Role Description Post Paper, Electronic Payment, and/or Denial in the billing system. - Review, interpret, and balance Electronic Remittance Advice (ERA) files. - Validate account to ensure correct Financial Classification (FC), Contract ID (CID), and Insurance key (INSKEY). - Monitor pending/unposted deposits or ERA batches to ensure timely reconciliation and closure. - Perform research on unposted funds within a suspense account to determine disposition. - Contact insurance carrier via phone, email, intranet, or written correspondence to obtain documentation. - Process Activity Codes based on department guidelines. - Identify trends and communicate to manager or leadership team. - Perform other tasks as assigned by Supervisor or Manager. Qualifications - High School Diploma or GED required. - 2+ years working experience required. - Experience handling debits and credits (reconciliation processes) required. - Experience with MS Word and MS Excel required. - Prior phone proficiency preferred. - Clear understanding of debits and credits. - Possess strong verbal and written communication skills. - Effective customer service skills with internal and external customers. - Ability to read and comprehend simple instructions, short correspondence, and memos. - Ability to correctly add, subtract, multiply and calculate percentages. - Ability to follow department and compliance guidelines. - Ability to work in a fast-paced environment. - Flexible and adaptable to an ever-changing environment. - Ability to make phone calls seeking account resolution. - Effectively balance payer EOB, ERA and/or allocate patient payments. - Ability to work within Microsoft Office; Word, Excel, Outlook. - Critical thinking, problem-solving and analytical skills. - Perform 10-key by touch. - Work independently with minimal supervision. - Ability to work overtime during peak periods. The Community - Even when you are working remotely, you are an important part of the Vituity Community. - Monthly wellness events and programs such as yoga, HIIT classes, and more. - Trainings to help support and advance your professional growth. - Team building activities such as virtual scavenger hunts and holiday celebrations. - Flexible work hours. - Opportunities to attend Vituity Community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more. Benefits - Superior health plan options. - Dental, Vision, HSA/FSA, Life and AD&D coverage, and more. - Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service). - Generous paid time off starting 3-4 weeks’ annually. - Student Loan Refinancing Discounts. - Professional and Career Development Program. - EAP and travel assistance included. - Wellness program. - Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

Coding Specialist - Until Filled (CST) - Medical Records - Osage, IA, USA - 20.27 per hour , increases with experience - Hourly - Full Time Who We Are: Mitchell County Regional Health Center is in Osage, Iowa located in Mitchell County, which has a population of 10,600 people. MCRHC is a 25-bed critical access hospital, including a Level 4 Trauma Center Emergency Room seeing 3,200 visits annually. The Surgical Services department performs over 1,300 procedures annually, including specialties General Surgery, Orthopedics, ENT, Urology, Ophthalmology, Pain management, and Podiatry. We are proud to share our strong tradition of excellence, progress and solid economic performance. Founded more than 75 years ago as a community hospital, today we operate three clinics, 24/7 emergency services, inpatient and outpatient medical/surgical services. We have invested millions in facility upgrades just in the last few years. With more than 225 employees and average tenure of eight years, our growth continues with multiple expansion projects currently underway. We are an affiliate of MercyOne. Come practice in a family-oriented, patient focused organization where your skills and knowledge are appreciated and valued! About The Job: Seeking a detail-oriented Inpatient/Surgery/ProFee medical coder to help ensure the delivery of excellent healthcare services. The ideal candidate will have thorough knowledge of anatomical and medical terminology, as well as natural curiosity and an analytical mindset. Responsibilities will include reviewing patient records, lab results, operative reports and other physician documentation to determine accurate ICD-10-CM, CPT, and HCPCS codes to ensure compliant billing for insurance reimbursement and facility revenue. Also coding professional charges (hospital rounds, clinic visits, etc.). Other responsibilities include collaborating with physicians for clarification, providing physician education, and maintaining confidentiality. The medical coder will adhere to standard protocols of the profession while using their own methods to compile the most accurate information and promote organizational growth. Opportunity to work remotely after working onsite for one year. The Position: 1.0 FTE. 80 hours per pay period. Monday-Friday. Flexible Hours Pay: Starts at $20.27, increase with experience. Position Qualifications: - Education: - Courses in medical terminology, , ICD-10 and CPT coding, anatomy and physiology and pharmacology. - Coding Certification preferred. - Experience: - At least two years of relevant health care experience or one year experience in CPT and ICD-10 coding systems preferred - Special Skills, Competencies, and Aptitudes: - Must possess good interpersonal communication skills and be able to interact with a variety of customers including providers. - Typing & computer skills. What We Give: - Paid Time Off - Competitive starting wage - Student Loan Assistance program available - Health, Dental and Life Insurance - State of Iowa Pension Plan (IPERS) - Flex Spending Accounts - Free use of on-site gym - Cafeteria Discounts - Optometry and Orthotic Discounts - Professional Development Opportunities The Legal Items: - Reference Checks-Pre-Offer - Post offer drug screen is required - Background Check-Post Offer Acceptance - Pre-Employment Screening Post offer acceptance - MCRHC is an equal opportunity employer - Verification of required vaccinations at offer acceptance. MMR, Tetanus and Varicella

