Berlin, Germany · Remote OK
$24/hr–$36/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Epic PB Resolute, Anesthesia billing, Revenue cycle management, Denial management, Appeals processing
Berlin, Germany · Remote OK
$81k–$121k/yr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Revenue Cycle Analysis, Denials Management, Data Analysis, Performance Reporting, Excel
Medford, Oregon, United States · On-site
$21/hr–$32/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Patient care, Vital signs, Patient history, Casting, Lab work
Berlin, Germany · Remote OK
$24/hr–$36/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Denials Management, Revenue Cycle, Insurance Appeals, Patient Accounting, EDI Transaction Sets
Pasadena, California, United States · On-site
$26/hr–$48/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Medication preparation, Inventory management, Pharmacy operations, Administrative support, Patient care support
Salt Lake City, Utah, United States · On-site
$81k–$121k/yr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Care Management, Pediatric Nursing, Clinical Assessment, Treatment Planning, Patient Advocacy
Springfield, Massachusetts, United States · On-site
$32/hr–$48/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Psychosocial assessment, Patient advocacy, Care coordination, Resource navigation, Crisis intervention
Portland, Oregon, United States · On-site
$21/hr–$32/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Transcription, Medical terminology, Office organization, Computer applications, Typing
Portland, Oregon, United States · On-site
$35/hr–$53/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Respiratory Therapy, Patient Care, Cardiopulmonary Care, Life Support Equipment, Infection Control
Berlin, Germany · Remote Solely
$81k–$121k/yr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Denials management, Appeals, Clinical documentation, Medical necessity, Revenue cycle
Erie, Pennsylvania, United States · On-site
$35/hr–$52/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Physical therapy, Patient evaluation, Pediatric care, Patient education, Clinical documentation
Salt Lake City, Utah, United States · On-site
$108k–$162k/yr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Pediatric Orthopedics, Patient Assessment, Clinical Decision-making, Fracture Care, Casting
Portland, Oregon, United States · On-site
$42/hr–$64/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Pediatric Nursing, Critical Care, PACU, Patient Assessment, Care Planning
Sacramento, California, United States · On-site
$97k–$188k/yr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Prosthetics, Orthotics, Patient care, CAD/CAM technology, Fabrication
Salt Lake City, Utah, United States · On-site
$35/hr–$53/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Patient assessment, Nursing care coordination, Orthopedic nursing, Neuromuscular condition care, Patient education
Greenville, South Carolina, United States · On-site
$17/hr–$26/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Patient care, Vital signs monitoring, Patient history gathering, EMR documentation, Casting
Chicago, Illinois, United States · On-site
$634k–$1178k/yr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Pediatric Plastic Surgery, Cleft Lip Repair, Cleft Palate Repair, Craniofacial Surgery, Microsurgery
Berlin, Germany · Remote OK
$158k–$237k/yr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Pediatric Radiology, Diagnostic Imaging, Radiography, Ultrasound, CT Imaging
Portland, Oregon, United States · On-site
$47/hr–$70/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Nursing, Patient care, Pediatric specialty care, Evidence-based practice, Patient advocacy
Springfield, Massachusetts, United States · On-site
$32/hr–$48/hr
Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embraci…
Skills: Diagnostic imaging, Patient positioning, Radiation safety, A.L.A.R.A, Equipment troubleshooting
Berlin, Germany • Remote OK
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The Professional Billing Specialist manages professional billing requirements, including denial and appeal follow-up activities. They are responsible for monitoring claim edits, analyzing revenue cycle metrics, and ensuring compliance with regulatory and payer guidelines.
Candidates must have at least 5 years of experience in a healthcare revenue cycle environment, including 3 years of anesthesia-specific billing experience. Proficiency in Epic PB Resolute and a Bachelor's degree or equivalent combination of education and experience are required.
Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.
The Professional Billing Specialist (Anesthesia) is responsible for managing all professional billing requirements and managing accounts receivable tasks according to standard and productivity measurements. Responsible to ensure all regulatory and payor guidelines are followed.
Coordinating payor denial and appeal follow up activities to ensure timely response from third party payors and the processing of all payor denials, documentation requests and appeals
Review all denial accounts for categorization, level of appeal, special requirements for initiating appeals
Communicate global payer issues with the payer relations team.
Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to appeal follow up and denials.
Maintaining the healthcare tracking tool/application that stores/communicates all claim edits, review and denial activity. This will include user access management, updates to software, and end-user training to support all follow up activities.
Monitor all Claim Edit and Denial Management work queues and lists to ensure they are fully resolved.
Ensure medical records requests are completed and submitted within 48 hours.
Track all denials on a database to determine outcome. Collecting/analyzing, report status, metrics and trends of activity by different reviews from the tool. Distributing reports on a routine basis to specific distribution group.
Organizing all data and activity in a retrievable way to ensure timely follow up on appeals to third party payors. Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc.
