Premier Health

Role Description The Patient Access Specialist is responsible for: - Financial counseling, collecting co-pays and deductibles, and providing financial assistance education to patients and their families. - Stat registering, scheduling appointments, and completing registration by collecting and entering all pertinent financial and demographic information into the ADT system. - Verifying insurance benefit information and generating the ABN. - Reviewing orders for compliance and completing MSP. - Obtaining financial and treatment consents and placing ordered medical procedures. - Obtaining pre-certification when applicable while maintaining compliance with regulatory requirements. The Patient Access Specialist must demonstrate: - Customer Focus with Patience, Composure, and Compassion. - Ability to Deal with Ambiguity by effectively coping with change. - Strong Time Management skills and Interpersonal Savvy while supporting Peer Relationships. - Expert Functional/Technical skills while providing financial assessment and evaluation of each patient entering the hospital. They must comprehend the hospital’s financial policies, apply them to the patient, and secure payment for the patient’s hospital liability. Patient Access Specialists are required to maintain excellent customer service standards at all times to effectively communicate with physicians, physician offices, patients, and co-workers. They must efficiently perform all duties while ensuring patient confidentiality and privacy rights. Qualifications - Minimum Level of Education Required: High School completion / GED. - Preferred educational qualifications: Associates Degree preferred in healthcare or related business field. - Position specific testing requirement: Must be proficient in Windows-based computer technology, including keyboarding and typing at least 25 wpm. - Licensure/Certification/Registration: Medical Terminology certification preferred. Requirements - Minimum Level of Experience Required: 1 - 3 years of job-related experience. - Preferred experience: Customer service, general clerical/office, hospital, medical office/clinic, or insurance company. - Applicable class work may be substituted for previous work experience.

Role Description Exciting opportunity awaits for a ServiceNow Programmer/ Analyst at Premier Health, where innovation and remote work go hand in hand. Join us in optimizing HR applications such as Infor, HR Service Delivery (HRSD), Taleo, and EightFold, while also supporting core ServiceNow capabilities including IT Service Management (ITSM) processes and CMDB data integrity. You'll collaborate closely with HR leadership to drive efficiency and employee engagement. At Premier Health, renowned for our employee-centric approach, you'll find a supportive environment that recognizes and nurtures talent, making every day rewarding and fulfilling. - Provide advanced-level programming and systems analysis support for strategic/tactical projects. - Lead and coordinate team assignments and goals without administrative supervisory responsibility. - Implement integrated hospital/corporate computer systems with an emphasis on Premier’s HR applications. - Respond to software malfunctions and provide support to prevent future production application problems. - Work closely with HR leadership to enhance HR processes and workforce efficiency. Qualifications - Associate Degree with 6+ years of job experience & 3 years of ERP experience or Bachelor Degree with 4+ years of job experience & 2 years of ERP experience required. - IT or related area of study required. - Preferred Certifications: Certified System Administrator (CSA), Certified Application Developer (CAD), Project Management Certification. - Strong analytical and documentation skills, with hands-on experience across multiple ServiceNow modules including Information Technology Service Management (ITSM), Configuration Management Database (CMDB), and Human Resources Service Delivery (HRSD); experience with Strategic Portfolio Management (SPM), Hardware Asset Management (HAM), Software Asset Management (SAM), Agent Workspace or Now Assist is a plus. - Demonstrated ability to lead projects of advanced complexity and perform multiple tasks simultaneously. - Effective interpersonal and communication skills for interacting with diverse groups. Benefits - Opportunity to innovate and collaborate in a remote work environment. - Supportive environment that recognizes and nurtures talent. Company Description Are you a tech enthusiast looking to make a difference in the healthcare industry? Premier Health is seeking a dynamic ServiceNow Programmer Analyst to join our team. Embrace the opportunity to innovate, collaborate, and thrive in a remote work environment. Apply now and take the next step in your career with a company that values your skills and dedication.

