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Action Offres d'emploi - Hope, BC

Dernière mise à jour : il y a plus de 30 jours
Denials Analyst

Denials Analyst

VeeAR ProjectsHope, CA
28,09 $CA par heure
Job Objective : A brief overview of the position.Responsible for researching and resolving claim denials, ADR requests and certs, submitting and tracking appeals, noting trends and providing monthly...Voir plusDernière mise à jour : il y a plus de 30 jours
PACT Mental Health Professional

PACT Mental Health Professional

AVI Health and Community ServicesComox Valley, British Columbia, Canada
33,99 $CA par heure
Temps partiel
AVI Health & Community Services (AVI).HIV, hepatitis C and harm reduction services out of 5 locations across Vancouver Island. AVI provides services to people living with HIV and hepatitis C and...Voir plusDernière mise à jour : il y a plus de 30 jours
Fitness Manager

Fitness Manager

Fitness WorldFraser Valley Regional District, BC
60 000,00 $CA – 90 000,00 $CA par an
Total annual compensation varies dependent on experience and performance.The average range for our Fitness Manager’s is $60,000 - $90,000 per annum. As a Fitness Manager with Fitness World, you have...Voir plusDernière mise à jour : il y a plus de 30 jours
HSE Coordinator

HSE Coordinator

CO_38 Bird Construction GroupGreater Vancouver, BC
110 000,00 $CA – 180 000,00 $CA par an
Temps plein
The greatest achievements in history are borne from the greatness within people – where human potential meets vision, and passion fuels evolution. Unlocking this potential is the most important thin...Voir plusDernière mise à jour : il y a plus de 30 jours
Manager, Social Action

Manager, Social Action

EightSix NetworkBC
86 200,00 $CA – 122 100,01 $CA par an
Family Service Toronto (FST) helps people face a wide variety of life challenges.For over years, we have worked with individuals, families and communities destabilized by precarious mental health a...Voir plusDernière mise à jour : il y a plus de 30 jours
Manager, Leadership and Organizational Development

Manager, Leadership and Organizational Development

BCEHSBritish Columbia, Canada
117 732,82 $CA – 138 510,41 $CA par an
Temps plein
Specifically, the Manager of LD & OD will support deliverables in BCEHS’ new People Plan through a range of initiatives such as engagement, leadership training, coaching, mentorship, performance pr...Voir plusDernière mise à jour : il y a plus de 30 jours
Guidewire Policy Center Architect

Guidewire Policy Center Architect

Emonics LLCBritish Columbia, Canada
100 000,00 $CA – 135 000,00 $CA par an
Strong experience in Guidewire Policy Center V10 Configuration, Integration, Rating Engine, product model configuration and GOSU Script development. Extensive experience in Guidewire integration mec...Voir plusDernière mise à jour : il y a plus de 30 jours
Assistant Manager, Product Operations - Park Royal Shopping Centre

Assistant Manager, Product Operations - Park Royal Shopping Centre

500 Gap (Canada) Inc.9805 GAP Park Royal S / C
32,45 $CA –43,91 $CA par heure
Temps plein
As an Assistant Manager, you set the tone for the store and the team and help bring our brand to life for our customers.You’re responsible for driving profitable sales growth through all aspects of...Voir plusDernière mise à jour : il y a plus de 30 jours
Math Teacher 8-10

Math Teacher 8-10

York Region District School BoardBritish Columbia, Canada
42 000,00 $CA – 70 000,00 $CA par an
Temps plein
Maaqtusiis Secondary School in Ahousaht is looking for a High School teacher to join our team in a pristine village on the beautiful west coast of Vancouver Island. As our school moves to the next l...Voir plusDernière mise à jour : il y a plus de 30 jours
assistant store manager, Downtown Vancouver, B.C

assistant store manager, Downtown Vancouver, B.C

StarbucksBritish Columbia, Canada
35,00 $CA –42,00 $CA par heure
Now Brewing – Future Leaders! #tobeapartner.Starbucks is known for developing extraordinary people who drive business success by doing the right thing for partners (employees), customers and commun...Voir plusDernière mise à jour : il y a plus de 30 jours
Ophthalmic Technician

Ophthalmic Technician

Providence Health CareSPH EyeVancouver, British Columbia, CA
31,85 $CA par heure
Reporting to the Operations Leader, this position performs complex diagnostic ophthalmic procedures and assessments in imaging, visual field and other ophthalmic tests. Provides tests and treatment ...Voir plusDernière mise à jour : il y a plus de 30 jours
Denials Analyst

Denials Analyst

VeeAR ProjectsHope, CA
Il y a plus de 30 jours
Salaire
28,09 $CA par heure
Description de poste

Job Objective : A brief overview of the position.

  • Responsible for researching and resolving claim denials, ADR requests and certs, submitting and tracking appeals, noting trends and providing monthly reports. Responds to audit requests (including RAC) from payors. Maintains a Library of Payer reference material regarding requirement for preauthorization, medical necessity and documentation requirements. Works with the Revenue Cycle stakeholders ( Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for future denials.

