Clinical Denials Audit & Analysis Specialist Job at Baptist Health (Florida) (Jacksonville)

Sr RCM Specialist

As the Senior RCM Specialist, you will partner with business leaders to improve ...

Location

United States

Salary:

24.93 - 31.17 USD / Hour

ATI Physical Therapy

Expiration Date

Until further notice

Requirements

High School Diploma, GED, or suitable equivalent
5 years of healthcare experience in clinical or office setting
3 years of healthcare revenue cycle experience
Offshore revenue cycle vendor experience
Excellent in Microsoft Office applications, capable of creating detailed analyses using pivot tables and other formulas/features within Excel
Strong attention to detail
Ability to prioritize and manage multiple tasks simultaneously
Excellent interpersonal and communication skills
Must have excellent organizational skills and ability to prioritize and coordinate workload

Job Responsibility

Partner with business leaders to improve and deliver positive change throughout all revenue cycle processes
Collaborate with the RCM supervisor, RCM Sr. Mgr./Mgr. to review the quality, efficiency, and productivity of vendor partners
Work to improve the accuracy and effectiveness of revenue cycle processes through leading account audits, data analysis, training sessions, and team/vendor meetings
Maintain ATI’s policies and procedures as it relates to focused area within the revenue cycle
Assist in the summarizing of audit data to identify process improvement opportunities and creating Service Level Agreement (SLA) quality reporting
Provide ongoing monitoring of standards by conducting audits
Perform timely reviews of patient accounts and remittances for denials to determine root cause
Provide subject matter guidance to ATI team members and offshore vendor partner teams
Prepare, schedule, and lead collaboration/training sessions
Monitor KPI & SLA metrics

Fulltime

Medical Biller

We are looking for an experienced Medical Biller/ AR specializing in medical ope...

Location

United States , Scranton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Extensive experience in medical billing and collections
Proficiency in multi-specialty coding practices
Certified Coding credentials are required
Familiarity with federal and state medical billing regulations
Strong analytical skills for trend analysis and audit processes
Proven ability to supervise and manage billing teams effectively
Excellent communication skills for collaboration with healthcare providers and payers
Attention to detail and commitment to maintaining data accuracy

Job Responsibility

Perform multi-specialty coding with precision to ensure timely submission of claims
Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively
Develop and implement an audit process to validate clinical documentation and coded data integrity
Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions
Supervise the daily tasks of billing specialists to maintain workflow efficiency
Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances
Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies
Prepare and analyze monthly aging reports to support financial oversight
Establish best practices to uphold data integrity and quality throughout the revenue cycle
Lead staff training initiatives to promote adherence to industry standards and compliance requirements

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Medical Coding Multi Specialty QA Specialist

The Medical Coding Multi Specialty QA Specialist (CPC Certified) is responsible ...

Location

United States , Oak Brook

Salary:

28.00 - 32.00 USD / Hour

Jorie AI

Expiration Date

Until further notice

Requirements

High school diploma or equivalency
AAPC Certified Professional Coder (CPC) certification is required
Other relevant certifications (CPMA, CEMC) are a plus
Maintain departmental productivity levels and compliance with quality standards
A minimum of 4 years of experience in a multi-specialty physician practice or clinic, coding multiple medical/surgical specialties/subspecialties
A minimum of 3 years of prior experience translating coding error trending and quality assurance and translating these results into process improvements with minimum supervision required
Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies
Proficiency in using medical billing software and EHR systems
Attention to detail with the ability to identify/resolve problems and document the outcome
Ability to collaborate effectively in a team setting to maximize quality and efficiency of operations

Job Responsibility

Leverages extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing to audit coded charts
Provide coding, financial and/or operational reports, and provide feedback to improve documentation to maximize revenue and reduce denials
Performs audits of the coding team, providing feedback and education based on results
Develops overall educational materials based on common trends identified during the audit process
Conducts internal coding audits and analysis of issues holding up accounts and follows guidelines
Identifies areas of utilization improvements and monitors expected outcomes
Identifies recurring problems and procedural deficiencies and provides solutions to eliminate them
Research and update new and/or revised coding and compliance standards
Performs other related duties as required or requested

What we offer

401(k) matching up to 4%
Medical
Dental
Vision
Long/Short Term Disability insurance
Life insurance $25,000 Paid by employer
PTO 2 weeks
10 and half Holidays
Remote opportunities
Growth advancement opportunities

Fulltime

New

Vice President

iCapital is looking to hire an investment product specialist Vice President to s...

