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Website Manager Salary in Rochester, NY

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Executive Manager

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Hotel Manager

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Implementation Manager

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Installation Manager

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Manager

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Release Engineer

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Resident Manager

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Transaction Manager

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Gather data and perform analytics, and make recommendations based on the results.In conjunction with sales and marketing, set training schedule for calendar year.Negotiate contracts associated with training activities.Develop and maintain annual training budget.Develop a thorough understanding of the company's quoting and ordering system and provide regular input on how information is used.Utilize best practices to ensure all presenters and leaders are well-versed in training.Promote training events internally as well as to the industry.Conduct regular meetings with department managers to understand product training needs.Develop training programs for specific topics such as ergonomics that may be used for internal employees as well as for conferences.Understand the needs of outside entities like risk managers, OSHA, and ASSE and develop programs that meet these needs.Have complete understanding of sales and customer service process and provide product insight to highlight new ideas and best practices.Develop mid and long term vision for content and delivery of product training from perspectives of users, dealers, and internal audiencesConduct regular reviews of operation and maintenance manuals and ensure that these materials are up-to-date.Develop e-training programs and webinars that can be used as supplements to in-person training and act as lead generators at the end-user level.REQUIRED QUALIFICATIONS:BS degree with 3 to 5 years' experience in content creation, service, sales, or training in a technical field.Working knowledge of overhead lifting equipment.Understanding of electrical-mechanical systems and components.Ability to organize and prioritize projects in order to meet established deadlines.High proficiency in MS Office Suite.Excellent written and verbal communication skills.Ability to present information in group settings and using the latest communication vehicles like webinars and e-training.Ability to work and make decisions independently, anticipate questions or problems, and make recommendations based on findings.Ability to understand mechanical and electrical concepts and translate them into material that is easily understood by a non-technical audience.Travel up to 15% of the time, both domestic and international.WORK ENVIRONMENT:ADA Physical/Mental/Workplace RequirementsOccasional lifting up to 25 lbs.Sitting, working at desk/personal computer for extended periods of timePrimary work environment is professional corporate officeGorbel® is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, gender, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Gorbel® is also committed to providing reasonable accommodations to qualified individuals so that an individual can perform their job related duties. If you are interested in applying for an employment opportunity and require special assistance or an accommodation to apply due to a disability, please contact us at 585-924-6204.The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Gorbel, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is: Min $60,936 to Max $91,404
Risk Adjustment Coding Coordinator I/II
Excellus Health Plan Inc., Rochester
Job Description: Summary:The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies to ensure accurate diagnosis coding. This position is responsible for risk adjustment coding and quality assurance validation for the following programs, including but not limited to:• Prospective medical record review of health plan providers• Retrospective medical record review of health plan providers• Sole Source and Potentially Unvalidated Diagnosis (PUD) reviews• Risk Adjustment Data Validation (RADV) AuditsEssential Accountabilities:Level I• Reviews medical records to determine if specific disease conditions were correctly reimbursed and documented. Reports findings of the data validation review. Prepares and submits adjustments to the appropriate processing / adjustment area (Risk Adjustment/Actuarial Services).• Performs vendor Quality Assurance (QA) and sole source PUD coding projects, including over read assignments. May support vendor discussions and feedback related to quality audit findings. Presents results and learning opportunities to the team.• Serves as a coordinator and key business resource for the Risk Adjustment Coding Coordination Team.• Conducts reviews and audits utilizing knowledge and experience of ICD-9-CM/ICD-10-CM coding, Medicare Advantage and Commercial Hierarchical Condition Category (HCC) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure compliance.• Assist in developing, implementing, evaluating and updating desktop processes, policies and procedures and business rule tools governing the response to Risk Adjustment Data Validation (RADV) Audits, prospective medical record coding, and retrospective medical record coding.• Works with vendors, providers and hospital Medical Records Departments and Business Office staff to coordinate medical record access and reviews in a timely fashion.• Meets or exceeds productivity targets as established by management. Regularly meets due dates as assigned.• Ensures project activities follow applicable coding guidelines, NYS law, and federal regulations.• Provides peer to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership.• Maintains accuracy in all coding and reimbursement methods by researching literature and attending professional seminars, workshops, and conferences as required by AHIMA and / or AAPC to maintain professional certification. Presents information from professional activities to management and staff as applicable.• Keeps management apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success.• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.• Regular and reliable attendance is expected and required.• Performs other functions as assigned by management.Level II (in addition to Level I Essential Accountabilities)• Serves as a liaison between the Plan and designated representatives of the provider office and/or hospitals and vendor(s) in aspects of prospective and/or retrospective coding and quality assurance validation reviews for members. This can include but is not limited to requesting and retrieving medical records from providers to the plan for review, data element verification, ICD-9-CM / ICD-10-CM coding validation, monitoring plan specifications, Hierarchical Condition Category (HCC) assignment accuracy and Risk Adjustment Validation Audits (RADV).• Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.• Research best practices in risk adjustment coding and reviews the professional literature for coding updates, maintaining currency in coding. Evaluates, researches, and recommends enhancements to the risk adjustment program.• Proposes and develops new desk level procedures (DLP's) and policies and procedures (P&P's) as needed to support new and existing department initiatives, audits, and projects. Reviews and updates existing DLP's, workflows, and P&P's to ensure accuracy.• Establishes and maintains a repository for storing department documentation which may include corporate share drives, wiki, company intranet, and/or corporate website.• Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.• May assist or lead projects and/or higher work volume than Risk Adjustment Coding Coordinator I.Minimum Qualifications:NOTE:We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.All Levels• Current Coding Certification (CPC, CPC-H, CPC-I, CCS) through AHIMA or AAPC required, along with a minimum of one (1) year coding experience or directly related medical experience required. • In lieu of required certification and coding experience, CPC-A or CCA certification required. • High school diploma required. • Knowledge of medical terminology and disease processes• Knowledge of medical coding methodologies, conventions and guidelines (e.g. ICD-9-CM, ICD-10, CPT, HCPC)• Familiarity and understanding of CMS HCC Risk Adjustment coding, Medicaid CRG coding, and data validation requirements, preferred.• Strong written and verbal communication skills; strong analytical, organization and time management skills required.• Able to work independently and within time constraints.• Recognizes and properly handles confidential health information.• Able to efficiently prioritize multiple high-priority tasks.• Previous auditing experience desirable.Level II (in addition to Level I Minimum Qualifications)• Minimum of two (2) years coding experience or directly related medical experience, one (1) of which includes Hierarchical Condition Category (HCC) coding.• Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.• Extensive knowledge of coding conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care reimbursement systems.• Comprehensive understanding and prior experience of ICD-9, ICD-10, and other types of coding submitted to the Health Plan by contracted facilities, and providers.• Demonstrated ability to utilize a variety of electronic medical records systems.• Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision. Strong time management skills. Must possess high degree of accuracy, efficiency and dependability.• Demonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization.• Strong analytical and mathematical skills.• Demonstrated experience in project completion, educational program development and/or group presentation.• Knowledge of healthcare industry.Physical Requirements:• Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer.• Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.• Ability to work in a home office for continuous periods of time for business continuity.• Ability to travel across the Health Plan service region for meetings and/or trainings as needed.• Manual dexterity including fine finger motion required.• Repetitive motion required.• Reaching, crouching, stooping, kneeling required.************One Mission. One Vision. One I.D.E.A. One you.Together we can create a better I.D.E.A. for our communities.At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action toward greater health equity.We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply.OUR COMPANY CULTURE:Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation, and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.Equal Opportunity EmployerCompensation Range(s): Level I: Grade 205: Minimum $56,347 - Maximum $81,702Level II: Grade 206: Minimum $56,534 - Maximum $93,267The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Residency Program Manager - Internal Medicine - Rochester General Hospital
Rochester Regional Health, Rochester