Imagine360 is currently seeking a Medical Management Support Specialist to join the team! The Medical Management Support Specialist will assist the Medical Management Supervisor by supporting non-clinical tasks and/or projects as assigned. Position Location: 100% remote Duties/Responsibilities: - Assist Medical Management Supervisor, Managers, and Clinicians with non-clinical tasks as instructed by the direct supervisor. - Assigns cases to the appropriate clinical employee, following approved criteria for case assignment; will also transfer non-clinical data as well as structure clinical data, as directed by clinical and non-clinical supervisor(s). - Communicates professionally with external providers and vendors to assist with case documentation, requesting clinical documents for clinical staff review. - Following a script, completes non-clinical outreach calls to clients to gather information related to program enrollment, as instructed by Supervisor. - Assists with Stop Loss communication by sending Stop Loss letters to the Stop Loss Carriers as instructed. - Monitor specific department email inboxes and assign cases to clinical employees and direct communications received to the appropriate employee as instructed by Supervisor. - Pull program satisfaction survey results and distribute to appropriate employees as needed. - Run and assemble internal and external reports as instructed. - Maintain inventory of education and resources for the team. - Mail letters and education material for Medical Management programs to members. - Process returned mail for Medical Management. - Prepare & maintain new hire binders as needed. - Help organize and attend scheduled meetings and trainings for the department or company via teleconference or in person. - Process participant assessments as assigned. - Work collaboratively within a team setting to provide positive outcomes for members, clients, peers, and overall operations. - Performs all tasks in accordance with Medical Management policies and procedures and HIPAA/PHI guidelines and follows the policies and procedures as it relates to escalating issues within the staff hierarchy and between clinical and non-clinical staff. - Completes all tasks on time and with accuracy. - Participate in quality program as assigned. - Perform all tasks in accordance with HIPAA/PHI guidelines. - Complete HIPAA training annually. - Perform other duties as assigned. Education and Experience: Required Education: - High school diploma or equivalent is required.  Required Experience: - 0-1 + years' experience working in an administrative support role. - Experience working with Microsoft Office including Word, Excel, and PowerPoint. - Experience navigating the internet and using database software. Preferred Experience: - Prior experience working in an administrative support role specifically supporting non-clinical healthcare operations preferred. Skills and Abilities: - Ability to maintain a high level of accuracy and attention to detail to perform each essential duty satisfactorily. - Ability to read and interpret documents such as HIPAA compliance, safety rules, operating and maintenance instructions, and policy and procedure manuals. - Ability to write routine reports and correspondence. - Strong verbal and written communication skills. - Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. - Ability to apply concepts of basic mathematics and fundamental accounting principles. - Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. - Ability to deal with problems and exercise sound judgment involving several concrete variables in standardized situations. - Advanced knowledge and skills using Microsoft Office including Word, Excel, and PowerPoint software; Internet software; Database software.   Physical Requirements: Work Environment: - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job indoors. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - The noise level in the work environment is usually very quiet. Physical Demands - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - This position involves no physical exertion beyond the normal office environment and the employee must occasionally lift and /or move up to 10 pounds. - Specific vision abilities required by this job include Close vision, Distance vision, Peripheral vision, Depth perception and Ability to adjust focus. Also requires a high degree of visual concentration for reviewing and compiling large quantities of computer-based data from several sources. - The employee regular uses hearing for gathering information. - While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand and walk. What can Imagine360 offer you? - Multiple Health plan options - Company paid employee premiums for disability and life insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Company paid Short & Long term Disability plus Life Insurance - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives Want to see our latest job opportunities? Follow us on LinkedIn Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. **RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**

Job Details PFS Hospital | Remote | Full-time | First shift Responsibilities & Requirements Responsibilities: - Under the direction of the Patient Accounts Manager or Patient Accounts Supervisor and guidance of the Team Lead the Patient Accounts Specialist is highly involved in all aspects of medical billing, and is responsible for escalated follow-up and denial work. Participates in training and auditing of Patient Account Representatives. - Works special projects as assigned. - First level of contact for Patient Account Representatives. - Must display knowledge retention through scheduled assessments. - Must role model KHN Standards of Behavior. - Other duties as assigned. - This is not considered a leadership role in regard to authority over team members. Requirements: - Strong knowledge of payer guidelines including government payers - Competent in preparing and submitting appeals for denied or delayed claims according to established protocols - Competent in identifying and communicating recurrent insurance carrier denials to Team Lead - Exceptionally well-versed in resolving errors to ensure prompt claim resolution - Timely identification of delinquent accounts and following up to expedite resolution - Expert in system (Epic) navigation - High School diploma or equivalent required - Minimum of one years’ experience in patient billing required Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.