- Revenue Cycle Management
- Quality Improvement
- Health Information Technology
- Health Plan Contracting
- Credentialing and Enrollment (NCQA-certified)
- Account inquiry review
- Provider mapping and configuration
- Claims processing (both paper and electronic)
- Payment posting (both manual and electronic)
- Management of clearinghouse rejected claims
- Refunds and small balance adjustments
- Claim denial management
- Collection management
- Insurance website navigation and maintenance of log in access
- NGS Florida Shared System resubmission of denied Medicare Part A claims
- Patient phone calls and interpretive management services
- Billing alert creation and deletion
- Proficiency in patient insurance demographic data
- Continued education
- Submission and follow up of ECW support tickets and CCNV IT support tickets
- Insurance health plan entry
- Maintaining insurance files to include payors
- Patient statements processing
- Accounts Receivable management reports review
- Daily balancing
- End of month balancing and reporting
- E-status review for provider participation status
- Monthly client conference call preparation
- Professional communications to clients and company employees
- Applicant must have two years of experience in insurance reimbursement, account collections, coding, and medical terminology
- Candidate should be proficient in using Microsoft Excel and Word.
- Must have excellent customer service skills
- High school diploma or equivalent required
- FQHC experience
- Familiarity with CMS and other payor sites
- Familiarity working with clearinghouses
- CPC certification
- eCW
- Epic
- Accountability and Results - Assuming responsibility for successfully completing assignments or tasks; self-imposing excellence standards rather than waiting for others to impose or enforce them.
- Client Focus - Anticipating, understanding, and fulfilling customer needs and expectations by providing excellent direct and indirect service.
- Productivity - Ensuring efficiency requirements are met even in the face of time or resource restrictions.
- Quality Focus - Assuring quality standards are met within appropriate specifications by accurately checking process and tasks over time.
- Teamwork - Working effectively as part of a team through the practices of subordination, support, and cooperation.
-
Clinic Manager
2 weeks ago
Virginia Eye Institute Henrico, United StatesThe Virginia Eye Institute is hiring VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area, including eight locations and an ambulatory surgery center. We are searching for a Clinic Operations Manager. We are seeking candidates with pas ...
-
Clinic Manager
2 weeks ago
Virginia Eye Institute Henrico, United StatesThe Virginia Eye Institute is hiring VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area, including eight locations and an ambulatory surgery center. We are searching for a Clinic Operations Manager. We are seeking candidates with pas ...
-
Business Office Manager
2 weeks ago
Spring Arbor Henrico, United StatesJob Description · Job DescriptionSpring Arbor Cottage of Richmond is looking for an experienced Business Office Manager to join our team The Business Office Manager is an essential part of the leadership team and success of the community. The BOM is responsible for maintaining al ...
-
Executive Assistant
1 week ago
Vaco Henrico, United StatesJob Description · Job DescriptionVaco Richmond is seeking an experienced Executive Assistant. The ideal candidate would have previous EA experience for senior leaders. · Vaco provides expert consulting, permanent placement, executive search, and strategic staffing for companies ...
-
Accounts Payable Lead
2 weeks ago
Vaco Henrico, United StatesJob Description · Job DescriptionVaco Richmond is recruiting for a Senior Accounts Payable Lead who will handle the day-to-day AP operations in a high volume capacity and oversee all AP operations. · Description:Fully manage the entire AP process which can include, verifying invo ...
-
Executive Director
1 week ago
Spring Arbor Henrico, United StatesJob Description · Job DescriptionSpring Arbor Cottage of Richmond, VA is seeking an experienced Executive Director to serve as the licensed administrator, leading and directing overall operations of this Spring Arbor assisted living community. Our ideal candidate will be able to ...
-
Nurse Supervisor- Days
2 weeks ago
The Pavilion at Williamsburg Place Williamsburg, VA, United StatesNurse Supervisor- Days & Nights | The Pavilion at Williamsburg Place | Williamsburg, VirginiaAbout the Job: · The Nurse Supervisor plans and supervises direct care nursing staff, assisting in managing, establishing, and fulfilling a vision and strategy for client care excellence ...
-
Assistant Director of Financial Reporting
3 weeks ago
The College of William & Mary Williamsburg, United StatesReporting directly to the Director of Financial Reporting, the Assistant Director of Financial Reporting is responsible for the NCAA Schedule and audit, preparation of year end schedules to support the Consolidated Financial Statements, reconciliation of general ledger accounts a ...
-
RN Supervisor- Nights
1 week ago
The Pavilion at Williamsburg Place Williamsburg, United StatesRN Supervisor- Nights | The Pavilion at Williamsburg Place | Williamsburg, VirginiaAbout the Job: · The Nurse Supervisor is responsible for ensuring coordinated delivery of client care in accordance with the established standards of care, mental health practice, facility policy, ...
-
Intake RN- Part Time
1 week ago
The Pavilion at Williamsburg Place Williamsburg, VA, US, United States Part timeIntake RN- Part Time | The Pavilion at Williamsburg Place | Williamsburg, VirginiaAbout the Job: · The Intake RN performs assessments at or outside the facility, depending on the needs of the patient or hospital. Screens and assesses admissions to evaluate clinical and medical ap ...
