Position Summary: 

The Lead Patient Access Specialist works directly with the Director of Patient Access to ensure the smooth operation and communication of inter-department services. He/she reports to the Director of Patient Access on all matters pertaining to his/her duties. The Lead Patient Access Specialist completes the day-to-day duties surrounding new patient intake, insurance verification, and initial appointment scheduling. This individual is responsible for assisting in the contact center, scheduling staff appointments, activities, and meeting utilization goals. The Lead Patient Access Specialist ensures that staff have all the necessary information needed to appropriately schedule/distribute work for all clinical operations and will have a solid understanding of the clinical operations of BrightView as it pertains to the BrightView Patient Contact Center work flow. This person may handle more complex or escalated issues as they arise with both staff and patients and will work with the Director of Patient Access to effectively identify root cause and solve problems. The Lead Patient Access Specialist must be familiar with a variety of the medical field’s concepts, practices, and procedures. This position relies on extensive experience and judgment to plan and accomplish the day-to-day goals. The ability to perform a variety of tasks at a given time is critical. 

Essential Job Duties: 

• Initiates new and existing patient scheduling requests 

• Conducts new patient intake and scheduling procedures 

• Conducts daily review of all scheduling 

• Communicates with Operations Directors and medical providers regarding scheduling issues 

• Manages the provider calendars for all offices 

• Understands the patient scheduling guidelines 

• Understands the patient scheduling process in the EMR 

• Ensures all Patient Access Specialists have most current calendars and other guidelines 

• Provides excellent customer service quality in scheduling 

• Implements directives from the Director of Patient Access 

• Provides technical on-site support for all offices as deemed by the Director of Patient Access 

• Provides comprehensive data analysis on key business drives and metrics 

• Provides training to new Patient Access Specialists 

• Provides training to all staff regarding contact center best practices as required by the Director of Patient Access 

• Participate in special projects and/or assignments as requested by the Director of Patient Access 

Position Summary:

Under direction of the Vice President, the Managed Care Specialist is responsible for supporting contracting and enrollment efforts to advance BrightView’s payer contracting processes and ensuring in-network participation with all necessary third-party payers.  The candidate maintains Brightview’s organizational enrollment with Medicare, state Medicaid programs, and all managed care payers, and assists the Director of Credentialing & Payer Relations to support the Payer Enrollment team’s individual provider enrollment process. The Specialist supports BrightView’s mission to provide treatment to all patients in compliance with accreditation, government agency, and payer requirements. 

Essential Job Duties:

Group Enrollments & Maintenance

• Maintain BrightView’s Medicare and Medicaid program participation in all states; including but not limited to Group NPPES maintenance, enrolling new locations and/or programs, revalidations, and Disclosure of Ownership & Controlling Interest updates.
• Complete all group credentialing applications and supporting contract documents for new locations and new payer agreements.
• Perform recredentialing of BrightView locations, and ensure changes to operations are reported according to contractual and government agency notification requirements.
• Track status of group enrollments, revalidation, and recredentialing for timely completion and reporting.    

Document Management

• Manage group enrollment/credentialing documents in established format and location.
• Facilitate storage of payer documents in contract management system or other centralized location, including base agreements, amendments, applicable fee schedules, and correspondence. 
• Maintain internal system to ensure contractual correspondence is received timely, and as appropriate, responded to promptly, e.g., Amendment Notices, audit requests, material change notifications.  

Payer & Government Program Research

• Investigate payer and government agency credentialing and enrollment requirements to support BrightView’s expansion into new states and service offerings, including coordination with Compliance to align licensure with program requirements.
• Summarize findings in established format for reference and distribution to internal stakeholders.

Department Support & Special Projects

• As requested by Vice President or Director, assist team members with special projects, e.g., payer-specific enrollment clean up, backlogs in onboarding, Credentialing Team staffing shortages, etc.
• Supports Vice President and Director with orienting new employees to the organization and the department’s functions/responsibilities.   
• Identify process improvement opportunities within Managed Care and/or in collaboration with internal departments, and recommend solutions to leadership.
• Participate in external payer operations, department, and interdepartmental meetings.    

• All other duties as assigned. 

Position Summary:

Revenue Cycle Specialist consist of: (1) handling a very high volume of detailed data processing; (2) working under tight performance guidelines; (3) focusing on details and be able to multi-task while working in a fast-paced collection agency environment; (4) must be able to quickly learn multiple computer systems and understand abbreviations, medical and legal terms (5) billing insurance companies for all clinic and physician bills; (6) pursuing collection of all claims until payment is made by insurance companies; (7) performing other work associated with the billing process.(8). Present a friendly and customer service environment to all patients, staff and vendors.

Essential Job Duties:

• Prepares and submits physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
• Secures needed medical documentation required or requested by third party insurances.
• Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
• Processes rejections by either making accounts private and generating a letter of rejection to patient or correcting any billing error and resubmitting claims to third-party insurance carriers.
• Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.
• Ensure proper documentation and charge entry of patient charges
• Keeps updated on all billing and insurance changes for third-party insurance carriers.
• Monitors claims for missing information and authorization/control numbers.
• Maintains confidentiality of all information.
• Completes work within authorized time to assure compliance with departmental standards.
• Keeps updated on all third-party billing requirements and changes for insurance types within the area of responsibility.
• Demonstrates knowledge of, and supports, clinic mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
• Maintains third-party billing logs.
• Performs other duties as required.
• Assure documentation is in compliance with regulatory agency requirements and best clinical practices.
• Adhere to the organization’s policy, procedures and professional code of ethics
• Self-motivated and self-directed; able to work without supervision.
• Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus.

