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Healthcare Recruiter

National Recruiters Birmingham Alabama, 35201

About Us: National Recruiters, Inc., the premier provide...

About Us:National Recruiters, Inc., the premier provider of healthcare professionals to hospitals, healthcare facilities, medical offices and primary care offices is experiencing tremendous growth!We are newly creating an independent position that will have direct visibility to the CEO and president. When you join our team as a Healthcare Recruiter, you will be exposed to the full lifecycle of recruiting, with specific emphasis on business development- bringing new clients into the business. You will also be responsible for assisting with the identification of exceptional talent for open client positions, mainly in healthcare. Ultimately, you will be closing new business deals.Our recruiters are on the front lines, providing an excellent brand experience to both our candidates and our clients. We are looking for a well-rounded staffing professional who can analyze our applicants’ and clients’ needs and find the best possible match for each. A highly dynamic and resourceful individual is necessary for the purpose of building and delivering recruitment solutions to new companies.This is a commission-based position offering unlimited earning potential and is perfect for the highly accountable and independent person who wants to work remotely. The motivated person can earn over 100K in their first year with tremendous financial upside from there. This individual can reside anywhere in the United States.Responsibilities:<ul dir="ltr"><li>Confer with leadership daily to identify the latest “best use of time” and set up your plan to maximize on revenue production. Set your own accountability and plan for follow-up tasks.</li><li>Manage the recruitment process from start to finish including the solicitation of a new job order, posting the job order to maximize visibility, review and track incoming resumes, conduct application and phone screens, schedule interviews, process employment references and background checks, and extend offers/declines to candidates.</li><li>Initiate and develop a targeted approach to finding new client business. Research all job boards with the purpose of assessing which companies are hiring and which have open positions. Market a prospective candidate to said client with the goal of picking up a new job order.</li><li>Help build a pipeline of new candidates- prospecting and networking strategically by using all company provided recruiting resources such as ZipRecruiter, Indeed, Careerbuilder, Monster, LinkedIn, Facebook, Twitter and Instagram to name a few.</li><li>Work within the existing applicant tracking system to identify candidates for newly sourced job orders. Initiate email campaigns, maximize social media venues and recruit for new candidates. Review resumes and credentials for appropriateness of skills, experience, and knowledge about position requirements.</li><li>Work with management on a candidate referral campaign with the goal of producing new candidates.</li></ul><div style="text-align: center;">Desired Qualifications:</div><ul dir="ltr"><li>Bachelor’s Degree in Business Administration, Human Resources Management or related field.</li><li>3+ years of experience in a corporate recruiting role or a staffing firm. Prior new business development experience strongly preferred.</li><li>Healthcare industry staffing experience strongly preferred but not mandatory.</li><li>Prior experience with applicant tracking systems or other tracking tools as well as comfort in using all social media venues to market prospective clients and candidates. Proficiency with Microsoft Office products.</li><li>Must be self-motivated, organized, and able to work independently, all while having a passion for recruiting.</li><li>Ability to quickly develop rapport and communicate clearly and concisely, both verbal & written.</li><li>Able to excel in an ambiguous and continuously changing environment.</li></ul>

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Rehab Liaison (Rn, Therapist Or Healthcare Sales Required)

Encompass Health Birmingham AL, 35202

The Rehab Liaison is responsible for developing census as defined through targeted goals of the business plan and developing refer...

