Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Patient Access-Pre-Visit
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $18.87 - $29.73 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Financial Counselor position is responsible for securing all Transplant, Psychiatric, and rehabilitative services as outlined in the principle responsibilities. Provide excellent customer service to both our patient population and internal as well as external clients. Perform financial counseling duties to assist patients/responsible parties in identifying payment sources. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• High School Diploma or Equivalent
• Two years’ previous experience in a medial healthcare environment
• Demonstrate knowledge and proficiency in securing governmental and non-governmental accounts for payment.
• Working knowledge of creating and maintaining spreadsheet based reports.
Preferred Job Qualifications:
• Bilingual proficiency.
Responsibilities:
1. Identify/counsel potential and repeat/recurring bad debt patients to prevent the rendering of non-urgent care services. Offer payment options to patients based upon policy and procedure.
2. Identify potential charity and grant patients, assist patients with completing eligibility applications, make eligibility determinations (up to $5000 is actual or estimated charges), and notify patients of decisions.
3. Make patient payment arrangements.
4. Investigate additional payment sources.
5. Accept payments.
6. Serve as customer service resource for walk-in patients in hospital lobby/patient registration area.
7. Handle customer service phone calls (pertaining only to prospective services and in-house patients).
8. Provide price estimates to patients, physician offices and ancillary departments.
9. Complete cross training to be a Registration Specialist.
10. Complete daily and weekly volume/productivity management reporting.
11. Participate in/assist with quality management process(es).
12. 100% of accounts requiring patient payment arrangements are concluded with a payment schedule in place prior to the end of the "Bill Hold" period.
13. 90% of Customer Service phone are remedied at the time the call is received.
14. Supervisor/Manager reviews work queue of accounts and various reports.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Medical Records
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $34.89 - $56.78 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
This position is responsible for continuous monitoring of the coding quality performed by staff both within and external to the Health Information Management Department. Provides educational programs to both physicians and coding personnel to improve coding quality. Prepares various reports for administration and the Compliance Council. Represents Health Information Management and RUMC at forums that are internal and external to the medical center. Maintains a demeanor and appearance appropriate for representation of RUMC. Exemplifies the Rush mission, vision and values, and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
•High School Diploma or GED
•Coding Certification required, e.g., RHIA, RHIT and/or CCS.
•Three to five years of senior level coding audit experience or five years of coding experience.
•Ability to interpret and analyze electronic medical records, ancillary reports and third party payer guidelines.
•Proficiency in Microsoft Office Applications.
•Excellent verbal and written communication skills.
•Experience with hospital billing systems.
•Ability to communicate effectively with physicians and hospital department leadership.
Preferred Job Qualifications:
•Bachelor's degree in Health Information Technology, Healthcare Administration, Nursing or related field.
•RHIA/RHIT.
Physical Demands:
Competencies:
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Responsibilities:
1.Design and perform chart reviews, test appropriateness of billing and documentation.
2.Prepare and present reports of findings with recommendations for corrective action as needed.
3.Identify and prioritize risk issues, working as a team on projects.
4.Monitor the Medical Center's compliance with governmental regulations through the performance of recurring compliance reviews.
5.Research government billing regulations, third party payer guidelines and prospective payment system, ICD-9-CM, CPT/HCPCS coding guidelines.
6.Maintain an understanding of regulatory issues through seminars, training courses and regulatory literature.
7.Assist with the development of the annual departmental work plan.
8.Design and implement individualized documentation and coding improvement activities for physicians and administrators.
9.Act as a resource and an educator on documentation improvement projects.
10.Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns.
11.Facilitate compliance initiatives through education, newsletters and training sessions.
12.Assist in the development, coordination and maintenance of all elements of the Compliance Education Program.
13.Assist in updates to Compliance manuals and websites.
14.Other duties and projects as assigned.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Respiratory Care
Work Type: Restricted Part Time (Total FTE. 10)
Shift: Shift 1
Work Schedule: 12 Hr (7:00:00 AM - 7:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www. rush.edu/rush-careers/employee-benefits).
Pay Range: $50 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Exemplifies the Rush mission, vision and ICARE values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• Certified or Registered Respiratory Therapist and licensed as an Illinois Respiratory Care Practitioner.
• Must pass departmental competencies applicable to the clinical units they are hired for.
• BLS CPR certification is required within six months of hire
• PALS or PEARS and NRP is preferred for the Neonatal/Pediatric section.
• Technical skills are required to adapt equipment and procedures to patient needs.
• Analytical skills are required to evaluate patients and their clinical response to therapy
• Customer service skills are required to effectively meet the needs of patients, families, and members of the healthcare team on an almost constant basis.
• Must be highly adaptable to respond to changing workloads and priorities.
Preferred Job Qualifications:
• ACLS.
Physical Demands:
• Standing, walking, pushing, and bending for 75% of the day.
• Must be able to lift 20 pounds in order to handle cylinders.
Responsibilities:
1.Administers, monitors, and weans mechanical ventilation; makes ventilator recommendations based on clinical assessment, technical assessment, and laboratory values; manages airways.
2.Administers bronchial hygiene and treatment procedures including aerosol therapies, chest physical therapy, therapeutic gas administration; analyzes gases where applicable; procures and delivers gases using central piping systems and gas cylinders.
3.Assesses patients clinically before and after the administration or application of any medication, procedure or device; recommends appropriate therapy including initial therapy, changes in therapy, and discontinuance of therapy.
4.Applies CPAP and BIPAP and makes recommendations based on patient compliance, response, and laboratory values.
5.Participates in CQI and QA initiatives including work audits and committee participation; develops patient driven protocols in conjunction with department leadership.
6.Documents work timely, completely, and accurately, including documentation in the patient medical record, documentation in the department records, and patient billing.
7.Assesses patient oxygenation, ventilation, and hemodynamic status through clinical observation, patient assessment, physiologic monitoring including oximetry, capnography, ventilator waveform analysis, cardiac output, ECG, and laboratory values.
8.Performs bedside spirometry including spontaneous breathing parameters, PEFR, and other limited pulmonary function; identifies normal values for patients.
9.Provides patient/family education.
10.Performs ECGs and phlebotomy, including arterial puncture.
11.Performs bronchoscopy.
12.Precepts employees that are orienting.
13.Provides clinical supervision of respiratory care students on rotation.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Care Management
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (7:30:00 AM - 4:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $43.55 - $66.88 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Nurse Care Manager 1 works with physician practices and inpatient teams to promote the effective utilization of services and coordination of care for adult, geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's effectiveness by reviewing plans of care, identifying barriers to effective and efficient utilization of resources, and appraising patients' psychosocial, financial and clinical needs throughout the continuum of care. The Nurse Care Manager 1 functions as a liaison between patients, physician practices, the hospital, and the community and ensures that patients' continuity of care needs are met. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
•Current license in Illinois as Registered Nurse (RN).
•Ability to perform all job components and serve as a team resource for clinically complex cases within their professional expertise.
•Bachelors in Nursing from an accredited university or comparable educational preparation.
•Two years' experience as a health care provider for the neonate, pediatric, adolescent, adult and /or geriatric patient, and expert knowledge in case management, discharge planning, social service, and criteria application.