-
Intake RN
1 week ago
The Pavilion at Williamsburg Place Williamsburg, VA, US, United StatesIntake RN - Nights | The Pavilion at Williamsburg Place | Williamsburg, VirginiaAbout the Job: · The Intake RN performs assessments at or outside the facility, depending on the needs of the patient or hospital. Screens and assesses admissions to evaluate clinical and medical appr ...
-
Nurse Supervisor- Days
3 weeks ago
The Pavilion at Williamsburg Place Williamsburg, United StatesNurse Supervisor- Days & Nights | The Pavilion at Williamsburg Place | Williamsburg, VirginiaAbout the Job: · The Nurse Supervisor plans and supervises direct care nursing staff, assisting in managing, establishing, and fulfilling a vision and strategy for client care excellence ...
-
RN Supervisor- Nights
3 weeks ago
The Pavilion at Williamsburg Place Williamsburg, United StatesRN Supervisor- Nights | The Pavilion at Williamsburg Place | Williamsburg, VirginiaAbout the Job: · The Nurse Supervisor is responsible for ensuring coordinated delivery of client care in accordance with the established standards of care, mental health practice, facility policy, ...
-
Title: Business Operations Coordinator
3 weeks ago
Travel + Leisure Co. Williamsburg, United StatesWe Put the World on Vacation · At Travel + Leisure Co., our mission is simple: to put the world on vacation. Our Vacation Ownership business line includes Club Wyndham, WorldMark by Wyndham, Margaritaville Vacation Club, Accor Vacation Club and the brand new Sports Illustrated Re ...
-
General Manager
3 weeks ago
FirstService Corporation Williamsburg, United StatesJob Overview: · As a High-rise General Manager, you'll be responsible for Managing and administering the day-to-day operations of the Horizon House Coop in Fort Lee, NJ including all financial management, property management, governance and staff management. This 6 building high- ...
-
Travel + Leisure Co. Williamsburg, United StatesWe Put the World on Vacation · At Travel + Leisure Co., our mission is simple: to put the world on vacation. Our vacation ownership brands, Club Wyndham, Worldmark, Margaritaville Vacation Club, and Shell Vacations Club, include more than 245 vacation club resort locations across ...
-
Mental Health Registered Nurse
3 weeks ago
The Pavilion at Williamsburg Place Williamsburg, VA, US, United States$20,000 Sign-On Bonus Offered for Full-Time Night Shift Nurses · The Registered Nurse is responsible for providing nursing care to patients. Supervising care treatment and services of patient care provided by LPNs, CNAs and other staff on assigned unit and shift. Developing, impl ...
-
Office Coordinator
6 days ago
Enhabit Inc. Williamsburg, United StatesOverview · Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. · As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in th ...
-
Registered Nurse Supervisor
3 weeks ago
The Pavilion at Williamsburg Place Williamsburg, VA, US, United StatesRegistered Nurse Supervisor (WEEKENDS) | The Pavilion at Williamsburg Place | Williamsburg, VirginiaAbout the Job: · The Nurse Supervisor plans and supervises direct care nursing staff, assisting in managing, establishing, and fulfilling a vision and strategy for client care exce ...
-
NGRI Psychologist Supervisor
1 week ago
State of Virginia Williamsburg, United StatesTitle: NGRI PSYCHOLOGIST SUPERVISOR / PSYCHOLOGIST III · State Role Title: 49213 · Hiring Range: $109,938 - $151,715 · Pay Band: 6 · Agency: Dept Behavioral Health/Develop · Location: Eastern State Hospital · Agency Website: · Recruitment Type: General Public - G · Job Duties · ...
Patient Account Coordinator II - Henrico, United States - Community Care Network Of Va
1 week ago
Description
Job Description
Job DescriptionAt Cenevia, we eliminate operational burdens so our healthcare delivery champions can focus on providing high-quality and cost-effective health outcomes. Since 1996, Cenevia has been a trusted support system, training partner and business process expert for health providers, including Federally Qualified Health Centers (FQHC), private practices, hospitals, managed care organizations, and provider networks.
Cenevia provides integrated, network-based services and programs to healthcare clients to help them run their businesses better so that they can focus on patient care. This includes the centralized practice management system, help desk, and support infrastructure that Cenevia established in 1999.
The Cenevia staff includes experienced health care professionals from the following areas:
Summary/Objective:
The Patient Account Coordinator II is responsible for performing revenue cycle management functions for client teams including although not limited to claims processing, AR, follow up, denials, EFT payment postings.
Essential Functions:
Core duties and responsibilities include the following. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.
QUALIFICATIONS:
COMPETENCIES:
To perform the job successfully, an individual should demonstrate the following competencies:
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.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk.
The employee must occasionally lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception 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.
The noise level in the work environment is usually moderate.
Cenevia is an equal opportunity employer.
At Cenevia, we believe diversity brings strength and adaptability by drawing on a broad range of talents, experiences and perspectives, and affords an inclusive workplace and culture where all people, regardless of gender, race, ethnicity, sexual orientation, or background, feel a sense of belonging.
This position is remote, and employee must have suitable and secure technology to be eligible for consideration – e.g., secure Wi-Fi, telephone, dedicated workspace. Additionally, employee is required to participate and be seen in meetings via video conference as part of this role.
