Internal Auditor, Corporate Compliance Billing & Coding Cape Cod Healthcare IncInternal Auditor, Corporate Compliance Billing & CodingMA$87,000–$125,000 / yearBy maintaining adherence to federal and state regulations, payer guidelines, and internal policies, the auditor helps safeguard the organization's financial health and promotes ethical, transparent operations across all departments. Utilize audit software and data analytics tools to identify patterns of risk, noncompliance, or revenue loss, and recommend process improvements to enhance accuracy and reduce denials.
NewProfessional Billing & Follow-Up/Denials Supervisor Cape Cod Healthcare IncProfessional Billing & Follow-Up/Denials SupervisorMAPurpose of Position: The supervisor is responsible for leading professional billing, accounts receivable follow-up and denial management operations to optimize reimbursement, improve cash flow, reduce revenue leakage and ensure regulatory compliance. Maintain positive relationships with; attends monthly meetings with key payers to discuss reimbursement issues and payor publication notices affecting claims processing and account follow-up.
Financial Counselor Cape Cod Healthcare IncFinancial CounselorMA$19.49–$34.80 / hourConsistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital's commitment to CARES: compassion, accountability, respect, excellence and service. Three years experience in one of the following revenue cycle functions - medical billing or collections, patient access or medical secretary required OR equivalent of two years direct patient financial counseling experience required.
Master Social Worker - MSW Fresenius Medical Care AG & Co KGaAMaster Social Worker - MSWYarmouth, MA$64,000–$107,000 / yearSupports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice.
Specialty Pharmacy Navigator (Per Diem) Cape Cod Healthcare IncSpecialty Pharmacy Navigator (Per Diem)MA$21.16–$26.46 / hourRetrieval of prescriptions from patients; data and prescription entry; prescription filling and packaging, general phone/customer service involving refills and resolving insurance issues; working the cash register. Initiate and assist with the Prior Authorization and Patient Prescription Financial Assistance processes within the assigned therapy classes; resolve billing issues and obtain Prior Authorizations for medications when needed.