Qureos Mentor

St. Elizabeth Healthcare

<div>Engage with us for your next career opportunity. Right Here.
Job Type:
Regular
Scheduled Hours:
40
 Why You&rsquo;ll Love Working with St. Elizabeth Healthcare
At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We&rsquo;re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 
 Benefits That Support You
We invest in you &mdash; personally and professionally.
Enjoy:<ul><li>Competitive pay and comprehensive health coverage within the first 30 days.</li><li>Generous paid time off and flexible work schedules</li><li>Retirement savings with employer match</li><li>Tuition reimbursement and professional development opportunities</li><li>Wellness, mental health, and recognition programs</li><li>Career advancement through mentorship and internal mobility</li></ul>
Job Summary:
The Technical Denials Specialist is responsible for analyzing, resolving, monitoring and reporting non-clinical denials to Denials Unit Manager as appropriate. The Technical Denial Specialist is responsible for follow-up and resolutions for denials escalated through a work queue, providing appropriate denial information to be submitted to departments to ensure systems, processes and measures of effectiveness (e.g. Remediation action plans) are created and implemented to resolve root cause issues and reduce/ eliminate denials. The Technical Denial Specialist should remain in full compliance with all departmental, institutional and regulatory policies and procedures at all times. The roles and responsibilities of this job support the mission, vision, values and strategies of St. Elizabeth Healthcare. 
 
Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Description:<ul><li>
Reviews, researches and addresses non-clinical denials.</li><li>
Addresses all accounts assigned to work queue and completes all necessary activity as defined in departmental policies and procedures.</li><li>
Performs extensive follow-up, completes appeals and referrals to other stakeholders, when appropriate.</li><li>
Investigates and/or ensures that questions and requests for information are responded to in a timely and professional manner to ensure resolution of outstanding accounts.</li><li>
Performs ongoing monitoring of denials accounts worked, as necessary, to ensure maximization of collection dollars by providing appropriate follow-up and documenting actions taken.</li><li>
Utilizes all appropriate systems to effectively research accounts and complete steps to submit information necessary to process or appeal accounts.</li><li>
Completes follow-up with patients, as necessary, to obtain additional information.</li><li>
Prepares necessary documentation to submit appeals to payers when payment is denied.</li><li>
Complete all necessary outgoing calls and answer incoming calls, as appropriate.</li><li>
Make revisions or changes to insurance information, as appropriate.</li><li>
Requests the rebilling accounts as necessary.</li><li>
Complete and/or request adjustments to an account, as appropriate, based on adjustment thresholds.</li><li>
Reviews, works and reports (with accuracy) all accounts that have aged more than the specified grace period stipulated in the policies and/or contracts.</li><li>
Documents follow-up or patient accounts appropriately.</li><li>
Tracks and reports violation of prompt pay/adjudication terms by payers and follows up proactively with payers to provide necessary additional documentation for patient accounts that have been reviewed by payers and awaiting documentation to determine adjudication</li><li>
Interfaces with other key internal and external staff to obtain necessary information to address payment variance management issues or requests.</li><li>
Reports issues and trends to appropriate management personnel and works collaboratively to develop solutions.</li><li>
Reports issues and trends to appropriate management personnel and works collaboratively to develop solutions.</li><li>
Participates in all educational activities and demonstrates personal responsibility for job performance.</li><li>
Meets or exceeds expectations for data quality, customer service, payment variance management turnaround and productivity.</li><li>
Maintains satisfactory attendance record and punctuality record as set forth by St. Elizabeth Healthcare and departmental policies.</li><li>
Consistently demonstrates a positive and professional attitude at work.</li><li>
Maintains stable performance under pressure.</li><li>
Prioritizes work/resources to accomplish objectives and meet deadlines</li><li>
Maintains compliance with federal, state and local regulations and HIPPA.</li><li>
Maintains the privacy and security of all confidential and protected health information; job duties warrant a &ldquo;high&rdquo; level of computer system access (all necessary areas) to patient information ONLY for those job functions as outlined in this job description; uses and discloses only that information which is necessary to perform the function of the job.</li><li>
Performs other duties as assigned.</li></ul>
Education, Credentials, Licenses:
<ul><li>Associates degree</li></ul>
OR<ul><li>
High School Diploma plus Certified Revenue Cycle Representative and 3 years of related experience.</li></ul>
Specialized Knowledge:<ul><li>
Demonstrates proficiency in Microsoft Office applications and others as required</li><li>
Demonstrates knowledge and understanding of organizational policies, procedures</li><li>
Knowledge of insurance regulations, payment guidelines and policies and the ability to communicate and work with payors to get accounts resolved and paid accurately</li><li>
Extensive knowledge of Medicare and Medicaid regulations</li><li>
Knowledge of third Party claim filing, contract reimbursement and other insurance guidelines</li></ul>
FLSA Status:
Non-Exempt
Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.</div>

Specialist Technical Denial

<div>Engage with us for your next career opportunity. Right Here.
Job Type:
Regular
Scheduled Hours:
0
 Why You&rsquo;ll Love Working with St. Elizabeth Healthcare
At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We&rsquo;re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 
 Benefits That Support You
We invest in you &mdash; personally and professionally.
Enjoy:<ul><li>Competitive pay and comprehensive health coverage within the first 30 days.</li><li>Generous paid time off and flexible work schedules</li><li>Retirement savings with employer match</li><li>Tuition reimbursement and professional development opportunities</li><li>Wellness, mental health, and recognition programs</li><li>Career advancement through mentorship and internal mobility</li></ul>
Job Summary:
St. Elizabeth Healthcare is hiring a Staffing Coordinator within the Florence Hospital.
 
 
Shift/Hours: PRN, 7P&ndash;7A. Friday availability preferred.
Job Description:
The best career starts here.
The staffing coordinator works alongside other coordinators to organize work schedules for staff in the Florence hospital. The staffing coordinator maintains and updates the Time/Scheduling system with staffing information through daily updates by telephone, email, and fax. The staffing coordinator provides open, transparent communication across the system and can communicate and collaborate with Nurse leaders on staffing changes daily while also applying critical thinking skills when placing and assigning nurses.
A general job description can be provided upon request.
Education, Credentials, Licenses:
<ul><li>High School Diploma</li></ul>
Specialized Knowledge:<ul><li>
Basic computer experience with ability and desire to increase skills.</li><li>
Proven track record of excellent customer service skills (particularly telephone communication skills).</li><li>
Excellent organizational skills.</li><li>
Ability to work independently without direct supervision.</li></ul>
Kind and Length of Experience:<ul><li>
One year secretarial or clerical experience in an office setting/environment.</li></ul>
FLSA Status:
Non-Exempt
Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.</div>

Staffing Coordinator - Resource Operational Center (ROC)

<div>Engage with us for your next career opportunity. Right Here.
Job Type:
Regular
Scheduled Hours:
40
 Why You&rsquo;ll Love Working with St. Elizabeth Healthcare
At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We&rsquo;re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 
 Benefits That Support You
We invest in you &mdash; personally and professionally.
Enjoy:<ul><li>Competitive pay and comprehensive health coverage within the first 30 days.</li><li>Generous paid time off and flexible work schedules</li><li>Retirement savings with employer match</li><li>Tuition reimbursement and professional development opportunities</li><li>Wellness, mental health, and recognition programs</li><li>Career advancement through mentorship and internal mobility</li></ul>
Job Summary:
Provide crisis intervention, clinical assessment, short-term counseling, referral and case management services for individuals, couples and/or families. Serve as a member of a multi-disciplinary team developing and facilitating educational seminars, providing management consultation, and coordinating with company accounts to ensure service delivery. The age of the population cared for is children to adults.
 
 
Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Description:
Clinical:<ul><li>
Conduct psychosocial assessments to determine appropriate level and variety of services ensuring a high level of client satisfaction.</li><li>
Provide individual, couples and family counseling in a brief therapy model.</li><li>
Provide twenty-four hour crisis intervention services on an on call rotation. Provide proper documentation, charting and correspondence.</li><li>
Provide case management and follow-up services to clinical cases.</li><li>
Provide gatekeeper authorizations and reauthorizations.</li><li>
Age specific expectations &ndash; The associate must be able to demonstrate the knowledge and skills necessary to provide services based on the applicable principles of growth and development over the life span.</li><li>
Safety statement &ndash; must follow and demonstrate knowledge of applicable safety and health rules as stated in SEMC&rsquo;s policies and procedures, and perform work-related duties in compliance with local, state and federal regulations.</li></ul>
Contract Maintenance:<ul><li>
Develop and conduct educational training and seminars on a variety of topics.</li><li>
Provide contract maintenance to assigned accounts: reports, promotional materials, correspondence.</li><li>
Complete affiliate applications/requirements.</li><li>
Provide timely, efficient response to employer request for services/interventions.</li><li>
Provide Critical Incident Stress Debriefing.</li><li>
Provide Management Consultations.</li><li>
Conduct departmental interventions.</li></ul>
Customer Service:<ul><li>
Coordinate referrals to community agencies and providers including insurance verification, linkage with services and follow-up.</li><li>
Manage clinical caseload to ensure clinical satisfaction.</li><li>
Complete necessary affiliate paperwork/closing.</li><li>
Provide timely correspondence/follow-up on Supervisory Referrals.</li></ul>
Employee/Peer Relations:<ul><li>
Participate in individual and team supervision.</li><li>
Recognize peers/business associates through designed recognition programs (Caregram).</li></ul>
Quality Assurance<ul><li>
Participate in peer audits. Participate/adhere to JCAHO standards.</li><li>
Participate in continuing education for professional/personal growth.</li></ul>
Performs other duties as assigned.
Education, Credentials, Licenses:
<ul><li>Masters&rsquo; Degree in Social Work, Psychology or related counseling field -Licensed/certified within the state where work is being performed</li></ul>
Specialized Knowledge:<ul><li>
Assessment skills</li><li>
Individual, couples and family therapy</li><li>
Crisis intervention</li><li>
Knowledge of DSM-IV</li></ul>
Kind and Length of Experience:<ul><li>
3-5 years post graduate clinical experience</li></ul>
FLSA Status:
Exempt
Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.</div>

Counselor EAP

Join St. Elizabeth Healthcare and explore 3   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.

St. Elizabeth Healthcare

About Company

Specialist Technical Denial

Staffing Coordinator - Resource Operational Center (ROC)

Counselor EAP