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  • Job DescriptionJob DescriptionHospital Billing Follow-up - Remote Posi... Read More
    Job DescriptionJob Description

    Hospital Billing Follow-up - Remote Position - Great Hospital - $30.00


    1. Claims Follow-Up
    •Review assigned aging accounts and identify claims requiring follow-up.
    •Contact insurance payers (commercial, Medicare, Medicaid, Managed Care, etc.) via phone, portals, and written correspondence.
    •Document payer responses and next steps accurately within the billing system.
    2. Claims Resolution & Corrections
    •Correct and resubmit denied or rejected claims as needed.
    •Research missing information, obtain medical records, or request coding updates when necessary.
    •Resolve billing discrepancies and ensure claims meet payer requirements, which could include the handling of provider disputes.
    3. Account Documentation
    •Maintain detailed notes of all actions taken in the patient account record.
    •Update account statuses and escalate complex issues to Management.
    4. Internal Communication
    •Communicate with internal departments (coding, registration, medical records) to resolve claim-related issues.
    •Notify Management of any payer trending issues or concerns.
    5. Productivity & Compliance
    •Meet daily/weekly productivity and quality standards.
    •Follow HIPAA, hospital policies, and billing compliance guidelines.

    The Temporary Hospital Billing Follow-Up Specialist is responsible for supporting Patient Financial Services by reviewing outstanding claims, performing timely follow-up with payers, correcting claim errors, and ensuring accurate and prompt reimbursement. This temporary role assists in reducing aging accounts receivable and supports workflow backlogs.

     

     

     

    1. Claims Follow-Up
    •Review assigned aging accounts and identify claims requiring follow-up.
    •Contact insurance payers (commercial, Medicare, Medicaid, Managed Care, etc.) via phone, portals, and written correspondence.
    •Document payer responses and next steps accurately within the billing system.


    2. Claims Resolution & Corrections
    •Correct and resubmit denied or rejected claims as needed.
    •Research missing information, obtain medical records, or request coding updates when necessary.
    •Resolve billing discrepancies and ensure claims meet payer requirements, which could include the handling of provider disputes.


    3. Account Documentation
    •Maintain detailed notes of all actions taken in the patient account record.
    •Update account statuses and escalate complex issues to Management.


    4. Internal Communication
    •Communicate with internal departments (coding, registration, medical records) to resolve claim-related issues.
    •Notify Management of any payer trending issues or concerns.


    5. Productivity & Compliance
    •Meet daily/weekly productivity and quality standards.
    •Follow HIPAA, hospital policies, and billing compliance guidelines.

     

    Skills & Competencies
    •Attention to detail and accuracy
    •Ability to manage multiple accounts and meet deadlines
    •Strong communicative mindset
    •Analytical thinking and ability to interpret payer remittances
    •Proficiency with spreadsheets and billing platforms

    Skills & Competencies
    •Attention to detail and accuracy
    •Ability to manage multiple accounts and meet deadlines
    •Strong communicative mindset
    •Analytical thinking and ability to interpret payer remittances
    •Proficiency with spreadsheets and billing platforms

     

    Work Environment

     

    Office or remote (depending on expertise of worker)Standard work hours (Monday – Friday 8:00am – 4:30pm), with flexibility needed depending on department workloadFast-paced, high-volume environment requiring high productivity

     

     

     

     

    Required
    •High school diploma or equivalent.
    •Experience in medical office billing or hospital revenue cycle, and familiar with insurance follow-up (typically 3+ year).
    •Knowledge of CPT, ICD-10, HCPCS codes, and standard billing concepts.
    •Ability to work with billing software/EMR systems.
    •Strong communication and problem-solving skills.

    Required:

    1 year of Physician or Hospital billing and/or follow-up experienceBe able to be onsite, remote and either full time or part time

    §  If full time M-F 8a-430pm-PST

    §  If part time M-F 3 hours per day (min per week = 18 hours, prefer a solid 20 hours per week)-PST

     

      

    Education:
    •High school diploma or equivalent

     

    Experience:
    •Experience in medical office billing or hospital revenue cycle, and familiar with insurance follow-up (typically 1+ year).
    •Knowledge of CPT, ICD-10, HCPCS codes, and standard billing concepts.
    •Ability to work with billing software/EMR systems.
    •Strong communication and problem-solving skills.

