Specialist (OBH), Cash Operations

2 weeks ago

Brooklyn, United States One Brooklyn Health Full time $21 - $24
Overview:

Qualifications, skills, and all relevant experience needed for this role can be found in the full description below.

The Cash Operations Specialist will obtain appropriate reimbursement levels for professional services by analyzing denial and rejection reports and appeals whenever appropriate. Works directly with practices, payors and patients to resolve claims. Address core issues driving denials or slow payments with appropriate staff. Ability to assist in charge capture and charge entry if necessary.

Responsibilities:
Review and clear hold buckets for professional fee claims.
Develop expert knowledge of AthenaHealth practice management system.
Manage Medicaid pending and worker’s compensation claims support.
Develop relationships with key payor representatives for timely claim adjudication.
Develop relationships with practice plan personnel to assist in rectifying registration and coding related denials, and to acquire additional documentation for appeals.
Develop relationship with credentialing office to assist in clearing credentialing related bill holds.
Maintain a working knowledge of CPT-4 and ICD-9/10-CM coding principles, governmental regulations, protocols and third-party requirements pertaining to billing and documentation.
Answers patient and/or payor questions regarding billed amounts.
Provides accurate and concise communication to practices informing them of best practices.
Ensures maximum efficiency and reimbursement for properly documented services.
Reviews, modifies, and recommends changes to policies and procedures to improve professional fee billing and to maximize reimbursement.
Effectively manager A/R, bad debt, credit balance/refunds and collections.
Patient services and mails (sort and distribute).
Reconcile all payments (Bank, copayment) and produce financial month end reports.
Track, scan and upload payments to Athena.
Obtain Insurance Web access for all facilities (web portal, set up ERA/EFT, etc.).
All other duties as requested.
Qualifications:

Education:

Associates Degree.
OR Successful completion of an AHIMA approved Coding Certificate Program.

Experience:

Prior experience using AthenaHealth practice management or similar physician practice management system is required.
Minimum three (3) years of professional fee reimbursement experience is required.
Emergency Department, Radiology and Cardiology experience will be considered in lieu of certain other requirements.

Knowledge and Skills:

Must possess a thorough working knowledge of ICD-9/10-CM and CPT-4 coding systems as demonstrated by certification through AHIMA.
Knowledge of medical terminology, physician reimbursement models and medical abbreviations is required.
Ability to fully utilize BHMC’s electronic record systems, equipment and other healthcare and billing systems, as well as be proficient with Microsoft Windows and Microsoft Office.
Familiarity with physician practice management software (AthenHealth, EPIC, etc.) and electronic medical record a plus.
Ability to assist in translating physician orders to diagnosis or CPT-4 coding levels.

Licenses, Certifications:

Certification and Registration with the American Association of Medical Assistants, preferred.
Medical Assistant Certification preferred.

Physical Requirements:

Position requires prolonged periods of sitting and use of a computer and screen viewing throughout the working day.

#OBH123

Pay Transparency:

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH).

OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.

  • OBH One Brooklyn Health Travel Nurse Position

    10 hours ago

    Brooklyn, New York, United States OBH One Brooklyn Health Full time

    Company OverviewOBH One Brooklyn Health is a leading healthcare provider dedicated to delivering exceptional patient care.We are seeking a highly skilled Nursing Specialist for our Labor and Delivery department in Brooklyn, NY.This travel nurse position requires expertise in maternal health care with a focus on providing compassionate care to new mothers.The...

  • (OBH) Chairperson

    7 days ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview The One Brooklyn Health Chair of Emergency Medicine will provide strategic leadership, direction, and coordination for the clinical and teaching components of the Departments of Emergency Medicine while working collaboratively with clinical and administrative leadership to meet and exceed hospital clinical and business goals. The Chair will...

  • Nursing Specialist

    16 hours ago

    Brooklyn, New York, United States OBH One Brooklyn Health Full time

    Job DetailsClient Name: OBH One Brooklyn HealthJob Type: TravelProfession: RNSkill Required: Labor and Delivery (L&D)Weekly Pay: $2124.04Shift Details:Shift: 7a-7pScheduled Hours: 36Job Order Details:Duration: 13 Week(s)

  • Medical Care Specialist

    3 weeks ago

    Brooklyn, New York, United States OBH Rutland Nursing Home Full time

    Job OverviewAt OBH Rutland Nursing Home, we are seeking a dedicated and compassionate LPN to join our team as a Medical Care Specialist. This is a unique opportunity to provide high-quality patient care in a fast-paced travel position.In this role, you will have the chance to work closely with our experienced nursing staff to deliver exceptional patient...

  • RN Wound Care Specialist

    5 days ago

    Brooklyn, New York, United States OBH Rutland Nursing Home Full time

    Job Title: RN - Wound CareAbout the Role:As a Travel RN in Wound Care at OBH Rutland Nursing Home, you will have the opportunity to work with a dynamic team providing high-quality patient care. The successful candidate will possess strong clinical skills and experience in wound care management.Schedule and Shifts:This position is for a 13-week assignment...