Posted 1 week ago

The Rehab Liaison is responsible for developing census as defined through targeted goals of the business plan and developing referral relationships within the geographic territory with an emphasis on face-to-face contacts. In addition, the liaison will assist with coordination of referral to admission conversion process and represent our company in community-related activities. In addition, the position: * Utilizes market analysis data in individual territory identifying new business and potential opportunities. * Recognizes barriers to admission, responds appropriately and follows up on admissions variables. * Understands healthcare operations, legal guidelines, competitive analysis, and market place trends * Provides in-services and professional presentations for referral sources, community groups and other organizations, regarding our company's services, programs and outcomes. The Rehab Liaison creates an environment and culture that enables the hospital to fulfill its mission by providing patient safety and patient-centered treatment. Benefits To attract and retain the best professionals, we offer a comprehensive and competitive benefits package that includes medical, dental, vision, 401(k), college savings plan, employee assistance program, pre-paid legal plan and much more. For more information on available benefits, please click here. What types of patients will you see? We are an acute rehabilitation hospital setting. Typically our patients spend an average of 2-4 weeks in our hospital and come to us with a wide variety of diagnosis such as: stroke, spinal cord injury, brain injury, various neurological disorders, rheumatoid arthritis, osteoarthritis, amputation, joint replacement, fractures, multiple trauma, cardiac conditions, and pulmonary conditions. 80% of our patients are discharged directly home. We use evidence-based practice guidelines to treat our patients. We utilize our clinical outcomes to assess and improve our treatment interventions and programs. We participate in a national outcomes database, which provides benchmarks and sophisticated outcome reports to help us continually analyze and improve our patient outcomes. Helping you become better is critical to our success - You will be paired with mentors; attend in-house as well as external educational programs. The treatment team is made up of full time therapists, nurses, social workers, pharmacists and medical staff; and we offer educational benefits if you are interested in continuing your education. Job Code: 100147 License or Certification: * Current driver's license in state employed and acceptable driving record according to company policy * Current State Professional License required * Current CPR certification preferred * CRRN preferred. Education, Training and Years of Experience: * Bachelor's Degree preferred or equivalent job experience * Minimum 2 years experience as clinician or tech in healthcare environment preferred * Minimum 1 year experience as nurse liaison or successful sales experience in healthcare environment preferred * Familiarity with acute hospital, rehab hospitals, and local healthcare market preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer. Physical Requirements: * Good visual acuity and ability to communicate. * Ability to lift and push/pull a minimum of 30 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements. Compliance: * Adheres to the company's Standards of Business Conduct. * Maintains current licensure and/or certifications, if applicable. Skills and Abilities: * Ability to speak, read, write, and communicate effectively. * Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner. * Ability to work independently without supervision. Environmental Conditions: * Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure. * Exposure or potential exposure to blood and body fluids may be required. * Handicapped accessible. * May work under stressful circumstances at times. Proficiency or Productivity Standards: * Meets established attendance standards. * Adheres to hospital/department dress code including wearing ID badge. * May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines. * May be required to work on religious and/or legal holidays on scheduled days/shifts. * Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster. * May be required to stay after workday to assist after a disaster situation until relief arrives. * May be required to perform other duties as assigned by supervisor. * Must be able to travel overnight to fulfill essential training requirements. Travel is infrequent, but necessary for training purposes. Minimum required travel includes training at Corporate Office in Birmingham, AL. Address: 3800 Ridgeway Drive, Birmingham 35209 Shift: Day Job Job ID: 1825215

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Rehab Liaison (Rn, Therapist Or Healthcare Sales Required)

Healthsouth Corporation Birmingham AL, 35202

The Rehab Liaison is responsible for developing census as defined through targeted goals of the business plan and developing refer...

Posted 1 week ago

The Rehab Liaison is responsible for developing census as defined through targeted goals of the business plan and developing referral relationships within the geographic territory with an emphasis on face-to-face contacts. In addition, the liaison will assist with coordination of referral to admission conversion process and represent our company in community-related activities. In addition, the position: * Utilizes market analysis data in individual territory identifying new business and potential opportunities. * Recognizes barriers to admission, responds appropriately and follows up on admissions variables. * Understands healthcare operations, legal guidelines, competitive analysis, and market place trends * Provides in-services and professional presentations for referral sources, community groups and other organizations, regarding our company's services, programs and outcomes. The Rehab Liaison creates an environment and culture that enables the hospital to fulfill its mission by providing patient safety and patient-centered treatment. Benefits To attract and retain the best professionals, we offer a comprehensive and competitive benefits package that includes medical, dental, vision, 401(k), college savings plan, employee assistance program, pre-paid legal plan and much more. For more information on available benefits, please click here. What types of patients will you see? We are an acute rehabilitation hospital setting. Typically our patients spend an average of 2-4 weeks in our hospital and come to us with a wide variety of diagnosis such as: stroke, spinal cord injury, brain injury, various neurological disorders, rheumatoid arthritis, osteoarthritis, amputation, joint replacement, fractures, multiple trauma, cardiac conditions, and pulmonary conditions. 80% of our patients are discharged directly home. We use evidence-based practice guidelines to treat our patients. We utilize our clinical outcomes to assess and improve our treatment interventions and programs. We participate in a national outcomes database, which provides benchmarks and sophisticated outcome reports to help us continually analyze and improve our patient outcomes. Helping you become better is critical to our success - You will be paired with mentors; attend in-house as well as external educational programs. The treatment team is made up of full time therapists, nurses, social workers, pharmacists and medical staff; and we offer educational benefits if you are interested in continuing your education. Job Code: 100147 License or Certification: * Current driver's license in state employed and acceptable driving record according to company policy * Current State Professional License required * Current CPR certification preferred * CRRN preferred. Education, Training and Years of Experience: * Bachelor's Degree preferred or equivalent job experience * Minimum 2 years experience as clinician or tech in healthcare environment preferred * Minimum 1 year experience as nurse liaison or successful sales experience in healthcare environment preferred * Familiarity with acute hospital, rehab hospitals, and local healthcare market preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer. Physical Requirements: * Good visual acuity and ability to communicate. * Ability to lift and push/pull a minimum of 30 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements. Compliance: * Adheres to the company's Standards of Business Conduct. * Maintains current licensure and/or certifications, if applicable. Skills and Abilities: * Ability to speak, read, write, and communicate effectively. * Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner. * Ability to work independently without supervision. Environmental Conditions: * Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure. * Exposure or potential exposure to blood and body fluids may be required. * Handicapped accessible. * May work under stressful circumstances at times. Proficiency or Productivity Standards: * Meets established attendance standards. * Adheres to hospital/department dress code including wearing ID badge. * May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines. * May be required to work on religious and/or legal holidays on scheduled days/shifts. * Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster. * May be required to stay after workday to assist after a disaster situation until relief arrives. * May be required to perform other duties as assigned by supervisor. * Must be able to travel overnight to fulfill essential training requirements. Travel is infrequent, but necessary for training purposes. Minimum required travel includes training at Corporate Office in Birmingham, AL.

