Presbyterian Healthcare Services

This role involves designing, implementing, and maintaining complex databases, including managing JCL, access methods, security, and documentation. Responsibilities also cover installing and upgrading database software, planning configurations, and administering backup and recovery processes.

The role involves recording day-to-day financial transactions, maintaining the general ledger, and reconciling various financial statements like bank accounts and credit card activity. Key duties also include processing accounts payable/receivable, supporting payroll, and preparing routine financial reports for management.

The Care Coordinator facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions and cost-effective delivery of quality care across the continuum. This involves collaborating with various parties to address care issues, specific member needs, and disease processes across medical, behavioral, social, community, or long-term care services.

The specialist is primarily responsible for working in the payment variance work queue to identify payer-specific trends and report significant issues to senior staff. They will also validate reports, recommend configuration changes, and serve as a resource for hospital follow-up and denial teams regarding reimbursement questions.

Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Multispecialty Pro Fee Coder to join our team. Supports the Coding and documentation quality assurance (CDQA) team with minimal supervision. Implements and complies with enterprise-wide and department c...

The Workday Payroll Analyst supports and optimizes payroll functionality within Workday, acting as a primary resource for troubleshooting, configuration, testing, and release management activities. This role coordinates cross-functionally with HR, Finance, and IT teams to ensure accurate, compliant, and stable payroll operations, including supporting healthcare-specific integrations like Epic.

The Care Coordinator facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost-effective delivery of quality care and services across the continuum. This role involves collaborating with various stakeholders to address care issues, specific member needs, and disease processes across medical, behavioral, social, community, or long-term care services.

The Nurse Advice Line performs clinical triage and review of inbound member and patient calls to ensure services rendered meet clinically appropriate direction and triage, utilizing clinical skills to coordinate, document, and communicate advice based on criteria and protocols. This includes assisting callers with care coordination to in-plan providers and referring callers of various acuities to appropriate venues of care.

This role involves performing enterprise-wide strategic financial analysis, including forecasting ongoing performance and creating financial models for viability analyses of new services and equipment. Key duties include supporting long-range financial planning, working with stakeholders on NPV development for capital projects, and preparing complex financial presentations for senior leadership.

This role involves accurately submitting all insurance claims for all payer types, including Government payers, within claims clearinghouse application and patient accounting system. Resolve edits/rejections, ensuring accurate and timely claim submission in alignment with payer's...