Samaritan Healthcare

Title: Patient Account Representative Location: United States Job Description: Our Mission All of us, for each of you, every time. Our Vision Together, serving as the trusted regional healthcare partner. Our Values Listen~Love~Respect~Excel~Innovate At Samaritan, we do more than deliver healthcare-we make a meaningful difference in the lives of our community every day. We're committed to creating an exceptional workplace where professionals feel valued, supported, and inspired to provide outstanding care to every patient we serve. This position is responsible for accurately billing patient accounts, ensuring timely claim submission and reimbursement from various third-party payers, ensuring proper account documentation in the organizations billing system, and pursuing follow-up efforts on aged accounts. This is a full-time remote position that will be required to come on-site for onboarding and equipment pick-up (2 DAYS ONLY). This is a full-time role working Monday-Friday from 8:00 AM - 4:30 PM PST. ESSENTIAL FUNCTIONS - Completes daily electronic billing file and submits insurance claims to third-party payers. - Reviews, evaluates, and forwards paper claims to payers that do not accept electronic claims or that require special handling. - Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leadership. - Answers multi-line phone quickly and courteously, answer patients/guarantors concerns/questions with regards to billing, payments, and adjustments. Transfer calls to other department personnel as appropriate. - Follows best practice to ensure timely follow-up on all accounts and verifies accurate reimbursement from payers. - Communicates directly with payers to follow up on outstanding claims and resolve payment variances, responds to payer inquires and concerns (i.e. "correspondence"), and works to develop and maintain positive relationships with payers. - Uses correct billing codes to ensure proper claim processing. Based on payer error reports, makes appropriate corrections to optimize the electronic and/or paper claims submission process. - Practices excellent customer service skills by answering patient and third-party payer questions and/or addressing billing concerns in a timely and professional manner. - Researches denials, correct and resubmit in a timely manner. Assists with formulating written appeals. - Assists with review and resolution of credit balances. - Maintains superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job. - Assures accurate application of payments received and timely processing of refunds. - Follows department's documentation policy to ensure necessary information is documented in the patient's account. Uses canned and smart text as appropriate. - Maintains working knowledge of rules and regulations regarding patient status such as Medicare Secondary Payer, Advance Beneficiary Notices, and Important Message from Medicare, Notice of Privacy Practices, Patient Rights, Advance Directives and EMTALA. - Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in field of expertise. - Ensures no injuries to self or others by following safe work practices and policies. This includes, but is not limited to: security and safety, understanding of MSDS, equipment, infection control, fire, disaster, safe lifting and body mechanics. - Ensures self-compliance with organization policies and procedures, as well as labor agreements. - Ensures the interface with team members and other support groups is conducted in a courteous and efficient manner conducive with the organization's values. - Conducts self in a professional manner and ensures personal appearance meets the standards necessary to perform the job function while representing the organization. - Ensures that additional accountabilities, as may be required by management, be handled in a manner necessary to meet organizational standards. WORK ENVIRONMENT The professional in this position reports to the Director of Revenue Cycle and works closely with the department professionals and other healthcare professionals in order to provide high quality services to all customers. EDUCATION & EXPERIENCE - Education: - High school diploma or equivalent required. - Experience: - 1-2 years of customer service and/or business office experience preferred, ideally in medical setting. - Minimum one-year of successful, relevant experience in Hospital or Clinic billing. - Skills/Competencies: - Demonstrated knowledge and experience with third party payer guidelines, reimbursement, follow-up, and collections. - Demonstrated knowledge of claims review and analysis; ICD-10, CPT, and HCPCS coding; and medical terminology. - Demonstrates competency on equipment listed on department specific checklist. - Critical thinking skills: Seeks resources for direction, when necessary. Performs independent problem solving. Decision-making is logical and deliberate. - Performs actions that demonstrate accountability. Exercises safe judgment in decision-making. Practices within legal and ethical guidelines. - Demonstrates competency in ability to care for customers/patients across the age continuum. - Bilingual (English/Spanish) preferred. PHYSICAL REQUIREMENTS - Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing and pulling. Light physical effort, ability to lift/carry up to 10 lbs. (supplies and equipment). - Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public. As a Samaritan professional, you will be asked to commit to being part of a culture grounded in our Mission, Vision, Values, and Strategy that brings service and operational excellence to life each day while creating an exceptional experience for our patients, professionals, physicians, and students. Additionally, how we present ourselves matters, and adherence to our Professional Appearance Policy reflects the pride, respect, and professionalism we bring to those we serve.