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Nurse Healthcare Manager RN

Brookdale Senior Living Birmingham AL, 35202

Full Time Nurse Healthcare Manager RNFull Time Nurse Healthcare Manager RN Brookdale Univ Pk IL/AL/MC(AL) 400 University Par...

Posted 1 week ago

Full Time Nurse Healthcare Manager RNFull Time Nurse Healthcare Manager RN Brookdale Univ Pk IL/AL/MC(AL) 400 University Park Drive Birmingham, AL 35209 Job #:NHMSCbirmAL7245877 Brookdale. Bringing new life to senior living. Job Summary: Manages the day-to-day clinical services of the community to ensure resident's healthcare needs are met. Ensures residents are treated with respect and dignity and ensures quality care as resident's healthcare needs change. Supervises and provides leadership as well as coaching to licensed nurses and other direct care staff within the community. Your responsibilities: * Responsible for the direct supervision of community-based licensed, certified and non-certified clinical associates. * Assigns and directs work of subordinates; appraising performance; rewarding and disciplining associates; addressing complaints and resolving problems * Provides training and education to resident care associates on an ongoing basis with classroom in-services, and situation-specific training * Supervises the maintenance of resident charts and reviews documentation performed by care giving staff * As described and allowed in the Nurse Practice Act, assesses health, oversee medication administration, functional and psycho-social status of residents, initiates individualized service plans, proactively manages care and services for each resident, evaluates effectiveness and maximizes the resident's opportunity to remain in their environment * Manages the health care of residents, including the dissemination of information to families and associates. Ensures that family members are aware of resident's need for scheduled appointments * Participates in pre-admission screening of prospective new residents. Assures that required documentation is completed prior to or upon resident admission, including nursing assessments, service plans, and other assigned forms. Updates assessments as required by policy and as described/allowed in Nurse Practice Actor state regulation * Performs on-site evaluations of residents admitted to alternate care environments for treatment, and maintains contact with resident families with the intent of returning resident to Brookdale * Evaluates residents; documents changes in condition, and notifies executive director, physician, and resident's legally responsible party/family of resident's condition and reactions * Communicates with physicians regarding residents' status and condition changes. Ensures residents are prepared for physician appointments, and visits * Facilitates continuity of care for those residents receiving home health care, hospice services, and other third party healthcare- related services * Participates in or leads meetings relevant to resident care issues, such as Service Plan meetings, involving appropriate parties as needed * Ensures in-house ancillary medical services such as podiatrist, doctor visits, dental visits, psych visits, lab, X-ray, ambulance, etc. are scheduled and followed through * Participates in department quality improvement activities * Assists in keeping the environment safe for associates to reduce the occurrence of Workers' Compensation claims by appropriately evaluating resident transfer and mobility needs and involving therapy services as indicated * Shares on-call and manager on duty responsibilities/shifts as required Required skills and qualifications: * Education as required to obtain state nursing license (RN). * Preferred a minimum of 3 years clinical leadership experience. * Working knowledge of basic technology and electronic documentation * RN license required Brookdale is the largest senior living solutions company in the country, with 1,000+ communities in 46 states serving 110,000 residents around the country. That translates to lots of career opportunities for you! We offer independent living, assisted living, Memory Care, skilled nursing, continuing care retirement, in-house therapy, hospice, home health, and personalized living. If you're a Brookdale associate, please consider referring someone through the Good People Program! Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace. Brookdale offers a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, educational reimbursement. All associates, age 21 and older, are eligible to participate in the 401(k) retirement savings plan.

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Project Architect - Healthcare Market

Gresham, Smith And Partners Birmingham AL, 35202

Our healthcare team specializes in architectural design and planning to deliver research-based, value-added solutions for health s...