Reports to

  • Manager, Denials Analytics
  • Supervises :
  • None
  • Ages of Patients :
  • N / A
  • Blood Borne Pathogens :

  • Minimal / No Potential
  • Qualifications :
  • Education
  • Required : High School diploma or equivalent
  • Preferred : Associate degree
  • Licensure / Certification
  • Preferred : Certified coder or currently enrolled in a coding program
  • Experience
  • Required : Minimum of two years of Professional Billing with an emphasis in Managed Care denial follow up and appeals processing Prior hospital billing experience a plus.
  • Preferred : three to five years of Patient Accounting in a high-volume environment.
  • Specific Skills, Knowledge, Abilities Required :

  • Strong Analytical skills, Proficient in Microsoft Windows with emphasis on Excel.
  • Ability to prioritize and coordinate workflow and attention to detail.
  • Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association.
  • Working knowledge of LCD's, NCCI and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization, and documentation requirements.
  • Hospital-Wide Supporting Commitments :

  • GROWTH : Inpatient and outpatient volumes are steadily increasing.
  • Demonstrates a commitment to change and growth in approach toward daily work.
  • Mobilizes the resources and energies of the health system towards success.
  • Looks for new business opportunities and makes suggestions for expanding our services.
  • Words and actions reinforce Eisenhower as an indispensable health care resource and promotes the likelihood of recommending the health system.
  • CLINICAL EXCELLENCE : Ensure that measured outcomes meet / exceed agreed upon expectations. Evidence based clinical practice policies, procedures, and other standards are practiced 100% of the time. Tests, treatments and procedures are thoroughly explained to patients and are understood. Patients, visitors and donors are always safe from harm and prefer Eisenhower because of its high quality.
  • Adheres to hospital and department safety and compliance policies and procedures.
  • Wears identification badge at all times ensuring it can be read.
  • Completes annual health, safety, compliance reviews and any department / hospital specific requirements within the expected timeframe.
  • Understands the importance of immediately reporting on-the-job injuries online and to your supervisor.
  • Accepts responsibility for own work.
  • Monitors own work to ensure quality; participates in continuous quality improvement.
  • Maintains sound judgment and reasoning; analyzes problems or procedures & selects correct course of action.
  • Explains tests, procedures, and services with patients to ensure thorough understanding.
  • Engages in opportunities to learn and grow by participating in training and educational programs.
  • COURTESY / CARING : Staff always practice good manners, are friendly, polite and emotionally sensitive to each individual whether patient, family, visitor or fellow employee.
  • Acknowledges each person in a sensitive, friendly contact & offers assistance as needed.
  • Provides an” ideal” level of service by taking immediate action in addressing customer requests, needs, and concerns.
  • Uses pleasant / appropriate tone and positive verbal / nonverbal / written communication at all times.
  • Answers telephone by identifying department and name; and asks, "How may I help you?”
  • Treats everyone with courtesy and respect, not making excuses nor blaming other employees or departments; works together to improve customer service.
  • PARTNERSHIP : Medical Staff, volunteers and employees are committed and highly engaged. Leadership and the staff are constantly striving for professional growth and applying that new knowledge to innovate and continuously improve direct patient care and other supporting systems and procedures.
  • Treats co-workers as teammates, accepts / supports team decisions and the roles of others.
  • Develops trust and credibility with peers, supervisors, and customers.
  • Helps others during slow periods.
  • Applies new knowledge to innovate and continuously improve direct patient care and other supportive systems and operations.
  • Provides helpful, courteous, timely, and accurate responses to all individual
  • HEALING ENVIRONMENT : A supportive setting is developed and maintained that embraces the physical, emotional, and spiritual aspects of health and healing.
  • Maintains a professional image and a clean, orderly environment that portrays an overall image of excellence.
  • Demonstrates compassion when dealing with difficult situations & takes initiative to resolve.
  • Creates a positive environment by not engaging in inappropriate communication.
  • Demonstrates a can-do attitude and embraces the culture of performance excellence.
  • Actively promotes a supportive setting that embraces the physical, emotional, and spiritual aspects of health and healing by creating a quiet, calm, pleasant and cheerful environment.
  • EFFICIENCY : Services are provided efficiently and effectively with a minimum of waste.
  • Adheres to all rules & standards around productivity, timeliness, overtime, & meal / rest periods
  • Balances individual / team responsibilities to produce more efficiently.
  • Pays close attention to detail to standardize work and eliminate waste and rework.
  • Makes a concerted effort to conserve hospital resources, electricity, supplies, water, etc.
  • Adheres to all hospital, division and department policies and procedures.
  • Essential Responsibilities :

  • Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and report suspected violations.
  • Analyze denied, underpaid and unpaid claims. Appeal underpaid and denied claims within timely filing periods.
  • Identify, track and report on denial trends.
  • Maintain an appeals data base to identify and report outcomes and opportunities.
  • Identify any billing and / or coding trends resulting in denials and report to the Coding manager.
  • Identify any other trends resulting in denials and report to Manager.
  • Attend all available coding and appeals related seminars as available.
  • All other duties as assigned.
  • Continuing Education / Training / In-services :

  • Continuing Education / Training / In-services
  • Overall Evaluation :

  • Overall Evaluation
  • Summary of Performance
  • Specific Areas for Improvement