PATIENT INSURANCE REP - COMMERCIAL -Denver, CO

EXEMPLA DESCRIPTION:

Our hospital system is not just buildings, or remodeled nursing units, or the latest pieces of technology. Our hospital system is not defined by the awards we have earned or the number of patients we serve. What gives meaning to Exempla Healthcare is our people! It's our physicians, staff and volunteers who display their commitment to our mission and our values in exceptional ways every day. The actions of our people help bring a sense of belonging and hope to our patients; they give a sense of home and family that can be felt. We are Exempla Healthcare and we invite you to join us. The following department is looking for an individual to join their team. They are looking for someone who will share the same passion and commitment demonstrated everyday by their service. This individual needs to be committed to delivering the best possible healthcare for our patients. At Exempla we believe our patients deserve nothing but our very best. If excellence inspires you and belonging motivates you, we welcome you to join us. We are Exempla Healthcare!

SITE DESCRIPTION:

Formed in 1998, Exempla Healthcare consists of three hospitals located in Wheatridge, Lafayette, downtown Denver and a network of clinics throughout the Denver-metro area. It is a not-for-profit, community-based healthcare system. Exempla System Services is designed to support our partners in care. System Services is conveniently located at 2420 West 26^th Avenue in Denver, Colorado at I-25 & Speer Boulevard.

JOB DESCRIPTION:

Work daily report of accounts for payers needing resolution for collections of payment and or other alternatives such as discount adjustments, copays, deductibles, transfers to other payers for appropriate payments, refunds, resubmissions or rebilling of claims. Accounts must be identified and followed up in an appropriate manner to achieve maximum collections on a timely basis. This will entail follow up calls to the payers in question. Process incoming correspondence daily by means of following up on requests for expedition of outstanding claims. All correspondence and or action taken on an account must be documented in the computer system and/or appropriately filed and followed up in accordance to procedures and policies. Other duties as assigned

MINIMUM QUALIFICATIONS:

High School diploma or GED Equivalent. 1-year hospital, medical or medical insurance experience. Sufficient medical terminology.

PREFERRED QUALIFICATIONS:

Medical terminology/advance training preferred.

ICD-9, HCPC, Revenue Codes preferred.

SUMMARY:

n/a

SENIOR FINANCIAL ANALYST -Wheat Ridge, CO

EXEMPLA DESCRIPTION:

Our hospital system is not just buildings, or remodeled nursing units, or the latest pieces of technology. Our hospital system is not defined by the awards we have earned or the number of patients we serve. What gives meaning to Exempla Healthcare is our people!? It's our physicians, staff and volunteers who display their commitment to our mission and our values in exceptional ways every day. The actions of our people help bring a sense of belonging and hope to our patients; they give a sense of home and family that can be felt.? We are Exempla Healthcare and we invite you to join us. The following department is looking for an individual to join their team. They are looking for someone who will share the same passion and commitment demonstrated everyday by their service.?This individual needs to be committed to delivering the best possible healthcare for our patients

SITE DESCRIPTION:

Since 1905, Exempla Lutheran Medical Center has been advancing the art of healing and the science of medicine throughout western Colorado. Today, the 400 bed, community-based hospital offers a comprehensive spectrum of specialized care, from birth to end-of life. Every patient can be assured of receiving the highest standards of care. Lutheran's national accreditations include Level III Trauma, Level IIIA Neonatal, Chest Pain Center of America, and the county's only Sleep Disorder Center. The hospital's 2,540 employees, 819 Physicians and 668 volunteers have helped Lutheran earn numerous awards, including being named one of the nation's Top 100 Hospitals seven times. Exempla Lutheran Medical Center. Leading by Example.

JOB DESCRIPTION:

Under the supervision of the Hospital Finance manager, independently perform financial analysis of hospital operations to help management make sound business decisions. This includes preparation of financial projections of proposed or existing product lines, annual operating budgets, to include volumes, revenues and department expenses, capital budgets, working with hospital directors to analyze monthly variances and identify corrective action plans with minimal supervision. Serve as a resource to internal customers throughout the organization regarding financial reports, processes and principles.? With minimal direction, manage and continually improve information tools and requirements related to the management of departmental budgetary compliance and facilitating an understanding of these goals to operational managers as well as enhancing operational management financial sophistication. Oversee daily productivity of operating units. Create and validate current year YTD volume, gross charges, cost information by department. Research specific/unusual items on a concurrent basis which can have a significant impact on the Income Statement including volume trends, revenue and expense budget variances. Monthly preparation of the site analysis as to income statement trends / variances. Responsible for operational and capital budget preparation for Lutheran Medical Center, West Pines Behavioral Health and Colorado Lutheran Home. Use HBOC data to analyze the profitability of specific payers/contracts and specific product lines and make recommendations regarding future direction regarding those results. Perform as financial support of feasibility studies of proposed new business lines. When encountered, help highlight and resolve data integrity issues within Epic and HBOC.Serve as a resource to financial analysts as a senior member of the finance team. Implement processes to improve shortfalls as identified through projects and analyses. Other duties as assigned: program analysis, feasibility studies, pay practice changes.
Effective interpersonal and customer relations skills
Excellent written and oral skills. Excellent analytical and problem solving skills
Proven results managing multiple projects and deadlines
Ability to work well with non-finance oriented customers

MINIMUM QUALIFICATIONS:

BA/BS or higher/above in Finance / Accounting or related Business field
Excellent Excel and Word skills
Thorough knowledge of general and cost accounting principles
Hospital Cost accounting experience (HBOC, Trendstar or Pathways)
Financial statement analysis experience
Operating and Capital budgeting experience

PREFERRED QUALIFICATIONS:

Thorough knowledge of healthcare accounting, terminology and decision support systems Microsoft Access database skills
Knowledge and understanding of hospital billing, reimbursement and cost accounting?
2-3 years public accounting experience
3-5 years experience in a hospital or healthcare system
Supervisory or project management experience for a hospital or healthcare system
3 years healthcare experience analyzing program financial viability / profitability
Masters degree recommended

SUMMARY:

At Exempla we believe our patients deserve nothing but our very best. If excellence inspires you and belonging motivates you, we welcome you to join us. We are Exempla Healthcare!

Exempla Careers Finance Jobs

PATIENT INSURANCE REP - COMMERCIAL -Denver, CO

SENIOR FINANCIAL ANALYST -Wheat Ridge, CO