POSITION: PATIENT ACCESS SPECIALIST - REMOTE DEPT: PATIENT ACCESS TELE ACCESS HOURS: VARIED, FLEX, FLOAT, WEEKENDS, HOLIDAYS STATUS: FULL TIME / 80 HOURS PER PAY The Patient Access Specialist is responsible for the financial counseling, collecting co-pays and deductibles and/or providing financial assistance education to patients and their families. They are responsible for stat registering, scheduling appointments, completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system, verifying insurance benefit information, generation of the ABN, reviewing orders for compliancy, completion of MSP, obtaining financial and treatment consents, placing of ordered medical procedures, obtaining a pre-certification when applicable while maintaining compliance with regulatory requirements. The Patient Access Specialist must demonstrate Customer Focus with Patience, Composure, and Compassion. Must be able to Deal with Ambiguity by effectively coping with change; possess strong Time Management skills, Interpersonal Savvy, while supporting Peer Relationships. Demonstrates expert Functional/Technical skills while providing financial assessment and evaluation of each patient entering the hospital. The Patient Access Specialist must comprehend the hospital’s financial policies, possess the ability to apply it to the patient, and secure payment for the patient’s hospital liability. Patient Access Specialist are required to maintain excellent customer service standards at all times in order to effectively communicate with physicians, physician offices, patients, and co-workers. Patient Access Specialists are required to efficiently perform all duties while ensuring patient confidentiality and privacy rights. Education Minimum Level of Education Required: High School completion / GED Additional requirements: Preferred educational qualifications: Associates Degree preferred in healthcare or related business field. Position specific testing requirement: Must be proficient in Windows- based computer technology, including keyboarding and typing at least 25 wpm. Licensure/Certification/Registration Medical Terminology certification preferred. Experience Minimum Level of Experience Required: 1 - 3 years of job-related experience Preferred experience: Customer service, general clerical/office, hospital, medical office/clinic, or insurance company. Applicable class work may be substituted for previous work experience.

POSITION: PATIENT ACCESS SPECIALIST - REMOTE DEPT: PATIENT ACCESS TELE ACCESS HOURS: VARIED, FLEX, FLOAT, WEEKENDS, HOLIDAYS STATUS: FULL TIME / 80 HOURS PER PAY The Patient Access Specialist is responsible for the financial counseling, collecting co-pays and deductibles and/or providing financial assistance education to patients and their families. They are responsible for stat registering, scheduling appointments, completion of registration by collecting and entering all pertinent financial and demographic information into the ADT system, verifying insurance benefit information, generation of the ABN, reviewing orders for compliancy, completion of MSP, obtaining financial and treatment consents, placing of ordered medical procedures, obtaining a pre-certification when applicable while maintaining compliance with regulatory requirements. The Patient Access Specialist must demonstrate Customer Focus with Patience, Composure, and Compassion. Must be able to Deal with Ambiguity by effectively coping with change; possess strong Time Management skills, Interpersonal Savvy, while supporting Peer Relationships. Demonstrates expert Functional/Technical skills while providing financial assessment and evaluation of each patient entering the hospital. The Patient Access Specialist must comprehend the hospital’s financial policies, possess the ability to apply it to the patient, and secure payment for the patient’s hospital liability. Patient Access Specialist are required to maintain excellent customer service standards at all times in order to effectively communicate with physicians, physician offices, patients, and co-workers. Patient Access Specialists are required to efficiently perform all duties while ensuring patient confidentiality and privacy rights. Education Minimum Level of Education Required: High School completion / GED Additional requirements: Preferred educational qualifications: Associates Degree preferred in healthcare or related business field. Position specific testing requirement: Must be proficient in Windows- based computer technology, including keyboarding and typing at least 25 wpm. Licensure/Certification/Registration Medical Terminology certification preferred. Experience Minimum Level of Experience Required: 1 - 3 years of job-related experience Preferred experience: Customer service, general clerical/office, hospital, medical office/clinic, or insurance company. Applicable class work may be substituted for previous work experience.

