CAREERS

The Billing Specialist is responsible for collecting, posting, and managing patient account payments. Responsible for submitting patient claims to insurance companies and following up on the claims with insurance companies.

Essential Duties and Responsibilities

• Prepare and submit claims to insurance providers.

• Review and verify patient information and service codes for accuracy.

• Address and resolve any billing discrepancies or inquiries from patients and insurance companies.

• Maintain up-to-date knowledge of insurance policies and regulations.

• Collaborate with clinical staff to ensure proper documentation for billing purposes.

Required Skills and Abilities

• Ability to operate a computer, computer software, and basic office equipment

• Knowledge of medical billing/collection practice

• Understanding a variety of different Explanation of Benefits

• Ability to work and thrive in pressure situations

• Basic math, bookkeeping and accounting skills

• Ability to work independently and to produce prompt, accurate reports.

• Exceptional time management

• Aptitude to be cross trained and learn other business office positions

• Ability to learn required software applications

Education and Experience

• Previous medical billing experience in hospital or other health care setting

• Experience working with medical payers

A Senior Staff Accountant is responsible for a company’s financial procedures, records and statements for compliance with laws and regulations. Below is an overview of duties of a Senior Staff Accountant:

• Recommend ways to reduce costs and enhance revenue.

• Prepare documentation for External Auditors.

• Analyze financial statements for discrepancies and alert the CFO if necessary.

• Coordinate semi-annual audits and assist the CFO in running audits.

• Reconcile accounts monthly to ensure accurate reporting and ledger maintenance.

• Delegate financial responsibilities to the accounting team.

Job Duties/Responsibilities:

• Provide insight, reports, dashboards, and recommendations to the Accounting organization to improve processes. Provide user support and training on related tools.

• Analyze the accounting portfolio of CI opportunities and provide insights on integration, progress, and barriers.

• Facilitate cross-functional collaboration on the guidance, support, and implementation of strategic initiatives.

• Perform assignments requiring the understanding of Accounting systems and processes applying process improvement methods and tools. Strong knowledge of accounting principles (GAAP).

• Perform challenging analytical procedures to identify and propose automation opportunities.

• Provides targeted financial and accounting expertise to management or cross functional teams, communicating impacts on current and forecasted financial results at any level of the organization.

• Use technical and automation skills to develop automation and data visualization.

• Evaluate challenging accounting and financial implications of contemplated strategic initiatives.

• Understand the system of controls and lending expertise to the development, implementation, testing and revision of accounting policies, procedures, and systems when developing process improvements or implementing new technology.

• Collaborate in the design, development, implementation, maintenance and enhancement of accounting and financial systems and tools, including PeopleSoft, PowerPlan, Cognos and other reporting and financial solutions. Good understanding of the upstream and downstream impacts to other systems and processes.

• Build and maintain high level knowledge across all business areas by staying current on initiatives, challenges, and opportunities across the business.

• Participates in industry communications to strengthen subject matter expertise. Uses knowledge gained to teach and guide co-workers and other members of the Accounting Department. Identifies emerging technologies and trends and evaluates inclusion in current or future Accounting processes and technology.

• Through participation in industry groups, collaborate on emerging trends on continuous improvement, cloud computing and artificial intelligence opportunities in Accounting.

• May perform peer reviews and leads initiatives.

Education and Experience/Skills:

• Bachelor's degree in accounting, finance or another related field.

• Should have at least 5 years of accounting experience.

• Should have 3 to 5 year's experience leading a team.

• Strong analytical skills with the ability to interpret complex financial data.

• Strong mathematical and accounting skills, with demonstrated critical thinking, and problem-solving skills

• Process-oriented with strong time management skills

The Collections Specialist is responsible for managing accounts receivable and ensuring timely collection of payments from patients and insurance providers. This role involves communicating with patients regarding their accounts and negotiating payment plans as necessary.

Key Responsibilities:

• Contact patients and insurance companies to collect outstanding payments.

• Review accounts for discrepancies and resolve issues promptly.

• Negotiate payment plans with patients when necessary.

• Maintain accurate records of all collection activities.

• Prepare reports on collections and accounts receivable status.

Knowledge, Skills, and Abilities (KSAs):

Understanding of collections processes and regulations.

Strong negotiation and conflict-resolution skills.

Proficiency in accounts receivable software and EHR systems.

Ability to handle sensitive information with confidentiality.

Excellent verbal and written communication skills.

The Registered Operating Room Nurse will be clinically competent while delivering care to patients utilizing the nursing process of assessment, planning, intervention, implementation and evaluation. RNs will effectively interact with patients, significant others and other health team members while maintaining all standards of professional nursing.

Essential Functions

• Using the nursing process, the RN Circulator manages all the necessary care inside the surgery room, assisting the team in maintaining and creating a comfortable, safe environment for the patient and observing the team from a wide perspective.

• Assess the patient: collect and document on Perioperative Record per policy.

• Plan/implement: set priorities for nursing action in a logical sequence according to patient's needs and formulate a plan of care by the appropriate selection of Nurse Practice Standards. The plan of care is initiated on patient admission based on all aspects of the initial assessment. Plan includes physiological, psychosocial and environmental factors: patient/significant other education and patient discharge planning.

• Evaluate: perform ongoing assessment and revise plan of care based on new data and patient's condition.

• Document patient care, including nursing intervention,

• Uses established techniques in preparing for and assisting with surgical procedures; provides and sets up necessary instruments, supplies and equipment for different types of operations, according to established routines and instructions of the surgeon.

• Maintains thorough technical and working knowledge of the various steps involved in different types of operations in order to anticipate surgeon’s needs and the importance of maintaining an aseptic field.

• As scrub or sterile nurse, sets up operating room with instruments as specifically required for type of operation to be performed; arranges instruments and other articles in specified order on portable table immediately accessible to the surgeon; anticipates surgeon’s needs for instruments, sponges, sutures, suction tubes and other items and hands them to the surgeon in a most expeditious manner; maintains aseptic field.

• When the patient arrives, the circulating nurse verifies the patient's identity and necessary consent forms and then reviews the site and nature of the procedure with the surgeon.

• Assists the anesthetist or anesthesiologist with intubation.

• Places patient in prescribed position to assure access to operative field; adjusts operating table and accessory equipment as may be required; prepares operative area and drapes patient or assists surgeon with draping.

• Observes patient during surgical procedure to detect possible complications and/or breaks in sterile technique; furnishes emergency equipment and supplies to prevent fatality.

• Manages contaminated instruments and supplies during operation procedures to prevent spread of infection.

• During operative procedure, preserves and labels operative specimens for laboratory analysis.

• Provides special equipment and assures proper working order; manipulates such equipment to aid in the efficiency of the surgeon and to avoid hazards to patient.

• Observes progress of surgery; provides additional instruments, supplies or other items as needed.

• Maintains big-picture oversight of the patient's condition.

• Delegates, supervises, and evaluates the activities of other team members while simultaneously executing immediate directives and interventions in urgent or emergent situations.

• After operation, may apply or assist in applying dressings, and transferring patient, from operating room to recovery room.

• Cleans or directs cleaning and sterilization of contaminated instruments, equipment and supplies; cares for and stores delicate surgical instruments; cleans or assists in cleaning operating room areas and caring for and disposing of infectious and soiled linen after conclusion of each operation. Participate in economical utilization of supplies and ensure that equipment is maintained in a clean and safe manner.

• Adheres to administrative system/nursing service policies.

• Complies with specific system/division/unit policy and procedure concerning safety.

• Performs other duties as assigned.

Required Education and Experience

• Graduate of an accredited school of nursing.

• 1-year previous experience in an Operating Room.

Required Skills and Certifications

• Current BLS certification.

• Current ACLS certification.

• Current Louisiana Registered Nurse Licensure.

Infection Prevention and Quality Manager Summary

The Infection Prevention RN is a registered nurse, qualified with knowledge of CDC, APIC, and

AORN guidelines and definitions of healthcare associated infections (HAIs), federal and state

regulations. The individual is responsible for the identification, investigation, reporting, prevention

and control of healthcare associated infections (HAIs) among patients and personnel. The

individual may institute collection of cultures and initiate appropriate isolation precautions. The

individual is responsible for assisting with in-service programs related to infection prevention and

control.

Essential Functions

• Demonstrates comprehensive knowledge of the infection prevention process in a

healthcare setting.

• Demonstrates understanding of standard and isolation precautions as set forth by the CDC,

APIC, AORN, and LA State Board.

• Attends continuing education programs and maintains current knowledge of all aspects of

infection prevention.

• Demonstrates knowledge of microbiology, and modes of transmission of disease entities.

• Demonstrates ability to teach principles and practical application of infection prevention

to all levels of healthcare personnel.

• Demonstrates ability to develop infection prevention policies and procedures.

• Develops and implements a system for identifying, investigating, reporting and preventing

the spread of healthcare-associated infections (HAIs) among patients of all ages and

healthcare personnel.

• Confers with staff nurses on all patient care units on a regular basis to determine occurrence

of healthcare-associated infections (HAIs).

• Confers with medical and nursing staff to determine appropriate implementation of

isolation precautions.

• Investigates all in-house infections and/or infections that occur within 30 days of surgery.

• Initiates culture and sensitivity and/or appropriate isolation precautions when indicated.

• Communicates appropriate reports to Quality Assurance Performance Improvement

(QAPI) Committee quarterly.

• Completes required reports of CDC in a timely and accurate manner.

• Maintains accurate records of healthcare-associated infections (HAIs) among patients and

personnel.

• Assists in the development, implementation and improvement of infection prevention

practices.Page 2 of 3 Rev. 03/2023

• Communicates infection prevention activities to Administration and the Quality Assurance

Performance Improvement (QAPI) Committee quarterly.

• Prepares statistics and other pertinent data and reports at least quarterly.

• Implements and conducts special studies when appropriate or requested by physicians or

administration.

• Reviews the Infection Prevention policy and procedure manual at least every two (2) years

and ensures compliance with the CDC, APIC, AORN, and LA State Board.

• Based on studies which identify areas for improved patient outcomes, submits targeted

surveillance indicators approval on an annual basis.

• Available to assist all departments regarding issues related to infection control.

• Stays abreast of changing infection prevention practices and implements new methods to

improve the efficacy and outcomes of the Infection Prevention Program.

• Assists with in-service education related to infection prevention hospital-wide.

• Performs other duties as assigned.

Physical Demands

While performing the duties of this job, the employee is regularly required to sit; stand, walk; use

hands to finger, handle or feel; and reach with hands and arms. The employee is occasionally

required to stand; walk and stoop, kneel, crouch, or crawl. The employee must frequently lift

and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision

abilities required by this job include close vision, distance vision, color vision, peripheral vision,

depth perception and ability to adjust focus.

Required Education and Experience

• Graduate of an accredited school of nursing.

• Knowledge of CDC, APIC and AORN guidelines.

• Knowledge of healthcare-associated infections (HAIs).

• Knowledge of Federal and State infection prevention regulations.

Required Skills and Certifications

• Current Louisiana Registered Nurse Licensure.

• APIC training course or equivalent required.

• APIC Membership required.

EEO Statement

Our corporation is committed to equal employment opportunity. We do not discriminate against

employees or applicants for employment on any legally-recognized basis (“protected class”)

including, but not limited to: race, color, religion, national origin, sex, pregnancy (including

childbirth and related medical conditions), age, disability, citizenship status, status as a current or

former uniformed servicemember, genetic information, or any other protected class under

federal, state, or local law.

Quality Manager Summary

The Quality Manager shall promote and support the Quality Assurance Performance Improvement

(QAPI) program and be responsible for developing and establishing quality procedures, standards

and specifications for the hospital.

Essential Functions

• Ensures that processes needed for the Quality Management System (QMS) are established,

implemented and maintained.

• Reports to top management on the performance of the QMS and any need for improvement

via management review.

• Acts as a liaison with the accreditation body on all matters related to the external

accreditation process.

• Ensures that a document control procedure is adopted to approve, review and update all

changes to critical documents within the scope of the QMS.

• Ensures that records are established and maintained to provide evidence that the QMS is

being followed and that there is a system in place for the identification, storage, protection,

retrieval, retention time and disposition of such records.

• Ensures that the performance of the QMS is reviewed at planned intervals to ensure its

continuing suitability, adequacy and effectiveness.

• Ensures that Quality Objectives are set by top management for measuring the performance

of the QMS and that these are regularly reviewed.

• Ensures that all suppliers used by the organization are selected, evaluated and re-evaluated

and that records of this assessment are maintained.

• Ensures that an internal audit program is adopted to verify that the QMS conforms to

policies and procedures and is effectively implemented and maintained; takes appropriate

action when this is not the case.

