for all employee's, you won't incur the additional expense or hassle that comes with commuting into the city. Job Description1. Demonstrates comprehensive knowledge of surgical procedures and instrumentation. a. Demonstrates knowledge of anatomy related to procedure.
b. Demonstrates knowledge of techniques used by various surgeons for various procedures. c. Able to assemble and troubleshoot all equipment as necessary for procedure. d. Assures all necessary equipment is in the room prior to the start of a case. e. Able to safely operate all electro-surgical equipment, diagnostic equipment, disposable equipment as well as equipment unique to each specialty area. f. Demonstrates an understanding
of the principles of asepsis and consistently maintains sterile technique.2. Pursues professional growth and development. a. Attends Hospital sponsored training programs as required by department.
b. Maintains ERT certification. c. Completes annual mandatory in-services. d. Maintains technical skill level and adapts to changes in surgical technique and/or operative intervention modalities.3. Performs all responsibilities/duties required as defined in the scope of service, to assure that the unique nature of the client is addressed. a. Demonstrates a knowledge of sterilization and disinfection as evidenced by practice. b. Demonstrates an understanding of operating room sanitation and assists
in its maintenance. c. Handles all surgical specimens appropriately.
d. Monitors for and calls attention to breaks in technique. Communicates to Circulating RN and surgeons breaks in technique. e. In conjunction with the RN, conducts accurate sponge, needle and instruments count according to departmental policies. f. Performs surgical scrub according to departmental policies. g. Assists in the positioning of patients under the guidance of the RN or surgeon as needed. Maintains safety of patients. h. Takes full responsibility for scheduled on call hours.4. Functions as a role model for current and new surgical staff. a. Accepts assignment as preceptor for new staff.
b. Demonstrates a constructive approach during all interactions with staff and Nurse Manager towards the Organization. c. Trains and assists (Environmental Services) turnover teams with Operating Room protocol and procedures for new and existing team members.5. Technology – Embraces technological solutions to work processes and practices. a. Meets the technological requirements of the department and unit-specificcompetencies. b. Checks E-mails on a daily basis when scheduled.6. Safety Awareness – Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment.
a. Successfully answers safety questions in annual mandatory education programb. Understands individual roles/responsibilities during hospital codes (e. g. Code Green, Code Red)c. Utilizes proper body mechanics when performing all aspects of jobd. Operates equipment safelye. Maintains a neat, organized work environmentf. Knows where to find material safety data sheets (MSDS) for items used to perform jobg. Adheres to respiratory etiquette guidelines ACLS Instructor " OR" Advanced Cardiac Life Support (ACLS) Certification " OR" Emergency Response Training Certification " OR" ERT Instructor For more details: jobs-search.
org/surgical-technologist_weymouth-c434648/surgical-technologist-per-diem-weymouth_i1967934659
of variances and utilizes historical data to provide detailed analytical summaries for South Shore leaders. Serves as part of the Payment Variance team responsible for ensuring proper payments are received, determining root causes for discrepancies, minimizing inappropriate payment delays and variances from expected reimbursement, and resolving or escalating issues to the Manager for resolution.
This position reports directly to the Supervisor. Job Description ESSENTIAL FUNCTIONSInvestigates and addresses overpayment and underpayment accounts with the objective of appropriately optimizing reimbursement for services rendered. Ensures that claims are paid/settled in the timeliest manner
possible:1. Strategically applies knowledge of specific payer payment rules, managed care contracts, reimbursement schedules, eligible provider information and other available data and resources in order to research payment delays and variances, make corrections, and take appropriate corrective action to ensure timely claim resolution.
]2. Proactively follows up on payment delays and variances by contacting patients and third-party payers, and supplying additional data, as required. 3. Conducts ongoing analysis of contract compliance and financial performance for third-party payers to provide leadership with support during payer contract negotiations a. Supports payer strategy teams by
reviewing and comparing regular contract/rate adjustments provided by payersb.
Researches and provides data independently for recommendations used in payer negotiation processes4. Reports and maintains data on types of variances and root cause. Collaborates with management and team to make recommendations for improvements. a. Analyzes and researches historical data loaded into Experian to trend and identify ongoing issues for specific payors or plansb. Samples aged variance accounts within Epic to identify root cause, carrying forward that knowledge for future recommendationsc. Utilizes data files to create visualizations to support the variance coordinator in meetings with South Shore Revenue Cycle leadership 5.
Develops analytical performance dashboards with key performance indicators, formulas, and other reimbursement related data to track historical reimbursement trends6. Acts as the designated liaison for payers, as well as for other internal departments and leadership, regarding payment accuracy7. Composes adjusted claims and appeal letters to resolve payment rejections.8. Requests write offs, transfers, allowances, and reversals. 9. Documents all actions and encounters in the patient accounting system using standard codes. 10. Maintains working knowledge of the areas of third-party billing, reimbursement schedules and methodologies, coding, payer contracts, billing and payment rules and regulations, and hospital billing compliance11.
Actively participates in recurring trend research meetings with HB and PB Billing and Follow up teams, providing analytical insights from research conducted in the role Technology and Learning a - Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization. b - Embraces technological advances that allow us to communicate information effectively and efficiently based on role.
JOB REQUIREMENTSMinimum Education - Preferred Bachelor’s degree in Accounting or Business Administration or related field Minimum Work Experience Minimum of 5-10 years’ of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience.
Required additional Knowledge, and Abilitieinteractioncellent written and verbal communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers. Strong accuracy, attention to detail and time management skills. Advanced understanding of Microsoft Office, including Outlook, Word, Power Point, and Excel. Research and analytically oriented in work and analyses completed Epic and/or Experian experience preferred but not required. Detailed knowledge of reimbursement schemes for predominant payors.
Detailed knowledge of CPT-4, HCPCS, revenue codes and ICD-10 CM. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must be comfortable operating in a collaborative, shared leadership environment. For more details: jobs-search. org/finance_weymouth-c434648/payment-variance-analyst-weymouth_i1967352421
