NewHospice Director of Clinical Operations UnitedHealth GroupHospice Director of Clinical OperationsReno, NV$74,880–$112,320 / yearThis includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff. Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeNVEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Contract Billing Specialist II Sierra Nevada CorpContract Billing Specialist IISparks, NVAs SNC''s corporate team, we provide the company and its business areas with strategic direction and business support spanning executive management, finance and accounting, operations, human resources, legal, IT, information security, facilities, marketing, and communications. IMPORTANT NOTICE: To conform to U.S. Government international trade regulations, applicant must be a U.S. Citizen, lawful permanent resident of the U.S., protected individual as defined by 8 U.S.C. 1324b(a)(3), or eligible to obtain the required authorizations from the U.S. Department of State or U.S. Department of Commerce.
Patient Billing Representative Five Star SolutionsPatient Billing RepresentativeReno, NevadaRemoteJoin us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries. Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
BILLING COLLECTIONS SPECIALIST Carson Tahoe Regional HealthcareBILLING COLLECTIONS SPECIALISTCarson City, NVReviews and determines claims appropriate for electronic billing; submitting accurate claims daily through the electronic and payment applications based upon appropriate protocol and edits for payer. Contacts payers to determine reasons for outstanding claims and communicates with payers to facilitate timely payment of claims.
Payroll & Billing Specialist Cross Country HealthcarePayroll & Billing Specialiststateline, NVProficient in Microsoft Office Suite (Excel, Word, PowerPoint) and relevant payroll/billing software; experience with Google Drive (Docs, Sheets, Forms).Meticulous with paperwork and data entry, ensuring accuracy in onboarding, compliance, billing, and payroll processes. BASIC PURPOSE:The Business Administration Specialist III is responsible for providing senior-level support for administrative duties within the onboarding, compliance, billing, and payroll functions of the organization.
Patient Billing Representative Reno Orthopedic CenterPatient Billing RepresentativeReno, NVCommunicate with patients and insurance companies to obtain status updates, appeal claims, resolve outstanding patient balances and obtain information regarding billing or payment; Use an electronic medical records system to determine the tasks/appeals needing review; Answer phone calls that come into the call center to assist patients and resolve billing issues as assigned. One year of experience performing customer service duties; Communicating effectively and professionally with various levels of employees, outside entities and customers; Deescalating tense or sensitive conversations with customers/clients/etc.
Senior Billing Specialist Relativity ODA LLCSenior Billing SpecialistNV$60,000–$90,000 / yearRequired Skills: Accounts Receivable (AR), Billing, Communication, Customer Service, Data Entry, Enterprise Resource Planning (ERP) Systems, Invoices, Microsoft Excel, Payment Processing. The Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models.
Application Specialist - Hospital Billing Renown HealthApplication Specialist - Hospital BillingReno, NVComputer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Access and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Position Purpose Under the direction of the assigned leader, this position supports the analysis, design, coding, testing and implementation of new and existing application systems used within Renown Health entities.
Coordinator of Billing Compliance Renown HealthCoordinator of Billing ComplianceReno, NVNature and Scope: Under the general direction of the Corporate Compliance Officer, the Billing Compliance Coordinator is responsible for identifying and assessing areas of compliance risk; assisting with the development and implementation of compliance training and education programs; serving as a point of contact for Renown Health employees regarding potential compliance concerns and questions; researching federal and state regulations; monitoring and communicating regulatory changes that impact Renown Health entities; and supporting the Corporate Compliance Officer in timely detection, response, investigation, analysis and applicable corrective action pertaining to any compliance matter. Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook,PowerPoint, Excel and Word andhave the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Health Resource Specialist - Bilingual Access To Healthcare NetworkHealth Resource Specialist - BilingualReno, NVFull timeJob Title: Benefits Coordinator - BilingualReports To: Health Insurance Assistant Director Supervises: N/AStatus: Non-Exempt Location: Access to Healthcare Network – Reno About Access to Healthcare Network (AHN)Access to Healthcare Network (AHN) is a mission‑driven nonprofit dedicated to improving access to quality healthcare and supportive services. Benefits: Medical Insurance & Vision provided at no cost to the EmployeeHealth Savings Account HDHP (HSA) includes employer matching $35.00 per monthDependent Care Flexible Savings Account (FSA)Low-cost health insurance options for your dependentsDental insuranceFree Life Insurance and Long-Term DisabilityVoluntary Ancillary BenefitsWFH Options4 Weeks Paid Time off in your first year14 HolidaysBereavement Leave4 weeks Paid parental leaveTuition Assistance and more!