Description HOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Pension PlanRetirement PlanComprehensive Benefits PackageTuition ReimbursementBenefits Effective Date of HireSame Day Pay through Daily PaySUMMARY Responsible for the overall management of a Residency Program in concert with Residency Program Directors. This includes planning, directing and managing all phases of the fiscal, personnel, administrative, recruitment, and orientation programmatic activities/functions associated with the Residency Program.STATUS: Full Time LOCATION: Rochester General HospitalDEPARTMENT: Internal Medicine Residency ProgramSCHEDULE: Weekdays, flexibility requiredATTRIBUTESBachelor's degree in field related to assigned area or equivalent combination of education and experience requiredFive (5) years of supervisory experience requiredThree (3) years Medical Education experience requiredRESPONSIBILITIES Regulatory Requirements: Ensure Residency/Fellowship Program Compliance with ACGME (Accreditation Council for Graduate Medical Education) Regulations. Ensure accurate completion of ACGME WebADS. Assist Program Director in completion of Annual Program Evaluation (APE) and self-study process. Work with the Program Director in all aspects of preparation and completion of program site visits from accrediting organizations. Oversee and participate in monthly Clinical Competency Committee meetings and creation and documentation of resident milestones. Oversee and participate in Program Evaluation Committee meetings and content. Represent program in interactions with the ACGME to clarify issues related to program accreditation. Represent Department in interactions with NYS, ABMS/AOBMS, DNV, and RRH GME representatives to clarify requirements and ensure program compliance, including resolving potential conflicts between requirements from different organizations.General Residency Administration: Work with Program Director to promote curriculum innovation. Effectively communicates with senior leadership regarding goals, operations, staffing, finance, education, and patient care. Effectively communicates with staff and conducts regular departmental meetings. Interfaces with all RRH physicians, departments and entities with a peripheral relationship to Medical Education (i.e. Specialty Education Coordinators, Human Resources, Information Technology, etc.).Programmatic Budget Responsibilities: Manage budget planning and financial modeling for residency program, working closely with departmental and RRH administration. Review and monitor budget financial analysis for residency program utilizing system budgeting software to monitor all account activity. Supervise account and purchasing functions, including reconciliation with monthly reports, problem resolution and analysis of expense trends and variances. Generate/review and approve payments for purchase orders, requisitions, invoices, travel, and personnel action forms. Report on these activities to the Program Director on a monthly basis. Monitor and approve all payroll and works with HR on LOA issues for the Residency Program. Recruitment. Manage the intern recruitment applicants and intern interviewees each year. Work with Program Director to develop the proper ranking and scoring of each applicant. Develop recruitment strategies to help the program meet their ACGME AIMS and departmental goals. Develop and manage the yearly orientation process for incoming trainees.Program Operations: Develop, implement and evaluate educational and credentialing activities. Counsel staff on program policies and procedures. Develop and update Program Website. Manage facility resources; plan and implement capital purchases and redesign of space within the Department, as necessary, to meet the needs of the Program. Develop and coordinate a resident/fellow survey on the quality of their educational experience by rotational assignment. Staff Hiring and Supervision: In cooperation with Human Resources, may participate in the recruitment, hiring, coaching, mentoring, performance management, and termination of staff. Oversees the work, evaluates the performance, and processes performance appraisals of staff. Establishes office staffing patterns and delineation of job responsibilities. Review and approve time sheets and other payroll materials.PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.PAY RANGE: $60,000.00 - $95,000.00 The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
Maintenance Technician - 2nd Shift
Thermo Fisher Scientific, Rochester
Job DescriptionJob SummaryWhen you are a member of the Maintenance team at Thermo Fisher Scientific, you will do important work performing preventative maintenance, fixing production equipment and supporting the business by sharing your expertise to help resolve many types of issues we encounter. You will be valued and recognized for your performance. With talented managers and inspiring coworkers to support you, you will find the resources and opportunities to make significant contributions to the business.Essential Job FunctionsMaintains a safe work environment by following standards and procedures, aligning with legal regulations.Identifies, documents, and implements opportunities for continuous improvement.Assess and recommend improvements to molding machines, auxiliary equipment and electrical systems, and HVAC, for long term sustainability.Engages the Maintenance and Engineering team to challenge the status quo to make continuous operational improvements.Collaborate with all appropriate departments/staff in progress updates, problem analysis, and corrective action recommendations.Ability to identify and implement sustainable processes.HVAC knowledge.Electrical diagnostics.Knowledge of electrical installation.AC/DC drivesHydraulics and pneumatics.Background in industrial, mechanical settings.Ability to read prints, drawings, and schematics.Work with Molding, Scheduling and Production Manager on prioritizing machine repair scheduling.Participate in the creation of SOPs and work instructions related to the department.Ensures compliance with all safety rules.Other duties as assigned.QualificationsEducation:High School Diploma or GED required.Engineering or technical degree, military experience or equivalent experience preferred.Experience: Manufacturing environment experience required.Other skills and abilities required include:Basic business insightComputer literate - Analyze and present data developed from the use of the computer including Microsoft Office Suite. Writing and articulation are an important aspect of documenting work performed in SAP.Excellent interpersonal and communication skillsSafety and Quality focused Preferred QualificationsPhysical Demands As a Mechanic there will be occasions of heavy lifting, kneeling, bending, walking and standing that will