28 jobs found

Coordinates: Conducts assessment to determine patient needs and barriers to disease management of continued recovery. Implements appropriate interventions to address identified patient needs and maintain regulatory requirements. Monitors the effectiveness of the patient’s care plan and intervenes when necessary to address potential progression delays. Arranges appropriate post-acute services and procurement of durable medical equipment. Coordinates transition of care as indicated. Assess the discharge planning needs of the neonate, pediatric, adolescent, adult and geriatric patient. Reporting: Documents assessment findings and interacts in the clinical record according to establish standards. Performs cost/benefit analysis to determine most cost effective care. Documents type education received by the patient and/or family members. Education: Educates patient and/or family member(s) to the processes and services provided. Attend and provide continuing education in-services....

Patient Care: Assesses, diagnoses, and treats patients in the hospital setting according to the scope of practice outlined by the Board of Nursing, approved protocols, and national standards of practice as directed by the physician preceptor. Patient Education: Provides patients and/or family members with education related to the disease process, health, and wellness Serves as a resource for community agencies as appropriate Documentation:       Ensures timely and accurate documentation of patient status and patient care activities including treatments, procedures, and medications prescribed Continuing Education: Ensures clinical competence Stays abreast of changes in medical management Participates in a variety of health care education activities Regulation: Adheres to NMHS/NMMC Policies/Procedures/Guidelines Complies with applicable Local/State/Federal policies/procedures/guideline/regulations/laws/statues Requirements: Master’s Degree in Nursing required; Doctorate Degree...

Job Description

Customer Service: Ensures delivery of outstanding customer service in the performance of assigned duties Schedule/Pre-Certify/Pre-Registration: Responsible for scheduling/rescheduling, pre-certifying, and pre-registering  patients for appointments, diagnostic tests, and outpatient procedures as ordered by referring physician Notifies appropriate personnel when there is a scheduling conflict (i.e. additional appointment, double-booking of appointments) Obtains necessary information required for scheduling, pre-certification, and pre-registration Obtains and/or verifies patient’s demographics, insurance information/eligibility, and benefits Responsible for informing patients and/or physician staff of the proper preparation and instructions for the tests ordered Notifies patient of the location of the appointment, test, and/or procedure Communication: Responsible for answering the telephone in a courteous and professional manner Maintain effective communication with physician offices...

Process Billing by receiving, interpreting, processing, and submitting through various edits to third party payors billing electronically and hard copy format. Billing follow up by contacting third party payers or accessing payer websites/provider portals to determine payment expectation and resolve any problem on the claim. nformation communications and processing by interpreting and processing third party payor and patient inquiries in an accurate and timely manner to expedite payment. Requirements: Must have a high school diploma or equivalent.  Must have excellent problem solving abilities.  Prolific communicator.  Prior experience in an office setting preferred.  Basic knowledge of Excel preferred. Incumbent interacts with patients, guarantors, third party payer representatives, physician office representatives and other employees.  They must have a working knowledge of PFM (accounts receivable system), Collections Manager(patient accounting work flow system), SSI Billing,...

Clerical: Performs general office duties and day to day administrative tasks Scheduling appointments, meetings and conference calls for the Director and HIS Team Attends meetings as requested to record minutes Provides clerical support to the HIS Team Communication: Answers incoming telephone calls, assists customer or directs call to appropriate personnel; takes messages if necessary Updates and maintains HIS intranet page and departmental information Communicates with Physicians and Coroners for completion of death certificates Budget: Accountable for maintaining departmental budget expenses Orders and maintains departmental supplies/information  (i.e. education, dues, subscriptions) Reconcile general ledger with invoices paid for sub accounts Assists Director in preparing, submitting and implementing the annual budget information Customer Service:                         Greets visitors in a professional and courteous manner Recordkeeping/Reporting: Prepares minutes from...

Process Billing by receiving, interpreting, processing, and submitting through various edits to third party payors billing electronically and hard copy format. Billing follow up by contacting third party payers or accessing payer websites/provider portals to determine payment expectation and resolve any problem on the claim. nformation communications and processing by interpreting and processing third party payor and patient inquiries in an accurate and timely manner to expedite payment. Requirements: Must have a high school diploma or equivalent.  Must have excellent problem solving abilities.  Prolific communicator.  Prior experience in an office setting preferred.  Basic knowledge of Excel preferred. Incumbent interacts with patients, guarantors, third party payer representatives, physician office representatives and other employees.  They must have a working knowledge of PFM (accounts receivable system), Collections Manager(patient accounting work flow system), SSI Billing,...

