
AMSURG
Remote Jobs
31 Jobs
• Responsible for creating and monitoring standard policies and procedures for all patient billing and collections • Ensuring HIPAA privacy compliance for assigned entities • Serve as a key member of the Revenue Management Team • Act as subject matter expert (SME) on all matters relating to billing, collections • Support, update and advise internal and external customers in billing and collections issues • Recommend and Implement improvements to the Billing and Collection processes • Keep abreast and current of all federal, state and local rules, regulations and laws affecting patient billing and collection activities • Develop and implement policies and procedures to ensure proper and timely billing and collections of fees due services rendered • Train ASCs on proper business office policies and procedures • Perform assessments of business office policies and processes annually. • Assess performance of billing systems • Identify, train and implement preferred billing systems at Centers • Assist in the management of HIPAA, Compliance, Licensure and Charts Audits • Monitor claims periodically to ensure that ASCs are following necessary Medicare Rules and Regulations • Evaluate the billing and collection system of any potential acquisitions and provide a written report of findings and recommendations • Additional duties as assigned.
Role Description Oversee day to day operations of a team consisting of all elements of the Credentialing process. Assist in ensuring the coordination of initial and ongoing compliance with regulatory, state, federal and accreditation standards/requirements. Ensures that development and execution of Credentialing and other provider onboarding functions are in accordance with applicable department policies and procedures. Works directly with Client Services, providers and external clients to ensure satisfaction and timeliness. Assist in setting goals and monitors performance against goals. Work Schedule: Remote Essential Responsibilities: - Work with and supervise PEC team in conducting audits and provide feedback to reduce errors and improve processes and performance. - Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others. - Help Identify and resolve operational problems using defined processes, ability and judgment. - Help lead/coordinate special projects by planning and identifying opportunities for process improvement/efficiency. - Participates in implementation or upgrades of systems, platforms, and provider training on processes and systems. - Help develop corrective action/improvement plans. - Prepare and distribute operational reports for departmental review on an ongoing and timely basis. - Support manager in tracking and trending performance and attendance of employees. - Assists in onboarding new staff members. - Collaborates with internal departments and external partners. - Supports team members to ensure provider onboarding process is completed within established timelines (internally / externally) to include: Internal / hospital privileges, obtaining state licenses, DEA’s, CDS. - Participates in department meetings with the PEC team and leadership. - Participates in interviewing new candidates for hire. - Other duties as assigned. - Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs. - Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company. - Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so. Qualifications - Demonstrated, in-depth knowledge of credentialing. - Understanding of State, Federal, Regulatory Accreditation standards and policies and procedures. - Ability to develop and manage audit controls. - Manage both direct and indirect remote employees and ensure internal controls are followed. - Highly analytical with the ability to demonstrate command of the details and to articulate those details at a higher level. - Work well under pressure. - Achievement-oriented with a positive, results-oriented style. - Strong interpersonal skills with an ability to work effectively in a team environment. - Very strong written and oral communication skills. - Ability to effectively prioritize and execute tasks in a high-pressure environment. - Experience working both independently and in a team-oriented, collaborative environment. - Demonstrated ability in leadership and/or managing others. - Strong interpersonal, project management and mentoring skills. - Ability to make decisions in a rapidly growing, professional, service-oriented environment. Requirements - Minimum 2yr degree required; or 4 years related experience. - Minimum 4 years related experience. - 1 year of experience in a supervisory role or leading a team preferred. Computer Skills - To perform this job successfully, an individual should have knowledge of: - Microsoft Office Suite. - Credentialing Software Knowledge and experience (CredentialStream). - Knowledge of Excel, pivot tables and SmartSheet is a plus. Certificates and Licenses - NAMSS Certified Provider Credentialing Specialist (CPCS) would be a plus. Benefits - Paid Time Off. - Medical, Dental, Vision, Life, Disability. - Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs. - Matching 401(K) Plan. - AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position can earn a minimum of 20 days and up to 25 days per calendar year. EOE Statement AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.