     

    Preferred:

     

    Experience with Medicare/Medicaid and Commercial payer plans and portals.Previous hospital billing or A/R follow-up experience.Understanding of denial management workflows.Meditech experience.

     

    ***Salinas is specifically looking for candidates who have experience with Commercial, Worker’s Compensation and CHAMPUS payers***

     

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  • Job DescriptionJob DescriptionCertified Medical Assistant - 1st Shift... Read More
    Job DescriptionJob Description

    Certified Medical Assistant - 1st Shift - Great Hospital - $24.00


    Job Summary:
    The Certified Medical Assistant is responsible for assisting in providing clinical care to select patients under the supervision of the professional nurse or licensed medical practitioner and provides clerical office assistance.
    Essential Generic Job Functions (List in order of importance):
    -Prepares exam room, treatment room, supplies and instruments.
    -Prepares patients for physician visit and examination assisting as directed.
    -Takes patient’s vital signs and records in medical chart.
    -Understands proper function and care of special equipment.
    -Performs EKG, PFT, Audiometry, Titmus Test as indicated after a performance evaluation checklist completion.
    -Also performs UDS, BAT, Phlebotomy, and other lab testing as indicated after performance evaluation checklist completion.
    -Maintains records by completing patient records as directed; file record and reports.
    -Assists with collections/billing procedures as needed.
    -Uses computer software to maintain office systems.
    -Identifies and responds to issues of confidentiality.
    -Lifts a minimum of 5 lbs., pushes and pulls a minimum of 10 lbs. and stands a minimum of 6 hours a day.
    -Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
    -Adheres to the standards identified in the Medical Center's Organizational Competencies.
    Additional Essential Job Functions – Ambulatory and Office:
    -Performs telephone and in-person screening.
    -Obtains and records patient history.
    -Prepares patient for and assists with procedures, treatments, and minor office surgeries.
    -Applies pharmacology principles to prepare and administer oral and parenteral (excluding medications).
    -Medication reconciliation.
    -Screens and follow-up test results.
    -Performs inventory of supplies and equipment.
    -Performs routine maintenance of administrative and clinical equipment.
    -Provides instruction for health maintenance and disease prevention.
    -Schedules appointments; obtains patient demographic and financial information and enters information into electronic practice management tools.
    -Communicates with licensed medical practitioners and delivers information to patients as directed.
    -Schedules inpatient and outpatient admissions and procedures.
    -Organizes and files medical records.



    Skills:

    Required Skills & Experience:

    taking vitals, insurance authorizations, medical history taking, medication list reconciliation, documentation

    Education:

    Required Education:
    -High School diploma or equivalent such as a GED.

    Preferred Education:
    -Graduate of an accredited Medical Assistant program.

    Required Certifications & Licensure:
    -AHA BLS
    One of the following:
    -CMA-NHA (National Healthcareer Association)
    -CMA-NCCT (National Center for Competency Testing)
    -CMA-AAMA (American Association of Medical Assistants)
    -RMA-AMT (American Medical Technologists)
    -RMA-NAHP (National Association for Health Professionals)
    -AMCA (American Medical Certification Association)
    -NCMA (National Certification Medical Association)

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  • Job DescriptionJob DescriptionHospital Billing / Accounts Receivable S... Read More
    Job DescriptionJob Description

    Hospital Billing / Accounts Receivable Specialist - 8AM-4:30PM Monday through Friday - Hospital billing experience required. EPIC experience a plus. $30.00 Per hour.