Process Billing by receiving, interpreting, processing, and submitting through various edits to third party payors billing electronically and hard copy format. Billing follow up by contacting third party payers or accessing payer websites/provider portals to determine payment expectation and resolve any problem on the claim. nformation communications and processing by interpreting and processing third party payor and patient inquiries in an accurate and timely manner to expedite payment. Requirements: Must have a high school diploma or equivalent.  Must have excellent problem solving abilities.  Prolific communicator.  Prior experience in an office setting preferred.  Basic knowledge of Excel preferred. Incumbent interacts with patients, guarantors, third party payer representatives, physician office representatives and other employees.  They must have a working knowledge of PFM (accounts receivable system), Collections Manager(patient accounting work flow system), SSI Billing,...

Essential Functions List major areas of responsibility and briefly what the person does in each area.   Customer Service for CVO: Assist with researching claim issues brought forward from clinic administrators and customer service staff. Regularly monitor claim denial reports to further investigate payer panel roster errors. Database Accountability Assists ITS in the development and maintenance of the CVO intranet page and Health Link web site Assist with the entering and maintaining accurate provider data in the system wide credentialing database. Assist with the validation of provider data in the credentialing database with clinic administrators Reporting: Provides routine reporting for all NMHS affiliated providers, Health Link, and Connected Care Partners provider panels, including monthly dashboard reports for Management, routine trend analysis, and ad hoc reporting, as requested Maintains delegated provider rosters for payers, including both governmental and commerical third...

Registration & Discharge: Serves as registration access point resource for all patient-facing interactions regarding admission and discharge processes. Initiates pre-registration process and guides patient through critical steps of verification, managed care resolutions, payment transparencies and ultimately financial clearance. Verifies patient identity upon arrival, then initiates activation of record to be accessed through multiple clinical systems. Obtains crucial confidential patient identification information including patient records, signatures and payment information repeatedly and ensures HIPAA guidelines are enforced when such information is obtained.  Responsible for verification of insurance coverage for medical necessity screenings. Held accountable for processing unscheduled patients and managing patient schedules across all departments. Effectively communicates NMHS’ organizational revenue cycle and financial policies including estimates, charity plans and...

Coordinate: Coordinates and maintains all rehabilitation office/clinic operations in assigned clinical area (scheduling,  medical records, supplies) Verifies staff schedules and patient appointments Participates in PI team as appropriate Administrative Support: Performs office/clerical duties for the therapists/providers in clinical area assigned Completes all typing for reports, minutes, memo in a timely and accurate manner Maintains an effective and functional filing system Gathers statistical data from appropriate resources to report to business office, accounting, medicare and other payers, and department managers as needed or assigned. Monitors ledgers/responsibility/revenue reports daily for accuracy as needed or assigned. Performs general office duties and day to day clerical and administrative support tasks including faxing, obtaining physician orders for treatment when needed, and communicating with payers for payment/medical necessity Orders equipment and maintains stocks...

Essential Functions: Determines system specifications through working with team members and the analysis of workflow, security needs, and access. Plan, define, install and configure supply chain and cloud-based systems. Monitor, analyze, tune and otherwise maintain supply chain application & database performance Troubleshoot any issues regarding networks, software, hardware and operating systems. Develop supply chain application’s security based on the demands of the system and data. Participate in client training efforts to ensure our clients can effective operate and manage their customized system. Collaborate with vendors and other staff to develop, evaluate, install and test software enhancements. Maintain accurate financial records and stay on target with budget. Keep professional knowledge updates with participation in professional education opportunities, reading trade publications and seeking industry organization membership. Protects company’s interests, research and...

Coordinates: Conducts assessment to determine patient needs and barriers to disease management of continued recovery. Implements appropriate interventions to address identified patient needs and maintain regulatory requirements. Monitors the effectiveness of the patient’s care plan and intervenes when necessary to address potential progression delays. Arranges appropriate post-acute services and procurement of durable medical equipment. Coordinates transition of care as indicated. Assess the discharge planning needs of the neonate, pediatric, adolescent, adult and geriatric patient. Reporting: Documents assessment findings and interacts in the clinical record according to establish standards. Performs cost/benefit analysis to determine most cost effective care. Documents type education received by the patient and/or family members. Education: Educates patient and/or family member(s) to the processes and services provided. Attend and provide continuing education in-services....

Essential Functions: Referral/Pre-certifications/Prior Authorization: Responsible for liaison functions in 340 eligible provider based clinics to optimize referrals and data capture for specialty pharmacy prescriptions and infusion drugs Responsible for coordinating service authorizations related to SPRX and related services of infusion as required through both medical and pharmacy benefits and documenting in multiple EMR. Directly responsible for data extractions and analysis from multiple EMRs and financial systems to capture referrals Assist clinic staff in coordinating prescription referrals and working with patients through financial counseling Financial: Directly responsible for functions of financial coordination and screening of SPRX and home orders referrals for patients regarding patient financial responsibilities and planning. Clinic 340B program optimization for specialty drugs, including tracking of PBM contracting and expansion Insurance: Responsible for the...