be required.We offer competitive salary, an annual incentive bonus plan, and a range of other employee benefits!Our Mission is to enable our customers to make the world healthier, cleaner and safer. Watch as our colleagues explain 5 reasons to work with us (https://jobs.thermofisher.com/global/en/5-reasons-to-work-at-thermo-fisher-scientific). As one team of 100,000+ colleagues, we share a common set of values - Integrity, Intensity, Innovation and Involvement - working together to accelerate research, solve complex scientific challenges, drive technological innovation and support patients in need. #StartYourStory at Thermo Fisher Scientific, where diverse experiences, backgrounds and perspectives are valued.Apply today! http://jobs.thermofisher.comThermo Fisher Scientific is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status.Accessibility/disability accessJob Seekers with a Disability: Thermo Fisher Scientific offers accessibility service for job seekers requiring accommodations in the job application process. For example, this may include individuals requiring assistance because of hearing, vision, mobility, or cognitive impairments. If you are a job seeker with a disability, or assisting a person with a disability, and require accessibility assistance or an accommodation to apply for one of our jobs, please submit a request by telephone at 1-855-471-2255*. Please include your contact information and specific details about your required accommodation to support you during the job application process.This telephone line is reserved solely for job seekers with disabilities requiring accessibility assistance or an accommodation in the job application process. Messages left for other purposes, such as not being able to get into the career website, following up on an application, or other non-disability related technical issues will not receive a response.Compensation and BenefitsThe hourly pay range estimated for this position based in New York is $25.58-$42.64.This position may also be eligible to receive a variable annual bonus based on company, team, and/or individual performance results in accordance with company policy. We offer a comprehensive Total Rewards package that our U.S. colleagues and their families can count on, which includes:A choice of national medical and dental plans, and a national vision plan, including health incentive programsEmployee assistance and family support programs, including commuter benefits and tuition reimbursementAt least 120 hours paid time off (PTO), 10 paid holidays annually, paid parental leave (3 weeks for bonding and 8 weeks for caregiver leave), accident and life insurance, and short- and long-term disability in accordance with company policyRetirement and savings programs, such as our competitive 401(k) U.S. retirement savings planEmployees' Stock Purchase Plan (ESPP) offers eligible colleagues the opportunity to purchase company stock at a discountFor more information on our benefits, please visit: https://jobs.thermofisher.com/global/en/total-rewards
Demand Planner III
Thermo Fisher Scientific, Rochester
Job DescriptionDEMAND PLANNER IIIWhen you join us at Thermo Fisher Scientific, you'll be part of a hard-working, driven team that shares your passion for exploration and discovery. With revenues of $25 billion and the largest investment in R&D in the industry, we give our people the resources and opportunities to make significant contributions to the world. Location: This role could be based at our Rochester, NY facility, Pittsburg PA facilityHow will you make an impact? As Demand Planner III, you will develop the 24 month demand plan for key Lab Plastics product families with cross-functional input and alignment, for translation into the site plan, to achieve optimal line rate, inventory management and customer satisfaction. Will work with Business Unit Product Management, Commercial and Finance Teams, including Regional Demand teams to ensure directional alignment with Regional / Global demand trends. What will you do?• Drive the pre-demand review process to ensure cross-functional teams are performing to roles and responsibilities to achieve consensus demand plan 24 months out.• Ensure accurate handoff of the demand plan to the site planning team to ensure the right net demand to be loaded to the site, and be the liaison to Site Supply Chain managers.• Drive Forecast Accuracy and BIAS improvement using Statistical modeling and Segmentation strategies. Committed to continuous improvement and driving demand planning best in class standards, knowledge sharing with team members• Ability to work in the details and also distill complex analysis and data into story-telling summaries for senior leadership Liaison with Center of Excellence and SC Transformation teams to drive Demand Transformation initiatives process / systems / tools• Own and facilitate SIOP demand review meetings, gain leadership signoff on 24 month demand plan • Drive greater SIOP and Financial planning integration as part of Demand evolution Align standard processes & key workstreams with regional Demand planners in China and APAC to ensure standardization across teams• Perform roll-up of regional demand plans to global plan and ensure alignment with Global Product Management• Involved in developing, modifying standard operations procedure that affect demand planning• Drive NPI and promotion planning processes to ensure high level of accuracy and insight to supply chain.How will you get here?Bachelor's Degree (required) in Supply Chain Management, Industrial Engineering, or related field is required. Master of Business Administration (MBA) or other advanced degree preferred.5-7 years relevant experience required.Strong leadership and communication skillsProven experience and success using Lean business practices.Experience in Demand Planning advanced systems such as Forecast Pro, SAP APO, Demantra, Kinaxis Rapid ResponseRelevant experience in the Life Science or Medical Device industry is preferred.Knowledge, Skills, Abilities:Forecast