•Ability to perform tasks independently, prioritize workload, and analyze data.
•Experience with information system and windows technology and competency within the CM Information System.
•Team building skills and flexibility is crucial.
Physical Demands:
•Ability to travel throughout the Medical Center.
Responsibilities:
1. Functions as an expert clinical practitioner within the Case Management team and serves as a resource to assigned physician practice groups. Shares their professional expertise as a nurse and serves as a resource for CMs within their team to manage clinically complex cases.
2. Assesses patients' health care needs, monitors patients' progress, and confers with physician practice group and health care team regarding variances from the anticipated plan of care.
3. Provides basic assessment of patient's psychosocial, financial, cultural, and family situation. Coordinates social services for patients and families to address needs. Seeks assistance as needed regarding in-depth psychosocial needs.
4. Manages a complex patient caseload and demonstrates expert ability to coordinate and implement discharge management services and provide continuity of care planning. Finds community resources for potential sources of assistance, maintains contact with community resources, and consults with physicians and inpatient groups regarding use of community resources
5. Reviews admissions and ongoing stays of patients with respect to the medical necessity, appropriateness, and quality of care. Applies criteria, performs concurrent review process. Works with physicians and Medical Director regarding Case issues and concurrent denials an indicated.
6. Applies pathways/guidelines, assesses variances, and proposes interventions as indicated. Participates in the development, implementations and evaluation of pathways/guidelines and process improvement plans.
7. Collaborates with inpatient staff and physician groups to determine goals for length of stay management and discharge management activities. Promotes cost-effective quality care services
8. Monitors and reports potential quality issues and makes recommendations when appropriate.
9. Utilizes the CM information system and appropriate technologies. Monitors variances and trends related to select goals. Assist CM team and hospital groups to develop action plans and address identified opportunities for improvement.
10. Promotes customer satisfaction among patients, families, physicians, external case managers, payers, vendors, and inpatient staff. Actively promotes ICARE principles.
11. Performs basic administrative tasks related to job: --- e.g. time planning, recording reports and other routines as requested. Provides training, supervision, and orientation for staff and new employees as needed. Makes professional judgements with minimal administrative supervision. Maintains professional growth by attendance at various department, institutional, and external meetings, seminars, and workshops.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Medical Records
Work Type: Full Time (Total FTE 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www. rush.edu/rush-careers/employee-benefits).
Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures.
Other information:
Knowledge, Skills, and Abilities:
High School (GED) required
RHIA, RHIT, and/or CCS Certification required
Minimum 3 years experience in medical record coding required
Knowledge of medical terminology and anatomy and physiology required
Windows applications, Outlook, WebEx and other apps as needed to perform role
Cooperates well with others
Competent attention to detail and accuracy
Proficient with computer use and software applications
Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space
Ability to apply local, state, and federal coding guidelines with attention to detail.
Responsibilities:
•Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail
•Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail
•Completes UHDDS data abstraction as required
•Maintains a log of work performed
•Completes other assigned duties as directed by management
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Medical Records
Work Type: Full Time (Total FTE 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www. rush.edu/rush-careers/employee-benefits).
Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures.
Other information:
Knowledge, Skills, and Abilities:
High School (GED) required
RHIA, RHIT, and/or CCS Certification required
Minimum 3 years experience in medical record coding required
Knowledge of medical terminology and anatomy and physiology required
Windows applications, Outlook, WebEx and other apps as needed to perform role
Cooperates well with others
Competent attention to detail and accuracy
Proficient with computer use and software applications
Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space
Ability to apply local, state, and federal coding guidelines with attention to detail.
Responsibilities:
•Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail
•Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail
•Completes UHDDS data abstraction as required
•Maintains a log of work performed
•Completes other assigned duties as directed by management
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: HB Commercial Billing-Collect
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
This position requires a well-organized, detail-oriented individual with the ability to work directly with various payers, senior staff in International Health, Provider Practices/Billing Services, RUMC Finance, Contracting, Finance, EDW and Web/IT Services. The Bundled Pricing Coordinator must be able to work independently on multiple tasks, maintaining the highest level of efficiency, professionalism, and confidentiality. The successful candidate will demonstrate competence in Microsoft office applications, the ability to focus and perform well under pressure, as well as the ability to effectively prioritize and meet deadlines. The position of Bundled Pricing Coordinator is key to ensuring Rush Health is recognized as a competent and professional organization. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures
Other information:
Required Job Qualifications:
• HS Diploma and 2 years experience
• Proficient with Microsoft Office including Word, Excel, and PowerPoint.
• Proper telephone etiquette is essential.
• Excellent verbal and written communication skills.
• Have a high degree of professionalism, strong customer service orientation, good organizational skills and the ability to work independently.
• Strong interpersonal skills with the ability to prioritize, and a team player attitude.
• Able to manage several projects at once.
Preferred Job Qualifications:
• College or Vocational Degree
Responsibilities:
1.Accurately maintain and update the various tracking reports related to any bundled pricing arrangement. This includes investigating for missing information or erroneous information reported by the other users. The reports are to be maintained regularly and available for the specific users.
2.Support bundled pricing meetings, including scheduling meetings with physician practices, organizing meetings and preparing materials, if required. Take and prepare minutes of governance committee meetings, as assigned.
3.Support the participating providers in collecting the appropriate reimbursement for services provided. This includes providing email reminders and claims verification.
4.Administer the applicable schedule for collecting claims data, entering manual claims, verifying claims with providers, and submitting claims bundle to the payer. Follow-up with payer for late payments. Verify payment(s) with RUMC Finance, calculate distribution, and balance all supporting schedules before distributing schedules to RUMC Finance for payment distribution.
5.Ability to interpret contract terminology and apply the specific terms by contract in the calculation of expected payments. Troubleshoot discrepancies/disagreements with payers/providers to best ability and refer case to contracting staff for clarification when unfavorable terms emerge.
6.Provide Rush Health Finance and/or International Health with monthly schedule of settlements including any administrative fees.
7.Maintain corporate files for bundled pricing arrangements including all information/data/email correspondence related to the transaction, settlement schedules, tracking reports, and committee meetings. Maintain file of contracts (copies).
8.Support the department goals and promote a professional work environment and attitude within the department.
9.Establish and maintain excellent working relationships with key staff at Rush, the providers, and the providers billing and administrative staff.
10.Other duties and responsibilities as assigned.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: RUH Health Information Mgmt
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Health Information Management Forms Analyst uses advanced organizational skills and critical thinking to catalog medical record forms from clinical operations in an organized method with the support of legal, compliance, risk, clinical operations, and health information management. This analyst provides education and assistance to operational departments, supports fellow team members, and develops processes/procedures to ensure accurate and timely capture of all new forms in medical records. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
•Associates degree or higher
•Minimum 5 years working in a health information management department
•Minimum 1 year of managing a project or event planning
•Proficient and functional knowledge of Microsoft office (outlook, word, excel, Teams)
•Excellent written and oral communication skills along with problem-solving
•High degree of organizational skills
•High degree of accuracy and ability to collaborate with others
Preferred Job Qualifications:
•AAPC or AHIMA certification
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Responsibilities:
•Facilitates and collaborates health system-wide to ensure standardized forms accuracy and appropriate use in medical records.