Posted 1 week ago

Our healthcare team specializes in architectural design and planning to deliver research-based, value-added solutions for health systems, care providers and patients alike. Responsibilities: * Perform work on all phases of various architectural projects including design development, preparation of presentation drawings and specifications, design review, coordination and correlation of construction drawings. * Prepare schematics, design development and construction documents. Develop, modify and review production drawings and edit project narratives and specifications. * Research materials to determine appropriate selection for project. * Plan, coordinate and administer projects from the initial programming stages all the way through to construction administration. * Review construction submittals and assist project manager in construction administration. * Analyze client problems and develop architectural solutions to those problems. Minimum Qualifications * 5 year Bachelor's/Master's degree in Architecture. * Minimum of 8-10 years of job-related experience. * Licensed with Healthcare experience required. * Demonstrated experience using AutoCAD, REVIT Sketchup, PhotoShop software. * Ability to interact professionally and comfortably with a variety personalities and communication styles and build and maintain excellent interpersonal relationships. * LEED certification is preferred. * Proficient in Microsoft Office applications, particularly Word and Excel. * Time management skills. * You must include a portfolio of work samples along with a resume/CV in your online application. Gresham Smith is committed to fostering a diverse workforce and is proud to be an Affirmative Action/Equal Opportunity Employer of Minorities/Women/Protected Veterans/Individuals with Disabilities. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, age, national origin, veteran status, disability, or any other classification protected by law. Gresham Smith will not accept unsolicited resumes from recruiters, headhunters, contract recruiters, search firms or employment agencies. An executed GRESHAM PLACEMENT SERVICES AGREEMENT (PSA) is required prior to any payment obligation for either a referral or recruiter fee. In the event a recruiter or agency submits a resume or candidate without a previously executed PSA, GRESHAM SMITH explicitly reserves the right to recruit and hire those candidate(s) at its discretion, and without any financial obligation whatsoever to the recruiter or agency. Any such unsolicited resume or candidate contact information, including those submitted directly to GRESHAM SMITH'S hiring managers or any other employee, shall become the property of GRESHAM SMITH upon receipt.

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Bi-Lingual Healthcare Customer Service Representative

DST Systems, Inc. Birmingham AL, 35202

The speed of technology. The influx of data. Shifting regulations. Increased customer expectations. That's where you'll find DS...

Posted 2 weeks ago

The speed of technology. The influx of data. Shifting regulations. Increased customer expectations. That's where you'll find DST, helping clients find opportunity in ever-changing and complex customer, business, and regulatory requirements. Mastering complexity is a constantly changing and evolving challenge – one that only a few people can embrace and thrive upon. If you see your opportunity in complexity, then we are the right fit for you. Job Description: Organizational Overview As an Associate with DST Pharmacy Solutions, you will be part of an organization that promotes better health outcomes for consumers through clinical and technological innovations. We accomplish this by leveraging the robust technology foundation and powerful analytic resources that are the core of DST, with industry leading clinical expertise and strategic pharmacy and healthcare solutions. You will join a team that is redefining the value of pharmacy in healthcare through the integration of advanced analytics, clinical insights and transformative digital capabilities. Role Overview In your role as a Bi-lingual Health Care Call Center Representative l, you are the front line to our clients and our clients' clients. They have choices about who to work with, and they evaluate us on every call. Every single day you come in, you put yourself in the clients' shoes, anticipate their concerns and help them solve complex problems. In order to ensure our clients receive award-winning service, we know the importance of looking after our associates. We are committed to the development of our people at every level and will give you the training you need to excel in your job. Responsibilities * Provide world class customer service to customers by answering questions, resolving issues and assisting with pharmaceutical and/or medical health transactions. * Provide pharmacies, medical facilities, insurance providers and members with routine information regarding effective dates of coverage, claims history, deductible and coinsurance amounts, and general plan benefit information. * Address claims related issues, concerns and escalations from insurance providers and/or members. * Review, prepare and process pharmaceutical and medical claims, including potential grievance, appeals and coverage determination. * Quote and provide information on benefits, medical, prescription, dental and vision member deductibles, maximum out-of-pocket limits, co-pays, co-insurance details and accumulations. * Research complex issues for customers, supporting their requests, making outbound calls to provide customers with updates or to gain additional information. * Perform special project assignments from time to time, such as research work, obtaining special authorizations, outbound calls and data entry. * Cross train in different areas to expand knowledge base and develop new skills. Qualifications * High School degree and up to 1 year of related experience * Spanish Bi-lingual speaking skills required * At least one year of previous customer service related experience preferred * You will receive strong preference if you have experience working with Medicare, Medicaid, Affordable Act, Commercial, Small/Large Group and/or Pharmaceutical Benefits Management * Excellent communication skills – verbal and written * Intermediate computer proficiency, including keyboarding skills and the ability to navigate through multiple computer systems * Real passion for excellence in service and attention to detail * The shift for this position will be 11am-8pm. Location: Birmingham Alabama DST is an equal opportunity employer and values a diverse and inclusive workplace. All qualified candidates will receive consideration for employment without regard to age, race, color, religion, genetic information, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. For more information about Equal Opportunity in the Workplace please click here and here. DST is committed to working with and providing reasonable accommodation to job applicants with disabilities. If you are a qualified individual with a disability and need an accommodation or accessibility assistance to complete the online application, please contact us at PeopleCenter@dstsystems.com for assistance.