General Summary/Responsibilities: The Care Coordinator functions as a member of a multi-disciplinary care team providing services for persons with an alcohol and/or other drug Substance Abuse Disorder diagnosis. The primary responsibilities of the care coordinator include: 1) Support adherence to the patient’s treatment and recovery plan; 2) Manage successful care transitions; 3) Engagement in care; 4) Services may be delivered by phone, telehealth, face-to-face at the office, in the home, or in the community. This position requires expertise in transition planning and process, resource allocation, team management and communication skills Education Minimum Level of Education Required: Associate degree Additional requirements: Type of degree: Social Work, Counseling or related field Area of study or major: Human and/or social services Preferred educational qualifications: N/A Position specific testing requirement: N/A Licensure/Certification/Registration CDCA or Licensed Chemical Dependency Counselor II (LCDC II) or higher or a Bachelor Level LSW or LPC. Experience Minimum Level of Experience Required: No prior job-related work experience Prior job title or occupational experience: 3-6 months experience in the mental health and/or drug and alcohol field Prior specific functional responsibilities: N/A Preferred experience: 1-2 years’ experience in the mental health and/or drug and alcohol field Other experience requirements: N/A Knowledge/Skills ▪ Working knowledge of mental health, drug and alcohol, and other community agencies and resources. ▪ Excellent interpersonal skills, critical thinking and ability to communicate in writing. ▪ Excellent organizational skills. ▪ Must be physically and mentally able to competently deal with verbally and physically aggressive patients ▪ Computer keyboarding or typing skills recommended ▪ Knowledge of the behavioral health field and best practices

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position not only allows you to leverage your expertise in design and data visualization but also promises a rewarding career path in a company that values its employees and promotes a culture of collaboration and growth. - Produce and review wireframes and story boards for digital products - Clearly articulate design needs and key decisions to business stakeholders across markets and brands collaborating closely with Business Leaders - Design elegant and delightful product experiences as part of a cross-functional agile product team - Research, identify and articulate customer needs - Build prototypes and design tests to validate customer needs, requirements and behaviors - Help Business Leaders define both long-and short-term vision and roadmap for digital products - Collaborate with other designers within and cross-team to problem solve design challenges and maintain a level of design consistency and coherence across products - Other leadership requirements of Premier Health at a Senior staff level - Grow the digital capabilities of Premier Health and teach Agile methodologies - Visualization Analyst of multiple missions, journeys, and IT initiatives as assigned. Qualifications - Bachelor's degree – preferably in design or equivalent area - 1 - 3 years of job-related experience - Prior experience as a BI or Data Analyst, Designer, Visualization Analyst - 2+ years of experience in 'experience design' - Experience with various visualization suites (e.g. Tableau, Power BI, Crystal Reports) preferred - Experience in SQL and Dashboard design preferred - Ability to concisely and effectively interact with key roles within the Agile team Requirements - Creating end-to-end user experience design, including discovery, ideation, conceptualizing, detailed design, prototypes and validation. - Work with Business Leaders and engineers to create elegant user experience to create business impact (e.g., customer, employee and advisor engagement/productivity)

**This is a 100%25 remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: · Collects, analyzes all underlying data and prepares supporting documentation for: · the Medicare cost report Worksheet S-10. Reviews outside consultant logs and schedules. Reviews audit adjustments for accuracy. · the Medicare cost report Medicaid DSH eligibility. Prepares additional provider research files and reviews outside consultant logs. · the Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logs. · the Medicare cost report Wage Index. Reviews audit adjustments for accuracy. · Prepares the calculation of accounts receivable and third-party reserves including the timely submission of the monthly journal entry along with additional analyses as needed. · Collects and analyzes all underlying data and prepares the Medicaid pending conversion calculations. · Prepares 340 B trial balances for inclusion with the annual HRSA submissions. · Prepares Medicare gain/loss analysis for Schedule H of Form 990. · Assists in the annual net revenue budget and three-year forecasting process. Research and completion of all governmental modeling is the primary focus. · Assists with the preparation of E&Y audit workpapers. · Reviews CMS/MAC rate reviews and audit adjustments for accuracy. · Prepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as needed. · Reviews tentative cost report settlements and final cost report settlements including audit adjustments for accuracy. · Prepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab. · Collects and analyzes all underlying data in conjunction with the Rehab Unit and prepares the submission for the Inpatient Rehab Unit 75%25 compliance report for exemption from the Inpatient Prospective Payment System. · Collects and analyzes all underlying data, prepares all supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys. Reviews audit adjustments for accuracy. · Prepares HCAP logs and obtains supporting documentation for independent consultant review. Also, prepares the matching data in the formats used for the Medicaid cost report. · Prepares Myers & Stauffer logs for the federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate manner. · Submits documentation for the Kentucky Workers’ Compensation Hospital Fee Schedule cost-to-charge ratio calculation. · Collects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissions. · Acts as a liaison between Reimbursement and the report writing team to assist in regulatory data revisions. · Prepares detailed analysis of regulatory changes to determine the reimbursement impact to PHP. · Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules. · Maintains current working knowledge of Medicare, Medicaid, and other regulations. Assists in providing education with Federal rules and regulations. EDUCATION: Minimum Level of Education Required: Bachelor's Degree in Business Administration majoring in Accounting, Finance or related business field required. EXPERIENCE: Minimum Level of Experience Required: § 3-5 years of job-related experience required. § Hospital reimbursement required, including Medicare and Medicaid cost report experience required. § Current working knowledge of the financial statement process, running ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills required. Preferred experience: Experience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS)

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves analyzing and preparing documentation for Medicare and Medicaid cost reports. - Collects and analyzes all underlying data and prepares supporting documentation for the Medicare cost report Worksheet S-10. - Reviews outside consultant logs and schedules. - Reviews audit adjustments for accuracy. - Prepares additional provider research files and reviews outside consultant logs for the Medicare cost report Medicaid DSH eligibility. - Prepares Medicare cost reports for Traditional Medicare Bad Debt and Dual Eligible logs. - Prepares the Medicare cost report Wage Index and reviews audit adjustments for accuracy. - Prepares calculation of accounts receivable and third-party reserves, including timely submission of monthly journal entries and additional analyses as needed. - Collects and analyzes all underlying data and prepares Medicaid pending conversion calculations. - Prepares 340 B trial balances for inclusion with the annual HRSA submissions. - Prepares Medicare gain/loss analysis for Schedule H of Form 990. - Assists in the annual net revenue budget and three-year forecasting process. - Research and completion of all governmental modeling is the primary focus. - Assists with the preparation of E&Y audit workpapers. - Reviews CMS/MAC rate reviews and audit adjustments for accuracy. - Prepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as needed. - Reviews tentative cost report settlements and final cost report settlements, including audit adjustments for accuracy. - Prepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab. - Collects and analyzes all underlying data in conjunction with the Rehab Unit and prepares submission for the Inpatient Rehab Unit 75% compliance report for exemption from the Inpatient Prospective Payment System. - Collects and analyzes all underlying data, prepares supporting documentation, and submits Medicare occupational mix surveys in a timely and accurate manner. - Prepares HCAP logs and obtains supporting documentation for independent consultant review. - Prepares Myers & Stauffer logs for federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate manner. - Submits documentation for the Kentucky Workers’ Compensation Hospital Fee Schedule cost-to-charge ratio calculation. - Collects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissions. - Acts as a liaison between Reimbursement and the report writing team to assist in regulatory data revisions. - Prepares detailed analysis of regulatory changes to determine the reimbursement impact to PHP. - Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules. - Maintains current working knowledge of Medicare, Medicaid, and other regulations. - Assists in providing education with Federal rules and regulations. Qualifications - Bachelor's Degree in Business Administration majoring in Accounting, Finance or related business field required. Requirements - 3-5 years of job-related experience required. - Hospital reimbursement experience required, including Medicare and Medicaid cost report experience. - Current working knowledge of the financial statement process, running ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills required. Preferred Experience - Experience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS).