•Use logic-based critical thinking and decision making to accurately manage the new forms approval process, including a cross-functional governance committee.
•Responsible for monitoring forms use (via incoming scanning) with precise version control to ensure departments are using the most up-to-date version of a forms.
•Collaborate with the policy stakeholders to incorporate forms
•Audit and reconcile issues related to forms or unapproved forms usage, and collaborate with users to create alignment with forms policies and procedures
•Activate MyChart accounts and respond to MyChart inquiries related to medical records
•Check and troubleshoot document quality control issues to ensure a legible medical record while monitoring accuracy.
•Understand and keep patient sensitive information protected per all applicable federal, state, and local guidelines, including HIPAA (Health Information Portability and Accountability Act) for medical records processing and requests.
•Triages and provides excellent patient and internal/external customer service (via phone, in-person, or by electronic means) inquiries and on-time delivery of records to patients, payors, or approved outside entities
•Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding forms use
•Serves as subject matter expert for fellow team members to review questions and assist with resolving issues.
•Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards
•Provides input and implements process improvement initiatives recognizing KPI’s and metrics
•Communicates, observes, and reports on forms trends and patterns and provides recommendations for improvement
•Engages in continual education and training in the health information management field and other duties or projects assigned
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Eye Center
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (9:00:00 AM - 5:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $17.63 - $27.77 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Performs clinic activities including answering telephones, patient and visitor reception, administrative office duties, and Health Information Management responsibilities. The employee who holds this position exemplifies the Rush Mission, Vision and Values and acts in accordance with Rush policies and procedures, including compliance with all Rush University Medical Group Customer Service and Performance Standards.
Other information:
Required Job Qualifications:
• High school diploma.
• Basic computer knowledge.
• Attention to detail and accuracy.
• Excellent customer service and interpersonal skills.
• Sensitivity to patient health information and protection of confidentiality.
• Ability to utilize EPIC efficiently.
• Ability to sit for several hours each day and remain professional and calm under stressful situations.
• Ability to adapt to change and be flexible.
• Employees hired into this role must successfully pass the EPIC scheduling test with 3 attempts, within 45 days of completion of training.
• Ability to travel to offsite locations as needed. Schedule locations and shift times will vary given business needs.
Preferred Job Qualifications:
• Medical office experience.
Responsibilities:
1.Performs a variety of office functions including the retrieval and distribution of incoming and outgoing mail, faxes, filing, stocking of supplies, and preparation and dissemination of clinic correspondence and completion of Epic Administrative In-Box as directed.
2.Accesses EPIC to retrieve referrals, orders and other documentation. Assists patients with Release of Information requests.
3.Maintains and retrieves medical records per HIM and office protocol.
4.Addresses patient calls efficiently and courteously. Takes accurate, clear and concise messages that provide sufficient information for the clinical staff and/or receiving party to effectively handle the issue/request.
5.Schedules, cancels and/or reschedules patient appointments, as assigned. Places reminder calls or sends information to patients in advance of their appointment per office policy.
6.Appropriately transfers patients to pre-registration for insurance verification.
7.Prepares and disseminates patient letters and other correspondence from EPIC.
8.Problem solves issues by seeking out the appropriate resources.
9.Works collaboratively as part of the medical practice team.
10.Performs other duties as assigned.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Specialty Drug Solutions
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (9:00:00 AM - 5:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Transition of Care Specialist serves as an expert consultant to hospital staff, and a clinical educator and advocate for patients, with the goals of raising awareness about the benefits of home infusion and optimizing the transition of care for patients referred to the Rush Home Infusion Pharmacy or the HDM portfolio of pharmacies. The Specialist will educate patients, physicians, case managers and all customers regarding disease states, infusion therapy, transitional care management and HDM pharmacy programs and services. The Specialist will facilitate patient care coordination for patients referred to the HDM pharmacies including initial patient set-up and patient/caregiver education. The Specialist interfaces with healthcare professionals and hospital staff in an effort to strengthen partnerships and grow the HDM pharmacies through referrals. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• High School Diploma or Equivalent.
• Five years' experience in the alternate site care environment.
• Excellent problem solving skills and the ability to work independently in a fast paced environment.
• Experience providing customer service to both internal and external customers, including meeting quality standards for service and evaluation of customer satisfaction.
• Excellent interpersonal, verbal and written communication skills and organizational skills.
• Knowledge of and guarantees compliance with: state and federal regulations, accrediting body standards, HDM pharmacy policies and procedures and standards of performance.
• Knowledge of marketing strategies, processes and available resources.
• Ability to develop, plan and implement short- and long-range goals.
• Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
• Computer skills (Word, Excel, patient databases, email); experience using voicemail and cell phones.
• Telephone, computer systems, copiers, fax machines, calculator and other office equipment as necessary.
• Advanced knowledge of Medicare, Medicaid and insurance benefits.
• Normal office and clinical environments.
Preferred Job Qualifications:
• Bachelor's Degree.
Physical Demands:
• May be exposed to certain hazardous materials, including but not limited to blood-borne pathogens and chemotherapeutic agents.
Responsibilities:
1.Interacts with area service providers daily to facilitate assessment of patients selected by the hospital/clinic/doctor office to receive care in the alternate setting by the Rush Infusion Pharmacies. Includes facilitating vein assessment, assessment of patient's and caregiver's potential ability to perform the required therapy and selecting the appropriate home therapy equipment and method of infusion.
2.Assures proper placement of patients within the Rush outpatient pharmacy services arena. Assesses each patient referred for additional service needs.
3.Coordinates reviews of patient's medical record to gather appropriate assessment documents so that an effective plan of treatment can be formulated. Reviews the record to obtain primary and secondary insurance payer information and relays this information to the intake department.
4.Educates patients, their caregivers and the Rush Medical Staff about the services and products that the Rush Pharmacies provide.
5.Represents and serves as the point of contact between the Rush Infusion Pharmacies and all other levels of care, including physicians, staff nurses, CM staff, agency liaisons and patients/caregivers.
6.Effectively communicates with all levels of care, including CM Staff, nursing agencies, medical team members, pharmacy staff, patients and caregivers to assure a smooth transition from hospital to home.
7.Works in collaboration with the patient and their caregiver to implement an effective treatment plan with mutual goals, explaining available options, including the advantages and disadvantages of each option.
8.Maintains a positive relationship with internal customers, listens to different viewpoints and works collaboratively with others throughout the company to resolve conflicts.
9.Educates and assists patients in qualifying for third party assistance or reimbursement.
10.In conjunction with management, establishes and implements a marketing plan for the community served which includes promotional and educational events and materials, physician, patient and medical staff contacts.
11.Maintains a strong knowledge base of all payer contracts to communicate to customers.
12.Participates in targeting and prioritizing business opportunities.
13.Maintains professionalism at all times. Follows through on commitments to others, delivers on promises, maintains personal integrity, is easily accessible at all times, and serves as a role model for others as evidenced by peer feedback and letters of recognition and support.
14.Visits customer referral sources frequently to inquire about satisfaction with the HDM pharmacies; identifies and resolves service issues in a timely manner.
