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US-TN-MEMPHIS
2 weeks ago
  • Identify contractual variances between actual and expected reimbursement from contracted payors.
  • Support the execution of strategic initiatives, process re-design, root cause analysis, metric/report development and special projects as it relates to denials management.
  • Proactively formulate a thorough analysis and provide recommendations to Management to obtain appropriate reimbursement according to contract.
  • Regularly monitor contract terms and payer payment patterns to ensure optimal reimbursement.
  • Proactively analyzes payment patterns to get ahead of variances.
  • Communicate with payers to establish methodologies for payments for unlisted or newer procedures.
  • Reviews accounts, takes appropriate action, and documents per departmental standards.
  • Determine if the insurance company paid claims correctly, posting an adjustment if paid correctly and follow up with the appropriate payer to determine the correct payment amount in order to complete appropriate actions to resolve the claim.
  • Work with management and payer to streamline process flow for accurate reimbursement.
  • Follow and understand revenue cycle fundamentals.

 

Perform other duties as assigned.

 

RBO

Analyst

Revenue

Recovery

Jackson MS

Jackson

50089008

 

 

Position Code
50089008
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Meet and exceed all performance standards established by Management.
·          Work all work queues and/or assignments daily.
·          Review patient medical records for charge capture and resolution of charge department billing edits. Verify billing data for accuracy and completeness, following applicable regulatory requirements and payer specific guidelines. Apply charges for nursing department procedures upon verification of documentation in patient medical record.
·          Perform charge audits by verifying billing data as compared to documentation and making corrections in Epic for correct billing of services identified by Management as areas of possible revenue leakage.
·          Identify charging, coding, or clinical documentation issues and work with appropriate leadership and clinical departments to resolve issues.
·          Serve as a resource and liaison for clinical charging and financial areas as related to appropriate coding and charge capture compliance.
·          Stay abreast of third party regulatory, coding, and billing compliance directives by monitoring disseminated updates, external educational sessions, and/or research obtained.

·          Perform other duties as assigned.

 

Jackson MS

 

 

Jackson

Analyst

Revenue

Integrity

20649001

RBO

Position Code
20649001
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Manage the hiring, training, mentoring, and development of all direct employees.
·          Manage the new hire onboarding and 90-day evaluation process to ensure new hires are progressing at an effective pace and implement corrective action plans as needed.
·          Evaluate the new hire selection process regularly to determine if any changes need to be made in the screening or selection process.
·          Conduct employee performance evaluations and implement corrective action plans as needed.
·          Work with the Director in developing departmental and employee performance expectations. 
·          Coach and mentor Supervisors utilizing various techniques to maintain high performing teams.
·          Meet and exceed all departmental production and quality performance expectations.
·          Develop and update departmental policies and procedures.
·          Participate in the functional design and development of role specific training that is relevant and necessary for the continuous development of the technical competencies of the team.
·          Utilize Performance Management techniques to reinforce the right behaviors through the use of Positive Reinforcement.
·          Communicate the departmental vision, policies, and goals.
·          Communicate effectively with all levels of the organization to instill trust in the Revenue Cycle office.
·          Serve as a change agent and reinforce Lean thinking.
·          Use sound judgment in managing assigned duties to ensure departmental budget is being utilized wisely.
·          Project and maintain a high level of ethics and personal integrity.

·          Perform other duties as assigned.

10019110

RBO

Manager

Revenue

Cycle

Jackson MS

 

Position Code
10019110
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago

 Primary Responsibilities • Process correspondence in accordance with established departmental processes. • Review daily mail and disperse correspondence to appropriate parties within the established departmental guidelines. • Processes correspondence within ONBASE by document type/group. • Meet and exceed all performance standards established by Management. • Perform other duties as assigned.

 

 

 

Jackson MS

RBO

50080172

Specialist

Correspondence

Position Code
50080172
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago

• Receive all cash and lock box payments on patient accounts on a daily basis. • Post all payments and no-pays (manual and electronic) received and maintain accurate records on a daily basis. • Process insurance credit card payments. • Process live checks through designated bank check scanners. • Accepts, balances and post vendor files. • Research requests for missing cash payments and/or EOB’s. • Research payer websites for any money received that does not have an EOB. • Document and post corrections to individual accounts received by Patient Accounts staff. • Create and maintain Cash Posting Log daily. • Perform other duties as assigned.

