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Musgrove Hospital

Taunton,MA

1179 Musgrove Hospital jobs in Taunton,MA

New, Posted 17 hours ago
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Patient Financial Services Representative

South Shore Health

Rockland, MA 02370

  • Minimum Education High school graduate or above preferred
  • Minimum Work Experience 2 years of hospital and/or physicians billing preferred
  • Required Skills, Knowledge and Abilities: Knowledge of healthcare billing, insurance plans, codes, and reimbursement methodologies
  • Proficiency in data entry and basic computer skills, including Microsoft Office Suite
  • Excellent organizational and multitasking skills
  • Strong interpersonal and communication skills
  • Strong analytical and independent decision-making skills
  • Hybrid or remote work options may be available
  • Notifies manager of any changes that would affect claim submission
  • Maintain compliance with federal, state, payer, and organizational billing regulations
  • Monitor payer policy updates and communicate changes that may impact billing, collections, denials, or reimbursement processes
  • Evaluate daily claim file using Claim Edit and Charge Review Work queues for submission of UB-04 and 1500 claim forms
  • Initiate claim corrections as defined payer regulation and hospital policy
  • Works external claim edits from Clearinghouse and resubmits claims through EPIC
  • Initiate collection of aged accounts receivable through Epic work queues while prioritizing accounts based on organizational goals and aging criteria
  • Unresolved and incomplete accounts require insurance company contact by phone, e-mail or designated web site to resolve outstanding balances
  • Collaborate with denial management staff for accounts that require clinical intervention for an appeal process
  • Collaborate with clinical departments, patient access and other departments are needed to resolve account issues
  • Generate technical appeals as needed for account resolution
  • Provide to manager a detail account history for any account that is considered uncollectable
  • Document all actions taken within the EPIC account notes section and/or follow up/denial activities note section
  • Documentation is required at least every 30 days for all accounts requiring follow-up
  • Escalates payer related issues to Provider Representative for resolution and participate in monthly meetings
  • Must maintain defined quality and productivity measures
  • Evaluate current processes, identify denial or payment trends and escalate to Management
  • Handle payer 277 rejections and resubmit through EPIC system
  • Reconcile account balances and ensure appropriate adjustments are applied according to established policies
  • Review credits work queues for resolution of overpayments and undistributed payments
  • Review credit balances in assigned work queues and request refunds or payer retraction as needed
  • Communicate with patients as needed for additional insurance or other information needed in order to process a claim
  • Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay
  • Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity
  • Embraces technological solutions to work processes and practices
  • Uses the Mytime payroll system to enter time worked, sick days, vacations and holidays
  • Uses Epic functionality
  • Uses MS Outlook as a communication tool
  • Access provider web sites for verification of accounts
  • Access SharePoint and OneDrive for stored files
  • Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment
  • Successfully answers safety questions in the annual mandatory education packet
  • Maintains a neat, organized work environment
  • Adheres to respiratory etiquette guidelines
  • Assist with identifying workflow improvements to enhance operational efficiency
  • Assist leadership with special projects, audits, and process improvement initiatives
  • Other duties as assigned by Managements in accordance with department needs
  • Technology and Learning Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization
  • Embraces technological advances that allow us to communicate information effectively and efficiently based on role
  • Complete necessary training sessions required for the Billing System and assigned accounts within Follow Up and Denial work queues
  • Knowledge of healthcare billing, insurance plans, codes, and reimbursement methodologies
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New, Posted 11 hours ago
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Patient Care Technician

Emerson Health

Concord, MA 01742

$19-$25/hr
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Constant Patient Observer |Overnight shift| Full Time | $24/hr

Securitas

Cranston, RI 02910

$24/hr
~ 37 min OnsiteFlexible ScheduleEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • At least 18 years of age.
  • Reliable means of communication and transportation.
  • Legal right to work in the United States.
  • Ability to effectively speak, read and write English.
  • High school diploma, GED, or equivalent.
  • Covid-19 required for client site.
  • 1+ years of security, military or law enforcement preferred.
  • 1+ years in a healthcare or high-paced setting preferred.
SmartExplore AI is experimental.
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Easy Apply
Waitstaff I

Hebrew SeniorLife

Canton, MA 02021

~ 39 min Onsite

  • Minimum of six months experience as a bus staff at Orchard Cove or in an upscale hotel or restaurant
  • Ability to pass a CORI background check and physical exam including TB test
  • Ability to communicate clearly and concisely in verbal or written form
  • Ability to stand for long periods of time and to walk short distances
  • Frequent stooping, reaching and lifting
  • Works in a clean, well lighted and ventilated environment
  • Possible work hazards include: cuts, burns, slips and falls
  • Follow uniform policy and good personal hygiene
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New, Posted 2 hours ago
Associate Sales Representative

United Medical Systems

Albion, RI 02802

$70,000-$80,000/yr
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Pediatric Homecare (RN/LPN)

Maxim Healthcare Services

Providence, RI 02903

$40-$45/hr
~ 27 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • Current Registered Nurse (RN) License for the state in which the nurse practices.
  • Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation).
  • Current TB test (2 step-PPD or TB blood test).
  • Current BLS card.
SmartExplore AI is experimental.
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New, Posted 7 hours ago
Veterinary Technician Manager

VCA Animal Hospitals

South Weymouth, MA 02190

~ 46 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • Five or more years of veterinary hospital experience, with strong exposure to ER/ICU operations preferred
  • Proven leadership or management experience in a veterinary or medical environment
  • CVT or similar preferred
  • An operational mindset with an understanding of staffing, budgeting, and hospital efficiency
  • Ability to balance clinical awareness with administrative leadership responsibilities
  • Directly manage, support, and develop approximately 25–30 veterinary support associates
SmartExplore AI is experimental.
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New, Posted 4 hours ago
Machine Operator 2nd Shift

The Okonite Company

Cumberland, RI 02864

New, Posted 11 hours ago
iHire
Customer Service Representative

Emerson Health

Concord, MA 01742

$18-$24/hr
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Clinical Coordinator (RN), Cardiac ICU

Boston Children's Hospital

Boston, MA 02298

~ 48 min OnsiteFlexible ScheduleChildcare AssistanceEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • A Bachelor's degree in nursing.
  • Massachusetts RN Licensure
  • Four to five years of nursing experience
SmartExplore AI is experimental.
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