48 administration operations jobs found

Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient use of resources.     Qualifications Education: Minimum of A.S.N. from an accredited college or university (BSN Preferred) and current Alabama licensure.   Experience: Three years acute care experience required.   Additional Skills/Abilities: Excellent interpersonal communication and negotiation skills; strong...

Overview The Insurance Follow-up Supervisor is responsible for overseeing the Insurance Follow-up Team within the Physician Services Revenue Cycle Department. This role ensures timely follow-up on outstanding insurance claims, proper resolution of denials, and compliance with payer guidelines. The Insurance Follow-up Supervisor monitors staff productivity, provides training, and works to improve reimbursement processes and reduce claim aging. Qualifications Education: High School Diploma/GED required. Associates or Bachelors Degree preferred. Billing Specialist Certification or Applicable College Course preferred. Experience: 3 – 5 years of experience in medical billing, insurance follow-up, or revenue cycle management. 1–2 years of supervisory or team-lead experience preferred. Strong knowledge of insurance claim processing, denial management, and payer guidelines. Knowledge of CPT, ICD-10, and HCPCS coding basics....

Job description Olympus Health coordinates and performs physical evaluations for state agencies supporting individuals applying for government services in Alabama and multiple other states around the country. We provide this service one or two Saturdays per month, ensuring there is no conflict with your current professional schedule. Each clinic day typically runs from 9:00 am to 5:00 pm, depending on the number of scheduled evaluations. PERTINENT INFORMATION As the provider, you will provide disability examinations and evaluations that primarily test the claimant s function and range of motion. Conduct basic physical evaluations using a structured, easy to follow template Perform assessments solely for the purpose of assisting the State of Alabama in determining eligibility for government programs Document findings clearly and professionally Not establish a doctor patient relationship Not provide diagnosis, treatment, or medical advice Not...

Overview Maintains inventory, computer entry, receiving, storage, and distribution of all supplies used in the department. Establishes and maintains files for ordering supplies and equipment. Provides terminal cleaning, packaging, sterilization and distribution of surgical instruments and supplies. Records sterilization process according to hospital policy. Orders, receives and distributes all supplies and equipment used in Central Service/Instrument Room. Prepares specialty carts, and respiratory wraps. Cleans appropriate equipment in central. Qualifications Education / Licensure / Certifications :  High School Diploma or GED required. Experience:  Previous experience as a Sterilization Technician preferred. Additional Skills / Abilities: Must be able to work in fast paced environment. Must be able to prioritize task and respond quickly to Unit needs. Must possess and demonstrate excellent communications...

Overview Registration Representatives are responsible for entering accurate patient and guarantor information into the CPSI  computer system.  These steps are to be followed in accordance with the established policies and procedures and under the direction of the supervisor. Patient access rep floaters will float between all registration departments based on scheduling needs. Qualifications HS/GED required.  Excellent communication and customer service skills required. About Us Our Mission:  Be the Difference Our Vision: Excellence Always Our Values: Safety, Compassion, Innovation & Excellence Benefits: We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; tuition...

Overview Job Summary:     Demonstrates through behavior Decatur Morgan Hospital’s mission, vision and values. In addition, the nurse director leads and manages all aspects of the nursing department(s):  delivery of nursing care, financial/resource management, quality of care, personnel management, service excellence and daily operations.   Ensure compliance with regulatory standards applicable to the assigned area of nursing practice.   Responsibilities Key Responsibilities / Essential Functions   1. Demonstrates all key responsibilities and essential functions of the Registered Nurse for pediatric, adolescent, and adult populations. 2. Demonstrates knowledge of CMS, The Joint Commission, and Quality Metrics in order to establish processes that meet educational requirements and compliance of staff. 3. Demonstrates knowledge of EMTALA guidelines in order to establish admission and exclusionary criteria for...

Overview Job Summary : Professionally and courteously interviews patients and/or family members to obtain accurate and complete demographic, financial, and medical information for the registration/admission process and patient identification. Verifies insurance eligibility and benefits. Estimates patient responsibility, collects, and posts payments. Ensures the  smooth flow of patients through  registration areas. Provides excellent customer service and service recovery.  Demonstrates through behavior Decatur Morgan Hospital’s mission, vision and values Responsibilities Key Responsibilities / Essential Functions Accurately identifies patient records using 2 patient identifiers Greets and interviews patients or calls and interviews patients by phone to obtain all necessary insurance and demographic information. Accurately enters data into the registration system, including medical, demographic, insurance,...