• Responsible for building successful business relationships with Operations and Center leadership • Lead revenue cycle executive level discussions to help operations understand and improve revenue cycle performance • Act as internal liaison with CBO to identify and bring to resolution areas of opportunity to improve yield • Manage and develop direct reports through ongoing skills development, coaching, and hands-on problem-solving • Foster effective, trust‑based relationships with critical stakeholders • Lead business operations leaders to facilitate effective meetings, strengthen cross‑functional collaboration, and drive performance improvement • Provide leadership and ongoing refinement to the RCM Monthly Operating Review process • Monitor operational analysis and trend reports to identify process improvements that positively impact RCM KPI’s • Foster clear, consistent communication with RCM counterparts, CBO leadership, and cross‑functional teams • Create PowerPoint materials and reporting summaries that clearly communicate operational performance and financial health • Translate RCM billing performance impact on Financial statements • Lead and develop staff through intentional coaching, performance management, and clear expectations • Implement leadership‑directed policies, goals, and operational expectations to ensure full compliance • Champion consistent adherence to corporate standards and procedures across all teams and assigned Centers • Serve as escalation point for CBO Centers assigned to your team
• Responsible for Clinical Operations activities in assigned ASCs within a geographic region. • Acts as consultant/clinical quality subject matter. • Executes AMSURG clinical strategy/best practices. • Implements and monitors all Clinical Quality plans within center. • Manages review and approval of corporate and clinical policies and procedures. • Responds to physician partners and all provider concerns. • Participates in centers’ business planning processes. • Communicates with center leadership, physicians, and operations. • Conducts analysis of clinical staffing, supply, and drug costs. • Provides support to Center Administrators in the development of all Center Action Plans.
• Responsible for clinical quality and or administrative activities in Ambulatory Surgery Centers (ASC) • Evaluate compliance with corporate and clinical services policies and procedures • Maintains current knowledge of federal and state regulations and standards of accrediting organizations • Develop and monitor center action plans • Monitor quality and patient experience data for assigned centers
Role Description Responsible for clinical quality and or administrative (operational) activities as assigned in Ambulatory Surgery Centers (ASC). This position requires a registered nurse with experience in quality and safety to serve as a key member of the clinical quality and administrative team on an as needed basis. In this role, the assigned nurse may assume leadership or staffing roles to cover the operational, quality, and clinical needs of a center(s) including executing quality and safety plan and center policies and procedures. This position is responsible for knowledge of patient safety standards, compliance with applicable CMS and State regulations, accreditation standards, and provides exceptional customer service. Teammates may be required to travel up to 90%, with assignments offered and accepted based on teammate's availability. Essential Duties and Responsibilities - Knowledge of corporate and clinical services policies and procedures at the center level and the responsibility to evaluate compliance with such policies and implement corrective actions when indicated. - Maintains current knowledge of federal and state regulations and standards of accrediting organizations (AAAHC and Joint Commission) pertaining to ambulatory surgery centers. Supports assigned ASC’s in maintaining survey readiness. - May serve in the capacity of an interim center administrator as requested to include monitoring of clinical activities and adequate staffing and overall administrative functions. - May serve in the capacity of a quality compliance surveyor conducting assessments to evaluate center compliance with federal and state regulations and accreditation standards. - Responsible for evaluating and supporting safe, high-quality clinical care of the assigned ASC. - Develop and monitor center action plans and inform corporate quality of areas requiring process or quality improvement. - Evaluates staff education, training, and competencies when assigned and ensures employee files are complete. - Actively engages with center clinical and medical staff. Address issues and maintain collaborative relationships with physician partners and all medical staff providers. - Monitors quality and patient experience data for assigned centers to identify areas for improvement and assist in development of improvement strategies. - Supports implementation of CMS Quality reporting when indicated. - Supports QAPI, Infection Control, Risk Management, and Environment of Care center committee meeting preparation. - Serves as an educator and subject matter expert as needed to support best practices and quality improvement activity. Knowledgeable of quality benchmarking and Patient Experience reports. - Supports analysis of supply, drug, and variable expense cost. - Supports educational needs of Center Administrator and clinical staff. - Maintains ongoing communication with Sr. Director of Clinical Operations as well as Director of Clinical Operations and Director of Operations for assigned centers and promptly reports unfavorable trends, risk issues, any survey or regulatory notices or letters including deficiency reports and plans of correction, or Patient safety events. Submit weekly report to Sr. Director of Clinical Operations. - Maintains professional license and continuing education, relevant clinical and practice knowledge base. - PRN assignment timeframes agreed upon prior to assignment. - Ability to travel 90% of accepted assignments. Qualifications - Demonstrated ability to bring exceptional business acumen as well as creativity to the operations and management of healthcare facilities. - Demonstrated ability to function as a strong member of a highly motivated and integrated management team. - Demonstrated ability to build and maintain a successful operating infrastructure in a service-oriented setting that sustains a company through growth. - Demonstrated ability to build and maintain a positive and energetic culture within the organization. Requirements - Bachelor’s degree from an accredited college or university and designation as a licensed RN with a minimum of five (5) years’ experience in ambulatory surgery centers is required, to include evidence of increasing responsibilities. Ambulatory Surgery Center Administrator experience highly preferred. - Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, decimals and percentages. - Ability to understand, read, write and speak English. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to successfully write business correspondence. Ability to effectively present information, respond to questions and professionally interact with managers, employees, clients, vendors and the general public. - Demonstrates an ability to consider alternatives and implement appropriate strategies. Ability to recognize and define problems, collect data, establish facts, draw valid conclusions and correct errors. Ability to understand and interpret basic financial data. Ability to interpret a variety of instructions in a variety of forms and deal with abstract and concrete variables. Other Qualifications - Exceptional computer skills. Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. - Must be able to work well with others. Strong verbal and written communication skills required. - Must be detail oriented and organized. High integrity, including maintenance of confidential information. - Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency. - Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance. EOE Statement AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.