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Healthcare Operations Manager (RN Required)

Davita Bessemer AL, 35021

DaVita is a dynamic, growing and entrepreneurial Fortune 500® Company . We are seeking an ambitious, operationally-focused and res...

Posted 3 weeks ago

DaVita is a dynamic, growing and entrepreneurial Fortune 500® Company . We are seeking an ambitious, operationally-focused and results-driven leader. If you haven't considered Healthcare before, read on as we think you should. Healthcare Experience is NOT required. For the past 10 years, DaVita has demonstrably improved clinical outcomes, continuously improving year after year. As a Healthcare Operations Manager (aka Facility Administrator or "FA" internally) you will directly impact patient care as the trusted front-line leader in an outpatient clinic. As a Healthcare Operations Manager, you can expect: * Patients come first. You have an opportunity to build on your relationship with your patients, while also continuously improving their health through clinical goal setting and quality improvement initiatives. * Meaningful Workday - EVERY Day. You'll go home every day knowing you are making a difference in patients' lives and that you are developing your team to reach their full potential. * Nights, Weekends & Holidays OFF. That means time for you and your family. * Lead a Team. Develop, mentor and inspire a cross-functional clinical team (on average staff of 15-20) to deliver the best for our patients, teammates and community. * Financial Management. Manage complete operation and performance of the clinic: adhere to budget, forecast expenses, manage vendor relationships, order supplies, and monitor compliance. * Autonomy. It's your clinic to run. You aren't alone though. You will have the support and guidance of your director, regional peers and the greater company to help you manage your facility. We foster entrepreneurs and those who seek to continuously improve. * Culture & Growth. Our values are not just written in a book somewhere, but are an intentional part of everything we do. As leaders, you are able to reward others for demonstrating those shared beliefs and behaviors, and in turn, we intend to do the same for you. The shining star for our Healthcare Operations Manager should have: * Passion for making a difference in people's lives. * Minimum of 2 years experience required in leading and inspiring others to great results. Experience supervising direct reports preferred. * We hire leaders from all industries: corporate businesses, retail, military, consulting, healthcare, we could go on... the point is we hire from diverse backgrounds and leadership/management is key. * Proven ability to adeptly manage multiple priorities; a person who "gets the right stuff done". * Demonstrated ability to adapt, innovate and lead in an environment that moves at a rapid pace, where change is common. * Capacity to develop effective relationships at all levels of the organization and to influence positive outcomes. * Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required. * Associate's degree required: Bachelor's degree in related area strongly preferred. Are you ready to take ownership, drive results and experience the rewards? Take the first step at careers.davita.com. DaVita is proud to be an Equal Opportunity Employer - M/F/Veteran/Disability

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Fraud Investigator-Birmingham, Alabama

New Directions Behavioral Health Birmingham AL, 35202

Responsible for the analysis of provider and member claims data, and non-clinical review of medical records pertaining to claims a...