 

Jackson MS

50080170

RBO

Specialist

Cash

Posting

 

Position Code
50080170
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago

  Primary Responsibilities • Meet and exceed all performance standards established by Management. • Responsible for ensuring claims are billed in an accurate and timely manner in accordance with federal and state billing requirements. • Responsible for billing the appropriate third party commercial or government insurance carrier through the effective handling of all billing edits in work queues or daily assignments.   • Maintain a strong working knowledge of commercial and governmental insurance billing guidelines and regulations.  Seek and maintain knowledge by researching applicable electronic bulletins, reference manuals, or by consulting with insurance representatives. • Maintain a strong working knowledge of payer information as it relates to bundling and unbundling charges, medical necessity and general coding specifications to handle late charges and combine billing. • Maintain a strong working knowledge of how billing processes specific to payer requirements as it relates to 72 hour rules, inpatient readmissions and balance billing patients. • Work with the clinical staff to resolve claim issues. • Monitor and process all research and client (contract) billing to make sure all charges are correct and are being billed to either research/contract and/or patients. • Perform other duties as assigned.

 

Jackson MS

RBO

50089006

Specialist

Billing

 

Position Code
50089006
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago

 Working knowledge of 10 key, typing and computers. • Preferred: Knowledge of health insurance billing guidelines.  Ability to type/key accurately. Effective verbal, written, and customer service skills.   Primary Responsibilities • Meet and exceed all performance standards established by Management. • Work all work queues and/or assignments daily. • Communicate effectively with third party payers, physicians, clinical departments, or patients while working to investigate outstanding or denied accounts. • Stay abreast of commercial and/or government insurance billing guidelines and regulations.  Seek and maintain knowledge by researching applicable electronic bulletins, reference manuals, or by consulting with insurance representatives. • Process written correspondence received from third party payers and patient related entities in an accurate and timely manner. • Perform other duties as assigned.

 

Jackson MS

50089004

RBO

Specialist

Accounts Receivable

Follow Up

Position Code
50089004
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Develop training plans for the all back-end revenue cycle functions.
·          Conduct baseline competency testing pertaining to all back-end revenue cycle functions.
·          Conduct training using approved curriculum for all respective team member titles across business units.
·          Conduct post-training competency testing inclusive of all titles.
·          Continue education to new and tenured back-end revenue cycle personnel under the instruction of the office Director.
·          Report training and competency testing results.
·          Maintain training schedules and monitor continuing education needs of employees.
·          Write and edit technical documentation for all applications using ISD methods.
·          Plan, design and conduct repeating and re-certification training workshops.
·          Participate in weekly training and education calls with Corporate Training and Development.
·          Support other company training objectives as directed by the VP, Revenue Cycle.
·          Determines training needs for vendor groups and act as on-site liaison as directed by VP, Revenue Cycle and/or office Director.
·          Monitor vendor training programs and assure company compliance with BMHCC training requirements as appropriate.
·         Perform training assessments for new project startups and make necessary site visits.

Perform other duties as assigned.

 

Jackson MS

Operational

Development

20182002

RBO

Trainer

 

Position Code
20182002
Status
Regular Full-Time
Department
HS RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Meet and exceed all performance standards established by Management.
·          Work all work queues and/or assignments daily.
·          Review patient medical records for charge capture and resolution of charge department billing edits. Verify billing data for accuracy and completeness, following applicable regulatory requirements and payer specific guidelines. Apply charges for nursing department procedures upon verification of documentation in patient medical record.
·          Perform charge audits by verifying billing data as compared to documentation and making corrections in Epic for correct billing of services identified by Management as areas of possible revenue leakage.
·          Identify charging, coding, or clinical documentation issues and work with appropriate leadership and clinical departments to resolve issues.
·          Serve as a resource and liaison for clinical charging and financial areas as related to appropriate coding and charge capture compliance.
·          Stay abreast of third party regulatory, coding, and billing compliance directives by monitoring disseminated updates, external educational sessions, and/or research obtained.

·          Perform other duties as assigned.

