CommonSpirit Health

Role Description As a Patient Account Representative, you will be responsible for preparing and processing superbill charges and payments, ensuring accurate financial record-keeping. - Meticulously post charges and payments to patient accounts. - Efficiently schedule daily appointments, contributing to the smooth operation of patient billing and scheduling. - Demonstrate meticulous attention to detail in financial transactions. - Exhibit strong organizational skills for scheduling. - Commit to accuracy and efficiency in patient account management. - Review and post payments and write-off/adjustments from insurance and patients. - Review Explanation of Benefits (EOBs)/Electronic Remittance Advice (ERAs), payments, adjustments, insurance contracts and contracting system, insurance benefits, and all account comments. - Apply knowledge of payer contracts and experience with insurance reviews to gather additional information as necessary. - Post and track electronic funds transfer (EFT) information and validate EFTs for accuracy. - Follow write-off approval protocols for non-routine adjustments. - Manually post non-electronic activities including payments, adjustments, and zero payment denials. - Complete daily posting log and quarterly cash handling audits and report findings to Supervisor/Manager. Qualifications - None, upon hire. Requirements - None, upon hire. Benefits - More than 20 specialties and 100 convenient locations. - Some clinics offering extended hours.

Role Description As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers. - Review denials and initiate follow-up with insurers. - Rectify billing errors and submit appeals. - Negotiate for maximum reimbursement. - Follow up with insurance payers to research and resolve unpaid insurance accounts receivable. - Make necessary corrections in the practice management system to ensure appropriate reimbursement is received. - Apply a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices. - Communicate effectively over the phone and through written correspondence to explain outstanding balances. - Resubmit claims with necessary information when requested through paper or electronic methods. - Anticipate potential areas of concern within the follow-up function and identify issues/trends. - Conduct staff training to address and rectify identified issues. - Recognize when additional assistance is needed to resolve insurance balances and escalate appropriately. Qualifications - High School GED General Studies and two years of revenue cycle or related work experience, upon hire. - High School Graduate General Studies and two years of revenue cycle or related work experience, upon hire. - Graduation from a post-high school program in medical billing or other business-related field, upon hire. Requirements - None, upon hire. Company Description From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Role Description As our Radiologic Technologist (Rad Tech), you will be pivotal in producing diagnostic images that enable Radiologists to accurately diagnose and manage patient conditions. - Perform a variety of imaging examinations, including: - X-rays - Ultrasound - Diagnostic fluoroscopy - CT/CAT scans - MRIs - Contribute to a positive patient experience through direct interaction. - Understand the critical importance of diagnostic imaging, including: - Expertise in workflow - Patient positioning - Capturing precise results essential for timely and accurate diagnoses - Assess patients and their abilities to participate in ordered procedures. - Provide a clear explanation of the procedure including: - Duration - Process - What to expect following completion - Provide patient education as appropriate. - Obtain patient consent for care and ensure patient confidentiality. - Select proper equipment, set correct technical factors, procedure protocols, and gather proper supplies prior to performance of the procedure. - Recognize all radiation safety standards including “Image Gently” and “Image Wisely”. - Understand and follow all rules around radiation protection including wearing of lead protection when there is a possibility of exposure. - Obtain clear and complete history from the patient and/or patient record and record that data into patient record to assist in image interpretation and future patient encounters. - Perform quality assessment of images obtained and evaluate equipment issues, escalating concerns as indicated. Qualifications - Graduate of a Radiologic Technology program, upon hire - Registered Technologist Radiography ARRT, upon hire - Basic Life Support - CPR, upon hire - Medical Radiographer: NE, upon hire Requirements - Graduate of a Radiologic Technology program, upon hire - Registered Technologist Radiography ARRT, upon hire - Basic Life Support - CPR, upon hire - Medical Radiographer: NE, upon hire