15.Other relevant duties as required.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Patient Financial Services
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
This position reviews initial clinical denials, document appeals for clinical inpatient denials, conducts appeals as appropriate. Track denial outcomes, identify trends and work collaboratively with clinical providers, coders, insurance companies and revenue cycle leadership to prevent future clinical denials by communicating denial root causes and help develop education and process changes. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• High Diploma or GED.
• Certified Medical Coder.
• 2 years of experience with hospital denial or case management or nurse audit.
• Knowledge of hospital revenue cycle and compliant coding/billing practices.
• Extensive knowledge of federal, state and payer specific regulations and policies pertaining to documentation, coding and billing, with demonstrated ability to interpret such guidelines.
• Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10 CM and HCPCS code.
• Knowledge of Epic applications with focus on Resolute Hospital Billing.
• Clear and concise verbal and written communication skills.
• Math skills.
• Experience multi-tasking.
• Organized, attentive to details, and self-motivated.
Preferred Job Qualifications:
• Time management skills.
Responsibilities:
1.Reviews charge information, claim forms and insurance correspondence when reviewing governmental and non-governmental clinical denials to determine if coding, billing, claim follow-up, payment posting are accurate and supported by documentation before initiating appeals process.
2.Audits claim denials to ensure coding accuracy and documentation adequacy.
3.Conducts medical necessity reviews and prepares any required clinical documentation summaries to accompany appeals to ensure optimal reimbursement.
4.Monitors and follows up on appeals throughout entire process to ensure appeal has resulted in an overturned denial or has escalated through the proper channels.
5.Assist Utilization Management on implementing a strong process that will help prevent claim denials and lodge successful requests for appeals.
6.Establishes collaborative relationships with physician leaders, clinical providers, IS, Corporate Compliance, Revenue Cycle and administrative leadership in support of coding education and documentation adequacy.
7.Develops educational presentations and training materials on the results of claim denials pertaining to coding and documentation errors for denial prevention.
8.Analyzes denial trends to identify incomplete or inconsistent documentation that impacts the quality of our appeals and assists in the development of corrective action plans.
9.Maintains accurate, clear, timely documentation related to denied cases. Manages Care Management denial management database. Tabulates the financial gains of the position and opportunities for improvement.
10.Participates in the policy and procedure decision-making process and adheres to all policies and procedures set forth by the Care Management Department and Rush University Medical Center.
11.Coordinates clinical appeals process and participates in in compliance investigations as needed for RUMC and ROPH including payer contacts, OIG/RAC correspondence, summary documentation of status and action taken, follow-up activities, and internal tracking.
12.Develops, implements and evaluates processes to ensure accurate and timely collection of information. Identifies billing-related issues and works with the payers, Care Management, Finance, physicians and staff to resolve issues in a timely manner.
13.Identifies denial avoidance and assists in the development of corrective action plans and process improvements. Provides results reporting and communication. Tracks outcomes, shares results, identifies trends, and presents strategies.
14.Adheres to service principles with customer service focus on I-Care values when responding to patients, insurance companies and other offices for hospital related services inquiries regarding denials and appeal complaints or inquiries.
15.Works with and provides education for staff, physicians, and payers on reimbursement issues, clinical protocols/criteria, insurance plan changes, regulations and process improvements based on supporting documentation.
16.Serves as a resource, maintains expertise and continues self-education by attending applicable conferences, workshops and interdisciplinary meetings.
17.Utilizes local, regional and national forums to continuously enhance expertise and knowledge base.
18.Participates in applicable professional organizations and committees.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: PBC University Hepatologists
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (7:00:00 AM - 4:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $20.19 - $31.80 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Job Summary:
Responsible for assisting providers and registered nurses with the evaluation, management, and treatment of patients in an ambulatory care setting. Assumes responsibility for maintaining patient flow, the upkeep of exam and treatment rooms, and performing basic skills such as vital signs and point of care testing. Will administer intramuscular injections, immunizations, small volume nebulizer treatment, over-the-counter medications under the direction of a Physician. In addition, this role is responsible for facilitating the needs of outreach sites and serving as a liaison from outreach clinics. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures, including complying with all Rush University Medical Group Customer Service Standards.
Other information:
Required Job Qualifications:
•3 years clinical experience required
•1 year of care navigation experience required
•High school diploma/GED required.
•Graduate of an Accredited Medical Assistant Program required (unless hired prior to February 1, 2022).
•Current CPR certification required upon start date.
•Clinical Medical Assistant Certification by AAMA, AMT, NCCT, or NHA required (includes principles and techniques of injections and medication administration) within six months of hire.
•Computer skills.
•Excellent communication and interpersonal skills.
•Excellent customer service skills.
•Excellent organizational skills.
Preferred Job Qualifications:
•Phlebotomy experience.
•Epic Ambulatory experience.
Responsibilities:
Job Responsibilities:
1.Coordinates and maintains organized patient flow.
2.Performs patient intake: vital signs, height and weight, reason for visit, interim history, allergies, medication lists, and other interventions as required.
3.Prepares patient for exam based on reason for visit.
4.Prepares and supports patient and assists provider with procedures.
5.Reviews appointment schedules and ensures all patient charts are available for the visit.
6.Reviews patient charts and ensures that all ancillary reports and required paperwork are available to the provider at the time of visit.
7.Performs basic lab and testing procedures according to standards.
8.Performs phlebotomy and EKGs.
9.Administers immunizations as ordered by Physician.
10.Administers RUMG approved intramuscular or subcutaneous medications after competency has been assessed, verified and documented.
11.Performs nebulizer treatments in the clinic setting after competency has been assessed, verified and documented.
12.Performs Tuberculin skin testing upon the order of the Physician.
13.Documents administration of over-the-counter medications and/or other medications in Epic per policy or protocol.
14.Calls patients regarding test results and medical instruction under the direction of a Physician.
15.Calls in medication refills under the direction of a Physician or protocol.
16.Documents patient care information in the outpatient medical record according to standards.
17.Assists with scheduling of patient tests, procedures, and follow-up appointments.
18.Assists in the care, cleaning, and sterilization of equipment and instruments.
19.Maintains the inventory of medical and linen supplies.
20.Maintains quality control for equipment.
21.Provides cross coverage to other clinical areas as assigned.
22.Participates in quality improvement projects.
23.Maintains compliance with The Joint Commission (TJC) standards and other regulatory bodies.
24.May have Unit specific duties as needed.
25.Ensure follow-up to referring providers in the form of letters, phone calls, emails, and faxes at critical points defined by the Executive Director
26.This role is also responsible for ensuring timely feedback to referral sources at critical time points inpatient care (such as referral, the decision to list, transplant, and discharge)
27.Travel to offsite clinic locations across the region to provide medical assistant care and represent Rush Transplant as a liaison for care
28.Conducts outreach and complete assessments as necessary to identify individuals at risk for adverse health outcomes including timely Health Risk Assessments
29.Executing on-site visits to referral sources and physician offices as needed to execute a strategic growth plan for liver transplant
30.Facilitate needs of the outreach sites, serve as a liaison from outreach clinics for feedback to the Rush Transplant administration for resolution around needs at outreach sites (equipment, technology, resource gaps/issues that may arise)
31.Share knowledge and education to empower patients and improve their ability to navigate services and systems
32.Liaison to multiple departments, agencies and provider offices.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Patient Access-Pre-Visit
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $18.87 - $29.73 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Financial Counselor position is responsible for securing all Transplant, Psychiatric, and rehabilitative services as outlined in the principle responsibilities. Provide excellent customer service to both our patient population and internal as well as external clients. Perform financial counseling duties to assist patients/responsible parties in identifying payment sources. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• High School Diploma or Equivalent
• Two years’ previous experience in a medial healthcare environment
• Demonstrate knowledge and proficiency in securing governmental and non-governmental accounts for payment.