Role Description The Director Clinical Operations is responsible for Clinical Operations activities in assigned ASCs within a geographic region. This role serves as a key member of the Quality team and assumes leadership for planning and executing Quality plans in each center in order to promote patient safety, compliance with applicable CMS and State regulations and accreditation standards, and exceptional customer service. Work Schedule: Remote; Must Reside in Central Time Zone (CST) or Eastern Time Zone (EST) Essential Responsibilities - Quality Leadership: - Acts as consultant/clinical quality subject matter. - Executes AMSURG clinical strategy/best practices at the site level for assigned centers. - Implements and monitors all Clinical Quality plans within center. - Manages review and approval of corporate and clinical policies and procedures at the center level. - Responds to physician partners and all provider concerns or issues related to clinical quality services or patient care as needed. - Understands the partners and the markets in sufficient depth to bring value by participating in the centers’ business planning processes as it relates to Clinical Operations. - Communicates often with center leadership, physicians, and operations, exchanging ideas and planning for the future. - Performs clinical quality due diligence for business development. - Works collaboratively with all corporate teammates as the clinical resource in support of opening De Novo centers, acquisitions, mergers and divestitures. - Works collaboratively with Operations teammate as the clinical resource in support of ASC business ventures and introduction of new service lines. - Conducts analysis of clinical staffing, supply, and drug costs making cost saving recommendations when indicated. - Partners with assigned Operations teammate regarding clinical, quality and safety/risk management activities to include corporate initiatives, trends, issues, regulatory and accreditation findings, and related plans of correction. - Provides support to Center Administrators in the development of all Center Action Plans. - Works collaboratively with Center Administrators and Operations to drive patient experience initiatives at the center level. - Provides timely and comprehensive updates to Clinical Quality Sr. Leadership regarding status of assigned Centers, updates on action items, and performance improvement. - Drives special projects as requested in partnership with other Clinical Operations team members. - Education: - Conducts clinical quality onboarding for new Center Administrators within center. - Supports ongoing educational needs of Center Administrator and clinical staff. - Actively participates in company-wide educational efforts, including Center Administrator Conference, new Center Administrator orientation, and webinars. - Contributes to educational content updates for Center Administrator orientation and onboarding. - Accreditation/Regulatory: - Maintains current knowledge of CMS’ Conditions for Coverage, federal and state regulations as well as ambulatory accreditation standards (AAAHC and Joint Commission). - Supports Plan of Correction (POC) process following regulatory and accreditation surveys. - Works collaboratively with Center Administrator in completion of clinical quality corrective action plans following center assessments, accreditation, and regulatory surveys. - Educates partners regarding regulatory and accreditation standards to support continual survey readiness. - Performs targeted onsite assessments. - Supports all onsite accreditation surveys and provides onsite survey support as needed. - Safety: - Monitors clinical quality data collection (CMS Quality Measures, specialty specific quality indicators) for portfolio of centers. - Monitors all safety event reports for assigned centers to include ensuring data quality and follow up documentation from the center. - Co-manages event root cause analysis with corporate clinical risk director and ensures action plans are implemented. - Maintains current knowledge of applicable state safety event reporting requirements. - Other: - Maintains professional knowledge base, licensure, and certifications. - Regular and reliable attendance. - Travel required 20-40%. Qualifications - Demonstrated ability to bring exceptional business acumen as well as creativity to the operations and management of healthcare facilities. - Demonstrated ability to function as a strong member of a highly motivated and integrated management team. - Demonstrated ability to build and maintain a successful operating infrastructure in a service-oriented setting that sustains a company through growth. - Demonstrated ability to build and maintain a positive and energetic culture within the organization. - Bachelor’s degree from an accredited college or university. - RN or APRN with 5+ years of progressive experience in perioperative management. - Previous ASC/outpatient surgery management experience strongly preferred. Reasoning Ability - Demonstrates an ability to consider alternatives and implement appropriate strategies. - Ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors. - Ability to understand and interpret basic financial data. - Ability to interpret a variety of instructions in a variety of forms and deal with abstract and concrete variables. Other Qualifications - Exceptional computer skills. - Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. - Must be able to work well with others. - Strong verbal and written communication skills required. - Must be detail oriented and organized. - High integrity, including maintenance of confidential information. - Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency. - Based on business need, the ability to work a flexible schedule including some evenings (and weekends on rare occasions). Benefits - Paid Time Off. - Medical, Dental, Vision, Life, Disability. - Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs. - A matching 401(K) Plan. - AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and can earn a minimum of 20 days and up to 25 days per calendar year. EOE Statement AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.