Role Description As our IT Project Manager, you will be a key contributor to the organization's transformation strategy, accountable for delivering best-practice project planning, engagement, and adoption within your portfolio. Every day you will: - Define resource allocations - Influence sponsors - Manage priorities - Make decisions on human, technical, and financial resources to implement enterprise-wide change You will contribute to early engagement, gap analysis, and operational change management and project lifecycle delivery for medium to large projects. To be successful, you will: - Drive transformation and customer experience objectives - Contribute to continuous improvement of project management methodology - Manage multiple projects efficiently Primary responsibilities on large scale projects include, but are not limited to: - Key resource for the PMO encompassing the development of relationships between IT and the organization's multiple customer constituencies including: patients, consumers, providers, clinical staff, administrators, and employees across CommonSpirit Health. - Responsible for the vital efficient operation of the organization's well-managed systems that will ensure financial success and ability to cope with the pressures of shrinking revenues, and our market strategy to grow and expand into the future. - Responsible for establishing and maintaining channels of communication between business, IT, and other relevant stakeholders. - Responsible for developing large scale project plans which identify key issues, problems, approaches, performance metrics, communication plan, resources required, and ensuring deliverables of the IT initiatives. - Responsible for the supervision of the project resources required to deliver each task (i.e. key areas could include: Business Analysts, Solution Architects, Design Engineers, CyberSecurity, QACC, etc.) - Remote eligible. Qualifications - Bachelors degree or equivalent professional experience - 5+ years of Project Management experience - Experience in Project Management methodologies and tool sets – waterfall/agile/scrum, planning, issue escalation, problem resolution, conflict and collision management, metrics and reporting, communications, etc. Requirements - Project Management experience in a Health care environment - 5+ years with strong functional understanding of hospital, clinic, and billing operations - 3+ Multi-hospital and large project management experience - Project Management Professional

Role Description The Nursing Innovation and Care Transformation department was initiated as a strategy to create the Practice Environment of the Future. CommonSpirit Health is committed to bringing innovative and forward-thinking approaches to address the current Nursing climate. This department's strategic initiative is to create new nursing care models utilizing virtual technology in new ways. These models will connect care team members and patients to effectively and efficiently carry out the inpatient Plan of Care. The System Manager, Virtually Integrated Care (VIC) Clinical Excellence role will be accountable for direct support and supervision of the VIC clinical excellence across CommonSpirit Health. In collaboration with local and national Care Transformation System leaders, this position provides support and direction for all clinical workflows that enable a high quality of care, superior engagement of clinical team members, and excellent patient experience outcomes. As our Sys Manager of VIC Clinical Excellence, this role will be a central figure providing strategic leadership and comprehensive clinical oversight for all aspects of our VIC Units, ensuring the delivery of highly specialized, compassionate, and life-saving care to patients. This role will play a vital role in optimizing clinical outcomes, enhancing patient safety, and fostering a culture of excellence within a high-acuity environment. This role will expertly manage multidisciplinary teams of physicians, nurses, and support staff within care settings, collaboratively developing and implementing strategic plans to optimize clinical efficiency, quality metrics, and patient satisfaction. This role will also oversee regulatory compliance, advanced technology adoption, resource allocation, and the cultivation of strong staff development and engagement, continuously driving innovation and achieving aggressive goals while maintaining the highest standards of evidence-based clinical care practice. This role will combine robust healthcare leadership experience, a proven track record in comprehensive management, and an exceptional ability to inspire and empower diverse clinical teams under intense pressure. This role will demonstrate a strategic mindset for system-level planning, strong financial acumen, a deep commitment to patient and family-centered care, and thrive in a dynamic, fast-paced environment dedicated to transforming care delivery and improving challenging patient outcomes. - Supervision and operational leadership for a virtual nurse team within the acute care program to include scheduling, time management, and professional development. - Identifies issues, constraints, and barriers that need to be addressed within the program regarding new models of care. - Assists in the development of Model changes, keeping in alignment with National guidelines and practices. - Ability to negotiate change with all levels of management and stakeholders, overcome any resistance to that change, and get work done through others to effect positive change and generate improvements that can be sustained. - Ability to communicate with patient care staff and managerial team members to embrace innovative concepts, achieving transformative design principles that improve the culture across the enterprise. - Demonstrates positive team-building skills that evoke a culture of change based on shared governance principles. - Support Region and Market Leaders in encouraging staff engagement and involvement in new care model designs. - Accountable for supporting Transformation leadership in achieving established metrics and KPI’s. - Influences and persuades others to promote understanding of clinical processes, collaborate, and gain acceptance of recommendations, and achieve overall care model objectives. - Key relationships expected to include organizational management, physicians, nurses, and other healthcare providers. - Demonstrates expertise in care models utilizing virtual technology. - Demonstrates expertise in critical care medicine and interprofessional care models and relationships. The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned. Requirements - Bachelors of Nursing Required - 4-6 years of experience in a leadership role and experience with virtual technology workflows and practices - Registered Nurse Required