• Working knowledge of creating and maintaining spreadsheet based reports.
Preferred Job Qualifications:
• Bilingual proficiency.
Responsibilities:
1. Identify/counsel potential and repeat/recurring bad debt patients to prevent the rendering of non-urgent care services. Offer payment options to patients based upon policy and procedure.
2. Identify potential charity and grant patients, assist patients with completing eligibility applications, make eligibility determinations (up to $5000 is actual or estimated charges), and notify patients of decisions.
3. Make patient payment arrangements.
4. Investigate additional payment sources.
5. Accept payments.
6. Serve as customer service resource for walk-in patients in hospital lobby/patient registration area.
7. Handle customer service phone calls (pertaining only to prospective services and in-house patients).
8. Provide price estimates to patients, physician offices and ancillary departments.
9. Complete cross training to be a Registration Specialist.
10. Complete daily and weekly volume/productivity management reporting.
11. Participate in/assist with quality management process(es).
12. 100% of accounts requiring patient payment arrangements are concluded with a payment schedule in place prior to the end of the "Bill Hold" period.
13. 90% of Customer Service phone are remedied at the time the call is received.
14. Supervisor/Manager reviews work queue of accounts and various reports.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Medical Records
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $34.89 - $56.78 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
This position is responsible for continuous monitoring of the coding quality performed by staff both within and external to the Health Information Management Department. Provides educational programs to both physicians and coding personnel to improve coding quality. Prepares various reports for administration and the Compliance Council. Represents Health Information Management and RUMC at forums that are internal and external to the medical center. Maintains a demeanor and appearance appropriate for representation of RUMC. Exemplifies the Rush mission, vision and values, and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
•High School Diploma or GED
•Coding Certification required, e.g., RHIA, RHIT and/or CCS.
•Three to five years of senior level coding audit experience or five years of coding experience.
•Ability to interpret and analyze electronic medical records, ancillary reports and third party payer guidelines.
•Proficiency in Microsoft Office Applications.
•Excellent verbal and written communication skills.
•Experience with hospital billing systems.
•Ability to communicate effectively with physicians and hospital department leadership.
Preferred Job Qualifications:
•Bachelor's degree in Health Information Technology, Healthcare Administration, Nursing or related field.
•RHIA/RHIT.
Physical Demands:
Competencies:
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Responsibilities:
1.Design and perform chart reviews, test appropriateness of billing and documentation.
2.Prepare and present reports of findings with recommendations for corrective action as needed.
3.Identify and prioritize risk issues, working as a team on projects.
4.Monitor the Medical Center's compliance with governmental regulations through the performance of recurring compliance reviews.
5.Research government billing regulations, third party payer guidelines and prospective payment system, ICD-9-CM, CPT/HCPCS coding guidelines.
6.Maintain an understanding of regulatory issues through seminars, training courses and regulatory literature.
7.Assist with the development of the annual departmental work plan.
8.Design and implement individualized documentation and coding improvement activities for physicians and administrators.
9.Act as a resource and an educator on documentation improvement projects.
10.Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns.
11.Facilitate compliance initiatives through education, newsletters and training sessions.
12.Assist in the development, coordination and maintenance of all elements of the Compliance Education Program.
13.Assist in updates to Compliance manuals and websites.
14.Other duties and projects as assigned.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Respiratory Care
Work Type: Restricted Part Time (Total FTE. 10)
Shift: Shift 1
Work Schedule: 12 Hr (7:00:00 AM - 7:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www. rush.edu/rush-careers/employee-benefits).
Pay Range: $50 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Exemplifies the Rush mission, vision and ICARE values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• Certified or Registered Respiratory Therapist and licensed as an Illinois Respiratory Care Practitioner.
• Must pass departmental competencies applicable to the clinical units they are hired for.
• BLS CPR certification is required within six months of hire
• PALS or PEARS and NRP is preferred for the Neonatal/Pediatric section.
• Technical skills are required to adapt equipment and procedures to patient needs.
• Analytical skills are required to evaluate patients and their clinical response to therapy
• Customer service skills are required to effectively meet the needs of patients, families, and members of the healthcare team on an almost constant basis.
• Must be highly adaptable to respond to changing workloads and priorities.
Preferred Job Qualifications:
• ACLS.
Physical Demands:
• Standing, walking, pushing, and bending for 75% of the day.
• Must be able to lift 20 pounds in order to handle cylinders.
Responsibilities:
1.Administers, monitors, and weans mechanical ventilation; makes ventilator recommendations based on clinical assessment, technical assessment, and laboratory values; manages airways.
2.Administers bronchial hygiene and treatment procedures including aerosol therapies, chest physical therapy, therapeutic gas administration; analyzes gases where applicable; procures and delivers gases using central piping systems and gas cylinders.
3.Assesses patients clinically before and after the administration or application of any medication, procedure or device; recommends appropriate therapy including initial therapy, changes in therapy, and discontinuance of therapy.
4.Applies CPAP and BIPAP and makes recommendations based on patient compliance, response, and laboratory values.
5.Participates in CQI and QA initiatives including work audits and committee participation; develops patient driven protocols in conjunction with department leadership.
6.Documents work timely, completely, and accurately, including documentation in the patient medical record, documentation in the department records, and patient billing.
7.Assesses patient oxygenation, ventilation, and hemodynamic status through clinical observation, patient assessment, physiologic monitoring including oximetry, capnography, ventilator waveform analysis, cardiac output, ECG, and laboratory values.
8.Performs bedside spirometry including spontaneous breathing parameters, PEFR, and other limited pulmonary function; identifies normal values for patients.
9.Provides patient/family education.
10.Performs ECGs and phlebotomy, including arterial puncture.
11.Performs bronchoscopy.
12.Precepts employees that are orienting.
13.Provides clinical supervision of respiratory care students on rotation.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Care Management
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (7:30:00 AM - 4:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $43.55 - $66.88 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Nurse Care Manager 1 works with physician practices and inpatient teams to promote the effective utilization of services and coordination of care for adult, geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's effectiveness by reviewing plans of care, identifying barriers to effective and efficient utilization of resources, and appraising patients' psychosocial, financial and clinical needs throughout the continuum of care. The Nurse Care Manager 1 functions as a liaison between patients, physician practices, the hospital, and the community and ensures that patients' continuity of care needs are met. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
•Current license in Illinois as Registered Nurse (RN).
•Ability to perform all job components and serve as a team resource for clinically complex cases within their professional expertise.
•Bachelors in Nursing from an accredited university or comparable educational preparation.
•Two years' experience as a health care provider for the neonate, pediatric, adolescent, adult and /or geriatric patient, and expert knowledge in case management, discharge planning, social service, and criteria application.
•Ability to perform tasks independently, prioritize workload, and analyze data.
•Experience with information system and windows technology and competency within the CM Information System.
•Team building skills and flexibility is crucial.
Physical Demands:
•Ability to travel throughout the Medical Center.
Responsibilities:
1. Functions as an expert clinical practitioner within the Case Management team and serves as a resource to assigned physician practice groups. Shares their professional expertise as a nurse and serves as a resource for CMs within their team to manage clinically complex cases.
2. Assesses patients' health care needs, monitors patients' progress, and confers with physician practice group and health care team regarding variances from the anticipated plan of care.
3. Provides basic assessment of patient's psychosocial, financial, cultural, and family situation. Coordinates social services for patients and families to address needs. Seeks assistance as needed regarding in-depth psychosocial needs.
4. Manages a complex patient caseload and demonstrates expert ability to coordinate and implement discharge management services and provide continuity of care planning. Finds community resources for potential sources of assistance, maintains contact with community resources, and consults with physicians and inpatient groups regarding use of community resources
5. Reviews admissions and ongoing stays of patients with respect to the medical necessity, appropriateness, and quality of care. Applies criteria, performs concurrent review process. Works with physicians and Medical Director regarding Case issues and concurrent denials an indicated.
6. Applies pathways/guidelines, assesses variances, and proposes interventions as indicated. Participates in the development, implementations and evaluation of pathways/guidelines and process improvement plans.
7. Collaborates with inpatient staff and physician groups to determine goals for length of stay management and discharge management activities. Promotes cost-effective quality care services
8. Monitors and reports potential quality issues and makes recommendations when appropriate.
9. Utilizes the CM information system and appropriate technologies. Monitors variances and trends related to select goals. Assist CM team and hospital groups to develop action plans and address identified opportunities for improvement.
10. Promotes customer satisfaction among patients, families, physicians, external case managers, payers, vendors, and inpatient staff. Actively promotes ICARE principles.
11. Performs basic administrative tasks related to job: --- e.g. time planning, recording reports and other routines as requested. Provides training, supervision, and orientation for staff and new employees as needed. Makes professional judgements with minimal administrative supervision. Maintains professional growth by attendance at various department, institutional, and external meetings, seminars, and workshops.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Medical Records
Work Type: Full Time (Total FTE 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www. rush.edu/rush-careers/employee-benefits).
Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures.
Other information:
Knowledge, Skills, and Abilities:
High School (GED) required
RHIA, RHIT, and/or CCS Certification required
Minimum 3 years experience in medical record coding required
Knowledge of medical terminology and anatomy and physiology required
Windows applications, Outlook, WebEx and other apps as needed to perform role
Cooperates well with others
Competent attention to detail and accuracy
Proficient with computer use and software applications
Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space
Ability to apply local, state, and federal coding guidelines with attention to detail.
Responsibilities:
•Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail
•Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail
•Completes UHDDS data abstraction as required
•Maintains a log of work performed
•Completes other assigned duties as directed by management
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Medical Records
Work Type: Full Time (Total FTE 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www. rush.edu/rush-careers/employee-benefits).
Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures.
Other information:
Knowledge, Skills, and Abilities:
High School (GED) required
RHIA, RHIT, and/or CCS Certification required
Minimum 3 years experience in medical record coding required
Knowledge of medical terminology and anatomy and physiology required
Windows applications, Outlook, WebEx and other apps as needed to perform role
Cooperates well with others
Competent attention to detail and accuracy
Proficient with computer use and software applications
Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space
Ability to apply local, state, and federal coding guidelines with attention to detail.
Responsibilities:
•Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail
•Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail
•Completes UHDDS data abstraction as required
•Maintains a log of work performed
•Completes other assigned duties as directed by management
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: HB Commercial Billing-Collect
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
This position requires a well-organized, detail-oriented individual with the ability to work directly with various payers, senior staff in International Health, Provider Practices/Billing Services, RUMC Finance, Contracting, Finance, EDW and Web/IT Services. The Bundled Pricing Coordinator must be able to work independently on multiple tasks, maintaining the highest level of efficiency, professionalism, and confidentiality. The successful candidate will demonstrate competence in Microsoft office applications, the ability to focus and perform well under pressure, as well as the ability to effectively prioritize and meet deadlines. The position of Bundled Pricing Coordinator is key to ensuring Rush Health is recognized as a competent and professional organization. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures
Other information:
Required Job Qualifications:
• HS Diploma and 2 years experience
• Proficient with Microsoft Office including Word, Excel, and PowerPoint.
• Proper telephone etiquette is essential.
• Excellent verbal and written communication skills.
• Have a high degree of professionalism, strong customer service orientation, good organizational skills and the ability to work independently.
• Strong interpersonal skills with the ability to prioritize, and a team player attitude.
• Able to manage several projects at once.
Preferred Job Qualifications:
• College or Vocational Degree
Responsibilities:
1.Accurately maintain and update the various tracking reports related to any bundled pricing arrangement. This includes investigating for missing information or erroneous information reported by the other users. The reports are to be maintained regularly and available for the specific users.
2.Support bundled pricing meetings, including scheduling meetings with physician practices, organizing meetings and preparing materials, if required. Take and prepare minutes of governance committee meetings, as assigned.
3.Support the participating providers in collecting the appropriate reimbursement for services provided. This includes providing email reminders and claims verification.
4.Administer the applicable schedule for collecting claims data, entering manual claims, verifying claims with providers, and submitting claims bundle to the payer. Follow-up with payer for late payments. Verify payment(s) with RUMC Finance, calculate distribution, and balance all supporting schedules before distributing schedules to RUMC Finance for payment distribution.
5.Ability to interpret contract terminology and apply the specific terms by contract in the calculation of expected payments. Troubleshoot discrepancies/disagreements with payers/providers to best ability and refer case to contracting staff for clarification when unfavorable terms emerge.
6.Provide Rush Health Finance and/or International Health with monthly schedule of settlements including any administrative fees.
7.Maintain corporate files for bundled pricing arrangements including all information/data/email correspondence related to the transaction, settlement schedules, tracking reports, and committee meetings. Maintain file of contracts (copies).
8.Support the department goals and promote a professional work environment and attitude within the department.
9.Establish and maintain excellent working relationships with key staff at Rush, the providers, and the providers billing and administrative staff.
10.Other duties and responsibilities as assigned.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: RUH Health Information Mgmt
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Health Information Management Forms Analyst uses advanced organizational skills and critical thinking to catalog medical record forms from clinical operations in an organized method with the support of legal, compliance, risk, clinical operations, and health information management. This analyst provides education and assistance to operational departments, supports fellow team members, and develops processes/procedures to ensure accurate and timely capture of all new forms in medical records. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
•Associates degree or higher
•Minimum 5 years working in a health information management department
•Minimum 1 year of managing a project or event planning
•Proficient and functional knowledge of Microsoft office (outlook, word, excel, Teams)
•Excellent written and oral communication skills along with problem-solving
•High degree of organizational skills
•High degree of accuracy and ability to collaborate with others
Preferred Job Qualifications:
•AAPC or AHIMA certification
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Responsibilities:
•Facilitates and collaborates health system-wide to ensure standardized forms accuracy and appropriate use in medical records.
