Qureos Mentor

Beacon Health System

<div><div>Reports to the Controller and/or Director of Accounting. Ensures that reimbursement and case mix transactions are in accordance with the appropriate CMS, state and contractual requirements, as well as, prepares analysis of proposed reimbursement changes. Provides proactive assessments to the Manager of Reimbursement and Controller of potential or actual contractual or legislative changes to reimbursement. Also programs reports to access the health systems data base, prepares and maintains appropriate worksheets and journal entries and prepares the Medicare cost reports for Beacon Health System.
<h3 class="jobSectionHeader">MISSION, VALUES and SERVICE GOALS</h3>
<ul><li>MISSION: We deliver outstanding care, inspire health, and connect with heart.</li>
<li>VALUES: Trust. Respect. Integrity. Compassion.</li>
<li>SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.</li>
</ul>
Maintains reimbursement information by:
<div><div><ul><li>Reviewing 835 files for errors and researching or problem solving for any errors found.</li>
<li>Preparing and updating month end contractual analysis for general ledger reporting.</li>
<li>Preparing analysis of the impact of proposed reimbursement changes for governmental and commercial payors.</li>
<li>Programming computer reports from the Health System&rsquo;s financial, payroll and third party billing systems, as needed to be utilized in the reimbursement analysis process and reporting to Beacon Health System's Managed Care Department.</li>
<li>Preparing monthly transaction code and accounts receivable reports for review.</li>
<li>Maintaining accurate reimbursement tables in the various reimbursement software programs.</li>
<li>Setting up contracts and governmental payor reimbursement on applicable software for contract and denial management and updating as contracts or reimbursement change.</li>
<li>Testing software prior to updates or new version installation to insure accuracy as related to reimbursement and contractual calculations.</li>
</ul></div></div>Preparation of Medicare Cost Reports and Wage Index preparation by:
<div><div><ul><li>Maintaining statistical worksheets.</li>
<li>Preparing support worksheets for cost report and wage index sections.</li>
<li>Contacting other departments to obtain necessary information.</li>
<li>Ensuring that information is received and inputted into the cost report software program in a timely manner.</li>
<li>Maintaining cost report files and ensuring that appropriate cost report software updates are installed.</li>
<li>Assisting in the preparation of both Medicare and Medicaid cost report appeals of prior year findings by researching and documenting the appropriate information in the approved CMS format.</li>
<li>Prepares work papers to support applicable third party labor for inclusion in wage index, inclusive of contacting third parties for necessary information.</li>
</ul></div></div>Assists in year-end and cost report audits by:
<div><div><ul><li>Preparing related work papers as requested.</li>
<li>Answering auditor questions and researching issues as they arise.</li>
<li>Obtaining requested information and document copies.</li>
</ul></div></div>Provides inter-departmental support by:
<div><div><ul><li>Writing computer reports from PeopleSoft, PIC and McKesson as required by other departments.</li>
<li>Preparing reports for information as requested by the Manager of Reimbursement and other management staff.</li>
<li>Prepares reimbursement analysis for specific requests.</li>
</ul></div></div>Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:
<ul><li><div><ul><li>Completing other job-related assignments and special projects as directed.</li>
<li>Designs and creates reports from computer systems to analyze accounts receivable data and costs versus reimbursement for services provided.</li>
</ul></div></li></ul><h3 class="jobSectionHeader">ORGANIZATIONAL RESPONSIBILITIES</h3>
Associate complies with the following organizational requirements:
<ul><li>Attends and participates in department meetings and is accountable for all information shared.</li>
<li>Completes mandatory education, annual competencies and department specific education within established timeframes.</li>
<li>Completes annual employee health requirements within established timeframes.</li>
<li>Maintains license/certification, registration in good standing throughout fiscal year.</li>
<li>Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.</li>
<li>Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.</li>
<li>Adheres to regulatory agency requirements, survey process and compliance.</li>
<li>Complies with established organization and department policies.</li>
<li>Available to work overtime in addition to working additional or other shifts and schedules when required.</li></ul> 
 
Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
<ul><li>Leverage innovation everywhere.</li>
<li>Cultivate human talent.</li>
<li>Embrace performance improvement.</li>
<li>Build greatness through accountability.</li>
<li>Use information to improve and advance.</li>
<li>Communicate clearly and continuously.</li>
</ul>
Education and Experience
The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a Bachelor's degree in Business Administration with a concentration in Accounting, Finance or other related field. Prefer a minimum of three years of experience in the healthcare reimbursement and cost accounting field is required.
Knowledge &amp; Skills
<ul><li>Demonstrates professional knowledge of the accounting process.</li>
<li>Requires advanced knowledge of Medicare/Medicaid and managed care payment systems, as well as technical cost report issues.</li>
<li>Requires the ability to operate a personal computer and utilize a spreadsheet software program (i.e., MS Excel).</li>
<li>Requires the analytical skills necessary to program reports from the Hospital data base, using specialized software; analyze financial data extracted and develop reports.</li>
<li>Demonstrates the interpersonal and communication skills (both verbal and written) necessary to elicit cooperation and support from others and to interact tactfully and effectively with co-workers, management staff and other external contacts, in a clear, concise manner.</li>
<li>Demonstrates knowledge of and a commitment to Beacon Health System&rsquo;s mission and values; and the organization&rsquo;s goal of providing exceptional patient experiences by following the Performance Essentials.</li>
</ul>
Working Conditions
<ul><li>Works in an accounting office environment.</li>
<li>May experience some mental/visual fatigue due to the frequent and close work with detail and computers.</li>
</ul>
Physical Demands
Requires the physical ability and stamina to perform the essential functions of the position.</div> 

Location: Beacon Health System &middot; Reimbursement 
Schedule: Full-time, Day, Monday - Friday 8:00 - 5:00</div>

Reimbursement Analyst

<div>Beacon Health System is hiring a full-time evening-shift Registered Nurse for our Outpatient Surgery Department at Elkhart General Hospital in Elkhart, IN. 
 
Type: Full-Time/FTE 1.0 (40 hrs/wk) 
Shift: Evening 
Shift Details: 4 days per week, M-F, Variable days, 1130-2200- NO WEEKENDS, HOLIDAYS, or CALL! 
 
 
Be a Beacon. Make a Difference.
At Beacon Health System, you&rsquo;re not just part of a team, you&rsquo;re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.
<ul><li>Medical, Dental, &amp; Vision Insurance through Cigna
</li></ul><ul><li>Life Insurance
</li></ul><ul><li>403(b) Matching Retirement Fund
</li></ul><ul><li>Competitive Paid Time Off (PTO)
</li></ul><ul><li>Shift Differentials
</li></ul><ul><li>Employee Assistance Program (EAP)
</li></ul><ul><li>Tuition and Certification Reimbursement
</li></ul><ul><li>Clinical Ladder Program
</li></ul><ul><li>Local and National Discounts
</li></ul><ul><li>Beacon Academy Educational Courses
</li></ul><ul><li>Gym Membership Discount 
</li></ul> 
About Elkhart Hospital 
 
Elkhart General Hospital is a not-for-profit hospital located in Elkhart, Indiana. Our full-service, 357-licensed-bed hospital has served the community for more than 100 years with a variety of services including: Emergency Department; radiology; orthopedics; maternity, pregnancy and childbirth; behavioral health; imaging and lab; genetic counseling; DaVinci robotic surgery. As part of Beacon Health System, patients have access to providers not only at this location but can also access resources and services from across the entire health system.
What You&rsquo;ll Do
As an Outpatient Surgery Registered Nurse, you&rsquo;ll report to the Manager of Outpatient Surgery and provide professional nursing services. You will assess the needs of patients and initiate, implement, and evaluate individualized plans of care. This role will collaborate with other professional, clinical, and ancillary staff in providing quality care to patients. 
 
