Professional Fee, Facility, or HCC. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Team Member must be able to work from home and be independent in their coding skills.</li><li>Provide various components of coding services to support our clients.</li><li>Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company</li><li>Recognize critical care cases by patient acuity.</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>Actively participate in Company provided training and education.</li><li>All Coders must maintain at least one credential through either AAPC or AHIMA.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).</li><li>Must have at least a minimum of 6 months of on the job experience.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Must have working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher</li><li>Will be required to maintain a quality score of 95% or higher</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Outpatient Same Day Surgery Coding Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Job Description Summary Account Executives are subject matter experts of zero balance projects, conducting in depth research of hospital contracts, data, and other sources to address client questions. They manage external project relationships, which includes compiling and presenting reports and analysis. They also manage internal projects and assignments.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Job DescriptionRole &amp; Responsibilities: <ul><li>Manage client projects and relationships by participating in meetings, managing action items through to completion, answering client questions, and independently writing client emails</li><li>Compile, QA, and independently manage client processes from start to finish, such as provider relation escalations, bulk issues, regular reports, and invoices</li><li>Manage internal staffing and project needs, including answering questions from other team members on assigned client and monitoring project profitability</li><li>Research and determine next steps for complex and new payer issues and reimbursement areas to uncover potential opportunities, such as reimbursement guidelines and healthcare legislation</li><li>Create and update project plans, including outlining potential risk areas of a hospital-payer contract based on reimbursement structure and how to manually identify within the data</li><li>Review and summarize pricing documents based on hospital contracts to calculate expected payments, including Medicaid, percentage of charge, per diems, Medicare IPPS, MSDRG, outlier and/or stoploss, implants, drugs, and other reimbursement models</li><li>Make thorough client observations and recommendations after completing a project audit regarding underpayment exposure, contract risk, and other potential issues</li><li>Work with other account executives and managers to effectively submit bulk listings of accounts to insurance companies for reprocessing (e.g. rebill)</li><li>Escalate accounts to insurance provider relations for resolution and payment, including corresponding appropriately with provider relations teams, tracking progress of issues and ensuring that deadlines are met</li><li>Examine feedback from other internal teams on project activity and provide teams appropriate direction regarding account action when auditing and/or pursuing payments</li><li>Contribute meeting content to team meetings, AC biweekly meetings, and internal project related meetings</li><li>Help create and implement process improvements and trainings to protect future revenue</li><li>Understands and implements best practices for internal processes, communication, and documentation</li><li>Other duties as assigned</li><li>Schedule: 6-10 Hours Weekly</li></ul>Skills &amp; Experience<ul><li>A minimum of 3 years of experience in areas of research and analysis</li><li>A minimum of 3 years of verifiable work history</li><li>A minimum of 3 years of experience with managed care contracts and hospital reimbursement</li><li>A minimum of 2 years of experience working with clients or equivalent</li><li>Must have achieved High School Diploma or GED</li><li>3 years of experience working in MS Office, with emphasis on advanced Excels skills, requiring experience with formulas, graphing, and reports to manipulate pricing tools and edit project reports</li><li>Demonstrated problem solving and critical thinking skills</li><li>Demonstrated ability to meet project deadlines</li><li>Demonstrated excellent written and verbal communication skills, to include writing professional documents and delivering presentations.</li><li>Diligent and strong attention to detail</li></ul>Preferred Skills:<ul><li>Access: Update and link queries and tables, create steps to calculate reimbursement</li><li>Understanding the basics of MySQL (specifically: modification in a field or table- following field and data requirements)</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Associate Consultant, Zero Balance (PRN)

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Will be Coding Professional Fee, Facility, or HCC. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Team Member must be able to work from home and be independent in their coding skills.</li><li>Provide various components of coding services to support our clients.</li><li>Outpatient surgery coder proficient with CPT procedure codes and modifiers as well as ICD-10 diagnosis codes.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>Actively participate in Company provided training and education.</li><li>All Coders must maintain at least one credential through either AAPC or AHIMA.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).</li><li>Must have at least a minimum of 6 months of on the job experience.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Must have working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher</li><li>Will be required to maintain a quality score of 95% or higher</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Outpatient Facility SDS Coder

