FULL_TIME

FEED

YEAR

Payer Relations Managers, HUB, headquarter approved materials) to refer customers to appropriate resource for reimbursement and distribution choices, working within PhRMA guidelines and values at all times. Preferred qualifications to become one of our Pharmaceutical Sales Representatives: Ability to sell pharmaceutical products that utilize the Buy & Bill or Specialty pharmacy modes of distribution.

Pharmaceutical Sales Representative - Primary Care & Specialty (Entry level or Experienced)   We are a fast-growing pharmaceutical and healthcare company that markets a variety of innovative healthcare products. We are currently looking to add many sales professionals to our Pharmaceutical Sales Rep team. Our pharmaceutical products are designed to enhance the patient and provider's practice which includes easing the burden of administration, providing an improved safety profile, and prescription selection.  We strive to improve patient outcomes while reducing overall health care costs. We are in search of an energetic Pharmaceutical Sales Rep to add to our Pharmaceutical Sales Rep team.  They must be as passionate as we are about our vision and commitment to deliver value and service to the healthcare industry in the United States.   Your Responsibilities as one of our Pharmaceutical Sales Reps: <ul style="color:#222222;font-family:'arial' , 'helvetica' , sans-serif;font-size:small;font-style:normal;font-weight:400;white-space:normal;background-color:#ffffff"><li style="color:#000000;background:#ffffff;margin-left:15px">Provide Scientific Knowledge, Business Acumen, and Customer Engagement expertise to specialist customers in support of our pharmaceutical products.</li><li style="color:#000000;background:#ffffff;margin-left:15px">To understand the reimbursement/distribution landscape for specialist customers and identify the appropriate resources (e. g. Payer Relations Managers, HUB, headquarter approved materials) to refer customers to appropriate resource for reimbursement and distribution choices, working within PhRMA guidelines and values at all times.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Maintain knowledge and data, which are constantly changing, with respect to the pharmaceutical products you represent.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Provide product educational programs/in-services to customers.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Work within Compliance guidelines and our industry regulations at all times.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Develop strategies and tactics to generate sales.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Develop and implement strategies specific to each customer within an account (i.e., Office Manager, Physician Assistants, nurses, billers, secretaries, etc.).</li><li style="color:#000000;background:#ffffff;margin-left:15px">Effectively manage allocated resources (i.e., financial).</li><li style="color:#000000;background:#ffffff;margin-left:15px">Provide outstanding customer service by responding to our customers' requests, inquiries and needs.</li></ul>Why You?<ul style="color:#222222;font-family:'arial' , 'helvetica' , sans-serif;font-size:small;font-style:normal;font-weight:400;white-space:normal;background-color:#ffffff"><li style="color:#000000;background:#ffffff;margin-left:15px">You must have strong sales abilities or demonstrated success as a Sales Rep professional</li><li style="color:#000000;background:#ffffff;margin-left:15px">Ability to understand and communicate highly scientific and technical medical information.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Pharmaceutical industry product knowledge education</li><li style="color:#000000;background:#ffffff;margin-left:15px">Excellent communication / interpersonal skills </li><li style="color:#000000;background:#ffffff;margin-left:15px">Passion for excellence / embrace competition</li><li style="color:#000000;background:#ffffff;margin-left:15px">Must be able and willing to drive or operate a vehicle – driving is an essential function of this role as you will cover over 80 physicians within your local territory (no overnight travel required)</li></ul>Preferred qualifications to become one of our Pharmaceutical Sales Representatives: <ul style="color:#222222;font-family:'arial' , 'helvetica' , sans-serif;font-size:small;font-style:normal;font-weight:400;white-space:normal;background-color:#ffffff"><li style="color:#000000;background:#ffffff;margin-left:15px">Ability to sell pharmaceutical products that utilize the Buy & Bill or Specialty pharmacy modes of distribution</li><li style="color:#000000;background:#ffffff;margin-left:15px">Ability to sell HCP administered injectable products</li><li style="color:#000000;background:#ffffff;margin-left:15px">Demonstration of high performance</li><li style="color:#000000;background:#ffffff;margin-left:15px">Strong communication, presentation and influencing skills required</li><li style="color:#000000;background:#ffffff;margin-left:15px">Demonstrated ability to identify unique sales opportunities and to perform tasks beyond designated responsibilities</li><li style="color:#000000;background:#ffffff;margin-left:15px">Demonstrated teamwork and leadership skills</li><li style="color:#000000;background:#ffffff;margin-left:15px">Strong business planning skills and ability to multi-task.</li></ul>Why work for us? Our mission is to improve the quality of human life by enabling our Pharmaceutical Sales Reps to do more, make patients feel better and live longer. Our world-leading business deliver innovative medicines, and consumer healthcare products. We need a talented and motivated pharmaceutical sales workforce to deliver against our strategy. To achieve this, we strive to attract the best sales people and to create an environment that empowers and inspires. You may apply for this position online by selecting the Apply now button.  Powered by JazzHR

Immune Biopharma

Sales Representative – Biotech (Entry)