Outpatient Surgery RN Job Responsibilities
<ul><li>Safely and legally perform high-risk, high-frequency technical procedures.
</li></ul><ul><li>Prioritize tasks based on patient needs, resources, and departmental goals.
</li></ul><ul><li>Act promptly to reduce or prevent risks to patient health.
</li></ul><ul><li>Advocate for patients and families to ensure appropriate outcomes.
</li></ul><ul><li>Make decisions based on evidence, standards, and organizational values; seek help when needed.
</li></ul><ul><li>Use internal/external resources to solve complex problems.
</li></ul><ul><li>Develop and update care plans reflecting patient values and measurable goals.
</li></ul><ul><li>Ensure continuity and effectiveness of care across settings.
</li></ul><ul><li>Adjust interventions based on outcomes and patient feedback.
</li></ul><ul><li>Document all care activities accurately and timely.
</li></ul><ul><li>Communicate effectively with team members to support positive outcomes.
</li></ul><ul><li>Delegate appropriately and remain accountable for results.
</li></ul><ul><li>Stay current in clinical knowledge and contribute to departmental excellence.
</li></ul><ul><li>Support coworkers through mentorship and feedback.
</li></ul><ul><li>Complete assigned tasks and participate in meetings.
</li></ul><ul><li>Fulfill all education, competency, health, and certification requirements on time.
</li></ul><ul><li>Maintain active licensure and required certifications (e.g., BLS/CPR). 
</li></ul>What You Bring
You bring a high level of knowledge and competency in performing nursing care procedures, assessments, treatment, and techniques. As a Registered Nurse, your advanced analytical skills are necessary to solve complex problems and make decisions related to patient care. You demonstrate the interpersonal skills necessary to establish and maintain effective working relationships with staff, patients, visitors, physicians, and others. You demonstrate the ability to communicate, both verbally and in writing, clearly and concisely. You understand the need to be responsive and reasonably adaptable for scheduling purposes, when necessary, due to extenuating circumstances in support of co-workers and department functions. 

Required Qualifications
<ul><li>Associate of Science in Nursing is required. Bachelor of Science in Nursing is preferred.
</li></ul><ul><li>Current license to practice as a Registered Nurse in Indiana.
</li></ul><ul><li>Candidates hired after January 1, 2014, must have or obtain a BSN within five (5) years of employment as a Registered Nurse, or will have the option to become certified in their area of specialty. The certification must be maintained based on accrediting body standards. 
</li></ul> 
The Beacon Way
At Beacon Health System, our approach to care goes beyond clinical excellence because it&rsquo;s built on meaningful connections. Guided by our core values of Trust, Respect, Integrity, and Compassion, we strive to create an environment where patients feel heard, employees feel valued, and innovation thrives.
We call this commitment The Beacon Way, a six-point operating system that empowers every team member to lead with purpose, communicate clearly, cultivate talent, embrace performance improvement, leverage innovation, and build greatness through accountability. Whether at the bedside or behind the scenes, everyone at Beacon plays a role in moving health forward. 

Location: Beacon Health System &middot; Outpatient Surgery 
Schedule: Full-time, Evening, Variable days M-F 1130-2200</div>

Registered Nurse (RN), Outpatient Surgery, Full-time Evenings

<div><div><div><div>Beacon Health System is hiring a full-time day-shift Manager of Patient Care Services for our Surgery Department at Elkhart General Hospital in Elkhart, IN. 
 
 
Type: Full-Time/FTE 1.0 (40 hrs/wk) 
Shift: Day 
Shift Details: Monday-Friday 0800-1700 
 
 
Be a Beacon. Make a Difference.
At Beacon Health System, you&rsquo;re not just part of a team, you&rsquo;re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.
<ul><li>Medical, Dental, &amp; Vision Insurance through Cigna
</li></ul><ul><li>Life Insurance
</li></ul><ul><li>403(b) Matching Retirement Fund
</li></ul><ul><li>Competitive Paid Time Off (PTO)
</li></ul><ul><li>Shift Differentials
</li></ul><ul><li>Employee Assistance Program (EAP)
</li></ul><ul><li>Tuition and Certification Reimbursement
</li></ul><ul><li>Clinical Ladder Program
</li></ul><ul><li>Local and National Discounts
</li></ul><ul><li>Beacon Academy Educational Courses
</li></ul><ul><li>Gym Membership Discount 
</li></ul> 
About Elkhart Hospital 
 
Elkhart General Hospital is a not-for-profit hospital located in Elkhart, Indiana. Our full-service, 357-licensed-bed hospital has served the community for more than 100 years with a variety of services including: Emergency Department; radiology; orthopedics; maternity, pregnancy and childbirth; behavioral health; imaging and lab; genetic counseling; DaVinci robotic surgery. As part of Beacon Health System, patients have access to providers not only at this location but can also access resources and services from across the entire health system. 
 
What You&rsquo;ll Do 
 
As a Manager Patient Care Services, you&rsquo;ll create a positive and cooperative work environment where quality patient care is delivered through development of staff to their optimal clinical, personal, and professional capacity. You will facilitate and ensure a safe and caring environment for patients and staff. You&rsquo;ll develop processes to assist the delivery of nursing care to patients and families. The Manager of Patient Care Services will manage human, fiscal, and other resources to achieve goals. 
 
Manager Patient Care Services Job Responsibilities
<ul><li>Ensure a safe, caring environment for patients and staff.
</li></ul><ul><li>Oversee nursing care delivery and evaluate clinical program effectiveness.
</li></ul><ul><li>Lead unit-based and hospital-wide quality improvement initiatives.
</li></ul><ul><li>Model professional nursing standards.
</li></ul><ul><li>Manage staffing, budgets, and resources to meet unit goals.
</li></ul><ul><li>Hire, coach, evaluate, and support staff performance.
</li></ul><ul><li>Maintain compliance with professional and regulatory standards.
</li></ul><ul><li>Collaborate with other departments to resolve issues and support hospital objectives.
</li></ul><ul><li>Promote staff growth and ongoing professional development.
</li></ul><ul><li>Ensure staff competency in clinical systems and responsibilities.
</li></ul><ul><li>Address personnel issues and support disciplinary processes.
</li></ul><ul><li>Foster interdisciplinary collaboration for effective patient care.
</li></ul><ul><li>Maintain required credentials and specialty knowledge.
</li></ul><ul><li>Collaborate with medical staff and external partners.
</li></ul><ul><li>Support utilization management and departmental effectiveness.
</li></ul><ul><li>Drives Results by achieving outcomes under pressure.
</li></ul><ul><li>Builds strong relationships and delivers patient-centered care.
</li></ul><ul><li>Demonstrates integrity and authenticity.
</li></ul><ul><li>Works effectively across teams.
</li></ul><ul><li>Delivers clear, audience-specific messaging. 
</li></ul>What You Bring
You bring strong communication skills, problem-solving and analytical ability, and prioritization skills. You have knowledge of the clinical skills for the unit of practice. 
 
Required Qualifications
<ul><li>Bachelor's Degree required
</li></ul><ul><li>Current license to practice as a Registered Nurse in Indiana is preferred.
</li></ul><ul><li>A minimum of three years of job-related experience, including one year of leadership experience. 
</li></ul> 
The Beacon Way
At Beacon Health System, our approach to care goes beyond clinical excellence because it&rsquo;s built on meaningful connections. Guided by our core values of Trust, Respect, Integrity, and Compassion, we strive to create an environment where patients feel heard, employees feel valued, and innovation thrives.
We call this commitment The Beacon Way, a six-point operating system that empowers every team member to lead with purpose, communicate clearly, cultivate talent, embrace performance improvement, leverage innovation, and build greatness through accountability. Whether at the bedside or behind the scenes, everyone at Beacon plays a role in moving health forward.</div> 
</div>
</div> 
Location: Beacon Health System &middot; Surgery 
Schedule: Full-time, Day, Monday-Friday 0800-1700</div>

Manager Patient Care Services, Surgery, Full-time Days (EGH)

<div><div>Reports to a Manager, Director or Executive Director. Responsible for analyzing cost and quality data from a variety of sources and creating and running reports that present data in a meaningful and actionable way. Runs regular reports that communicate performance on value-based reimbursement contracts and gaps in quality metrics and responds to ad-hoc requests for information by designing and building custom queries. Assists in the analysis of proposed contracts or programs to evaluate financial viability. Assists in the development of a system-wide data analytics platform that will allow us to integrate and analyze data in a holistic way.
<h3 class="jobSectionHeader">MISSION, VALUES and SERVICE GOALS</h3>
<ul><li>MISSION: We deliver outstanding care, inspire health, and connect with heart.</li>
<li>VALUES: Trust. Respect. Integrity. Compassion.</li>
<li>SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.</li>
</ul>
Provides information necessary to the financial and clinical success of Beacon organizations by:
<ul><li>Collecting, organizing, analyzing, and disseminating significant amounts of information with attention to detail and accuracy.</li>
<li>Running regular reports accurately and on a timely basis.</li>
<li>Designing and building ad-hoc reports that provide actionable and meaningful information.</li>
<li>Responding to requests for information from various departments of Beacon Health System.</li>
<li>Working closely with management to prioritize business and information needs.</li>
<li>Identifying, analyzing, and interpreting trends or patterns in complex data sets.</li>
<li>Interpreting reports or contractual language.</li>
<li>Using data to draw conclusions and recommendations for action.</li>
<li>Filtering and 'cleaning' data to ensure the utmost level of data integrity.</li>
</ul>
Assists in the development and maintenance of a system-wide data analytics platform by:
<ul><li>Maintaining ongoing coordination and collaboration with all Beacon associates who analyze data.</li>
<li>Assisting in the development, build, and maintenance of a system-wide data analytics platform.</li>
<li>Developing and implementing data collection systems to optimize efficiency and data quality.</li>
<li>Establishing and communicating data governance policies to ensure consistency and reliability of data.</li>
</ul>
Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:
<ul><li>Completing other job-related assignments and special projects as directed.</li>
</ul><h3 class="jobSectionHeader">ORGANIZATIONAL RESPONSIBILITIES</h3>
Associate complies with the following organizational requirements:
<ul><li>Attends and participates in department meetings and is accountable for all information shared.</li>
<li>Completes mandatory education, annual competencies and department specific education within established timeframes.</li>
<li>Completes annual employee health requirements within established timeframes.</li>
<li>Maintains license/certification, registration in good standing throughout fiscal year.</li>
<li>Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.</li>
<li>Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.</li>
<li>Adheres to regulatory agency requirements, survey process and compliance.</li>
<li>Complies with established organization and department policies.</li>
<li>Available to work overtime in addition to working additional or other shifts and schedules when required.</li>
</ul>
Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
<ul><li>Leverage innovation everywhere.</li>
<li>Cultivate human talent.</li>
<li>Embrace performance improvement.</li>
<li>Build greatness through accountability.</li>
<li>Use information to improve and advance.</li>
<li>Communicate clearly and continuously.</li>
</ul>
Education and Experience
<ul><li>The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a bachelor's degree in data Analytics, Informatics, Database Management, Business, Economics, or a related field. A minimum of two years of experience in data analytics or database management, preferably in a healthcare setting, is required.</li>
</ul>
Knowledge &amp; Skills
<ul><li>Requires strong analytical skills, with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy.</li>
<li>Requires a strong background in financial analysis and using data to support decision-making.</li>
<li>Requires an in-depth technical expertise regarding data models, database design development, data mining and segmentation techniques.</li>
<li>Requires in-depth knowledge of the healthcare revenue cycle.</li>
<li>Requires a basic knowledge and understanding of value-based reimbursement contracts, ACO, PHO, CMS, insurance industry and healthcare delivery systems.</li>
<li>Requires strong skills in organization and time management.</li>
<li>Requires an understanding of contractual language, accounting and finance.</li>
<li>Demonstrates well-developed communication skills necessary to effectively communicate both verbally and in writing and to make presentations to individuals and small and large groups.</li>
</ul>
Working Conditions
<ul><li>Works in an office environment.</li>
<li>May be required to vary hours and days, and work on holidays, weekends, etc., depending upon the needs of the department.</li>
</ul>
Physical Demands
<ul><li>Requires the physical ability and stamina to perform the essential functions of the position.</li></ul> 


</div> 
Location: Beacon Health System &middot; Business Intelligence 
Schedule: Full-time, Day, Monday-Friday; variable start time</div>

Data Analyst

Join Beacon Health System and explore 4   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Beacon Health System

ABOUT_COMPANY

Reimbursement Analyst

Registered Nurse (RN), Outpatient Surgery, Full-time Evenings

Manager Patient Care Services, Surgery, Full-time Days (EGH)

Data Analyst