Posted 6 days ago

Responsible for the analysis of provider and member claims data, and non-clinical review of medical records pertaining to claims audits and fraud, waste and abuse investigations. Assignments are generally of low to moderate complexity and focused primarily on documentation supporting code billed and documentation requirements, but may also involve other areas such as: compliance with applicable laws and regulations, accreditation standards, and contracts. Works under supervision of the Claims Integrity, Manager with moderate latitude for initiative and independent judgment. ESSENTIAL FUNCTIONS * Reviews and analyzes provider and facility behavioral health claims (including inpatient, residential, partial hospitalization, intensive outpatient and outpatient), associated medical records and processes related to the appropriateness of coding, documentation requirements, and health care regulations. * Conduct background research on provider and associated partners. * Collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. * Compare to information submitted on the claims in order to determine amount and nature of billable services. * Identifies trends and possible concerns related to potential inappropriate submission of claims by providers or facilities. * Reviews and analyzes claims and medical records submitted by the provider or facility to determine appropriateness of billing and documentation. * Documents findings for each claim line with appropriate claims payment calculation in a findings spreadsheet. * Summarize findings in a written report which will be provided to management, Plan, and in certain circumstances court proceedings. * Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations. * Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings. * Responsible for interfacing with providers regarding compliance with all federal, state, and contractual regulations and obligations. Provide clear, concise and professional provider education in verbal and written format. * Coordinates with various internal customers including Compliance, Legal, Clinical, Quality, Credentialing, Analytics and Network Operations to gather documentation pertinent to the investigation. * Maintains documentation in appropriately organized files, databases, and systems to support audit work performed, detailed conclusions, and support any resulting recommendations. * Participates in selected trainings and webinars to maintain a thorough understanding industry trends and changes. * Assists in communicating the results of audit and consulting projects via written reports and oral presentations containing descriptive, analytical, and evaluative content to management, clients, and Providers. * Maintains strict confidentiality of all provider, member, regulatory, and law enforcement sensitive information reviewed during the audit and/or investigation process. * Completes audits or other assigned work within clearly specified time frames. * Participates in on-going continuing education as required by professional licensure, certification, or as requested by New Directions. * Adheres to New Directions Behavioral Health Mission Statement, Core Values, Code of Business Conduct, and Compliance Program. * Complies with all Federal and applicable State laws and New Directions Behavioral Health Policies regarding, privacy, confidentiality, and security of health information, and other designated information. MARGINAL (NON-ESSENTIAL) FUNCTIONS None This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities as deemed necessary. JOB SPECIFICATIONS: EDUCATION & EXPERIENCE REQUIRED * Bachelor's degree in Healthcare, Business, Computer Science, Mathematics a related field or equivalent experience. * Certified Professional Coder (CPC) or equivalent. * Medical records review and claims analysis experience. * Strong analytical & investigative skills. * Ability to comprehend medical policy and criteria to clearly articulate health information. * Experience with all healthcare coding (CPT, HCPCS, DRG, ICD-10, & Revenue Codes). * Excellent oral and written communication skills and an ability to communicate effectively with all levels of the organization. * Intuitive nature to identify investigational leads regarding fraud, waste or abuse. * Ability to work independently & as part of a productive team. * Ability to handle multiple and conflicting priorities. * Working knowledge of medical review and medical record chart audits. * Proficient in Microsoft products, specifically Excel. PREFERRED * Master's degree in Healthcare, Business, Computer Science, Mathematics a related field or equivalent experience. * 2+ years healthcare claims/reimbursement experience. * 2+ years related experience in healthcare, fraud investigations, managed care, or a related field. * Experience in working with outpatient and/or facility behavioral health providers. * Proficient with all healthcare coding (CPT, HCPCS, DRG, ICD-10, & Revenue Codes). * Familiar with healthcare claim adjudication standards & procedures. * Experience with SQL, Tableau or fraud analytics software. * Accredited Healthcare Fraud Investigator, Certified Fraud Examiner, Certified Insurance Fraud Investigator, Certified Public Accountant, Certified Internal Auditor, Certified Compliance Professional, or other similar licensure/certification

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Patient Registration Representative - Birmingham

R1 Revenue Cycle Management Birmingham AL, 35202

Patient Registration Representative - Birmingham Birmingham, AL USA Shift Days: M-F 2:30p – 11p Set your sights on a role...