Billing

Biotech and Pharmaceutical

Business Plan

Business Skills

Communication Skills

Customer Support/Service

Healthcare

Interpersonal Skills

Leadership

Medical Products

Medical Records

Multitasking

Office Management

Patient Care

Pharmaceutical Sales

Pharmacy

Physician Assistant

Product Design

Product Programs

Product Support

Quality Management

Regulations

Reimbursement

Resource Management

Revenue Growth

Sales

Sales Administration

Sales Prospecting

Service Delivery

Strategic Planning

Team Player

Training/Teaching

Willing to Travel

partner JazzHR

OTHER

UNKNOWN

On behalf of the patient, coordinates physician referrals, schedules oncology related medical appointments within and outside the practice, resolves insurance billing and coding issues, contacts agencies. You will coordinator physician referrals, schedule oncology related medical appointments within and outside of the practice, resolves insurance billing and coding issues, and provides educational materials to patients and their family.

Overview:
<img alt="OHC Logo" height="152" src="https://theusoncologynetwork.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=72&hashed=1461173709" style="margin-left:auto;margin-right:auto" width="262"/> POSITION: PCC (Patient Care Coordinator)LOCATION: FairfieldWEEKLY HOURS: 40 OHC - Specialists in Cancer and Blood Disorders, is looking for a Patient Care Coordinator (PCC) to work at our Fairfield location.  As a PCC, you will act as the patients' liason and perform a wide variety of tasks within the practice.  You will coordinator physician referrals, schedule oncology related medical appointments within and outside of the practice, resolves insurance billing and coding issues, and provides educational materials to patients and their family.   OHC has been fighting cancer on the front lines for more than 40 years. We are now one of the nation’s largest independent oncology practices, as well as the region’s premier source of treatment for nearly every form of adult cancer and complex blood disorder. At its heart, our approach to cancer care is simple – to surround our patients with everything they need so they can focus on what matters most: beating cancer! Why choose OHC?  You take care of our patients, so we take care of you. OHC’s benefits include:<ul><li>3 Health Insurance Plans to choose from </li><li>2 Dental and 2 Vision insurance plans </li><li>A company matched 401K plan</li><li>Profit sharing plan for clinical employees</li><li>Competitive salaries</li><li>Company paid short term / long term disability / life insurance </li><li>Paid Holidays </li><li>A generous PTO plan </li><li>Tuition Reimbursement </li><li>Professional Development Program</li><li>Nationwide Discounts at your favorite hotels, resorts and retailers just for being an OHC employee</li><li>Wellness Program</li><li>Yearly merit raises </li><li>Opportunities for advancement</li></ul>

Responsibilities:
Responsibilites Include but not limited to:<ul style="margin-top:0in"><li style="margin-bottom:0in">Prior to a patients first appointment, contacts or meets with patient to obtain basic chart information (diagnosis, referring physician, personal data, insurance, etc). Asks patient questions regarding medical style in order to match with Network physician style (or bed side manner). Inquires about patients family, medical, social service needs.</li><li style="margin-bottom:0in">On behalf of the patient, coordinates physician referrals, schedules oncology related medical appointments within and outside the practice, resolves insurance billing and coding issues, contacts agencies. Ensures accurate document is in the medical chart. </li><li style="margin-bottom:0in">Responsible for insurance verification and eligibility, assessment of patient financial requirements, educating patients on insurance benefits and co-payments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics. May assist patients with obtaining financial resources.</li><li style="margin-bottom:0in">Provides educational materials to patient and family. Updates, orders and maintains patient education materials including brochures, videos, and teaching materials. </li><li style="margin-bottom:0in">Refers patient or family members to agencies and services such as housing, transportation, pharmaceutical needs, beauty supplies (wigs), prosthesis, counseling, etc. Networks within the community to learn about and maintain an agency & services resource list. </li><li style="margin-bottom:0in">Researches and responds to routine inquiries in a timely and professional manner. Requests assistance from more senior coworkers & supervisor to resolve non-routine issues.</li></ul>

Qualifications:
High School diploma or equivalent required. Some college preferred. At least two (2) years of directly related experience such as medical coding or billing, patient advocate, or social services, required. Must demonstrate the ability to verbally articulate information and questions with others in order to perform responsibilities effectively. Must be personable and proficient with using a computer, microsoft office programs, and billing systems.    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 regularly required to sit or stand and talk or hear. The employee frequently is required to use hands to finger, handle, or feel and occasionally required to reach with hands and arms. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. 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 may be made to enable individuals with disabilities to perform the essential functions. Work is performed in a clinical environment and requires frequent interaction with staff, patients and the public. Work may require minimal travel by automobile to other USON buildings.

Patient Coordinator I

Blood Disorders

Cancer

Co-Payments

Community and Social Services

Computer Skills

Disability Insurance

Financial Analysis

Health Insurance

Insurance

Life Insurance

Medical Billing

Medical Coding

Microsoft Office

Oncology

Organizational Skills

Patient Assessment

Patient Charts

Patient Education

Physical Demands

Purchasing/Procurement

Social Work

Time Management

Tuition Reimbursement

Vision Plan

[AW]-iCims

Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding, internal candidates with relevant experience certification required 18 months). Consult documentation and coding guidelines (ICD 10, CPT, HCPCS), adjust charges as required.