 

Jackson MS

 

 

Jackson

Analyst

Revenue

Integrity

20649001

RBO

Position Code
20649001
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Supervise by assessing, planning, implementing and directing workload of personnel to meet the needs of all customers in order to meet and exceed performance expectations.
·          Serve as a resource by communicating both verbally and in writing with the Manager, employees, and all other customers to resolve any questions/disputes concerning workload in specific area of responsibility.
·          Schedule, train, motivate and evaluate employees to ensure equality in staffing pattern.
·          Evaluate workload on a daily basis in order to identify process problems and report all findings to the Manager in a concise method.
·          Communicates with other departments and customers regarding problems/issues as is appropriate.
·          Provide appropriate feedback to employees regarding their productivity and quality of work. Initiate performance improvement plans as necessary.

·          Perform other duties as assigned.

 

Jackson MS

10049025

RBO

Supervisor

Revenue 

Cycle

Position Code
10049025
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Manage the hiring, training, mentoring, and development of all direct employees.
·          Manage the new hire onboarding and 90-day evaluation process to ensure new hires are progressing at an effective pace and implement corrective action plans as needed.
·          Evaluate the new hire selection process regularly to determine if any changes need to be made in the screening or selection process.
·          Conduct employee performance evaluations and implement corrective action plans as needed.
·          Work with the Director in developing departmental and employee performance expectations. 
·          Coach and mentor Supervisors utilizing various techniques to maintain high performing teams.
·          Meet and exceed all departmental production and quality performance expectations.
·          Develop and update departmental policies and procedures.
·          Participate in the functional design and development of role specific training that is relevant and necessary for the continuous development of the technical competencies of the team.
·          Utilize Performance Management techniques to reinforce the right behaviors through the use of Positive Reinforcement.
·          Communicate the departmental vision, policies, and goals.
·          Communicate effectively with all levels of the organization to instill trust in the Revenue Cycle office.
·          Serve as a change agent and reinforce Lean thinking.
·          Use sound judgment in managing assigned duties to ensure departmental budget is being utilized wisely.
·          Project and maintain a high level of ethics and personal integrity.

·          Perform other duties as assigned.

10019110

RBO

Manager

Revenue

Cycle

Jackson MS

 

Position Code
10019110
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Meet and exceed all performance standards established by Management.
·          Work all work queues and/or assignments daily.
·          Review and refund credit balances on accounts to the proper party in accordance with payer requirements to reconcile credit balances.
·          Review and refund credit balances to patients/guarantors in a timely manner. 
·          Complete the Quarterly Medicare Credit Balance Report.
·          Demonstrate understanding of system Credit Balance Policies.
·          File corrected billings, adjustments, or voids to correct errors in previous billing to insurance companies. 
·          Communicate with insurance companies and patients via telephone and letter to determine which payer overpaid.
·          Report and refund unclaimed property in accordance with State guidelines.
·          Maintain a strong working knowledge of commercial and governmental insurance billing guidelines and regulations. Seek and maintain knowledge by researching applicable electronic bulletins, reference manuals, or by consulting with insurance representatives.
·          Identify credit balance trends and report them to Management in a timely manner.

Perform other duties as assigned.

 

Jackson MS

50080173

Specialist 

Refund

RBO

Position Code
50080173
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Identify, document and communicate best practices to simplify and standardize the cash and clearing reconciliation process. 
·          Serve as point of contact for complex and escalated issues.
·          Provide training to staff on cash and clearing account reconciliations.
·          Complete additional special projects and reports as needed.
·         Participate in regular calls with facility/finance staff.

·         Perform other duties as assigned.

 

 

RBO

50080171

 

Jackson

Analyst

Reconciliation

Payment

Position Code
50080171
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities 
·          Serve as a primary customer service contact with patients and guarantors. 
·          Handle telephone and written communication with patients, insurance companies, physician offices, attorney offices and other Baptist facilities.
·          Handle walk-in customer contacts and research customer concerns and resolve issues.
·          Act as a problem solver and customer advocate. 
·          Proactively identify and resolve patient billing complaints.
·          Meet and exceed all performance standards established by Management.
·          Work all work queues and/or assignments daily.

·          Perform other duties as assigned.

 

Jackson MS

RBO

50089008

Specialist

Customer Service

Position Code
50089008
Status
Regular Full-Time
Department
RBO-Jackson

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