Posted 6 days ago

Patient Registration Representative - Birmingham Birmingham, AL USA Shift Days: M-F 2:30p – 11p Set your sights on a role making a real difference in the healthcare system. We're looking for a self-motivated Patient Registration Representative to join our team. We have a relentless focus on driving results for our customers and enabling them to invest more into patient care; in turn, this allows us to continue to grow our company and your career. The Patient Registration Representative will be responsible for accurate and timely patient registration utilizing medical systems. This person will assign ICD-10 and CPT codes relative to patient registration. The Patient Registration Representative will utilize facility medical necessity tool to verify appropriate diagnosis and coverage criteria. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals. In addition to the day to day responsibilities, this person will actively participate in quality improvement and innovative change processes as well as departmental meetings and educational offerings. The successful candidate must have demonstrated experience handling patients with efficiency and accuracy to broad customer base. Your day to day role may include: * Perform registration and basic insurance verification, ensuring collection of 7 critical data elements necessary for proper patient identification and billing. * Identify and update patient demographic information on ADT system as defined by departmental policy and procedures. * Interpret physician orders for appropriate testing or admission criteria. * Coordinate patient admission needs and beds assignment to facilitate timely patient placement. * Identify non-participating Insurances or Out of Networks plans; takes necessary steps to inform patients and physicians regarding options, including but not limited to canceling appointment. * Obtain Insurance Card copies or validate insurance information via electronic medical record, transfer information, or insurance eligibility tool. * Provide courteous and accurate patient and hospital information with way finding instructions for patients, families, visitors, and ancillary areas. * Prepare documents for imaging/scanning into electronic patient record. * Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required. * Assemble and disassemble patient charts or departmental documents according to department policy. * Copying and or faxing documents to ancillary areas or physician offices. * Maintain inventory control of forms and paper supplies needed in area. * Assist with all possible account resolutions pertaining to patient balances. * Perform all other duties and projects as assigned. You Have: * High school diploma or GED required * Experience with customer service * Computer savvy with experience navigating between multiple systems simultaneously * Must have MS Office Experience and excellent typing skills * Must have a high degree of customer service skills in order to communicate effectively with patients, visitors, physicians and care teams * Must demonstrate problem-solving abilities and high attention to detail * Must be able to stand, walk, sit and move freely for extended periods of time * Must be able to work in a patient care environment with exposure to infection or contagious disease It would be great if you also have: * Experience working in a healthcare environment * Completed a Medical Terminology class * Certification in healthcare access preferred We offer: R1 is changing healthcare by infusing operational discipline and proprietary technology in hospital financial processes. We are an industry leader; we are the only independent organization with a comprehensive service and technology offering for hospital revenue cycle management, and we have achieved leading outcomes for our customers. * A strong financial performing, growing organization that will keep you on your toes with new ideas, changes and opportunities to learn and grow in abundance. * A culture of excellence, driving customer success so they can focus on improving patient care and on giving back to the community. * A Total Rewards package which may include such things as: competitive compensation package, the ability to choose from a comprehensive benefit program mostly funded by R1 that includes medical, dental, vision, flexible spending accounts, commuter benefits, life and disability insurance, along with work life balance programs including paid time off for personal time, illness and volunteering, and we offer a retirement savings plan and continuing training and development and so much more! Sound like you? Let's talk! About R1: R1 is a leading provider of revenue cycle management services and Physician Advisory Services to healthcare providers. We are the largest independent end-to-end revenue cycle provider and have the longest operating history in the revenue cycle industry. R1's objective is to be the one trusted partner to manage revenue so providers and patients can focus on what matters most. Our distinctive operating model and values includes people, processes, and sophisticated integrated technology/analytics that help customers realize sustainable improvements in their operating margins and improve the satisfaction of their patients, physicians, and staff. We are dedicated to transforming the commercial infrastructure and patient experience in healthcare. req8736 Category: Operations-Ascension-Birmingham

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Regional Director Strategic Initiatives - South Region (Al, MS, LA, TX)

Bioscrip, Inc. Birmingham AL, 35202

BioScrip, Inc. is the largest independent national provider of infusion and home care management solutions, with approximately 2,1...

