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
Does not need Pediatrics experience but does need experience being a case manager and helping to facilitate discharge planning
experience working at the bedside- preferably at least 5 years' experience. ICU experience preferred but not required
40hrs per week, 8a-4:30p, Monday through Friday
No weekends or holidays required
No On Call
may need to float to other areas of Peds as needed
Can consider active advance clinical license from out of state. Would be need to be equivalent to a Maryland LCSW-C. Prior to clearance, a complete application must be in process with the Maryland Board.
Must have Master's in social work
Skills
MUST have hospital experience. Highly prefer exp in Oncology. Will consider Palliative/hospice care experience.
**Please keep in mind- Oncology Social work is a specialized field, needing a specialized skill-set and most often the successful candidate has had one of the following (a seasoned healthcare SW background, experience working in an oncology setting, experience in a healthcare specialty practice setting
MUST HAVE EPIC EXPERIENCE
Experience working in the psychological, social, emotional, financial and practical care domains.
Specifically: Biopsychosocial assessments, development of care plans and interventions based on the biopsychosocial assessment, care coordination and discharge planning, identification of regional/state/federal resources, working-knowledge of health insurance and financial implications of chronic illness, crisis counseling, suicide assessment, short-term counseling, family meetings, end of life and advance care planning, comfort working in an oncology setting with seriously ill patients and families, comfort with terminal illness and grief and lost. Ability to work in a fast paced academic health care setting. Ability to learn/use Telehealth systems and use of EPIC.
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)
DC RN
M-F, Day shift(8-5p) or evenings (3:30-11p)
2 openings for Inpatient discharge planning in units- Tele, Med/surg, ICU (2 floors)- Hours 8a – 430p, 830a – 5p or 9a – 6p
1 ED opening- Must have Psych and discharge planning experience- 3:30-11p- Week night differential ($1.25)
Population- Non compliant and dealing with a lot of SAR referrals