Pro, Rapid Response, and PowerBI experience is a plus.CSCMP or comparable certification is a plus.APICS certification is a plus.Validated strong oral and written communication skills at different levels of the organizationA strong balance of analytical skills and action orientation to drive sustaining results with intensity, at times demonstrating the confidence, conviction and collaboration to innovate new strategies and methodologies.Embodies our Thermo Fisher values of Integrity, Involvement, Intensity and Innovation.Apply today! http://jobs.thermofisher.com Thermo Fisher Scientific is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status. Our Mission is to enable our customers to make the world healthier, cleaner and safer. Watch as our colleagues explain 5 reasons to work with us. As one team of 100,000+ colleagues, we share a common set of values - Integrity, Intensity, Innovation and Involvement - working together to accelerate research, solve complex scientific challenges, drive technological innovation and support patients in need. #StartYourStory at Thermo Fisher Scientific, where diverse experiences, backgrounds and perspectives are valued.Accessibility/Disability AccessJob Seekers with a Disability: Thermo Fisher Scientific offers accessibility service for job seekers requiring accommodations in the job application process. For example, this may include individuals requiring assistance because of hearing, vision, mobility, or cognitive impairments. If you are a job seeker with a disability, or assisting a person with a disability, and require accessibility assistance or an accommodation to apply for one of our jobs, please submit a request by telephone at 1-855-471-2255*. Please include your contact information and specific details about your required accommodation to support you during the job application process.This telephone line is reserved solely for job seekers with disabilities requiring accessibility assistance or an accommodation in the job application process. Messages left for other purposes, such as not being able to get into the career website, following up on an application, or other non-disability related technical issues will not receive a response.Compensation and BenefitsThe salary range estimated for this position based in New York is $80,000.00-$90,900.00.This position may also be eligible to receive a variable annual bonus based on company, team, and/or individual performance results in accordance with company policy. We offer a comprehensive Total Rewards package that our U.S. colleagues and their families can count on, which includes:A choice of national medical and dental plans, and a national vision plan, including health incentive programsEmployee assistance and family support programs, including commuter benefits and tuition reimbursementAt least 120 hours paid time off (PTO), 10 paid holidays annually, paid parental leave (3 weeks for bonding and 8 weeks for caregiver leave), accident and life insurance, and short- and long-term disability in accordance with company policyRetirement and savings programs, such as our competitive 401(k) U.S. retirement savings planEmployees' Stock Purchase Plan (ESPP) offers eligible colleagues the opportunity to purchase company stock at a discountFor more information on our benefits, please visit: https://jobs.thermofisher.com/global/en/total-rewards
Business Office Representative
Rochester Regional Health, Rochester
Description HOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Pension PlanRetirement PlanComprehensive Benefits PackageTuition ReimbursementBenefits Effective Date of HireSame Day Pay through Daily PaySummary:Ensure full reimbursement is received by RRH for clinical services rendered including professional, long-term/home care and hospital care, by effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in order to secure payment. Work as part of a dynamic team continually looking for ways to improve a complex business process.STATUS: Full TimeLOCATION: Riedman CampusDEPARTMENT: Patient AccountingSCHEDULE: Monday - Friday DaysKey Responsibilities:Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments and coverage changes as needed.Review and process claim denials according to established processes. Research and resolve denial issues via the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. Process account adjustments and refunds as needed according to department policy and procedure. Document actions appropriately and follow-up with payers to ensure they take actions promised. Follow-up on claims with no responses. Manage large workload using tracking tools to ensure we don't fail to follow-up before a payer's deadline. Participate in team meetings which review new procedures, new denial types and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to date with new clinical programs and payer policy changes. Acquire and maintain knowledge of system terminology, claim/denial/coverage concepts and terms, and relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them using the tools in Epic, including accessing clinical documentation and authorization details. Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact insurance as needed. Coordinate resolution with Customer Service staff.Desired Attributes:Education/Training: At least one year experience in a Medical Office environment preferredBasic knowledge of medical billing, cording, collection processes, insurance policies and governmental regulation provision preferredKnowledge of UBO4 billing form and 1500F05 specific payer requirements preferredExcellent problem solving, organizational and oral and written communication skills requiredSuccessful completion of annual age and job specific competencies and skill verification tools requiredProficiency in a variety of computer applications and spreadsheet applications and common office equipmentPHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.PAY RANGE: $18.25 - $21.00 The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran