Qureos Mentor

Mount Nittany Health

<div>POSITION SUMMARY
The Revenue Recovery Specialist is responsible for identifying and resolving underpayments and reimbursement variances through detailed account-level review and payer follow-up. This role ensures reimbursement aligns with contractual terms and expected payment methodologies, with a focus on maximizing net revenue recovery.
This position performs work primarily within Epic, utilizing variance payment work queues and reporting tools to identify accounts with potential underpayments. The Specialist validates payments, initiates recovery efforts, and resolves discrepancies through structured workflows.
While this role does not own denial management, it plays a key role in identifying trends and collaborating with Patient Accounts to address recurring issues.
This position is execution-focused and partners closely with the Revenue Recovery Analyst and Reimbursement team by escalating patterns, payer behaviors, and system issues identified through daily account work.
MINIMUM REQUIREMENTS
Education:
<ul><li>Associate&rsquo;s Degree required
</li><li>Bachelor&rsquo;s preferred
</li></ul>Experience:
<ul><li>2 years experience in Revenue Cycle operations preferred, Healthcare industry, or similar background preferred
</li><li>Experience working in an EHR or billing system, Epic strongly preferred
</li></ul>Knowledge, Skills, Abilities:
<ul><li>Strong understanding of claim payment workflows and payer behavior preferred
</li><li>Strong attention to detail and persistence in follow-up
</li><li>Experience working Epic work queues or similar system-driven workflows
</li><li>Experience identifying and resolving underpayments
</li><li>Familiarity with payer reimbursement methodologies or contract terms
</li><li>Experience working with payer portals and payment review processes
</li><li>Basic Excel skills for tracking and documentation
</li></ul>License/Certification/Registration:
None required
SUPERVISION RECEIVED
Receives general supervision from the Manager, Reimbursement.
SUPERVISION GIVEN
None</div>
 <div>ESSENTIAL FUNCTIONS
Epic Work queues &amp; Account Review
<ul><li>Monitors and works Epic variance payment work queues to identify underpayments and reimbursement discrepancies
</li><li>Utilizes Epic reports and tools to prioritize accounts based on dollar value, payer, and recovery opportunity
</li><li>Reviews claim-level detail within Epic to validate expected vs. actual reimbursement
</li><li>Underpayment Identification &amp; Reimbursement Validation
</li><li>Validates expected reimbursement against actual payment using contract terms, fee schedules, and internal tools 
</li></ul>Identifies payment variances including:
<ul><li>Incorrect rate application
</li><li>Partial or missing payments
</li><li>Bundling discrepancies
</li><li>Modifier-related payment issues
</li><li>Ensures alignment with payer contracts and reimbursement methodologies 
</li></ul>Recovery Execution &amp; Payer Follow-Up
<ul><li>Initiates and manages recovery efforts for underpaid claims through payer follow-up (payer portals, phone, written communication)
</li><li>Submits reconsiderations or payment disputes as appropriate to resolve underpayments
</li><li>Tracks recovery status and performs timely follow-up to maximize reimbursement 
</li></ul>Trend Identification &amp; Escalation
<ul><li>Identifies recurring issues across Epic work queues and account activity (payer-specific, CPT/DRG-specific, or department-specific)
</li><li>Escalates trends and supporting examples to Revenue Recovery Analyst and leadership
</li><li>Contributes to root cause identification and broader reimbursement improvement efforts 
</li></ul>Collaboration with Patient Accounts
<ul><li>Partners with Patient Accounts to communicate trends or issues impacting reimbursement identified through Epic work queues
</li><li>Provides detailed account examples to support investigation and resolution
</li><li>Supports coordinated efforts to address upstream and downstream revenue cycle issues 
</li></ul>Documentation &amp; Tracking
<ul><li>Maintains detailed documentation of:
</li><li>Accounts reviewed
</li><li>Recovery actions taken
</li><li>Dollars recovered
</li><li>Ensures accurate Epic account notes and tracking logs for reporting and audit purposes
</li><li>Cross-Functional Collaboration 
</li></ul>NON-ESSENTIAL FUNCTIONS
Performs related and miscellaneous duties as assigned.</div>

Revenue Recovery Specialist

<div>POSITION SUMMARY
Under the direction of supervisors is directly responsible for the prompt, efficient and accurate performance of a variety of specimen collection and handling procedures. Will collect specimens from in-patients, out-patients, nursing homes and other facilities as required. 
MINIMUM REQUIREMENTS
Education:
<div><ul><li>High school graduate or equivalent.
</li></ul><ul><li>Graduate of a certified Phlebotomy program or equivalent.
</li></ul></div>Experience:
<div><ul><li>Preference may be given to a candidate with experience in a hospital laboratory as a phlebotomist.
</li></ul></div>Knowledge, Skills, Abilities:
<div><ul><li>Must be able to communicate effectively with co-workers, patients, medical staff, visitors, and other Medical Center personnel.
</li></ul><ul><li>Must be able to make mature judgments.
</li></ul><ul><li>Must possess a pleasant personality for dealing with patients.
</li></ul></div>License/Certification/Registration:
<div><ul><li>Must have a valid Driver&rsquo;s License and an available vehicle.
</li></ul><ul><li>Meets the American Heart Association&rsquo;s standards for Healthcare Provider Basic Life Support (BLS) and renews BLS every two years.
</li></ul></div>SUPERVISION RECEIVED
Receives general supervision from the Medical Director, Administrative Director, Assistant Administrative Director, Supervising Technologist, Section Heads and Certified Phlebotomists.
SUPERVISION GIVEN
None</div>
 ESSENTIAL FUNCTIONS
Performs all work promptly and accurately.
Always collects blood from patients using venipuncture, arterial puncture, capillary puncture, or special techniques required for patients with vascular-access devices according to established laboratory procedure.
Always verifies patient identification prior to specimen collection to assure accurate testing.
Promptly responds to any request for specimen collection. Communicates effectively with patient care area or staff if any delay occurs.
Performs bedside glucose testing at specific times requested and adheres to all quality control standards established for this procedure before releasing results.
Prepares specimens for processing by always accurately identifying appropriate specimen, delivering to appropriate department, entering all patient information required, and verifying the proper test has been ordered.
Instructs and assists patients with proper collection of any specimen clean catch urine, 24 hour urine, pediatric urine, chain of custody collection, sputum, etc. when necessary.
Always keeps work organized to avoid confusion and potential for error.
Promptly responds to and communicates effectively with anyone requiring assistance or service from the lab. Provides information regarding proper specimen collection and handling for all laboratory testing.
Always seeks assistance from supervisor when difficulty in proper specimen handling or interpretation of physician orders is encountered.
Carefully prepares all specimens for reference laboratory testing by assuring proper specimen preservation and handling, accurate completion of requisition and accurate labeling of all specimen containers required. Always records his/her initials for consultation if questions arise.
Communicates effectively and courteously with peers and all staff members.
Maintains all supplies and equipment for blood collection in all collection areas in an organized and meticulously clean manner at all times.
Assists with the distribution of reports to nursing stations, physician offices or other destinations as requested or instructed.
Assists with glassware washing and distribution within the laboratory as requested.
Assists with training and orienting personnel to specimen collection procedures.
Trains and orients anyone responsible for specimen collection as requested.
Consistently works to achieve and maintain departmental operations which meet the required standards of the College of American Pathologists, JCAHO, CLIA and Pennsylvania Department of Health.
Maintains current knowledge of laboratory and hospital policies and procedures as well as performance standards for laboratory personnel.
Demonstrates continual awareness of and compliance with safety, infection control and quality assurance procedures. Advises supervisor of potential hazards when noted.
Demonstrates continued awareness and compliance with departmental and hospital policies and procedures.
Suggests ways of improving laboratory services when appropriate.
Always complies with policies for release of patient information and appropriately documents the time and other required information when reports are released.
Maintains all departmental equipment and supplies.
Maintains sufficient inventory of departmental reagents and supplies at all times. Promptly submits information or requests to supervisor when additional materials are anticipated or when problems are encountered with any current supplies or reagents.
Maintains cost control in utilization of materials and suggests ways to improve conservation of same as appropriate.
Rotates, dates and tests reagents as they are received or prepared to insure accuracy, avoid expiration, and to provide availability for use at all times.
Assists with opening, verifying and distributing all lab supplies received when necessary.
Assists with the implementation of new procedures and/or evaluation of new products or equipment.
Evaluates new products, procedures or techniques and provides written information when requested regarding findings to supervisor as soon as possible after evaluation.
Suggests changes in methodologies, work flow, etc. which will increase accuracy and/or efficiency of service.
NON-ESSENTIAL FUNCTIONS
Performs related and miscellaneous duties as assigned.
Accepts additional assignments as delegated by lab supervisors.
Voluntarily assists clerical and technical staff when workload fluctuates.
Will be scheduled to work weekends or holidays as required for laboratory coverage and when assigned by the supervisor. Shift rotation may be required for laboratory coverage and will be assigned on basis of seniority.

Phlebotomist

<div>POSITION SUMMARY
Under the direction of supervisors is directly responsible for the prompt and accurate performance of work assigned. Performs analyses on blood and other body fluids for use in diagnosis and treatment of disease. Maintains proficiency to work in all clinical departments of the laboratory. 
MINIMUM REQUIREMENTS
Education:
<div><ul><li>Associate degree or equivalent combination of education and experience.
</li></ul><ul><li>Completed an approved clinical internship in an accredited school for medical laboratory technology.
</li></ul></div>Experience:
<div><ul><li>No previous experience required.
</li></ul></div>Knowledge, Skills, Abilities:
<div><ul><li>Continually strives to maintain good rapport and cooperation with all hospital departments, medical staff, patients, fellow employees, visitors, etc. by communicating effectively.
</li></ul></div>License/Certification/Registration:
<div><ul><li>Certified MLT with ASCP, AMT, NCCLS or equivalent certification or eligible to seek certification as an MLT with ASCP, AMT, NCCLS or equivalent certification. Obtains certification within one year of hire date.
</li></ul></div>SUPERVISION RECEIVED
Receives general supervision from the Medical Director, Manager, Supervisors and Section Heads.
SUPERVISION GIVEN
None.</div>
 ESSENTIAL FUNCTIONS
Performs assigned duties accurately, efficiently and according to established procedures in blood bank, immunology, coagulation, urinalysis, hematology, chemistry, special chemistry, microbiology, or specimen collection departments.
Uses proper techniques and/or equipment in the performance of duties.
Prepares specimens for processing by always accurately identifying appropriate specimen, logging into the department, entering all patient information required, and assuring the proper testing as ordered.
Promptly processes and begins analysis of all specimens by manual or automated methods to determine qualitative or quantitative results for efficient reporting.
Assures quality control criteria are always met before releasing any reports. Immediately repeats any procedures which appear to be out of control following established departmental protocol at all times.
Keeps work organized to avoid confusion and potential for error.
Consistently reviews results for accuracy and completeness before releasing.
Seeks assistance from supervisor when difficulties in proper identification, interpretation, or processing are encountered or when very rare abnormal results are obtained.
Assists with training of technical personnel by demonstration of techniques and review of work performance as requested by supervisor.
Will participate in all proficiency testing or quality assurance activities as instructed.
Maintains current knowledge of laboratory and hospital policies and procedures as well as performance standards for the laboratory.
Demonstrates continuous awareness and compliance with safety, infection control and quality assurance procedures. Advises supervisor of potential hazards when noted.
Demonstrates constant awareness and compliance with departmental and hospital policies.
Suggests ways of improving laboratory services when appropriate.
Complies with policies for release of patient information and appropriately documents the time and other required information when reports are released.
Maintains all departmental equipment and supplies.
Checks the performance of all instruments daily and maintains all equipment, including any back up equipment, in working condition at all times. Communicates any problems to supervisor promptly and notifies affected patient care area if delays may occur.
Maintains ability to troubleshoot both instrumental and procedural problems when they arise. Continually strives to be familiar with principles of both instruments and procedures for achieving acceptable troubleshooting skills.
Assists with maintaining sufficient inventory of departmental reagents and supplies at all times. Promptly submits information or requests to supervisor when additional materials are anticipated or when problems are encountered with any current supplies or reagents.
Maintains cost control in utilization of materials and suggests ways to improve conservation of same as appropriate.
Rotates, dates, and tests reagents as they are received or prepared to insure accuracy, avoid expiration, and to provide availability for use at all times.
Informs supervisor of unusual events or circumstances and potential problems as they occur.
Assists with the implementation of new procedures and/or evaluation of new products or equipment.
Evaluates new products, procedures or techniques and provides written information when requested regarding findings to supervisor as soon as possible after evaluation.
Suggests changes in methodologies, work flow, etc. which will increase accuracy and/or efficiency of service at any time.
Performs specimen collection duties.
Verifies patient identification prior to specimen collection at all times to assure accurate testing. No more than one error will be acceptable per any 12 month period.
Promptly responds to any request for specimen collection. Communicates effectively with patient care area if any delay does occur because of an emergency.
Able to administer limited first aid.
NON-ESSENTIAL FUNCTIONS
Performs related and miscellaneous duties as assigned.
Accepts additional assignments as assigned from lab supervisors.
Ordinarily works in all clinical departments of the laboratory but may be assigned to a specific department as necessitated by departmental workload and staffing requirements.
Voluntarily assists co-workers when patient care priorities and workload fluctuate.

Medical Laboratory Technician Certified

<div>POSITION SUMMARY
Provide care to patients by assisting clinical staff in all patient rooming activities as directed by providers and supervised as duties require. Tasks include chart preparation, rooming patients, performing procedures, and point of care testing as well as performing a variety of administrative duties as assigned. The Patient Care Technician (PCT) will actively participate as a member of the healthcare team, in a single practice or specialty, to engage patients, families, and caregivers in the coordination of patient care.
MINIMUM REQUIREMENTS
Education:
<div><ul><li>High School diploma or equivalent required.
</li></ul><ul><li>Completion of a medical assistant program or other clinical training program.
</li></ul><ul><li>Training as an emergency medical technician or paramedic preferred
</li></ul></div>Experience:
<div><ul><li>Healthcare experience preferred.
</li></ul></div>Knowledge, Skills, Abilities:
<div><ul><li>Knowledge of medical practice and patient care, medical equipment and instruments and procedures.
</li></ul><ul><li>Knowledge of physician office procedures, medical terminology, ICD-10 and CPT coding guidelines.
</li></ul><ul><li>Knowledge of common safety hazards and precautions.
</li></ul><ul><li>Ability to take vital signs and record and maintain test results.
</li></ul><ul><li>Ability to record data accurately using a computer.
</li></ul><ul><li>Ability to react calmly and effectively in emergency situations.
</li></ul></div>License/Certification/Registration:
<div><ul><li>Meets the American Heart Association&rsquo;s standards for Healthcare Provider Basic Life Support (BLS) and renews BLS every two years.
</li></ul></div>SUPERVISION RECEIVED
Receives direct supervision from the Practice Manager.
SUPERVISION GIVEN
None</div>
 ESSENTIAL FUNCTIONS
Clinical Duties as assigned
Greet patients and obtain necessary patient information/documentation
Prepare patients for examination and/or treatment and document
Record patient histories
Obtain vital signs
Measure and record accurate height and weight
Specimen preparation and collection
Perform point of care testing
Record patient reported medications in the electronic health record
Completion of all required Quality workflows as part of the rooming process
Provide instructions for testing procedures to patients
Administer injections/vaccinations
Administer non-controlled prescribed injections and medications, observe reactions and document in the patient&rsquo;s file
Clean, disinfect and stock examination rooms with required instruments and supplies
Prepare exam and treatment rooms with necessary instruments
Prepare, sterilize and maintain supplies and equipment for patient treatments
Participate as a member of the clinical question team by recording and addressing patient or other phone calls, as appropriate, for the providers
Administrative Duties
Obtain referrals and authorizations and schedule tests, procedures and appointments as directed.
Perform front desk/administrative duties including but not limited to patient registration, scheduling of appointments, collecting appropriate co-payments, responsible for maintaining the cash drawer and any other duties as required for patient check in/check out.
Participates in quality improvement activities and processes.
NON-ESSENTIAL FUNCTIONS
Performs related and miscellaneous duties as assigned.

Patient Care Technician PC Mt Nittany Health Express Care

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Mount Nittany Health

About Company

Revenue Recovery Specialist

Phlebotomist

Medical Laboratory Technician Certified

Patient Care Technician PC Mt Nittany Health Express Care