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Excellent verbal and written communication skills, combined with problem-solving capabilities and a commitment to customer service, will foster positive patient interactions and contribute to a successful team dynamic. Demonstrated expertise in practice management software, including tools like Epic and Cerner, alongside proficiency in Microsoft Office Suite (Excel and Word), will further streamline your daily responsibilities.

HOUR

Join Oregon Imaging Centers as a Full-Time Revenue Cycle Representative and become an integral part of a team that values innovation and excellence in healthcare. This role offers a dynamic work environment where your contributions directly enhance the patient experience. You will collaborate with a team of empathetic problem solvers, fostering a culture of customer-centricity while navigating the complexities of the healthcare revenue cycle. This position offers competitive pay ranging from $24.00 to $34.00 per hour, reflecting your skills and dedication to high performance.Be part of a fun and energetic workplace that encourages forward-thinking and professional growth. Take the exciting step to advance your career while making a meaningful impact in the healthcare industry. You will be offered great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health Savings Account, Competitive Salary, and Paid Time Off. Your journey toward a fulfilling career begins here.<h3 style="text-transform:uppercase">What's your day like?</h3>As a newly appointed Revenue Cycle Representative at Oregon Imaging Centers, your day-to-day expectations will revolve around ensuring the seamless processing of patient accounts within our healthcare system. You will be responsible for verifying insurance eligibility, processing claims, and handling patient inquiries with empathy and professionalism. Daily tasks will include collaborating with various departments to resolve billing discrepancies and ensuring accurate documentation to streamline the revenue cycle.Each day will provide opportunities to develop problem-solving skills and enhance your knowledge of healthcare processes while contributing to a customer-focused atmosphere. You'll engage with colleagues in a supportive and high-performance culture, ensuring that each patient's needs are met efficiently and compassionately.<h3 style="text-transform:uppercase">Does this sound like you?</h3>To thrive as a Revenue Cycle Representative at Oregon Imaging Centers, candidates should possess a robust set of skills tailored for the healthcare industry. Proficiency in medical billing and coding, as well as revenue cycle management, is crucial for ensuring smooth operations and accurate patient account processing. Familiarity with insurance claim processing and prior authorization procedures will enhance your ability to navigate the complexities of patient financial interactions. A strong understanding of appointment scheduling and HIPAA compliance is essential to maintain patient confidentiality and streamline healthcare access.Experience with claim denial resolution will enable you to rectify issues efficiently, promoting a smooth revenue cycle. Demonstrated expertise in practice management software, including tools like Epic and Cerner, alongside proficiency in Microsoft Office Suite (Excel and Word), will further streamline your daily responsibilities. Excellent verbal and written communication skills, combined with problem-solving capabilities and a commitment to customer service, will foster positive patient interactions and contribute to a successful team dynamic.Knowledge and skills required for the position are:<ul><li>Medical billing and coding</li><li>revenue cycle management</li><li>insurance claim processing</li><li>prior authorization</li><li>appointment scheduling</li><li>HIPAA compliance</li><li>patient financial record management</li><li>claim denial resolution</li><li>practice management software (e.g.</li><li>Epic</li><li>Cerner)</li><li>Microsoft Office (Excel</li><li>Word)</li><li>strong verbal and written communication</li><li>problem-solving</li><li>customer service</li></ul><h3 style="text-transform:uppercase">Ready to join our team?</h3>So, what do you think? If you feel this is the right job for you, go ahead and apply! We look forward to meeting you!Oregon Imaging Centers is an Equal Opportunity Employer

Oregon Imaging Centers

Revenue Cycle Repreentative

Cerner

Claims Processing

Communication Skills

Customer Relations

Customer Support/Service

Documentation

Epic Systems

HIPAA (Health Insurance Portability and Accountability Act)

Healthcare

Insurance

Medical Billing

Medical Coding

Medical Records

Medical Treatment

Microsoft Excel

Microsoft Office

Microsoft Word

Patient Confidentiality

Practice Management Software

Presentation/Verbal Skills

Problem Solving Skills

Reconciliation

Revenue Management

Standards of Care

Writing Skills

Talent Acquisition

Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.

