Cardon Outreach is a growing healthcare company that supports a culture of team work and collaboration to assist uninsured and underinsured patients.  We are seeking a FT Patient Advocate to work at our Bemidji, MN location.

Hours are M-F Daytime shift

This position is responsible for assisting patients in completion of application processes for State, Federal, and private medical assistance programs in a hospital setting. The Patient Advocate serves as a liaison between patients, hospital clients and outside agencies in order to facilitate eligibility processes.  This individual is an advocate for both patients and hospital clients by ensuring that patients are covered appropriately and hospitals receive the reimbursement to which they are entitled. 

Tasks include:

• Screening hospital patients for medical assistance program eligibility
• Facilitating application processes and securing necessary documentation.   
• Completing & submitting forms and additional documents to appropriate agencies. 
• Maintaining case notation & updating all applicable systems.
• Performing assertive & thorough follow up. 
• Monitoring status of each case while communicating effectively with multiple parties, including: patients and families, governmental agencies, insurance companies, hospital clinical staff, and hospital business office staff.
• Occasionally completing field visits to interview patients in the community.

1. Excellent verbal and written communication skills, including the ability to understand others and effectively disseminate technical information is required.
2. Excellent customer service skills. 
3. Critical thinking and the ability to research State and Federal regulations is vital.
4. Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
5. Must be able to type at least 50 wpm.

Cardon Outreach is a growing healthcare company that supports a culture of team work and collaboration to assist uninsured and underinsured patients. We are seeking a FT Patient Advocate to work at our Eau Claire, WI facility.

Hours are M-F 8:00a - 4:30pm

This position is responsible for assisting patients in completion of application processes for governmental medical assistance programs in a hospital emergency department setting. The Patient Advocate serves as a liaison to other team members, hospital and governmental agency staff to facilitate eligibility processes. This individual is an advocate for both patients and hospital clients by working to ensure that patients are covered appropriately and hospitals receive the reimbursement to which they are entitled.

Tasks include:

*Screening patients to identify potentially eligible candidates
*Securing information necessary to determine if patient meets criteria
*Completing and forwarding all necessary forms and electronic documents
*Updating all systems as appropriate
*Performing aggressive follow up
*Monitoring status of all candidates while communicating effectively with multiple constituencies including patients and families, governmental agency caseworkers, hospital clinical and business office staff.

Skills / Requirements:
1. Prefer 3-5 years of related experience
2. Experience in hospital business offices and/or claims adjusting
3. Excellent communication skills, both verbal and written, with the ability understand users, questions and effectively disseminate technical information is essential.
4. Excellent customer service skills
5. Computer data entry or word processing skills and ability to operate routine office equipment are required.
6. Working knowledge of computer programs, i.e., Microsoft Excel, Outlook, etc.
7. Must be able to type at least 50 wpm.

Bilingual in English/Spanish highly desirable.

Bachelors degree desirable.

Outreach Services is a growing healthcare company that supports a culture of team work and collaboration. We are seeking a FT Administrative Assistant to work in our Spokane, WA office.

Hours are M-F, 8:30am to 5:00pm

Tasks include:
*Data entry of client referrals into database
*Disperse new referrals to the assigned advocate for follow up
*Research the facility system for related accounts
*Answering phones and working the reception desk, responding to staff inquiries regarding accounts
*Attend to various reports as instructed by supervisor
*Perform general clerical duties
*Check payments at various facilities

*Perform all other duties as assigned.

Skills / Requirements
1. Significant attention to detail
2. Strong organizational skills
3. Ability to work independently and manage time effectively
4. A flexible attitude that will be open to the wide variety of assigned tasks
5. Ability to work as part of a team
6. Dedication to communicating and working effectively with a diverse group of individuals
7. Type 50+ wpm
8. Ability to work designated shifts

Professional appearance is required.

• Reviews and researches accident claims to determine possible payment sources. 
• Contact various sources including patients, adjusters and other insurance professionals, attorneys and other parties to verify relevant data. 
• Coordinates with appropriate client personnel to ensure appropriate filing guidelines are met for reimbursement.
• Requests appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition. 
• Maintains and updates proper account documents in Optima system
• Performs aggressive follow upon unresolved claims and facilitates payment from appropriate payers
• Makes written or verbal appeals to payers on denied claims.

• Ability to communicate effectively verbally and in writing and be able to speak professionally with patients, attorneys and insurance adjusters. 
• Proven ability to be assertive in order to proactively resolve issues. 
• Demonstrate ability to organize and set priorities according to situation al demands. 
• Prefer 3-5 years of related experience in hospital business offices and/or claims adjusting or Third Party Liability experience
• Excellent customer service skills
• Working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications.
• Must be able to type at least 50 wpm

Bachelors degree preferred.

Insurance billing experience desirable.

Bilingual in English/Spanish highly desirable.

•  All phases of billing to government and commercial insurers, including initial billing of clean claims electronically or on paper, subsequent follow up on unpaid claims to the point of payment or resolution
• Reviews accounts receivable and aging reports, prioritizes appropriately and works aged accounts to their resolution
• Interprets billing regulations accurately and in keeping with Federal, State, and third party billing regulations and policies
• Reviews and processes electronic claims and claim edits and deletions appropriately and compliantly

• Minimum of 3 years hospital or physician billing experience for both government or commercial insurers, prefer Medicaid billing experience
• Analytical skills required to research unpaid account issues, claims, or electronic claim issues and payment problems
• Excellent communication skills, both verbal and written
• Excellent time management skills
• Must be able to work independently
• General knowledge in the operation of PC’s, internet, email, etc.
• Working knowledge of CPT-4, HCPCS, and ICD-9 codes

Pacific EDI / CBO Solution is a growing hospital billing service that provides complete hospital billing, project billing, and out of state Medicaid billing to various hospitals throughout the United States.  We are a dynamic company that offers job stability.

We are currently looking to fill several positions of Hospital Medicaid Biller. These are Full Time positions, Monday – Friday. These positions offer competitive wages and benefits, flexible work schedules, and a casual, friendly work environment. 


Tasks include:
• All phases of billing to Medicaid, including initial billing of clean claims electronically or on paper, subsequent follow up on unpaid claims to the point of payment or resolution
• Reviews accounts receivable and aging reports, prioritizes appropriately and works aged accounts to their resolution
• Interprets billing regulations accurately and in keeping with Federal, State, and third party billing regulations and policies
• Documenting various hospital billing systems with updates to claim resolution

Skills / Requirements:
• Minimum of 2 years hospital or physician billing experience, prefer Medicaid billing experience
• Knowledge of billing requirements for government payers
• Analytical skills required to research unpaid account issues, claims, or electronic claim issues and payment problems
• Excellent communication skills, both verbal and written
• Excellent time management skills
• General knowledge in the operation of PC’s, internet, email, etc..
• Working knowledge of CPT-4, HCPCS, and ICD-9 codes