Job Details:
Support Services | Miamisburg | Full-Time | Days

Responsibilities & Requirements:
<div>Job Requirements: </div><ul><li>Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding, internal candidates with relevant experience certification required 18 months)</li><li> RHIT and RHIA preferred.</li><li>2–5+ years in revenue cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution.</li><li> Preferred experience coding in acute outpatient hospital setting.</li><li>Coder, Health Information</li><li>CCS or CPC coding certification required.</li><li> Preferred member of AHIMA and/or AAPC Professional Associations.</li><li>Consideration for other recognized medical coding certifications may be considered with Director approval.</li></ul><div> </div><div>Job Responsibilities:</div><div> </div><ul><li> Knowledge of healthcare revenue cycle processes in assigned area/department</li><li> Knowledge of regulatory and governing body coding and billing guidelines.</li><li> Ability to navigate Epic EMR & chart auditing for supporting charge related documentation.</li><li> Proficient in data entry using Microsoft Office Suite products.</li><li>Possess strong interpersonal, team building, and analytical skills</li><li>Ability to work with minimal direction</li><li>Ability to prioritize</li><li>Experience resolving CCI, MUE, OCE, EAPG edits.</li><li>Proficiency in Epic or other major EHR/billing scrubbers.</li><li>Strong analytical skills, attention to detail, and familiarity with payer billing regulations</li><li>Review and resolve claim edits in work queues using Epic or billing scrubber systems.</li><li>Apply coding corrections or modifiers in response to CCI, MUE, OCE, and EAPG rejections.</li><li>Consult documentation and coding guidelines (ICD 10, CPT, HCPCS), adjust charges as required.</li><li>Reach out to clinical teams or coders to confirm documentation and corrections.</li><li>Track trends in edits and provide feedback or training to prevent recurring issues.</li><li>Support revenue integrity by auditing denied or held claims and optimizing charge capture.</li><li>Assist with charge master/CDM maintenance and updates based on trend analysis.</li><li>Performs other duties as assigned </li></ul>

Overview:
Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

Kettering Health

Rev Integrity Specialist - Charge Description Master

Analysis Skills

Auditing

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Charge Capture

Chargemaster

Data Entry

Detail Oriented

Electronic Medical Records

Epic Systems

Establish Priorities

Health Informatics

Hospital

Medical Record System

Microsoft Product Family

Nonprofit

Outpatient Care

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Support Documentation

Team Lead/Manager

Trend Analysis

The Risk Adjustment Coder will offer summarized content, feedback from providers, key barriers or success efforts to executive leaders to assist in the overall risk adjustment of the population. The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records.

Job Details:
Physician Office | Kettering | Full-Time | First Shift

Responsibilities & Requirements:
 Responsibilities & RequirementsThis position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation.  KPN Pro Fee Coding SpecialistServes as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines.<ul><li>Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits</li><li>Reviewing the ambulatory records for the appropriate risk adjustment components</li><li>Identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes</li><li>Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10</li><li>Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy]</li><li>Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits</li><li>Corresponds with providers on pending claims to facilitate resolution</li><li>Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies</li><li>Communicate appropriately with providers, leaders, and staff</li><li>Researches and resolves concerns timely</li></ul> The Risk Adjustment Coder is responsible for coding and abstracting all outpatient patient records using ICD-10-CM and CPT/HCPCS coding rules, federal guideline and KMCN guidelines. Additionally, the Risk Adjustment Coder supports hospital’s accounts receivable goals through timely processing of records and physician record completion activities. Impacts delivery of quality patient care and enhanced clinical decision-making process. Supports clinical outcomes measurement and assessment process for service lines. Completes assigned duties and other related tasks. The list is not inclusive, Performs other duties as assigned.  The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records.  The Risk Adjustment Coder will contribute to overarching educational efforts of the MSO regarding Risk Adjustment.  The Risk Adjustment Coder will offer summarized content, feedback from providers, key barriers or success efforts to executive leaders to assist in the overall risk adjustment of the population.  The Risk Adjustment Coder will spend some in-person time with providers to foster a relationship and encourage dialogue with risk adjustment to improve overall outcomes. The Risk Adjustment Coder will develop a collegial relationship with the Clinical Documentation Specialist RN (CDS) to partner on the overarching risk adjustment of the population. Educational Requirements:High School Diploma or equivalentRHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certificationPrior experience in professional fee coding/billingCRC required within 1 year of hire

Overview:
Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

Risk Adjustment Coder - Risk Management

Accounts Receivable

Centers for Medicare and Medicaid Services (CMS)

Clinical Outcomes

Clinical Study Publications

Clinical Support

Content Management Systems (CMS)

Current Procedural Terminology (CPT)

Documentation

Healthcare Common Procedure Coding System (HCPCS)

ICD-10

Maintain Compliance

Medical Office

Medical Writing

Professional Services

Reconciliation

Registered Nurse (RN)

Risk

Risk Management

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