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Job Description SummaryAs a member of the CorroHealth Denials team, the Coding Denial Specialist is responsible for investigating and resolving third-party insurance coding denials and edits for CorroHealth clients. The Coding Denial Specialist also assist in optimizing reimbursement by thoroughly researching and taking the appropriate action to resolve all coding denials in a timely manner.Job Description<ul><li><ul><li>Reviews and research coding denials that have been received as no payment/previous submitted claims with a denied or no response for payors and service areas</li><li>Identifies root cause of the coding denial, resubmit claim and address/report the denial issue to the supervisor</li><li>Assists in development of preventative measures in response to denial patterns identified by claims denial data and reviews</li><li>Obtains and reviews medical records through EMR, site request or hospital portals for reconsideration purposes</li><li>Utilizes all appropriate systems to effectively research claims and complete steps to submit information necessary to process or appeal denied claims</li><li>Complies with adjustment and appeal or reconsideration in conjunction with each service area's Coding and Reimbursement guidelines</li><li>Effectively utilizes ICD 10 CM and CPT codes and related material to investigate and ensure that questions and requests for information are responded to in a timely and professional manner to ensure resolution of outstanding claims</li><li>Organizes work/resources to accomplish objectives and meet timely filing deadlines</li><li>Demonstrates problem-solving skills related to coding denial analysis</li><li>Demonstrates the willingness and ability to work collaboratively with other key internal and external staff, both clinically and administratively, to obtain necessary information to address denial issues</li><li>Meets productivity requirements to ensure excellent service is provided to customers</li><li>Adheres to compliance and corporate and departmental policies and procedures</li><li>Identifies all coding denial trends and provide education of steps to prevent future avoidable denials</li><li>Initiates and responds all coding appeals in a timely manner</li><li>Logs and tracks all coding denial trends and coding denial increases on coding log</li><li>Completes special projects as assigned by Director</li><li>Maintains and utilizes accurate and current coding resource materials when making determinations for claim reconsiderations and appeals</li><li>Performs other projects and duties as related to the overall organization's objectives</li><li>Maintains confidentiality of all information as stipulated in the HIPAA Privacy Rules and Company Confidentiality Policy</li><li>Maintain daily and monthly productivity goals – set depending on service area/payor assignment</li><li>Other duties as assigned</li><li>At least 3 years of pervious coding experience preferred in profee surgeries, orthopedic, ophthalmology, neurology, trauma and many more</li><li>Computer skills, including Microsoft Office suite of products</li><li>Data entry skills of 40 WPM required</li><li>National certification through AAPC or AHIMA</li><li>All coders MUST be certified through AHIMA (CCS, RHIT or RHIA)</li><li>Must have advanced working knowledge and experience with systems such as EMR, Billing, etc.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Must have current coding materials such as CPT and ICD-10-CM coding references.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines.</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul></li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Coding Edits & Denials Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client’s evolving needs. We work with 300+ providers in 25+ states and bring a client-focused approach that makes each provider feel like our only client. We offer the following products and services: Denials Management and Complex Claim Resolution, A/R Outsourcing, Patient Access, Revenue Cycle Technology, and Consulting.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Essential Duties and Responsibilities:<ul><li>Differentiates between clinical and technical denials through EOB’S, denial letters/payer correspondence and data mining.</li><li>Knowledgeable in reviewing UB04 and/or HCFA 1500 Form</li><li>Reviews timely filing guidelines regarding the appeals process.</li><li>Contacts payer to negotiate resolution on technical denials.</li><li>Appeals denials using all means necessary (appeal letters, medical records and other supporting documentation, utilization of on-staff clinicians).</li><li>Evaluates appeal outcome for next steps (logs recovered funds, supports uphold decision or initiates 2nd level appeal).</li><li>Manages assigned workload of accounts through timely follow up and accurate record keeping.</li></ul>Minimum Qualifications &amp; Competencies:<ul><li>Four-year degree preferred or equivalent experience in hospital related billing/follow-up field</li><li>Knowledge of/experience working with managed care contracts</li><li>Experience working with customer support/client issue resolution management</li><li>Strong analytical acumen</li><li>Strong multi-tasking skills</li><li>Proficiency with MS Office</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

22,918 Jobs