Insurance Biller Collector

Location: Saint Mary’s Medical Group

Position Description: The Biller is responsible for submitting claims to the appropriate intermediaries and to ensure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members.  Maintains productivity standards and reports.  Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology

Required Qualifications: EDUCATION, EXPERIENCE, TRAINING

1.      Previous Billing Experience within a hospital Business Office Required.

2.      Previous experience with government programs and collections preferred.

3.      Knowledge of medical terminology

4.      Effective written and verbal communication skills

5.      Ability to multi-task, prioritize needs to meet required timelines

6.      Analytical and problem-solving skills

7.      Customer Services experience required

8.      High School Graduate or GED Equivalent  Required (effective 4/1/14 for all new hires)

* If you are interested in this position, please APPLY HERE *

POSTED: 1-31-2025

Credentialing Coordinator

Location: Saint Mary’s Medical Group

Position Description: Ability to function in a demanding environment by navigating multiple projects simultaneously, and effectively supporting a busy Medical Group. This position is responsible for assigned Medical Staff as assigned by Credentialing Supervisor. Facilitates all aspects of credentialing including applications, reappointments, proctoring and competencies. Interfaces with physicians, management, and co-workers in a positive and professional manner.

Required Qualifications: EDUCATION, EXPERIENCE, TRAINING

1. Proven work experience in Credentialing or relevant training and/or experience.

2. Ability to manage multiple priorities, maintains and communicates status of work progress, and anticipates work production scheduling requirements.

3. Ability to communicate effectively in written, oral and graphic forms preferred.

4. Demonstrated ability to consistently complete assignments with no supervision preferred.

5. Excellent interpersonal skills, including the ability to communicate professionally, both verbally and in writing.

* If you are interested in this position, please APPLY HERE *

POSTED: 1-31-2025

Admin Assistant- Hospitalist

Location: Saint Mary’s Medical Group

Position Description: The Administrative Assistant works with the Office Manager, Administrative team members and department heads to ensure compliance with goals and objectives established by the hospital corporation. Communicate effectively, in writing, verbally, and via telephone, with all levels of personnel and visitors. Input and retrieve computerized data.

Required Qualifications: EDUCATION, EXPERIENCE, TRAINING

1.    High School Diploma or Equivalent preferred.

2.    Minimum of two years previous Administrative Assistant/Secretarial/Office experience in a physician practice.

3.    Must speak, read, write English with the ability to compose correspondence displaying good command of the English language.

4.    Must be proficient with Microsoft Office: Word, Excel, and PowerPoint.

5.    Must have good attention to detail and the ability to function effectively under deadlines, changing priorities and the ability to work in a team environment.

6.    Must exhibit a positive attitude and willingness to learn.

7.    Excellent communication and interpersonal skills preferred.

8.    Additional languages preferred.

* If you are interested in this position, please APPLY HERE *

POSTED: 1-31-2025

Registered Nurse - Cardiology

Location: Saint Mary’s Medical Group – Center for Health

Position Description:

The RN is directly responsible for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Incumbent is able to respond quickly and accurately to changes in condition and/or response to treatment. Position requires patient privacy and confidentiality.

Required Qualifications: EDUCATION, EXPERIENCE, TRAINING

1. Recent RN experience preferred

2. Must be able to communicate in English (Speak, Write)

3. Current and valid Nevada RN License.

4. BLS (AHA) certification required

5. ACLS (AHA) certification required within 90 days of hire and maintain current (Cardiology and those performing Infusion duties only).

* If you are interested in this position, please APPLY HERE *

POSTED: 1-31-2025
Finance Director

Company: Community Health Development Partners

Position Overview:

We are seeking a strategic and results-driven Finance Director to join our leadership team. The Finance Director will be responsible for overseeing the financial operations of the organization, ensuring compliance with regulatory requirements, and developing financial strategies that support our mission and goals. This role will work closely with senior management to drive financial performance and provide insights that support decision-making.

Key Responsibilities:

• Financial Leadership: Lead the finance team and develop them as individuals to grow in their roles. Create a culture of inclusion and excellence where the team feels supported and motivated to excel. Develop and implement financial strategies that align with the company’s goals and objectives. Lead the financial planning, forecasting, and budgeting processes.
• Financial Reporting: Oversee and participate in the preparation and compiling of timely and accurate financial statements, reports, and analyses. Present financial performance and strategic insights to the executive team.
• Compliance and Risk Management: Ensure compliance with all regulatory and reporting requirements in the healthcare sector. Manage financial risks and develop mitigation strategies. Act as the organization’s compliance officer to ensure compliance in all aspects of the companies work. Develop and manage the organization’s compliance program and foster a culture of compliance.
• Cost Management: Analyze costs and identify areas for efficiency and cost-saving initiatives. Implement financial controls to optimize resource allocation. Implement a cash control system. Work with stakeholders to create staffing metrics for leaders to aid in making appropriate staffing decisions.
• Stakeholder Engagement: Collaborate with department heads and external stakeholders to support financial planning and performance monitoring. Build strong relationships with auditors, banks, and other financial partners.
• Strategic Initiatives: Participate in strategic planning and development of business cases for new projects, services, or investments. Evaluate the financial viability of proposed initiatives.

Requirements:

• Bachelor’s degree in finance, Accounting, or a related field required; MBA or CPA preferred.
• Minimum of 5 years of experience in finance, with at least 3 years in a leadership role within the healthcare industry.
• Strong understanding of healthcare finance, health care accounting, reimbursement models, and regulatory compliance.
• Proven track record of financial analysis, budgeting, reporting, and with audits.
• Excellent leadership, communication, and interpersonal skills.
• Ability to travel when required.
• Ability to work collaboratively in a fast-paced, dynamic environment.

* If you are interested in this position, please APPLY HERE *

POSTED: 1-22-2025