Role Description The Manager, Contracting – Health Plan Relations is responsible for supporting AMSURG’s managed care contracting activities including payer negotiations and contract research. Work Schedule: Remote Essential Responsibilities: - Support contract negotiations, contract research and on-going payer relationships. - In collaboration with Directors and as directed by Vice President, Contracting, support relationships with AmSurg operations by executing on center-level contracting priorities. - Contract and onboard acquisitions, de novo centers and new provider affiliations with payers as directed. - In collaboration with Directors, facilitate the monitoring of payer issues such as provider participation, contract loading and payment issues. - Focus on client satisfaction through internal and external communication. - Assist in the development of departmental goals and contracting plan, executing projects to achieve these goals, and working closely with others within the department to continuously monitor department performance. - Prepare reports / presentations to present contract rates, payer mix, etc. - Demonstrated proficiency with financial reports and modeling. - Preparing internal training or educational tools as they relate to health plan contracting. - Comply with departmental standard operating procedures for contract negotiations, modeling and loading. - Ability to work in a matrix environment where multiple and competing customer demands are likely. - Provides input to the appropriate individuals to contribute to the development of corporate initiatives. - Self-directed with a strong bias for action. - Excellent customer relationship / management skills. - Demonstrated leadership and/or people management skills. - Travel overnight and locally as needed. - Other duties as assigned. Qualifications - Strong organizational and written/oral communication skills. - Ability to work independently and with little supervision. - Excellent ability to manage to deadlines. - Ability to positively handle conflict. - Must be fluent in Microsoft Office applications. - Position requires overnight travel up to 25% of the time. - 5 - 8 years relevant experience including managed care contracting, financial analysis, payment methodologies, contract language and negotiations. - Equivalent experience considered. - Bachelor’s degree required. Benefits - Paid Time Off. - Medical, Dental, Vision, Life, Disability. - Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs. - Matching 401(K) Plan. - AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position can earn a minimum of 20 days and up to 25 days per calendar year.
• Analyzes, designs, develops, tests, and implements new application components. • Maintains and optimizes already deployed Enterprise applications. • Demonstrates high-level technical skills and shows technical leadership abilities. • Keen eye towards ensuring high quality standards have been delivered on technology projects. • Designs and develops software and data testing plans according to specifications, adhering to all phases of the Software Development Life Cycle and the standard enterprise architecture. • Assists in defining, documenting, and developing software testing results in collaboration with the project team. • Contributes to the review and analysis of business requirements. • Contributes to the architecture and technical design discussions, code reviews and technical designs/specifications. • Creates thoughtful project documentation and technical specifications. • Documents test cases and executes tests to ensure quality software is delivered. • Assesses the impact of software changes and new development on other systems; conducts integration tests to mitigate risks. • Takes technical direction from senior team members and participates in a knowledge-sharing environment. • Participates in agile team processes. • Provides reasonable work estimates and communicates deviations from estimates or work product in advance of deadlines. • Develops, monitors, and tracks the progress of action plans. • Supports production applications. • Adheres to all company policies and procedures, including Information Security Policies and ensure that AMSURG remains as secure as possible.
• Apply sound financial analysis, judgment and intellectual curiosity to projects to understand and articulate drivers of financial and operational performance • Scope includes full P&L and multi-entity analysis • Build and maintain financial models and perform ad-hoc financial analysis for Anesthesia related entities and non-managed Anesthesia • Own financial modeling for Independent Dispute Resolution (IDR) initiatives, including cash flow timing, EBITDA impact, upfront fee funding, and sensitivity analyses • Identify and lead the development of high impact value-add analysis on business drivers, trends and risk/opportunities for Anesthesia • Support operations and corporate teams in Monthly Operating and Financial Reviews, through revenue and expense analysis, including comparison to budget; contribute to development of annual budgets • Drive analysis and presentation materials for standing up new Anesthesia entities • Suggest and implement Anesthesia related targets and track progress towards achieving goals • Regular and reliable attendance required • Other duties as assigned
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