YEAR

Overview:
Nurse Practitioner Per DiemThis position covers all zip codes in: Lane County, OR ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual’s personal needs and what is required to keep them in the home and out of the hospital. <div class="x_x_elementToProof">Compensation:<ul><li style="margin:0in">Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income</li><li style="margin:0in">In-home visit rate: $120 - $140 depending on state of residence</li><li style="margin:0in">If available, our telehealth rate is $85 per completed assessment</li></ul></div>Benefit:This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.

Responsibilities:
<ul><li>Knowledge of CMS Regulations and NCQA HEDIS Guidelines</li><li>Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices</li><li>Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)</li><li>Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements</li><li>Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required</li><li>Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing</li><li>Address and close identified gaps in care (disease-specific or preventive)</li><li>Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and</li><li>Perform, document and communicate results of Point of Care (POC) Testing</li><li>Maintain compliance with Company policies, procedures and mission statement</li><li>Adhere to all confidentiality and HIPAA requirements as outlined within the Company’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position</li><li>Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company</li><li>Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function</li><li>On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)</li><li>We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such</li><li>Other duties as assigned</li></ul>

Qualifications:
<ul style="margin-top:0in"><li>Active un-encumbered license to practice nursing</li><li>ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine. </li><li>Maintains current CPR certification</li><li>Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:</li><li><ul style="margin-top:0in"><li>Hepatitis B</li><li>Influenza</li><li>MMR: Measles, Mumps and Rubella</li><li>Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)</li><li>Varicella</li><li>Tuberculosis</li></ul></li><li>Home Health exp a plus </li><li>Must be able to effectively communicate with elderly and chronically ill patients and families</li><li>Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial</li><li>Ability to multitask</li><li>Excellent customer service skills</li><li>Bi-lingual or multi-lingual a plus</li><li>Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision</li><li>Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools</li></ul>This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

ComplexCare Solutions

Nurse Practitioner (Per Diem)

American Nurses Credentialing Center (ANCC)

CPR Certification

Cardiology

Centers for Medicare and Medicaid Services (CMS)

Certified Coding Specialist (CCS)

Clinical Nursing

Clinical Outcomes

Clinical Practices/Protocols

Cloud Computing

Computer Skills

Computer Systems

Content Management Systems (CMS)

Corporate Policies

Current Procedural Terminology (CPT)

Department of Health and Human Services

Diabetes

Disease

Diversity

Emergency Medicine

Emergency Services

Equal Employment Opportunity (EEO)

Health Plan

Healthcare Effectiveness Data and Information Set (HEDIS)

Hepatitis B

Home Care

Hospital

ICD-10

Maintain Compliance

Medicaid

Medical Conditions

Medical Record System

Medicare

Messaging Technology

Multilingual

Multitasking

National Committee for Quality Assurance (NCQA)

Nurse Practitioner

Nursing Credentials

Operations Processes

Patient Assessment

Primary Care

Regulations

Risk Management

Staff Requirements

Telehealth

Time Management

Treatment Plan

[AW]-iCims

Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts. Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner.

Overview:
<img alt="WVCI_Logo_NEW" src="https://theusoncologynetwork.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=660416&hashed=969728475"/> Patient Account Specialist Willamette Valley Cancer Institute is seeking a Patient Account Specialist  to join their team.  Under general supervision, is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries.  Sets up financial arrangements as needed.  Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. The general pay scale for this position at WVCI is $20-$31. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity, etc. Employment Type: Full Time, 1.0 FTE (40hrs/week) Benefits: M/D/V, Life Ins., 401(k) Location: Eugene, OR (onsite)

Responsibilities:
<ul style="margin-top:0in"><li style="margin-bottom:0in">Performs audits of patient accounts to ensure accuracy and timely payment.</li><li style="margin-bottom:0in">Reviews account aging’s monthly and reports inconsistencies and corrects errors as appropriate.</li><li style="margin-bottom:0in">Contacts patients regarding delinquent accounts and arranges mutually acceptable payment schedules.</li><li style="margin-bottom:0in">Follows up on insurance billing to ensure timely receipt of payments. Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.</li><li style="margin-bottom:0in">Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; and exercises all options to obtain claim payments.</li><li style="margin-bottom:0in">Reviews credit balance reports for correct recipient of refund.</li><li style="margin-bottom:0in">Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.</li><li style="margin-bottom:0in">Identifies problems on accounts and follows through to conclusion.</li><li style="margin-bottom:0in">Responds to insurance companies’ requests for information in a prompt and professional manner.</li><li style="margin-bottom:0in">Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner.</li><li style="margin-bottom:0in">Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.</li><li style="margin-bottom:0in">Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.</li><li style="margin-bottom:0in">Participates in maintaining Payor Manuals/Profiles.</li><li style="margin-bottom:0in">Works closely with collection agency to assure that they receive updated information on accounts as necessary.</li><li style="margin-bottom:0in">Prepares write-off requests with appropriate documentation and submits to supervisor.</li><li style="margin-bottom:0in">Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt. Files all reimbursement correspondence daily.</li><li style="margin-bottom:0in">Works with provided aging to monitor patient account aging’s and follows up appropriately. Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation.</li><li style="margin-bottom:0in">Other duties as assigned. </li></ul>