Knowledgeable about federal, state and third-party claims processing. Supporting projects and initiatives of the Billing and Denials Management teams. This may include coordinating meetings, conducting research for payor criteria, and preparing documents
Able to build and maintain relationships with payer representatives
Required Qualifications:
Epic PB Resolute experience
3 years of related Anesthesia experience
5 years' experience in a Healthcare/Hospital Revenue Cycle Environment including Third Party Collection/AR Receivables
Healthcare Revenue Cycle revenue management EDI Transaction sets including 837P
Knowledge of insurance contract rates and terms
Understanding of Registration and Collections
Understanding of Government and Managed Care billing, coverage and payment rules Ability to comprehend payor 835 and paper EOB responses
Understanding of CCI edits, CPT, HCPCS, ICD-10 and Revenue Codes
Intermediate Excel skills
Excellent computer skills, especially spreadsheet and database applications.
Knowledge of managed care patient financial systems and of the specific billing and payment standards utilized for services provided within a hospital setting.
Thorough understanding of managed care payment methodologies and the principles of managed care.
Certification in Epic PB Resolute - or agree to obtain certification within 12 months after hire
Bachelor’s Degree or equivalent combination of education and experience
Preferred Qualifications:
Knowledge of SQL or Crystal Reports.
HFMA’s CRCR credential
Shriners Hospitals for Children - Canada
Établi à Montréal (Québec) depuis 1925, l’Hôpital Shriners pour enfants – Canada est un centre de soins de courte durée, bilingue, dont les soins pédiatriques orthopédiques ultraspécialisés traitent des troubles complexes tels que, l’ostéogenèse imparfaite et les anomalies graves de la colonne vertébrale ou des membres. Il offre également la chirurgie reconstructive et la réadaptation. Des enfants du Canada, des États-Unis et du monde entier ont bénéficié des recherches d’avant-garde et des traitements novateurs de l’hôpital. Dans sa pratique clinique, en enseignement et en recherche, l’hôpital est entièrement dédié à la poursuite de l’excellence et de l’innovation tout en veillant à ce que les patients et leur famille évoluent dans un environnement empreint de compassion et qui soit centré sur la famille. Grace à la télémédecine et à ses cliniques satellites, l’hôpital est également bien enraciné dans les diverses communautés du Canada. Built in 1925 in Montreal, Quebec, the Canada Shriners Hospital is a bilingual, short term, acute care centre providing pediatric orthopedic ultraspecialized care for complex disorders such as osteogenesis imperfecta (brittle bone disease), severe spinal and limb anomalies, reconstructive surgery and rehabilitation. Children from across Canada, the U.S. and around the world have benefited from the hospital’s groundbreaking research and innovative treatments. The hospital is committed to excellence and innovation in clinical practice, research and education and to ensuring patients and their families are treated in a caring, family-friendly environment. The hospital is also present in communities across Canada thanks to telemedicine, outreach clinics. • Écart dans la longueur des membres • Scoliose et déformations vertébrales • Spasticité et paralysie cérébrale • Pied Bot • Malformations de la main • Arthrogrypose • Blessures sportives • Troubles métaboliques et héréditaires des os • Conditions neuromusculaires • ...
Offices: 1003, Decarie Blvd., Montreal, Quebec H4A 0A9, CA
Shriners Hospitals for Children - Canada
Établi à Montréal (Québec) depuis 1925, l’Hôpital Shriners pour enfants – Canada est un centre de soins de courte durée, bilingue, dont les soins pédiatriques orthopédiques ultraspécialisés traitent des troubles complexes tels que, l’ostéogenèse imparfaite et les anomalies graves de la colonne vertébrale ou des membres. Il offre également la chirurgie reconstructive et la réadaptation. Des enfants du Canada, des États-Unis et du monde entier ont bénéficié des recherches d’avant-garde et des traitements novateurs de l’hôpital. Dans sa pratique clinique, en enseignement et en recherche, l’hôpital est entièrement dédié à la poursuite de l’excellence et de l’innovation tout en veillant à ce que les patients et leur famille évoluent dans un environnement empreint de compassion et qui soit centré sur la famille. Grace à la télémédecine et à ses cliniques satellites, l’hôpital est également bien enraciné dans les diverses communautés du Canada. Built in 1925 in Montreal, Quebec, the Canada Shriners Hospital is a bilingual, short term, acute care centre providing pediatric orthopedic ultraspecialized care for complex disorders such as osteogenesis imperfecta (brittle bone disease), severe spinal and limb anomalies, reconstructive surgery and rehabilitation. Children from across Canada, the U.S. and around the world have benefited from the hospital’s groundbreaking research and innovative treatments. The hospital is committed to excellence and innovation in clinical practice, research and education and to ensuring patients and their families are treated in a caring, family-friendly environment. The hospital is also present in communities across Canada thanks to telemedicine, outreach clinics. • Écart dans la longueur des membres • Scoliose et déformations vertébrales • Spasticité et paralysie cérébrale • Pied Bot • Malformations de la main • Arthrogrypose • Blessures sportives • Troubles métaboliques et héréditaires des os • Conditions neuromusculaires • ...
Offices: 1003, Decarie Blvd., Montreal, Quebec H4A 0A9, CA