•Use logic-based critical thinking and decision making to accurately manage the new forms approval process, including a cross-functional governance committee.
•Responsible for monitoring forms use (via incoming scanning) with precise version control to ensure departments are using the most up-to-date version of a forms.
•Collaborate with the policy stakeholders to incorporate forms
•Audit and reconcile issues related to forms or unapproved forms usage, and collaborate with users to create alignment with forms policies and procedures
•Activate MyChart accounts and respond to MyChart inquiries related to medical records
•Check and troubleshoot document quality control issues to ensure a legible medical record while monitoring accuracy.
•Understand and keep patient sensitive information protected per all applicable federal, state, and local guidelines, including HIPAA (Health Information Portability and Accountability Act) for medical records processing and requests.
•Triages and provides excellent patient and internal/external customer service (via phone, in-person, or by electronic means) inquiries and on-time delivery of records to patients, payors, or approved outside entities
•Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding forms use
•Serves as subject matter expert for fellow team members to review questions and assist with resolving issues.
•Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards
•Provides input and implements process improvement initiatives recognizing KPI’s and metrics
•Communicates, observes, and reports on forms trends and patterns and provides recommendations for improvement
•Engages in continual education and training in the health information management field and other duties or projects assigned
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Eye Center
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (9:00:00 AM - 5:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $17.63 - $27.77 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Performs clinic activities including answering telephones, patient and visitor reception, administrative office duties, and Health Information Management responsibilities. The employee who holds this position exemplifies the Rush Mission, Vision and Values and acts in accordance with Rush policies and procedures, including compliance with all Rush University Medical Group Customer Service and Performance Standards.
Other information:
Required Job Qualifications:
• High school diploma.
• Basic computer knowledge.
• Attention to detail and accuracy.
• Excellent customer service and interpersonal skills.
• Sensitivity to patient health information and protection of confidentiality.
• Ability to utilize EPIC efficiently.
• Ability to sit for several hours each day and remain professional and calm under stressful situations.
• Ability to adapt to change and be flexible.
• Employees hired into this role must successfully pass the EPIC scheduling test with 3 attempts, within 45 days of completion of training.
• Ability to travel to offsite locations as needed. Schedule locations and shift times will vary given business needs.
Preferred Job Qualifications:
• Medical office experience.
Responsibilities:
1.Performs a variety of office functions including the retrieval and distribution of incoming and outgoing mail, faxes, filing, stocking of supplies, and preparation and dissemination of clinic correspondence and completion of Epic Administrative In-Box as directed.
2.Accesses EPIC to retrieve referrals, orders and other documentation. Assists patients with Release of Information requests.
3.Maintains and retrieves medical records per HIM and office protocol.
4.Addresses patient calls efficiently and courteously. Takes accurate, clear and concise messages that provide sufficient information for the clinical staff and/or receiving party to effectively handle the issue/request.
5.Schedules, cancels and/or reschedules patient appointments, as assigned. Places reminder calls or sends information to patients in advance of their appointment per office policy.
6.Appropriately transfers patients to pre-registration for insurance verification.
7.Prepares and disseminates patient letters and other correspondence from EPIC.
8.Problem solves issues by seeking out the appropriate resources.
9.Works collaboratively as part of the medical practice team.
10.Performs other duties as assigned.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Specialty Drug Solutions
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (9:00:00 AM - 5:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Transition of Care Specialist serves as an expert consultant to hospital staff, and a clinical educator and advocate for patients, with the goals of raising awareness about the benefits of home infusion and optimizing the transition of care for patients referred to the Rush Home Infusion Pharmacy or the HDM portfolio of pharmacies. The Specialist will educate patients, physicians, case managers and all customers regarding disease states, infusion therapy, transitional care management and HDM pharmacy programs and services. The Specialist will facilitate patient care coordination for patients referred to the HDM pharmacies including initial patient set-up and patient/caregiver education. The Specialist interfaces with healthcare professionals and hospital staff in an effort to strengthen partnerships and grow the HDM pharmacies through referrals. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• High School Diploma or Equivalent.
• Five years' experience in the alternate site care environment.
• Excellent problem solving skills and the ability to work independently in a fast paced environment.
• Experience providing customer service to both internal and external customers, including meeting quality standards for service and evaluation of customer satisfaction.
• Excellent interpersonal, verbal and written communication skills and organizational skills.
• Knowledge of and guarantees compliance with: state and federal regulations, accrediting body standards, HDM pharmacy policies and procedures and standards of performance.
• Knowledge of marketing strategies, processes and available resources.
• Ability to develop, plan and implement short- and long-range goals.
• Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
• Computer skills (Word, Excel, patient databases, email); experience using voicemail and cell phones.
• Telephone, computer systems, copiers, fax machines, calculator and other office equipment as necessary.
• Advanced knowledge of Medicare, Medicaid and insurance benefits.
• Normal office and clinical environments.
Preferred Job Qualifications:
• Bachelor's Degree.
Physical Demands:
• May be exposed to certain hazardous materials, including but not limited to blood-borne pathogens and chemotherapeutic agents.
Responsibilities:
1.Interacts with area service providers daily to facilitate assessment of patients selected by the hospital/clinic/doctor office to receive care in the alternate setting by the Rush Infusion Pharmacies. Includes facilitating vein assessment, assessment of patient's and caregiver's potential ability to perform the required therapy and selecting the appropriate home therapy equipment and method of infusion.
2.Assures proper placement of patients within the Rush outpatient pharmacy services arena. Assesses each patient referred for additional service needs.
3.Coordinates reviews of patient's medical record to gather appropriate assessment documents so that an effective plan of treatment can be formulated. Reviews the record to obtain primary and secondary insurance payer information and relays this information to the intake department.
4.Educates patients, their caregivers and the Rush Medical Staff about the services and products that the Rush Pharmacies provide.
5.Represents and serves as the point of contact between the Rush Infusion Pharmacies and all other levels of care, including physicians, staff nurses, CM staff, agency liaisons and patients/caregivers.
6.Effectively communicates with all levels of care, including CM Staff, nursing agencies, medical team members, pharmacy staff, patients and caregivers to assure a smooth transition from hospital to home.
7.Works in collaboration with the patient and their caregiver to implement an effective treatment plan with mutual goals, explaining available options, including the advantages and disadvantages of each option.
8.Maintains a positive relationship with internal customers, listens to different viewpoints and works collaboratively with others throughout the company to resolve conflicts.
9.Educates and assists patients in qualifying for third party assistance or reimbursement.
10.In conjunction with management, establishes and implements a marketing plan for the community served which includes promotional and educational events and materials, physician, patient and medical staff contacts.
11.Maintains a strong knowledge base of all payer contracts to communicate to customers.
12.Participates in targeting and prioritizing business opportunities.
13.Maintains professionalism at all times. Follows through on commitments to others, delivers on promises, maintains personal integrity, is easily accessible at all times, and serves as a role model for others as evidenced by peer feedback and letters of recognition and support.
14.Visits customer referral sources frequently to inquire about satisfaction with the HDM pharmacies; identifies and resolves service issues in a timely manner.