Overview Serves as a member of the Financial Services team by providing information and service to employees and managers. Assists the Mgr Payroll with the management and administration of Huntsville Hospital’s payroll processing and payroll staff. Qualifications Education required: Bachelor's Degree in Accounting, Finance, Human Resources, or related field from an accredited school or university Experience: Require a minimum of two (2) years experience in Human Resources and/or payroll processing. Prior experience in Kronos or Lawson desired. Additional skills/abilities:   Must be able to effectively communicate with employees and managers regarding sensitive and often complicated issues Oral presentation skills required Must be able to set priorities, coordinate and organize multiple tasks and maintain control of work flow Must be proficient in routine mathematical computations and analyses The...

Overview Warehouse Operations is responsible for performing/controlling a combination of manual or automated tasks necessary for the receipt, storage, and shipment of product. This may include functions of receiving, picking, packing, shipping, staging, transporting, storage, delivery, etc. Also responsible for the efficient flow of products from the point of product receipt from vendors to the shipment of products (via prescribed service parameters) to a variety of internal and external customers. Qualifications Minimum Knowledge, Skills, Experience Required: Education/Licensure/Certifications: High School Diploma/certificate of completion required with strong math and reading skills. Some college preferred. Experience: Previous experience in supply chain operations preferred. Health care experience preferred. Additional Skills/Abilities: Must be able to work in a fast paced environment, requiring prioritizing and...

Overview The Orthopaedic Center is looking for a highly motivated Therapy Scheduler Floater based out of our Huntsville office. This opening is a full-time position averaging 40 hours per week. The Therapy Scheduler will perform an array of duties including greeting and assisting with check-in and check-out duties of all patients presenting for appointments, scheduling patients in person and via telephone, verifying insurance eligibility, collecting payments, and any other task assigned. The Therapy Scheduler must be able to communicate effectively with patients, TOC physicians and staff. Qualifications Education required: HS/GED Experience: Customer Service Representative experience preferred Additional Skills/Abilities: Ability to work under pressure, multitask and meet deadlines Outstanding organizational, time management and writing skills Ability to speak clearly and concisely Knowledge of data...

Overview The Orthopaedic Center is looking for a highly motivated Therapy Scheduler for our Huntsville office. This opening is a full-time position averaging 40 hours per week. The Therapy Scheduler will perform an array of duties including greeting and assisting with check-in and check-out duties of all patients presenting for appointments, scheduling patients in person and via telephone, verifying insurance eligibility, collecting payments, and any other task assigned. The Therapy Scheduler must be able to communicate effectively with patients, TOC physicians and staff. Qualifications Education required: HS/GED Experience: Customer Service Representative experience preferred Additional Skills/Abilities: Ability to work under pressure, multitask and meet deadlines Outstanding organizational, time management and writing skills Ability to speak clearly and concisely Knowledge of data entry and Excel...

Overview The Orthopaedic Center is looking for a highly motivated Therapy Scheduler Team Lead. This opening is a full-time position averaging 40 hours per week. The Therapy Scheduler Team Lead will be responsible for responsible for training new employees across TOC Therapy clinics throughout North Alabama, while also serving as a floater scheduler when training is not the primary priority. Provide comprehensive training on patient registration and demographic entry, in-person and telephone scheduling, scanning and uploading registration documentation into electronic medical records (EMRs), verifying insurance eligibility, operating applicable systems, collecting payments, maintaining petty cash drawers, and preparing bank deposits. This role requires the ability to work effectively under pressure, maintain a friendly and professional demeanor, demonstrate flexibility and open availability, and reliably travel between TOC Therapy clinic locations....

Overview The Care Transition Assistant supports the Case Management staff by providing clerical functions for the department’s Case Managers and Social Workers.  These tasks include but are not limited to: arranging post discharge services, issuing Medicare Important Message letters and communicating updates to the hospital care team staff Qualifications Education:  Requires High School diploma Experience:  Service in a customer service role preferred; Hospital experience preferred Additional Skills/Abilities:  Care Transition Assistant must be able to work independently and possess excellent verbal and written communication skills.  It is imperative that the Care Transition Assistant has the ability to function as a team member and appropriately seek supervision as needed. Must demonstrate the ability to organize and prioritize and the ability to interact with all levels of staff in a courteous and professional...