    Works under the supervision of the Business Services Coordinator. Performs diverse clerical tasks involved in 
    processing of billing for services to patients in order to expedite remittances and minimize outstanding accounts. 
    Checks for prior stays and charges. Resolves questions through written correspondence, in person or by telephone. 
    Performs other duties as assigned

    Works under the supervision of the Business Services Coordinator. Performs diverse clerical tasks involved in 
    processing of billing for services to patients in order to expedite remittances and minimize outstanding accounts. 
    Checks for prior stays and charges. Resolves questions through written correspondence, in person or by telephone. 
    Performs other duties as assigned

    Skills:

    1. Greets patient and public politely.
    2. Composes and types letters.
    3. Verifies information/charges on patient account for accuracy, reconciles discrepancies.
    4. Maintains records and files account transaction, hard copy and computer system.
    5. Answers inquires accurately and courteously by phone or in person.
    6. Observant of co-members desk when vacant.
    7. Enters detailed comments into the computer.
    8. Obtains documents from outside departments to obtain required or necessary information to complete 
    verification/billing process.
    9. Checks admissions for prior stays and transfers charges from outpatients (if applicable).
    10. Receives, interprets and processes any incoming mail/bulletins, submits necessary modifications if applicable
    11. Processes late charges and completes spreadsheet if applicable.
    12. Downloads claims to PC from Host systems if applicable.
    13. Bills both primary and secondary insurance carriers for inpatients and outpatients, process required 
    adjustments, calculates days and deductibles if applicable, at the time of billing calculates expected 
    payments, and adjusts balances.
    14. Rebills accounts when necessary.
    15. Maintains a system for review and follow-up on un-paid claims. Files liens when necessary.
    16. Completes claim check process to produce bills and enters, corrects, or reverses charges when necessary with 
    required documentation. 
    17. Refers accounts to a self pay status when collection efforts have been exhausted or denied
    18. Interprets for Non-English speaking patients/public.
    19. Communicates with insurance carriers to ensure coverage for services provided

    1. Greets patient and public politely.
    2. Composes and types letters.
    3. Verifies information/charges on patient account for accuracy, reconciles discrepancies.
    4. Maintains records and files account transaction, hard copy and computer system.
    5. Answers inquires accurately and courteously by phone or in person.
    6. Observant of co-members desk when vacant.
    7. Enters detailed comments into the computer.
    8. Obtains documents from outside departments to obtain required or necessary information to complete 
    verification/billing process.
    9. Checks admissions for prior stays and transfers charges from outpatients (if applicable).
    10. Receives, interprets and processes any incoming mail/bulletins, submits necessary modifications if applicable
    11. Processes late charges and completes spreadsheet if applicable.
    12. Downloads claims to PC from Host systems if applicable.
    13. Bills both primary and secondary insurance carriers for inpatients and outpatients, process required 
    adjustments, calculates days and deductibles if applicable, at the time of billing calculates expected 
    payments, and adjusts balances.
    14. Rebills accounts when necessary.
    15. Maintains a system for review and follow-up on un-paid claims. Files liens when necessary.
    16. Completes claim check process to produce bills and enters, corrects, or reverses charges when necessary with 
    required documentation. 
    17. Refers accounts to a self pay status when collection efforts have been exhausted or denied
    18. Interprets for Non-English speaking patients/public.
    19. Communicates with insurance carriers to ensure coverage for services provided

     

    ****Must have EPIC and Hospital Billing Experience. 

    Education:

    High school diploma or GED

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  • Job DescriptionJob DescriptionAccounts Payable Specialist - 8AM-4PM -... Read More
    Job DescriptionJob Description

    Accounts Payable Specialist - 8AM-4PM - Great Hospital - $25.00 - Job Location is Midvale, Utah.