• Analyzes data on the effectiveness of the QMS and evaluates where continual

improvements of the QMS can be made.

• Coordinates continual improvement of the QMS, ensuring that evidence of corrective and

preventative actions taken are recorded and reviewed.

• Performs all aspects of Quality Management according to the hospital’s Quality

Management Policy and the Quality Manager’s job description.

• Ensures that there are appropriate processes throughout the hospital to effectively

communicate the hospital’s Quality Policy.

• Promotes Quality Management awareness throughout the hospital and provides education

as needed.Page 2 of 2 Rev. 03/2023

• Participates as an active member on at least one hospital committee that improves overall

quality.

• Performs other duties as assigned.

Physical Demands

While performing the duties of this job, the employee is regularly required to talk or hear. The

employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with

hands and arms.

Required Education and Experience

• Knowledge of ISO 9001.

Required Skills and Certifications

• Completed ISO 9001 or equivalent training.

• Knowledge of Microsoft office suite.

• Detail-oriented and strong multi-tasker.

• Exceptional communication skills.

EEO Statement

Our corporation is committed to equal employment opportunity. We do not discriminate against

employees or applicants for employment on any legally-recognized basis (“protected class”)

including, but not limited to: race, color, religion, national origin, sex, pregnancy (including

childbirth and related medical conditions), age, disability, citizenship status, status as a current or

former uniformed servicemember, genetic information, or any other protected class under

federal, state, or local law.

This position manages all operational and strategic leadership functions related to the entire Revenue Department and all centralized revenue cycle functions in a multi-disciplinary, multi-specialty medical clinic setting. They oversee the teams and departments that manage accounts, communications with payor sources, collections, contract analysis, cash posting, billing transactions with clients, medical records and report creation: namely the patient collections, coding, insurance verification, insurance collections, medical records, liens, and accounts receivable departments within the Revenue Department. They implement quality control standards and audits to ensure that all coding is properly billed under the industry guidelines as set by the AAPC.

Position Duties:

The position requires the following primary duties to be successful:

• Managing the multiple components of the revenue cycle include pre-authorization, eligibility and benefits verification, claims submission, payments and payment posting, claims denial management, reporting, and any other functions which involve patient revenue management.

• Supervising the Coding and Charges Department in various duties, such as medical documentation review, proper CPT and ICD-10 documentation and entry, timely entry of all charges, and performing of quality control audits

• Implementing and managing a system to ensure that accurate billing information is entered into the billing system

• Setting and meeting collections goals by department and for the organization overall by managing the collection processes for individual patients, attorneys, and insurance companies.

• Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings

• Overseeing the hiring and training of staff

• Attendees monthly and/or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changes

• Planning and structuring the department workflow and staffing

• Correctly coding diagnoses and procedures

• Ensuring proper timely filing of all claims by implementing a timely standard of charge entry

• Annually reviewing and updating of charge master

• Negotiating contracts with insurance companies

• Collaborates professionally with clinical staff and all other departments to maintain unity and successful resolve outstanding request

• Keeping updated records and tracking reports as required by management

• Insuring proper filing of liens

• Other duties as requested of the Director of Revenue that are consistent with and appropriate for this position title and role.

Position Metrics:

The execution of the position is quantifiably measured by the following:

• Establishing, managing, and meeting department goals

• Maintains quality control standards for the department through documented quality control audits

• Supports the successful attainment of the global revenue goal

Position Requirements:

• Preferred Education Level: Master’s degree in Finance, Accounting, Healthcare Administration, or a related field.

• Revenue cycle certification preferred.

• Minimum of 5-7 years of experience in revenue cycle management, preferably in a multi-specialty medical clinic or similar setting.

• Proven experience in a leadership role managing a revenue cycle team, as well as direct operational experience in all phases of medical revenue cycle

• MS Office & Excel experience

• Experience with EHR and PM software, specifically NextGen platform preferred.

• Preferred: Ability to multi-task under time pressure. Strong communication and leadership skills

• Be team oriented and able to work with various departments. Be able to make sound decisions while on the move in a fast-paced organization.

Position Miscellaneous:

• 40 hours per week; extended work hours from time to time to meet deadlines

• Setting goals, meeting deadlines and being compliant with departmental policies

• Ability to interact, engage and communicate effectively with executive management, managers and clinic employees

• Physical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard