Qureos Mentor

UF Health

<div>Overview:
<div><div><div><div><b>
Summary:</b></div><div></div><p><br>
In consultation with the Medical Director and under the supervision of the Ambulatory Administrator or Director, the Office Manager III leads and manages either 2 or more clinics or has 20+ employees and all clinical and non-clinical activities of one - four departmental practices or satellite practices. Successfully leads and manages team to provide exemplary quality patient care and deliver excellent customer service by all office/department staff.</p></div></div></div>
Responsibilities:<div></div><div><div><div><div><b><br>
Responsibilities:</b></div><br>
<div></div><ul><li>
Oversees the day-to-day operations of the practice, with guidance from the Ambulatory Administrator. Responsible for the management of personnel, supplies, equipment, and patient financial interactions to include collection of co- payments, co-insurance and cash handling. Implement system to standardize the quality of communications between offices by establishing clear responsibilities and consistent expectations, provide regular fair and constructive feedback.</li></ul><br>
<div></div><ul><li>
Participates as an active care team member in the coordination of patient care.</li></ul><br>
<div></div><ul><li>
Provides supervision for the non-provider staff, to include organizing work assignments, counseling, problem solving, scheduling, and productivity monitoring, evaluating performance, implementing performance improvement projects, and maintaining payroll functions.</li></ul><br>
<div></div><ul><li>
Performs management duties to include participating in the hiring process, monitoring staff qualifications, staff orientation, staff training and scheduling. Ensure training and job competencies are completed prior to deployment.</li></ul><br>
<div></div><ul><li>
Routinely conducts staff meetings to discuss operations, staff issues and customer satisfaction; reviews new policies and procedures; and shares general information.</li></ul><br>
<div></div><ul><li>
Provides oversight of fiscal policies and procedures to include billing compliance, fiscal goals, cash handling functions, coding and encounter form processing.</li></ul><br>
<div></div><ul><li>
Resolves medical/administrative problems and patient complaints through the facilitation of excellent lines of communication between staff and providers under the direction of the Ambulatory Administrator.</li></ul><br>
<div></div><ul><li>
Implements and maintains Quality Improvement programs, proactively implements approved action plans to resolve problem areas, actively participates in goal setting for the practice and coordinates the efforts to meet the goals.</li></ul><br>
<div></div><ul><li>
Maintains appropriate records, required documentation, and employee files, including physician credentials and licensure documentation.</li></ul><br>
<div></div><ul><li>
Assist with all clinical support functions including, but not limited to registration, scheduling, and insurance coordination of benefits, managed care, and collections.</li></ul></div></div></div>
Qualifications:
<div><div><div><div><b>
Qualifications</b><b>:</b></div><div></div><ul><li><b><br>
Experience Requirements:
</b></li><li><ul><li>3 years- Supervisory experience - Preferred
</li><li>3 years- Operational experience in an ambulatory practice setting in the same or similar specialty - Required</li><li>
2 years - Clinical background - Preferred</li></ul></li></ul><div></div><ul><li><b><br>
Education:</b></li><li><ul><li>
High School Diploma or GED equivalent - Required</li><li>
Associates - Required</li><li>
Bachelors - Healthcare Administration, Business or a related field - Preferred</li></ul></li></ul><div></div><ul><li><b><br>
Travel:</b></li><li><ul><li>
Up to 25%</li></ul></li></ul><div></div><ul><li><b><br>
Manager Approval Authority:</b></li><li><ul><li>
Capital Expenditures: $2,000</li><li>
Supplies/Expenses: $2,000</li><li>
Vendors: Places orders with pre-approved agencies</li><li>
Salary Approval: Jointly with manager and leadership for internal movements</li><li>
Employment Decisions: Recommends accommodations, discharge/termination of employment based on documented disciplinary actions</li><li>
Position Requisitions: Reviews for approvals and appropriate specifications</li></ul></li></ul><div></div><ul><li><b><br>
Supervises:</b></li><li><ul><li>
1-20 - Customer Service Representatives
</li><li>1-20 - MA/CSR</li><li>
1-5 - Referral Coordinator</li><li>
1-2 - CSR &amp; MA Team Leads
</li><li>1-2 - Surgical Coordinators</li></ul></li></ul><div></div><ul><li><b><br>
Additional Duties:</b></li><li><ul><li>
Additional duties as assigned may vary.</li></ul></li></ul><div></div><div><b><br>
UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.</b></div></div></div></div></div>

Office Manager III | UF Health Family Medicine and Pediatrics - New Berlin | Days | Full-Time

<b>Overview:</b><br>
The Registered Nurse (RN) provides nursing care to patients utilizing the nursing process and standards of practice for a professional nurse. The RN is expected to perform all staff nurse activities and function as charge nurse when assigned. The RN maintains overall accountability/responsibility for assigned patients, even though some activities/tasks may be delegated to Technical Nurses, Patient Care Associates, and/or Sitters. Assignments are performed appropriately to age and developmental level of patients being served. The Open Heart Recovery RN has received specialized education and obtained the skills necessary to care for a patient post sternotomy and cardiopulmonary bypass. The Open Heart Recovery RN has obtained competencies and knowledge related to cardiothoracic surgery, advanced heart failure, hemodynamics, EKG interpretation, Swan Ganz catheters, and devices such as Impella, Intra-Aortic Balloon Pumps, CRRT, and ECMO. The Open Heart Recovery RN demonstrates professionalism, leadership and autonomy within scope of practice as set forth by hospital policy, state and federal law.
<br><br>
<b>Qualifications:</b><b>Required Education::</b><br>
Associate's Degree
<br><b>Specific course work:</b> Graduate of an accredited school of nursing.
<br>New hires effective June 14, 2017, must have a BSN degree from an accredited school of nursing within three (3) years of hire or transfer into the position. New hires or transfers into in the position between August 1, 2013 and June 13, 2017 must abide with the conditions in his or her offer letter and the verbiage in the job description signed upon hire or transfer into the position. Current employees who were hired or transferred into the position prior to August 1, 2013 will be grandfathered.
<br><br>
<b>Preferred Education::</b><br>
BSN
<br><br>
<b>Required Licensure/Certifications:</b><br>
1. License to practice nursing in the state of Florida
<br>2. BLS from the American Heart Association or the American Red Cross
<br>3. ACLS from the American Heart Association
<br><br>
<b>Preferred Licensure/Certifications:</b><br>
Professional certification preferred
<br><br>
<b>Required Experience:</b><br>
1-2 years CVICU/Open Heart Recovery or ICU experience
<br><br>
<b>Necessary Skills:</b><br>
1. Demonstrates teamwork and communicates in a professional manner with all members of the healthcare team.
<br>2. Demonstrates the ability to learn and apply computer technologies and procedures that affect patient care delivery.
<br><br>
<b>Age of Patients Served:</b><br>
All Age Groups

Nurse RN - Open Hrt Recvry-PRN 7A-7P

<div>Overview:
<div><div><div><div><b>
Summary:</b></div><div></div><p><br>
Review and analyze Self-pay and Insurance account credit balances, to ensure accurate resolution by distributing/un- distributing, transferring and/or refunding funds as appropriate for both Physician and Hospital charges.</p></div></div></div>
Responsibilities:
<div><div><div><div><div><div><div><b>
Responsibilities:</b></div><br>
<div></div><ul><li>
The Credit Balance Analyst must understand State and Federal Payor Guidelines.</li></ul><br>
<div></div><ul><li>
Track refund completion by ensuring all stages of the refund process is followed.</li></ul><br>
<div></div><ul><li>
Provide explanations for account status(es) for incoming inquiries received via; Electronic correspondence (Epic Correspondence Module), Fax transmittals, email and/or phone calls.</li></ul><br>
<div></div><ul><li>
Provide timely responses to refund requests from Internal and/or External business partners, such as insurance companies, Revenue Cycle Teams, Patient Service Representatives, Collections, Clinics etc.</li></ul><br>
<div></div><ul><li>
When applicable, contact patients and/or insurance companies to verify &quot;Pay to&quot; information and validate mailing addresses.</li></ul><br>
<div></div><ul><li>
Performs all other duties that may be assigned in the best interests of the team and the company.</li></ul><br>
<div></div><ul><li>
Apply knowledge of provider billing and practices to the research accounts with credit balances.</li></ul><br>
<div></div><ul><li>
Research and identify, the cause of credit balance(s) for various team functions such as: Curae Workqueue, Pre-Admit Workqueue, OMFS Workqueue, OB Workqueue, Hospital Credit Balance review, Unclaimed Property Returned Item Research etc.</li></ul><br>
<div></div><ul><li>
Conduct timely review of outstanding balances, apply overpayment(s) and/or initiate the refund.</li></ul><br>
<div></div><ul><li>
Analyze payments based on regulatory guidelines, ensuring administrative charges, coding and billing align to EOB (Explanation of Benefits) details, which includes, determining whether the payments were paid and posted correctly.</li></ul><br>
<div></div><ul><li>
Take ownership of assigned workloads, to meet and/or exceed departmental metrics and standards, while supporting the reduction of A/R balances.</li><li>
Engage Revenue Cycle Department as needed, to aid in accurate allocation of charges.</li><li>
Responsible for review, correction, and resolution of all account credit balances.</li><li>
Confirm accuracy of refund check detail to include demographic information and dollar amount as captured in the Accounts Payable system.</li></ul></div></div></div></div></div></div>
Qualifications:
<div><div><div><div><b>
Qualifications</b><b>:</b></div><div></div><ul><li><b><br>
Experience Requirements:
</b></li><li><ul><li>2 years Medical Billing and/or Insurance Follow-Up - Preferred
</li><li>Understanding of basic insurance rules and explanation of benefits is essential - Preferred</li><li>
Customer Service skills - Preferred</li><li>
Payment posting optional - Preferred
</li><li>Knowledge of EPIC - Preferred</li></ul></li></ul><div></div><ul><li><b><br>
Education:</b></li><li><ul><li>
High School Diploma or GED equivalent - Required</li></ul></li></ul><div></div><ul><li><b><br>
Additional Duties:</b></li><li><ul><li>
Additional duties as assigned may vary.</li></ul></li></ul><div></div><div><b><br>
UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.</b></div></div></div></div></div>

Credit Balance Analyst | Refunds Department | Days | Full-Time

Join UF Health 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.

UF Health

ABOUT_COMPANY

Office Manager III | UF Health Family Medicine and Pediatrics - New Berlin | Days | Full-Time

Nurse RN - Open Hrt Recvry-PRN 7A-7P

Credit Balance Analyst | Refunds Department | Days | Full-Time