Title: Patient Service Rep PCC Location: Omaha United States Job Description: Job Summary and Responsibilities As our Patient Services Professional, you will be the welcoming voice and central administrative support, ensuring seamless patient experiences and efficient clinic operations through diverse engagements. Every day, you will expertly manage phone customer service, distribute communications, and handle patient information like demographics, insurance verification, and appointment scheduling. You'll also process referrals, authorizations, pre-registrations, and other clerical tasks, adapting to clinic needs while responsibly handling sensitive data. To be successful in this role, you will possess exceptional communication, meticulous attention to detail, strong organizational skills, and system proficiency. Your proactive service, adaptability, and responsible handling of information are crucial for patient care and clinic goals. - Schedule and register patient appointments and/or provide information for other requests (e.g., addresses/directions, phone numbers, hours of operations, other departments, such as billing, etc.). Process all phone, fax, email, and other communication channel requests with an emphasis on efficiency and accuracy. - Answers, screens, and processes a high volume of incoming calls in a professional manner. Directs patient access to the practice by scheduling and canceling patient appointments for multiple providers. - Utilizes and adheres to a phone script, clinical decision trees and scheduling criteria following department guidelines. Uses independent knowledge within scope of knowledge and training to determine the type of appointment needed and urgency to schedule the patient to the appropriate provider or route the call to the appropriate resource. - Update patients of the status of their referral or authorizations. - Communicates to patients and internal and external ordering physicians' offices, complex exam preparations instructions including, but not limited to, pre-procedure laboratory test requirements and other necessary preparations instructions. - Sends out accurate and complete communication to physicians or other healthcare providers. Job Requirements Required - Must be local to Omaha Area - Mandatory onsite training for 6 weeks prior to working fully remote. - High School GED or equivalent and Experience with computer systems, including web based applications, upon hire Where You'll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Role Description This is an advanced level position with expert knowledge of current ICD (diagnostic and procedural) and CPT-4 coding classification systems. Responsible for answering coding and billing questions, onboarding and training new staff, performing coding/DRG validation audits, and development and deployment of coding and CDI education. Works in conjunction with the coding and CDI leadership team in planning and performing education and training across the system. Responsible for performing internal audits and follow up education. Facilitates and promotes standardization of coding/CDI practices, monitors and communicates regulatory coding and billing changes for timely and accurate implementation. Acts as a liaison between CDI, physicians, clinical quality, patient financial services, and other departments to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record. - Ensure coding/CDI practice adhere to compliant practices and regulatory requirements. - Adhere to the ethical standards of coding as established by AAPC and/or AHIMA. - Actively monitor work queues/worklists to ensure KPIs are met. - Meet productivity and accuracy standards. - Act as a liaison with CDI, patient financial services, patient registration, clinical staff to resolve problems and improve workflow. - Assist CSH leadership in strategic planning. - Communicate effectively and deliver presentations to large groups. - Identify and interpret operational training/development needs. - Collaborate with coding/CDI leadership to discuss audit results and develop action plans for sustained improvement. - Develop and execute process improvement projects. - Promote and maintain a professional, team-oriented, service-conscious environment. - Assess tools and resources to prevent downstream errors, denials, etc. - Troubleshoot computer issues in a timely fashion while working remotely. Qualifications - Associate’s degree in HIM/related field or Associate’s degree in Nursing. - 4-6 years of experience performing coding CDI audits and education in large multifacility healthcare systems. - Certification from AHIMA (CCS, RHIT, RHIA, CDIP), AAPC (CIC) and/or ACDIS (CCDS) to be maintained. - 4-6 years of experience creating education sessions in large multifacility healthcare systems. Company Description Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Role Description This position provides oversight for CDI program performance. Develops strategic plans to achieve CommonSpirit Health (CSH) enterprise KPIs. Ensures overall accuracy and compliance for all CDI functions. - Analyzes executive scorecard and KPI metrics to share with executive leadership. - Acts as a liaison between physicians, clinical quality, patient financial services, etc. to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record. Essential Functions - Oversees CDI managers, ensuring optimal performance and adherence to compliant CDI practices and regulatory requirements. - Ability to identify and determine resolution of complex issues. - Assist CSH system director in strategic planning. - Oversight of CDI steering committee presentations. - Ability to communicate effectively, stay organized, and demonstrate effective leadership skills. - Strong oral communication skills and the ability to deliver presentations to large groups. - Ability to identify and interpret strategic and operational performance improvement. - Collaborates with executive leadership, and coding/CDI managers to develop strategic plans to achieve CSH enterprise KPIs. - Lead CDI department meetings and ensure a collaborative environment. - Accountable for review and analysis of executive scorecard and KPI. - Actively seeks to promote and help maintain a professional, team-oriented, service-conscious environment, which contributes to the goals of the team and reflects the values of the enterprise. - Ensures managers have tools and resources to carry out operations. - Ability to troubleshoot computer issues in a timely fashion while working remotely. Qualifications - Bachelor’s degree in Nursing. - Experience: 4-6 years with 5 years recent work in large acute multifacility organizations managing CDI teams. - Bachelor's in Other - RN with Healthcare administration and 4-6 years with 5 years recent work in large acute multifacility organizations managing CDI teams (preferred). Requirements - Registered Nurse:XX (RN:XX) - Required. - Clinical Documentation Improvement Professional (CDIP) - Required. Knowledge, Skills, Abilities, and Training - 5 years of recent management of acute care CDI teams (hospital, large multi-facility organization, etc.) and CCDS and/or CDIP certification current. - Experience working in a level I/II trauma center and/or teaching hospital with complex conditions and procedures (cardiovascular/interventional radiology, orthopedic, neurosurgery, and obstetrics/NICU). - Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and current coding classification systems. - Previous experience effectively managing remote teams. - Experience with various encoder and EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech). - Analytical/critical thinking and problem solving skills. - Knowledge of information privacy laws and regulations. - Knowledge of federal/state regulations and payor policies pertaining to documentation, coding, and billing requirements. - Strong knowledge/background in middle revenue cycle operations, preferred. - Master’s degree in HIM, preferred. - Master’s degree in Nursing, preferred.