Location

China , Hong Kong

Salary:

Not provided

iCapital Network

Expiration Date

Until further notice

Requirements

10+ years of experience working within the alternative investment industry in a client facing capacity (e.g., Investor relations at GPs or distribution specialist at placement agents, fund of funds and asset management firms with alternative investment product experience)
A self-starter who demonstrates the ability to work in a fast-paced entrepreneurial environment and follow a rigorous sales process
Strong team orientation with exceptional organizational and interpersonal skills especially in a cross-boarder and small team-working environment
Strong with Microsoft powerpoint and has excellent verbal and written communication skills
Local regulatory licensing is required
Relevant language skills is a plus

Job Responsibility

Leverage a consultative sales process to acquire new relationships, expand existing client relationships, and service assets under management
Develop high level of sales proficiency with iDirect offerings in private equity, private credit, and hedge funds and other future iDirect products and a good understanding of the asset class as well as product comparison purposes
Traveling is required to markets to meet with gatekeepers, advisors, industry bodies, end clients in support of the broader sales and educational effort
Assist in the planning and execution of roadshows and conferences
Work alongside the in region Client Solutions team personnel on client pitches, product positioning, and sales campaigns
Leverage technology input and reporting tools to support sales management activities

Fulltime

Customer Assistant II

Location

United States , Amherst

Salary:

26.06 - 29.33 USD / Hour

Massachusetts Municipal Association

Expiration Date

Until further notice

Requirements

High school degree or equivalent PLUS one to three years of experience in accounting, bookkeeping, or cash handling
OR any equivalent combination of related education and experience that demonstrates the ability to successfully perform the responsibilities of the position

Job Responsibility

Perform a full range of complex procedural accounting and clerical duties associated with computation, reconciliation and posting to accounts for town collection areas (e.g., Water and Sewer, Parking)

Fulltime

Care Assistant - Days

Are you ambitious? Do you want something else? Are you looking for new energy? W...

Location

United Kingdom , Poynton

Salary:

12.75 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

No previous experience or qualifications needed
Enhanced DBS check in relation to Children and Adults required

Job Responsibility

Support with personal care needs
Help residents take part in a wide range of special interests and activities that support their health and wellbeing such as arts and crafts, watching the footie, drama, musical evenings, gardening, shopping trips and social occasions

What we offer

Discounts on Shopping, Fashion, Days out, Travel, Entertainment and lots more
Flex Earn – Earned wage access
FREE face-to-face counselling for you and your family
Staff recognition award ceremonies
£30 voucher available every month for the nominated Employee of the month
Opportunities for training and career progression
Salary Sacrifice Pension scheme
Blue Light Card – up to 50% discount across 100’s of retailers
Access to a FREE eye test and discounted glasses
Cashback card – save up to £500 annually

Fulltime

DPW Highway Equipment Operator

The town of Littleton is seeking qualified applicants for a full-time 40-hour/we...

Location

United States , Littleton

Salary:

24.56 - 29.54 USD / Hour

Massachusetts Municipal Association

Expiration Date

July 17, 2026

Requirements

Valid driver's license
CDL class B
Hoisting license 2B/1C minimum (or ability to obtain within 12 months)
Ability to operate heavy equipment, riding mowers, snow and ice equipment, power and hand tools
Snow and ice operations, drainage system experience and roadway construction knowledge preferred

Job Responsibility

Perform routine work assisting in all Public Works construction, maintenance and repair projects
Operate heavy equipment, riding mowers, snow and ice equipment, power and hand tools

What we offer

On call standby stipend
Winter standby stipend
Licenses and clothing stipends per union contract
Overtime available

Fulltime

!

Grant Accountant

We are looking for a detail-oriented Grant Accountant to join our team in Vernon...

Location

United States , Vernon

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience managing grant accounting activities, including budget tracking, reporting, and compliance oversight
Knowledge of government grant requirements and nonprofit accounting practices, including restricted fund management
Ability to prepare reconciliations, journal entries, and financial analyses related to grant-funded operations
Familiarity with revenue recognition principles and month-end close processes tied to grants
Proficiency with grant management and fund administration in an accounting environment
Experience working with Abila MIP or similar nonprofit accounting software
Strong analytical skills with the ability to interpret budget variances and maintain accurate financial records

Job Responsibility

Oversee grant budgets, spending activity, and funding balances to help maintain accurate financial control across active awards
Review transactions to confirm costs are properly assigned, permitted under grant terms, and aligned with applicable funding requirements
Prepare grant-specific financial schedules, account reconciliations, and supporting documentation for internal review and external reporting
Develop and submit financial reports for grantors based on required deadlines, formats, and compliance expectations
Support audit activity by organizing records, responding to documentation requests, and assisting with grant-related testing and reviews
Partner with program leaders to build grant budgets, evaluate spending trends, and explain budget-to-actual differences
Record journal entries and maintain general ledger accuracy for grant revenue, expenditures, and fund classifications
Distinguish restricted and unrestricted funding appropriately to support proper accounting treatment and financial reporting
Collaborate with development and program teams to provide financial guidance on proposals, reporting obligations, and allowable use of funds

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan
Deferred compensation plan
Paid time off for vacation, personal needs, and sick time
Paid holidays

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Clinical Denials Audit & Analysis Specialist

Job Description

Job Responsibility

Requirements

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