  • Retention & Adherence Specialist

    6 months ago

    Brooklyn, United States The Brookdale Hospital Medical Center Full time

    Overview: The Retention & Adherence Specialist conducts outreach, intake, assessments, screenings and medical case management for persons living with HIV who have not achieved viral suppression. Reports to the Program Manager, the Retention and Adherence Program. Responsibilities: The duties and responsibilities of the Retention and Adherence Specialist...

  • RN - Operating Room

    2 months ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview In addition to general nursing, is responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations. Responsibilities Assesses patients at intervals as stated in policies and procedures. Functions in the scrub and or circulating role during...

  • Ultrasound Technologist

    4 days ago

    Brooklyn, New York, United States One Brooklyn Health Full time

    **The Role**We are seeking a skilled Imaging Specialist to join our team at One Brooklyn Health. As an Imaging Specialist, you will be responsible for performing a variety of ultrasound imaging procedures, coordinating scheduling and patient preparation, reviewing control sheets, positioning patients, selecting appropriate ultrasound technical and recording...

  • Technologist, Special Procedure I

    2 weeks ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview Perform a variety of ultrasound imaging procedures requiring independent judgment and initiative in the utilization of ultrasound equipment for the diagnosis of disease in patients. Responsibilities Coordinates scheduling and patient preparation for sonography examinations. Reviews Control Sheet for correct ordered exam and other pertinent clinical...

  • Diagnostic Sonographer

    3 days ago

    Brooklyn, New York, United States One Brooklyn Health Full time

    **Overview**As an Imaging Specialist at One Brooklyn Health, you will play a critical role in providing high-quality diagnostic imaging services to our patients. You will work independently, utilizing your expertise in ultrasound technology to perform a variety of imaging procedures, making informed decisions, and maintaining accurate records.Key...

  • Cash Handling Specialist

    3 weeks ago

    Brooklyn, New York, United States PAY-O-MATIC CK CASHI Full time

    Job OverviewPAY-O-MATIC CK CASHI is seeking a skilled Cash Handling Specialist to join our team. This role involves processing and verifying currency, maintaining inventory, and ensuring the security of our facilities.

  • RN, Certified Anesthetist

    1 month ago

    Brooklyn, United States Disability Solutions Full time

    Overview:Administers intravenous, spinal, and other anesthetics to render persons insensible to pain during surgical procedures.Responsibilities:Prepare operating room with necessary anesthetics and review patient medical history.Prepare prescribed solutions for intravenous injections and administer.Assemble machine for administering gas and tests it to...

  • RN, Certified Anesthetist

    1 month ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview:Administers intravenous, spinal, and other anesthetics to render persons insensible to pain during surgical procedures.Responsibilities:Prepare operating room with necessary anesthetics and review patient medical history.Prepare prescribed solutions for intravenous injections and administer.Assemble machine for administering gas and tests it to...

  • RN, Certified Anesthetist

    1 month ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview:Administers intravenous, spinal, and other anesthetics to render persons insensible to pain during surgical procedures.Responsibilities:Prepare operating room with necessary anesthetics and review patient medical history.Prepare prescribed solutions for intravenous injections and administer.Assemble machine for administering gas and tests it to...

  • RN, Certified Anesthetist

    1 month ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview:Administers intravenous, spinal, and other anesthetics to render persons insensible to pain during surgical procedures.Responsibilities:Prepare operating room with necessary anesthetics and review patient medical history.Prepare prescribed solutions for intravenous injections and administer.Assemble machine for administering gas and tests it to...

  • RN, Certified Anesthetist

    1 month ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview:Apply promptly! A high volume of applicants is expected for the role as detailed below, do not wait to send your CV.Administers intravenous, spinal, and other anesthetics to render persons insensible to pain during surgical procedures.Responsibilities:Prepare operating room with necessary anesthetics and review patient medical history.Prepare...

  • RN, Certified Anesthetist

    1 month ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview:Apply promptly! A high volume of applicants is expected for the role as detailed below, do not wait to send your CV.Administers intravenous, spinal, and other anesthetics to render persons insensible to pain during surgical procedures.Responsibilities:Prepare operating room with necessary anesthetics and review patient medical history.Prepare...

  • Banking Operations Specialist

    5 days ago

    Brooklyn, New York, United States Citigroup Inc Full time

    Role SummaryWe are seeking an experienced Banking Operations Specialist to join our team. In this role, you will be responsible for ensuring seamless banking operations, focusing on efficient transaction processing and excellent customer service delivery. You will work closely with our Customer Service team to achieve these objectives.Primary...

  • Diagnostic Imaging Specialist

    5 days ago

    Brooklyn, New York, United States One Brooklyn Health Full time

    Job SummaryThis position is responsible for performing ultrasound imaging procedures, utilizing independent judgment and initiative in the operation of ultrasound equipment to diagnose diseases in patients. The ideal candidate will possess good interpersonal skills and a basic knowledge of imaging equipment used.Key ResponsibilitiesCoordinate scheduling and...

  • Technologist, Special Procedure I, Ultrasound

    6 days ago

    Brooklyn, United States The Brookdale Hospital Medical Center Full time

    Overview: Perform a variety of ultrasound imaging procedures requiring independent judgment and initiative in the utilization of ultrasound equipment for the diagnosis of disease in patients. Responsibilities: Coordinates scheduling and patient preparation for sonography examinations. Reviews Control Sheet for correct ordered exam and other pertinent...