Qualifications:
<ul><li>High school graduate or equivalent required.  </li><li>Minimum three years’ experience in a medical business office setting with insurance processing and balancing responsibilities.</li></ul> PHYSICAL DEMANDS:    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the. essential functions.  Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies.  Occasionally lifting files or paper weighing upto 30 pounds.  Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment.  Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts.  It is necessary to view and type on computer screens for prolonged periods of time. . WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public. The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. <img alt="BP4WP_Badge" src="https://theusoncologynetwork.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=740132&hashed=-1868732561"/>

Willamette Valley Cancer Institute & Research Center

Patient Account Specialist

Accounts Receivable

Auditing

Billing

Cancer

Check Processing

Collection Agency

Credit Analysis

Credit Reports

Finance

High School Diploma

Identify Issues

Medical Office

Medicine

Oncology

Past Due Accounts

Patient Care Denials

Physical Demands

Reimbursement

Request for Information (RFI)

Resolve Customer Issues

Telephone Skills

User Documentation

With a focus on authorizations for infusion drugs, radiation therapy, imaging, genetics and surgeries our Insurance Reviewers pave the way for our patients and treatment team to follow the prescribed treatment pathway. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear.

Overview:
<img alt="WVCI_Logo_NEW" src="https://theusoncologynetwork.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=660416&hashed=969728475"/> Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an Insurance Reviewer to support our patients receiving testing and treatment needed for their diagnosis by navigating insurance portals and obtaining all appropriate authorizations. With a focus on authorizations for infusion drugs, radiation therapy, imaging, genetics and surgeries our Insurance Reviewers pave the way for our patients and treatment team to follow the prescribed treatment pathway. An individual that thrives in a high-volume workspace, with the ability to manage shifting priorities will find success in this role. The general pay scale for this position at WVCI is $22.00-$32.00. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity, etc. Employment Type: Full TimeBenefits: M/D/V, Life Ins., 401(k)Location: Eugene, OR

Responsibilities:
<ul style="margin-top:0in"><li>Reviews, processes and audits the medical necessity for treatments including radiation oncology, gynecologic surgery, genetic lab testing, imaging, and chemotherapy treatment for each patient. Documentation of regimen related to pathway adherence and payer guidelines.</li><li>Communicate with nursing, physician, pharmacists and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs. </li><li>Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis</li><li>Obtains insurance authorization and pre-certification for various oncology & hematology related services. </li><li>Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.</li><li>Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records.</li><li>Other duties as requested or assigned.</li></ul>

Qualifications:
<ul style="margin-top:0in"><li style="color:black;margin-bottom:0in">High school degree or equivalent. </li><li style="color:black;margin-bottom:0in">Minimum three (3) years of prior authorization experience required. Revenue cycle experience preferred.</li></ul> PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. WORK ENVIORNMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites. The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. <img alt="BP4WP_Badge" src="https://theusoncologynetwork.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=740132&hashed=-1868732561"/>

Insurance Reviewer

Chemotherapy

Drug Therapy

Federal Laws and Regulations

Genetics

Hearing Impairment

Hematology

Infectious Diseases

Laboratory Testing

Lift/Move 40 Pounds

Manual Dexterity

Nursing

People Management

Pharmacy

Radiation Therapy

State Laws and Regulations

Willing to Travel

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Revenue Cycle Repreentative Oregon Imaging Centers

Nurse Practitioner (Per Diem) ComplexCare Solutions

Patient Account Specialist Willamette Valley Cancer Institute & Research Center

Insurance Reviewer Willamette Valley Cancer Institute & Research Center

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