Clinical Patient Experience Specialist Tahoe Forest Health SystemClinical Patient Experience SpecialistTruckee, CaliforniaSupervisory Responsibilities No supervisory responsibilities Minimum Education/Experience Bachelor's Degree from four-year college or university in a related field and 5 or more years relevant experience Required Licenses/Certifications California Registered Nurse (RN) OR commensurate clinical license Upon hire. Essential Duties and Responsibilities Oversees the organization’s patient experience program, including management of patient experience data sources and reporting systems (Press Ganey, HCAHPS, Provider Transparency Comments, and event reporting databases), and identifies trends and opportunities for improvement.
Current Department Employees: Patient Access Representative - Part Time Tahoe Forest Health SystemCurrent Department Employees: Patient Access Representative - Part TimeTruckee, CaliforniaFollows up on all items including: pre-registration and pre-admission missing registration items, emergency room visit missing registration items, appointment missing registration items, admission missing registration items, discharged patient missing registration items, returned mail, claim edits, stop bills, and discharged-not-billed checks. Informs patients of and obtains signatures timely for all registration forms including but not limited to: Conditions of Admission, Guide to Billing and Financial Assistance, Patient Rights and Responsibilities, Notice of Privacy Practices, Acknowledgment of Patient Information on Advance Directives, Important Message from Medicare, and California Observation Notice.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNV$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Medical Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Reno, NVReevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Referral Specialist Renown HealthReferral SpecialistReno, NVThis position will be responsible for the completion of authorizations, including but not limited to, data entry of information received by phone, fax or electronically,verification of member eligibility, benefit coverage, coordination of benefitsinformation, communication of the members plan benefits and/or exclusions to with physician offices and collection of pertinent clinical documentation. License(s): Certification(s): Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, Excel and Wordand have the skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Patient Services Specialist SimonMed ImagingPatient Services SpecialistReno, NevadaReliability, accountability, and problem-solving: You take ownership of your work, follow through on commitments, consistently arrive prepared and ready to support the team, contribute to a positive culture, and help resolve scheduling, billing, and patient flow issues while maintaining a positive patient experience. Strong communication and team-oriented approach: You communicate clearly, listen actively, support patients and teams with professionalism and empathy, and contribute to smooth, collaborative front desk operations.
Insurance and Claims Specialist Renown HealthInsurance and Claims SpecialistReno, NVLicense(s): Certification(s): Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Position Purpose The Insurance and Claims Specialist will review and correct claim errors ensuring accurate, timely claim submission and account follow-up to assigned payors and reimbursement on first claim submitted.
Professional Services Coder Renown HealthProfessional Services CoderReno, NVOther responsibilities include: Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers. Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC, or number of units) Uses CCI edit software to check bundling issues, modifier appropriateness, and LCDs/NCDs for medical necessity.
CODER OUTPATIENT PROFESSIONAL Carson Tahoe Regional HealthcareCODER OUTPATIENT PROFESSIONALCarson City, NVThe Clinical Coding Specialist Level I assigns compliant, complete, and accurate ICD diagnosis codes for the hospital component of outpatient ancillary services, based upon the clinical documentation provided within the medical record. Clarify with the appropriate provider and HIM analysts all incomplete, ambiguous, and / or conflicting clinical documentation when further specificity is needed for accurate and complete diagnosis(es) code assignment.