    Duties: Job Summary:

    This position is responsible for the timely and accurate processing of payments to suppliers for goods and services while ensuring compliance with organizational policies and procedures. The role requires delivering excellent customer service, maintaining a strong understanding of accounts payable systems, and supporting managers to ensure suppliers are paid accurately and on time. Job Responsibilities:

    -Accurately process invoices and check requisitions to facilitate supplier payments and handle requests for new supplier setup and updates within accounts payable systems while ensuring compliance with policies and procedures. -Maintain and build strong working relationships with colleagues, materials specialists, buyers, managers, and suppliers to resolve accounts payable issues effectively. -Demonstrate a thorough understanding of accounts payable systems to efficiently process invoices and resolve discrepancies. -Utilize reporting tools to manage responsibilities and address issues in a timely manner. -Research and resolve routine invoice issues including purchase order mismatches, system errors, and vendor credits. -Perform accounts payable functions such as purchase order matching, general ledger mapping, and system inquiries effectively. -Independently solve problems within accounting applications and defined problem sets. -Perform calculations, verifications, postings, and summarizations to maintain financial records accurately. -Execute routine to moderately complex tasks related to reconciliations, systems, and reporting of financial transactions. -Investigate and resolve issues while notifying relevant personnel to prevent recurrence. -Provide excellent customer service through timely and professional communication with internal and external stakeholders. -Demonstrate accountability, ownership, and dependable attendance in all assigned tasks. -Manage workload efficiently to meet required deadlines. -Interpret financial, policy, and regulatory implications of subsidiary systems accurately. -Apply organizational policies and procedures appropriately in daily operations. -Support customer training and operations related to accounting applications or processes. -Use judgment to analyze financial data, record transactions, and prepare reports. -Serve as a resource for internal and external stakeholders within assigned responsibilities. -Coordinate and perform clerical functions including customer service, mail handling, scheduling, and document preparation. -Follow departmental procedures and logistics associated with the assigned role.

    Skills: Required Skills & Experience:

    -Experience in training and supporting users on accounting systems or processes.

    -Experience in handling routine to moderately complex financial transactions and reconciliations.

    -Strong problem-solving skills within accounting applications and financial processes.

    -Ability to perform calculations, verifications, and financial record maintenance tasks.

    -Ability to research, analyze, and resolve financial discrepancies effectively.

    -Excellent customer service and communication skills for professional interactions.

    -Strong time management skills to meet deadlines and manage workload efficiently.

    -Ability to interpret financial data, policies, and regulatory requirements.

    -Proficiency in clerical and administrative functions including documentation and scheduling.

    Required Education:

    -HS diploma or GED.

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  • Job DescriptionJob DescriptionBilingual Registration Clerk - Great Hos... Read More
    Job DescriptionJob Description

    Bilingual Registration Clerk - Great Hospital - $26.00 per hour.

     

    Job Summary: Works under the supervision of the Director, Assistant Director or Shift Supervisor. Performs specialized Patient Registration functions according to established policies and procedures. Interviews patient or patient representative to obtain pertinent information such as patient demographics and financial data and enters the information into the computer system to register inpatient and/or outpatients. The amount of data collected will vary based on the patient classification. Prepares, processes and routes initial paperwork for charts, patient identification bands, labels and cards. When appropriate contacts physicians' offices for authorization numbers for treatment. Obtains required signatures and collects copy of insurance cards, Medicare cards, and Medi-Cal cards. Reviews patient data for accuracy. When applicable, monitors and processes transfers and bed swaps and enters required information into the computer system. additional responsibilities include but are not limited to following Federal and State regulations as they apply to Advance Directives for Healthcare Decisions, Patient. Job Responsibilities: -Greets patients, their families, and the public in a courteous, professional and polite manner. -Registration clerks must demonstrate sensitivity to the fact that the patient may not be feeling well, is worried or stressed regarding hospital visit. -Properly identifies patient by requesting form of picture identification. -Interviews patient or patient's representative to obtain accurate demographic information. -Enters demographic information into the hospital computer system in order for patient care and treatment to be initiated. -Obtains patient financial data and when required preauthorization for treatment. -Prepares, processes and routes required paperwork for the patient's chart/medical record. -Creates patient labels as appropriate. -Bands patient with the appropriate ID band. -Determines patient's primary and secondary payor and enters data in computer system.

    null

    Skills:

    Required Skills & Experience: -One (1) year data entry and medical office experience. Preferred Skills & Experience: -N/A

    null

    Education:

    Required Education: -High school education or GED.

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