Title: Family Birth Center Supervisor, Part Time Location: Moses Lake United States Job Description: Job category: Patient Care Services Requisition number: FAMIL004506 Part-time On-site Hourly range: $54.39 USD to $71.80 USD Description Our Mission All of us, for each of you, every time. Our Vision Together, serving as the trusted regional healthcare partner. Our Values Listen~Love~Respect~Excel~Innovate At Samaritan we are dedicated to providing healthcare services to the community that we serve. We are committed to providing the very best work environment for our employees and the very best care to our patients. The FBC Supervisor is responsible for overseeing the daily operations of assigned nursing units to ensure safe, high-quality, and patient-centered care. This role provides daily frontline supervision of nursing staff, assists with patient flow and bed management, and supports clinical decision-making. The FBC Supervisor collaborates with multidisciplinary teams to address clinical, operational, and staffing challenges in real time and ensures compliance with hospital policies, regulatory standards, and best practices. This is a part time, hourly position, working 20 hours per week. ESSENTIAL FUNCTIONS: - Supervises all FBC professionals in daily operational activities. - Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations. - Maintains appropriate staffing levels by overseeing the professional’s schedule. Reviews and approves time and attendance utilizing timekeeping software under the Direction of the FBC Director. - Maintains adequate material/supply by overseeing the procurement of supplies utilizing material management software. - Maintains working relationship with FBC vendors, consultants and care providers. - Assists the FBC Director in the review and enforcement of departmental policies and procedures. Trains and communications with professionals on new or changed policies and procedures. - Familiarity with job functions and assignments to efficiently rotate or alternate jobs between the professionals on duty based on their knowledge, skills, and abilities based on organizational need. - Ability to fill In as RN doing bedside care as needed. - Participate in professional selection, interviews, and onboarding ensuring training and development. - Assist with performance evaluations for FBC staff. - Works with professionals to educate them on service resolution opportunities with patients and other interdepartmental matters in a courteous and efficient manner conducive with the organization’s values. - Conducts quality and safety inspections to ensure work meets or exceeds established standards demonstrating commitment in infection control, safety, quality, customer service, and delivering patient satisfaction. EDUCATION & EXPERIENCE: Education: - - BSN required or equivalent experience. MSN preferred. MS in Business or Healthcare Administration also considered. License: - - Current Washington State RN license. Certification: - - Certification in clinical area of expertise preferred. - Basic Life Support Healthcare Provider (HCP) level to be completed within six (6) months of hire. Experience: - - Prior experience/expertise for three years in clinical area relevant to unit patient population required. - Two years of charge nurse, team leader or other leadership experience preferred. Skills: - - Demonstrates competency on equipment listed on department specific checklist. - Critical thinking skills: Seeks resources for direction, when necessary. Performs independent problem solving. Decision-making is logical and deliberate. - Performs actions that demonstrate accountability. Exercises safe judgment in decision-making. Practices within legal and ethical guidelines. - Demonstrates competency in ability to care for customers/patients across the age continuum. - Core values consistent with a patient/family-centered approach to care. - Demonstrates evidence of essential leadership, communication, education, collaboration, and counseling skills. - Cultivates effective partnerships, effectively collaborates with all practice providers (Physician, Nurse Practitioner, Physician Assistant and other licensed allied health team-members). PHYSICAL REQUIREMENTS: - Frequent periods using a keyboard and other input devices to enter information into computer systems. - Frequent periods of stationary work at a computer workstation. - Occasional prolonged standing/walking. Occasional lifting, reaching, kneeling, bending, stooping, pushing and pulling. - Mild physical effort, lift/carry up to 25+ lbs. - Good reading eyesight; full visual acuity, depth perception, and color perception. - Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public. As a Samaritan professional, you will be asked to carry out the Mission, Vision, Values, and Strategy of Samaritan, personifying service and operational excellence including the creation and maintenance of the best patient, professional, physician, and student experience.