Role Description Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. - One of the nation’s largest nonprofit Catholic healthcare organizations. - Delivers more than 20 million patient encounters annually. - Operates more than 2,300 clinics, care sites, and 137 hospital-based locations. - Offers home-based services and virtual care offerings. - Employs more than 157,000 individuals, including 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states. - Contributes more than $4.2 billion annually in charity care, community benefits, and unreimbursed government programs. - Works collaboratively with patients, physicians, partners, and communities to create a more just, equitable, and innovative healthcare delivery system. Company Description CommonSpirit Health is committed to delivering high-quality healthcare services while fostering a culture of compassion and innovation.

Role Description Responsible for the posting of all payments received, balancing to deposit and remittance advices. Posts adjustments, ensuring appropriate account reconciliation and resolution. - Completes appropriate posting of payments to the accounts receivable and applies denials using the collection tool and policies and procedures to achieve department and hospital goals. - Researches all overpayments and ensures batches balance with the remittances. - Ensures miscellaneous cash is posted to the correct GL numbers. - Posts contractual agreement and other adjustments on a daily basis, ensuring appropriate account reconciliation and resolution. - Maintains and facilitates communication within the business and clinical divisions. - Responds professionally and within appropriate timeframes to telephone, e-mail and task inquiries. - Participates in staff meetings, performance improvement activities and committees as assigned. Utilizes Issues Log when necessary. - Meets productivity standards for posting payments and denials in an effort to achieve claim resolution. Qualifications - High School Graduate General Studies - Preferred: Six months of clerical experience in an office setting; hospital or clinic collection experience - Experience with insurance billing computer applications