15.Other relevant duties as required.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Patient Financial Services
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
This position reviews initial clinical denials, document appeals for clinical inpatient denials, conducts appeals as appropriate. Track denial outcomes, identify trends and work collaboratively with clinical providers, coders, insurance companies and revenue cycle leadership to prevent future clinical denials by communicating denial root causes and help develop education and process changes. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• High Diploma or GED.
• Certified Medical Coder.
• 2 years of experience with hospital denial or case management or nurse audit.
• Knowledge of hospital revenue cycle and compliant coding/billing practices.
• Extensive knowledge of federal, state and payer specific regulations and policies pertaining to documentation, coding and billing, with demonstrated ability to interpret such guidelines.
• Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10 CM and HCPCS code.
• Knowledge of Epic applications with focus on Resolute Hospital Billing.
• Clear and concise verbal and written communication skills.
• Math skills.
• Experience multi-tasking.
• Organized, attentive to details, and self-motivated.
Preferred Job Qualifications:
• Time management skills.
Responsibilities:
1.Reviews charge information, claim forms and insurance correspondence when reviewing governmental and non-governmental clinical denials to determine if coding, billing, claim follow-up, payment posting are accurate and supported by documentation before initiating appeals process.
2.Audits claim denials to ensure coding accuracy and documentation adequacy.
3.Conducts medical necessity reviews and prepares any required clinical documentation summaries to accompany appeals to ensure optimal reimbursement.
4.Monitors and follows up on appeals throughout entire process to ensure appeal has resulted in an overturned denial or has escalated through the proper channels.
5.Assist Utilization Management on implementing a strong process that will help prevent claim denials and lodge successful requests for appeals.
6.Establishes collaborative relationships with physician leaders, clinical providers, IS, Corporate Compliance, Revenue Cycle and administrative leadership in support of coding education and documentation adequacy.
7.Develops educational presentations and training materials on the results of claim denials pertaining to coding and documentation errors for denial prevention.
8.Analyzes denial trends to identify incomplete or inconsistent documentation that impacts the quality of our appeals and assists in the development of corrective action plans.
9.Maintains accurate, clear, timely documentation related to denied cases. Manages Care Management denial management database. Tabulates the financial gains of the position and opportunities for improvement.
10.Participates in the policy and procedure decision-making process and adheres to all policies and procedures set forth by the Care Management Department and Rush University Medical Center.
11.Coordinates clinical appeals process and participates in in compliance investigations as needed for RUMC and ROPH including payer contacts, OIG/RAC correspondence, summary documentation of status and action taken, follow-up activities, and internal tracking.
12.Develops, implements and evaluates processes to ensure accurate and timely collection of information. Identifies billing-related issues and works with the payers, Care Management, Finance, physicians and staff to resolve issues in a timely manner.
13.Identifies denial avoidance and assists in the development of corrective action plans and process improvements. Provides results reporting and communication. Tracks outcomes, shares results, identifies trends, and presents strategies.
14.Adheres to service principles with customer service focus on I-Care values when responding to patients, insurance companies and other offices for hospital related services inquiries regarding denials and appeal complaints or inquiries.
15.Works with and provides education for staff, physicians, and payers on reimbursement issues, clinical protocols/criteria, insurance plan changes, regulations and process improvements based on supporting documentation.
16.Serves as a resource, maintains expertise and continues self-education by attending applicable conferences, workshops and interdisciplinary meetings.
17.Utilizes local, regional and national forums to continuously enhance expertise and knowledge base.
18.Participates in applicable professional organizations and committees.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: PBC University Hepatologists
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (7:00:00 AM - 4:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $20.19 - $31.80 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Job Summary:
Responsible for assisting providers and registered nurses with the evaluation, management, and treatment of patients in an ambulatory care setting. Assumes responsibility for maintaining patient flow, the upkeep of exam and treatment rooms, and performing basic skills such as vital signs and point of care testing. Will administer intramuscular injections, immunizations, small volume nebulizer treatment, over-the-counter medications under the direction of a Physician. In addition, this role is responsible for facilitating the needs of outreach sites and serving as a liaison from outreach clinics. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures, including complying with all Rush University Medical Group Customer Service Standards.
Other information:
Required Job Qualifications:
•3 years clinical experience required
•1 year of care navigation experience required
•High school diploma/GED required.
•Graduate of an Accredited Medical Assistant Program required (unless hired prior to February 1, 2022).
•Current CPR certification required upon start date.
•Clinical Medical Assistant Certification by AAMA, AMT, NCCT, or NHA required (includes principles and techniques of injections and medication administration) within six months of hire.
•Computer skills.
•Excellent communication and interpersonal skills.
•Excellent customer service skills.
•Excellent organizational skills.
Preferred Job Qualifications:
•Phlebotomy experience.
•Epic Ambulatory experience.
Responsibilities:
Job Responsibilities:
1.Coordinates and maintains organized patient flow.
2.Performs patient intake: vital signs, height and weight, reason for visit, interim history, allergies, medication lists, and other interventions as required.
3.Prepares patient for exam based on reason for visit.
4.Prepares and supports patient and assists provider with procedures.
5.Reviews appointment schedules and ensures all patient charts are available for the visit.
6.Reviews patient charts and ensures that all ancillary reports and required paperwork are available to the provider at the time of visit.
7.Performs basic lab and testing procedures according to standards.
8.Performs phlebotomy and EKGs.
9.Administers immunizations as ordered by Physician.
10.Administers RUMG approved intramuscular or subcutaneous medications after competency has been assessed, verified and documented.
11.Performs nebulizer treatments in the clinic setting after competency has been assessed, verified and documented.
12.Performs Tuberculin skin testing upon the order of the Physician.
13.Documents administration of over-the-counter medications and/or other medications in Epic per policy or protocol.
14.Calls patients regarding test results and medical instruction under the direction of a Physician.
15.Calls in medication refills under the direction of a Physician or protocol.
16.Documents patient care information in the outpatient medical record according to standards.
17.Assists with scheduling of patient tests, procedures, and follow-up appointments.
18.Assists in the care, cleaning, and sterilization of equipment and instruments.
19.Maintains the inventory of medical and linen supplies.
20.Maintains quality control for equipment.
21.Provides cross coverage to other clinical areas as assigned.
22.Participates in quality improvement projects.
23.Maintains compliance with The Joint Commission (TJC) standards and other regulatory bodies.
24.May have Unit specific duties as needed.
25.Ensure follow-up to referring providers in the form of letters, phone calls, emails, and faxes at critical points defined by the Executive Director
26.This role is also responsible for ensuring timely feedback to referral sources at critical time points inpatient care (such as referral, the decision to list, transplant, and discharge)
27.Travel to offsite clinic locations across the region to provide medical assistant care and represent Rush Transplant as a liaison for care
28.Conducts outreach and complete assessments as necessary to identify individuals at risk for adverse health outcomes including timely Health Risk Assessments
29.Executing on-site visits to referral sources and physician offices as needed to execute a strategic growth plan for liver transplant
30.Facilitate needs of the outreach sites, serve as a liaison from outreach clinics for feedback to the Rush Transplant administration for resolution around needs at outreach sites (equipment, technology, resource gaps/issues that may arise)
31.Share knowledge and education to empower patients and improve their ability to navigate services and systems
32.Liaison to multiple departments, agencies and provider offices.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
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