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This is a 100% remote work-from-home position. - Collects, analyzes all underlying data and prepares supporting documentation for the Medicare cost report Worksheet S-10. - Reviews outside consultant logs and schedules. - Reviews audit adjustments for accuracy. - Prepares additional provider research files and reviews outside consultant logs for the Medicare cost report Medicaid DSH eligibility. - Prepares the Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logs. - Prepares the Medicare cost report Wage Index and reviews audit adjustments for accuracy. - Prepares the calculation of accounts receivable and third-party reserves including the timely submission of the monthly journal entry along with additional analyses as needed. - Collects and analyzes all underlying data and prepares the Medicaid pending conversion calculations. - Prepares 340 B trial balances for inclusion with the annual HRSA submissions. - Prepares Medicare gain/loss analysis for Schedule H of Form 990. - Assists in the annual net revenue budget and three-year forecasting process. - Research and completion of all governmental modeling is the primary focus. - Assists with the preparation of E&Y audit workpapers. - Reviews CMS/MAC rate reviews and audit adjustments for accuracy. - Prepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as needed. - Reviews tentative cost report settlements and final cost report settlements including audit adjustments for accuracy. - Prepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab. - Collects and analyzes all underlying data in conjunction with the Rehab Unit and prepares the submission for the Inpatient Rehab Unit 75% compliance report for exemption from the Inpatient Prospective Payment System. - Collects and analyzes all underlying data, prepares all supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys. - Prepares HCAP logs and obtains supporting documentation for independent consultant review. - Prepares the matching data in the formats used for the Medicaid cost report. - Prepares Myers & Stauffer logs for the federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate manner. - Submits documentation for the Kentucky Workers’ Compensation Hospital Fee Schedule cost-to-charge ratio calculation. - Collects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissions. - Acts as a liaison between Reimbursement and the report writing team to assist in regulatory data revisions. - Prepares detailed analysis of regulatory changes to determine the reimbursement impact to PHP. - Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules. - Maintains current working knowledge of Medicare, Medicaid, and other regulations. - Assists in providing education with Federal rules and regulations. Qualifications - Bachelor's Degree in Business Administration majoring in Accounting, Finance or related business field required. Requirements - 3-5 years of job-related experience required. - Hospital reimbursement required, including Medicare and Medicaid cost report experience required. - Current working knowledge of the financial statement process, running ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills required. Preferred Experience - Experience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS).

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The revenue manager is responsible for the daily operations of the Reimbursement Charge Master staff. Daily operations include communication to facility leadership on revenue analysis related to posted charges of the day prior and special projects related to either revenue or reimbursement. - Proper management of the charge entry and revenue flow is critical to the successful coding and billing of claims to third party payors in the revenue cycle. - Incorporating mandatory CPT/HCPCS codes to specific charges and setting programming triggers in the billing system to update hospital claims relative to the primary insurance payor. - Maintaining the fee schedules which drive hospital pricing on to patient claims. - Design, build, maintenance, quality assurance, testing and implementation for all charges and prices loaded into EPIC Hospital Billing. - Designated by EPIC as the Revenue Integrity Lead on the vendor’s Integrated Good Maintenance organizational support chart. - Responsible for the scope and implementation of appropriate charging workflows for each hospital service line based upon clinical applications. - Meetings with all levels of hospital and corporate leadership to represent the team, department or Director of Reimbursement on matters related to gross revenue generation and net reimbursement from third party payors. - Annual projects include the successful implementation of the annual rate increase across 440 hospital departments for Premier and the annual code changes published by both the American Medical Association (AMA) and Medicare (CMS). - Collaboration with Premier Health Information Technology to ensure that both master files for charge creation and charging workflows continue to perform to pre-upgrade specifications. - Provide technical guidance to IT teams and charge master staff on the build, testing and final validations related to system changes related to revenue generation. This is a 100% remote work-from-home position Qualifications - Bachelor’s degree in finance or related field is required. - Master’s Degree is preferred. Requirements - Epic Hospital Billing or Epic Charge Master is preferred. - Coding certification in at least one of the following is also preferred: CPC, CPC-P, RHIA, RHIT, and/or certification in auditing and/or Healthcare compliance. - Designation of proficiency in Hospital Billing and Charge Master is preferred. - Minimum of 5 - 7 years of job related experience. - Minimum of five to seven years in hospital finance and or healthcare reimbursement. - 3-5 years of prior management experience preferred. - A strong understanding of healthcare reimbursement required. - Knowledge of CPTs, APCs, DRGs, and HCPCS code is required. - Current knowledge of hospital billing practices is required. - Current knowledge of Medicare and Medicaid regulations is required. - Two years of project management experience required. - Experience in working with upper management, physicians, and information systems is required. - EPIC file maintenance experience required. - Report writing experience required. - Understanding of Managed Care contracts and language.