Overview The Care Transition Assistant supports the Case Management staff by providing clerical functions for the department’s Case Managers and Social Workers.  These tasks include but are not limited to: arranging post discharge services, issuing Medicare Important Message letters and communicating updates to the hospital care team staff Qualifications Education:  Requires High School diploma Experience:  Service in a customer service role preferred; Hospital experience preferred Additional Skills/Abilities:  Care Transition Assistant must be able to work independently and possess excellent verbal and written communication skills.  It is imperative that the Care Transition Assistant has the ability to function as a team member and appropriately seek supervision as needed. Must demonstrate the ability to organize and prioritize and the ability to interact with all levels of staff in a courteous and professional...

Overview Reporting to the Case Management Director, the Case Management Manager is responsible to assist in the development, planning, coordination, and administration of the Case Management department. Including, but not limited to being a resource and first level in the Case Management chain of command for support and escalation of issues for the Case Management staff. Qualifications Education: Bachelors of Science in Nursing preferred; Associates in Nursing required License: Alabama Registered Nurse License Experience: Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication skills and ability to work collaboratively with all members of the health care team.

Overview Responsible for the delivery of  patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. SECONDARY POSTION (CHARGE NURSE ADDENDUM):  as a charge nurse or CNIII, demonstrates ability to educate and mentor others through the nursing process. Responsibilities Education:  Graduate of an School of Professional Nursing; must provide documented evidence to perform waived  testing Experience:  Must have 2 years of endoscopy experience or at least 5 years of RN nursing experience in various clinical settings, including Surgical Services, Critical Care or Medical-Surgical Nursing....

Overview The Medical Assistant (MA) delivers direct patient care in the clinical setting beginning with escorting the patient to the examination room, performing any treatments and procedures required by the physician, and ending with the discharging of the patient.  He/she recognizes, reports, and documents clinical observations.  He/she is responisble for coding the procedures correctly. Qualifications Education required: High School Diploma or GED License, Certification and/or registration: Current CPR Certification. Current Medical Assistant Certification (CCMA) Preferred Additional Skills/Abilities: Knowledge of common safety hazards and precautions to maintain a safe work environment. Ability to perform effectively in emergency and stressful situations. Ability to read, understand and respond to detailed oral and written instructions Ability to communicate clearly Skill in establishing and...

About Us Resposibilities include condcting concurrent case managment and discharge planning activities; identifying and addressing barriers to discharge; coordinating with patients, families, physicians, and community resources; facilitating referrals to post-acute providers; participating in interdisciplinary rounds; supporting patient progression, regulatory compliance,and lenght-of-stay intitiatives; documenting case management interventions; and collaboratng with the interdisciplinary team to ensure safe, efficient transition of care. PRN staff are expected to maintain scheduling flexibility, including a minimum commitment of own weekend per month, an perform other duties as assigned in support of departmental and organizational objectives. 

Overview The Insurance Assistant is responsible for submitting and following up on claims to third party payers in order to promote prompt reimbursements. The Insurance Assistant is responsible for monitoring the status of claims to determine which claims may need to be corrected and if needed, appealed. Qualifications Minimum Knowledge, Skills and Experience required: Education: High School diploma or GED required; post-secondary education preferred. Experience: Minimum of two years prior experience working with medical insurance or billing required. General understanding of work flow in a medical billing environment desirable. Additional Skills/Abilities: Knowledge of medical terminology and broad understanding of medical insurance industry required. Ability to investigate and identify problems with claims required. Ability to communicate effectively both verbally and in writing required. Excellent organizational and...

Baldwin Health is seeking a BE/BC Pain Management physician with an opportunity to influence the growth and expansion of the service line just 15 minutes from the beach. Employed opportunity High growth market fastest growing county in Alabama! Outpatient clinic with hospital availability for procedures, no hospital call Seeking Anesthesiologist with Pain Fellowship or Physical Medicine and Rehabilitation Provider Single office location Comprehensive Financial Package with a Competitive MGMA Salary which may include the following: Competitive base salary with incentive bonus based on WRVUs Commencement Bonus Residency/Fellowship Stipend Annual CME Allowance Relocation Assistance Licenses, Dues and Subscriptions Vacation, health, dental and vision benefits About the Hospital Baldwin Health is an acute care hospital with approximately 142 licensed beds serving Foley and the greater south Baldwin County area. The...