Registration & Discharge: Serves as registration access point resource for all patient-facing interactions regarding admission and discharge processes. Initiates pre-registration process and guides patient through critical steps of verification, managed care resolutions, payment transparencies and ultimately financial clearance. Verifies patient identity upon arrival, then initiates activation of record to be accessed through multiple clinical systems. Obtains crucial confidential patient identification information including patient records, signatures and payment information repeatedly and ensures HIPAA guidelines are enforced when such information is obtained.  Responsible for verification of insurance coverage for medical necessity screenings. Held accountable for processing unscheduled patients and managing patient schedules across all departments. Effectively communicates NMHS’ organizational revenue cycle and financial policies including estimates, charity plans and...

Coordinates: Conducts assessment to determine patient needs and barriers to disease management of continued recovery. Implements appropriate interventions to address identified patient needs and maintain regulatory requirements. Monitors the effectiveness of the patient’s care plan and intervenes when necessary to address potential progression delays. Arranges appropriate post-acute services and procurement of durable medical equipment. Coordinates transition of care as indicated. Assess the discharge planning needs of the neonate, pediatric, adolescent, adult and geriatric patient. Reporting: Documents assessment findings and interacts in the clinical record according to establish standards. Performs cost/benefit analysis to determine most cost effective care. Documents type education received by the patient and/or family members. Education: Educates patient and/or family member(s) to the processes and services provided. Attend and provide continuing education in-services....

Leadership: Overall responsibility for the long-range direction/initiatives of technical planning and development Develops, plans, coordinates, directs, and implements strategies, plans, tools, and approaches to ensure successful implementation of projects Develop and maintain an appropriate Information Technology (IT) organizational structure that supports the needs  of the Organization Management/Supervision: Plans, directs, and manages/supervises the Customer Service Center, System Administration, Telephony, and Network Administration Supervise recruitment, training, retention, and organization of all staff within the scope of responsibility and within approved guidelines, policies, and budget Provides counseling and corrective action(s) when necessary to responsible staff members Communication/Customer Service: Communicate the Organization’s technological strategy to Leadership, Management, Staff, partners, and customers Communicates current and accurate information relating to...

Manage:         Individual directs Facility Operations within North Mississippi Health Services   Facility  Operations:          Evaluates, develops, implements, coordinates, and directs corrective and preventive maintenance and construction on hospital, clinic, business, and industrial facilities   Financial:       Plans, develops, and manages department operating and capital budgets.   Compliance Knowledge: Understands and ensures regulatory and code compliance for all facilities  (Construction Codes, JCAHO, NFPA, OSHA, EPA , State Licensing and etc.) Collaborates with Safety Officer to ensure compliance with Life Safety, Environment of Care and other Joint Commission standards. Requirements:   A four-year degree in engineering or related field with six years of documented success in a management role dealing with those items described in "Essential Functions". Certified Healthcare Facility Manager designation preferred.

Essential Functions Coordinates: Consults with physician services Utilizes clinical diagnostics, physician documentation and non-physician clinical guidelines to facilitate status determination of inpatient, outpatient or outpatient observation. Coordinates final status with admitting and attending physicians Performs initial and concurrent clinical reviews as indicated by payer and patient clinical needs Inpatient and/or outpatient notification and precertification of services to payers Facilitates peer to peer, written reconsiderations or appeals throughout all denial cycle as appropriate Facilitates appropriate observation utilization Consults with patient financial services Educations: Provides education and literature to physician services regarding IPPS and OPPS Educates physicians and other care team member on level of care criteria and other third party payer requirements Reporting/Recordkeeping: Updates patient’s medical records as required Shares medical necessity...

Responsible for the direction and leadership of operational, financial, programmatic, personnel, and growth activities for North Mississippi Health Services (NMHS) Virtual Care Department. This includes establishing, meeting, and continuously monitoring the goals and objectives while maintaining alignment with the strategic goals and objectives of NMHS. Provide administrative recommendations and oversight to the Virtual Care Strategic Plan including process improvements to drive efficiency, effectiveness, affordability, positive patient experience, and quality. While the range of duties and responsibilities is broad and varied, the position’s major responsibility is directing the day-to-day operations, human resource management, building customer relations with current and future partners, financial management, and driving growth opportunities.  The Director will partner with hospital and clinic operations to give insight and assist in decision-making of where to compete and expand,...