Required: Active RN License, (2) years RN experience, BLS, Current in-patient Case Management experience; post-acute facility referral platforms such as NaviHealth or AllScripts.
Preferred: EPIC, Case management certification
The Case Manager
- Coordinates care for a select caseload of patients from triage, care coordination with management and safe transfer to home. Proactively communicates with payors to ensure approval of treatment plan and required resources. - Maintains knowledge of and responds to clinical system, and fiscal data related to specific patient populations.
- Collaborates with the multi-disciplinary team, patient/ patient family to ensure effective and efficient transition planning. Coordinates transition to post-acute settings including but not limited to nursing facilities, acute inpatient rehab and/or local shelters.
- Manages patients based on departmental procedures and maintaining clinical safety and quality
- Enters and maintains patient information in all departmental systems, per operational guidelines
(5) 8-hour shifts; 8:30 am - 5 pm - No weekends; no holidays; no call
Department: Oncology service. the candidate should preferably have some Oncology experience or extensive Med/Surg bedside experience, they would more easily assimilate into the oncology environment.
Required: Active RN License, (2) years RN experience, BLS, Current in-patient Case Management experience; EPIC and post-acute facility referral platforms such as NaviHealth or AllScripts.
(5) 8 hour shifts; 8:30 am - 5 pm - No weekends; no holidays; no call
EMS Billing Specialist
The Transportation Billing Specialist will be required to obtain data from multiple systems, to pre-bill Medicare Part B claims, create Part A invoices for clients, work denials, verify insurances, obtain payment for upcoming transports and other necessary tasks as assigned.
Updates and/or maintains patient account tracking system using computer station; evaluates patient file to ensure that all data is available prior to releasing patient account information for billing.
Prepares transportation patient bills by reviewing and verifying patient charges, coordinating benefit level, type of coverage, and/or approval for coverage, reviews charges for accuracy,
Reviews previously denied claims for discrepancies and prepares claims for appeal.
Interacts, as needed, with skilled nursing facilities hospitals and patients and co-workers to obtain information to meet requirements for third party billing.
Makes and receives telephone calls to and from patients, insurance companies and other third-party payers to ensure accurate and complete information is available. Verifies billing requiring precertification, as necessary.
Skills & Qualifications:
Pre-Billing of claims through billing software while adhering to timely filing requirements
Working knowledge of Medicare and Commercial insurance carrier’s billing requirements
Ability to read and understand Explanation of Benefits
Application of payments
Work all denied claims in a timely manner
Process payments over phone
Medical Billing experience
Medicare experience is strongly preferred
Must have strong in both the billing AND collections piece of the job
Superior verbal and written skills
Attention to detail
Adaptable to change
Strong computer skills
Excellent organizational skills and ability to multitask
Impeccable customer service and the drive to solve problems
MUST HAVE EXPERIENCE WITH NOVITASHPERE AND MARYLAND EVS SYSTEM
The benefits of joining our team:
• Employer-paid fitness membership
• $50,000 Life Insurance, 100% employer-paid
• Voluntary Accident Insurance
• Critical Illness Insurance
• Medical Insurance through Aetna, 100% employer-paid
• Dental and Vision insurance through Guardian
• Paid Time Off
• Sick Time
• 401(k) retirement planning option + matching
LOCATION
Essex Maryland (This is not a remote position)
Job Type: Full-time
Pay: $24.00 - $26 per hour
Expected hours: 40 per week MON-FRI 830-5PM
Schedule:
• 8 hour shift
• Day shift
• Monday to Friday
Experience:
• Medical Billers & Coders: 1 year (Preferred)
• ICD-10: 1 year (Preferred)