Posted 5 days ago

BioScrip, Inc. is the largest independent national provider of infusion and home care management solutions, with approximately 2,100 teammates and nearly 70 service locations across the U.S. BioScrip partners with physicians, hospital systems, payors, pharmaceutical manufacturers and skilled nursing facilities to provide patients access to post-acute care services. BioScrip operates with a commitment to bring customer-focused pharmacy and related healthcare infusion therapy services into the home or alternate-site setting. By collaborating with the full spectrum of healthcare professionals and the patient, BioScrip provides cost-effective care that is driven by clinical excellence, customer service, and values that promote positive outcomes and an enhanced quality of life for those it serves. Ours is a fast-paced dynamic work environment with room for new ideas and opportunities for career advancement. We offer a wide array of welfare benefits as well as Tuition Reimbursement, an Employee Referral Program, and a 401(k) Retirement Savings. Due to our exceptional growth and success, we are recruiting for a Regional Director, Strategic Initiatives to join our South Region team! SUMMARY The Regional Director, Strategic Initiatives (RDSI) is responsible for account, relationship and business development with BioScrip's regional customers in order to achieve or exceed planned new start, census, and Gross Profit goals for BioScrip's Core therapies. The successful candidate will focus on driving BioScrip market share with network hospital systems, multi-region care provider networks, regional payors, and large physician groups through C level relationships. The RDSI will regularly coordinate with National Payor account team, Specialty Sales, and local Account Executives and Clinical Liaisons. This person is a professional who thrives in an entrepreneurial environment where their commitment to driving revenue growth and market share gain will have a direct and immediate impact on the bottom line of the company. This is a unique opportunity with an established company focused on driving competitive differentiation through the quality of patient care. ESSENTIAL FUNCTIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation. * Develops comprehensive and detailed sales territory plans by strategic customer market and product in order to meet regional revenue and profitability objectives. * Identifies and develops relationships with C-Suite level personnel in order to understand and advance the accounts strategic goals * Conducts detailed sales analysis, including account identification, account penetration, and opportunity prioritization in order to maximize selling efforts. * Creates account strategy and resource plans necessary to successfully obtain strategic opportunities and accounts. * Forecasts monthly and annual revenue and new patient starts by customer and therapy type via Salesforce.com. * Maintains opportunity pipeline sufficient to achieve regional revenue targets. * Coordinates and aligns with local, regional, national and specialty sales efforts in order to capture pull through revenue from National Payor relationships, effectively execute on strategic initiatives, maximize market penetration and accelerate market share growth. * Positions BioScrip home infusion services and products with executive level contacts at large referral source systems. * Identifies and pursues strategic partnerships opportunities with patient referral sources. * Drives revenue growth and market share gain with Core infusion therapies. * Communicates customer feedback, strategic opportunities, competitive intelligence, and market changes or trends to sales leadership. * Leverages sales marketing collateral, market share reports, customer census, billing data, and historical revenue and opportunity information prioritize regional sales approach. * Interacts with regional branch resources (Pharmacy, Intake, Reimbursement, Nursing, etc.) to ensure quality of service for strategic accounts. * Each employee is responsible for adhering to those performance programs, policies, procedures, guidelines and internal control standards established to guide the operation of the Company. Each employee must be made aware of and understand proper internal control procedures associated with their specific job function as communicated by his/her manager. Each employee is responsible for reporting concerns that he or she may have with respect to deficiencies in internal control. * Performs other duties as assigned. SUPERVISORY RESPONSIBILITIES * No supervisory responsibilities. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job, with or without reasonable accommodation. * Work is normally performed in a typical interior/office work environment. * The noise level in the work environment is usually quiet to moderate. * Up to 75% Travel required EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS Education: * B.S. /B.A. required, preferably in business, health care, or a related area. * MBA preferred, but not required Experience: * At least eight to ten years in sales and/or sales management, with significant background in selling healthcare products. * Understanding of healthcare reform and the Home Infusion market are highly preferred. * Previous experience selling to, and managing relationships with executive level contacts * Regular history of exceeding revenue and profitability expectations and goals * Demonstrated history of negotiation, implementation and renewal of significant customer contracts and programs. * Due to the growth of the Company and constantly changing market conditions, successful sales and business development experience in a growth-oriented company is necessary. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED The requirements listed below are representative of the knowledge, skill, and/or ability required, with or without reasonable accommodation. * Highly developed selling and relationship management skills. * The proven ability to take advantage of the product differentiation strengths and current market leadership position with a customer driven focus is essential. * Strong analytical and problem solving skills. Strong attention to detail. * Excellent written, verbal and presentation interpersonal skills are a requisite. * The highest level of integrity and ethics is assumed. * Ability to prioritize sales efforts and strategic initiatives based on value provided or return on investment. * Proficient level of software proficiency in using PC software to support activities, especially Microsoft Office, Salesforce.com. * The ability to work with confidential material and maintain confidentiality is required along with sensitivity to employees and customers needs and data. Language Skills Ability to read, analyze and interpret information appropriate to duties and responsibilities assigned. Ability to operate information systems, follow policy, complete required forms, and prepare reports. Ability to effectively present information and respond to questions from patients, and payors. Mathematical Skills Ability to perform basic mathematical calculations. Ability to calculate figures and amounts such as quota calculations, discounts, commissions. Ability to prepare budgets and revenue projections. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. BioScrip is an equal opportunity employer. All employment decisions are made without regard to age, color, race, ancestry, national origin, disability, genetic information, military status, religion, creed, sex, pregnancy, childbirth, marital status, citizenship, sexual orientation, gender identity, gender expression, legally protected medical condition, or any other basis prohibited by applicable law. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer, Minority/Female/Disabled/Veteran.

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Rehab Liaison (Rn, Therapist Or Healthcare Sales Required)

Rehab Liaison (Rn, Therapist Or Healthcare Sales Required)

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Nurse Healthcare Manager RN

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Bi-Lingual Healthcare Customer Service Representative

Healthcare Operations Manager (RN Required)

Fraud Investigator-Birmingham, Alabama

Patient Registration Representative - Birmingham

Regional Director Strategic Initiatives - South Region (Al, MS, LA, TX)

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Rehab Liaison (Rn, Therapist Or Healthcare Sales Required)

Rehab Liaison (Rn, Therapist Or Healthcare Sales Required)

Boost your job search productivity with our free Chrome Extension!

Nurse Healthcare Manager RN

Project Architect - Healthcare Market

Bi-Lingual Healthcare Customer Service Representative

Healthcare Operations Manager (RN Required)

Fraud Investigator-Birmingham, Alabama

Patient Registration Representative - Birmingham

Regional Director Strategic Initiatives - South Region (Al, MS, LA, TX)

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