Position: Senior Tax Accountant

Supervisor: Accounting Manager

Subordinates: None

FLSA: Non-Exempt

Position Summary

The Senior Tax Accountant main responsibilities are Sales & Use Tax in all states, Business Licenses for every location, and all Tangible Personal Property returns. This position will also perform daily accounting responsibilities such as: GL coding, reconciling GL accounts, P&L variance analysis and other assigned projects as needed. You will assist the accounting team with month-end close procedures, ad hoc projects, and timely preparation of the financial statements.

Job Responsibilities

Sales & Use Tax Filings

Business Licenses

Tangible Personal Property Returns

· Complete monthly account reconciliations (various GL and Bank accounts)

· Perform assigned journal entries and allocations

· Assist with compilation of client workpapers for audit

· Track and maintain client workpapers for tax

· Perform AP when needed to ensure timely close

· Audit expense reports and other AP submissions

· Critically review AP coding

• Research expense variances and provide explanations

• Other accounting related assignments as needed

Job Qualifications

· Bachelor’s Degree in Accounting/Finance

· Not required, but CPA or CPA Candidate (preferred)

· 1+ Years’ experience in a corporate accounting department with emphasis on month-end close

· Excellent communication skills

· Intermediate knowledge of Excel

· Experience with Sage Intacct accounting software (preferred)

· Strong problem solving and analytical skills

· Knowledge of GAAP required

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Serving People, Saving Lives!

Position Summary:
Under the supervision of the Billing Supervisors, the Data Entry Clerk performs a wide variety of clerical duties in support of patient services across multiple sites and departments. As an integral part of our patient services team the position serves in a cross-functional, fast-paced environment in order to meet performance and quality assurance benchmarks. The Data Entry Clerk must exercise flexibility when serving as back-up support for billing and operations staff according to the needs of BrightView and in the interest of efficiency in workflow and operations. Essential duties include the sorting of encounters by program, data entry of computerized patient and third-party billing, and update information on insurance policies.

Essential Job Duties:

• Prepares source data for computer entry by compiling and sorting information; establishing entry priorities.
• Processes customer and account source documents by reviewing data for deficiencies; resolving discrepancies by using standard procedures or returning incomplete documents to the team leader for resolution.
• Enters customer and account data by inputting alphabetic and numeric information on keyboard or optical scanner according to screen format.
• Maintains data entry requirements by following data program techniques and procedures.
• Verifies entered customer and account data by reviewing, correcting, deleting, or reentering data; combining data from both systems when account information is incomplete; purging files to eliminate duplication of data.
• Process and post payments into the practice EMR system
• Work with clinical staff to ensure appropriate coding, billing and support documentation for patient claims
• Responsible for complying with all federal, state, and local regulatory agency requirements
• Responsible for complying with all accrediting agencies
• Other duties as assigned by the supervisor

Summary: 

Responsible for the accurate and timely payroll processing, submission, reporting, and auditing for exempt and non-exempt employees while ensuring compliance with company policies as well as Federal, State, Local and IRS regulations. Maintain a high standard of quality and accuracy by being proactive in managing the payroll cycle to meet all payroll deadlines. Provide excellent customer service by answering all payroll-related inquiries and work closely and collaboratively with the People Department and other cross-functional departments. 

Essential Duties and Responsibilities: 

• Perform payroll-related functions including but not limited to processing separation of employment, status changes, tax changes, deductions, and direct deposit changes. 

• Review garnishments and upload them to wage garnishments services through Paycom for processing. 

• Audit garnishment changes to ensure orders are accurately processed, checks reflect current orders 

• Review and verify employee data entered by Paycom workflows or received via employee self-service data entry. 

• Review and verify payroll data in a proactive timely manner as defined by the payroll guidelines. This would include all regular pay, overtime, bonus payments, other premium pay, differentials, etc. 

• Audit and verify all New Hires and Rehires, including but not limited to pay rates, earnings, taxes, deductions, and PTO plans. 

• Proactively work with the HR Teams, supervisors, and managers to identify issues and problem solve before they become larger issues. 

• Act as first line of communication supporting high priority and escalated customer service matters and issues. 

• Support the Director of HR with any initiatives, projects, and processes (e.g., direct deposit campaign, electronic paychecks, etc.). 

• Function as a Subject Matter Expert (SME) and work with your assigned locations to create an optimal employee experience. 

• Train Managers and Supervisors on Time & Attendance processes including correcting missed punches, adding reason codes, approving timesheets and time off requests to ensure payroll is correct at the time of processing 

• Contact employees whenever required and respond to routine inquiries concerning payroll deductions and accruals, wage garnishments, child support payments, W-2 questions, etc. 

• Prepare manual checks and pay card payments as necessary and record them on the manual check log daily. 

• Assist in maintenance of payroll records and files including but not limited to Paid Time Off (PTO), sick, vacation and other accrued leave. 

• Collaborate with the employee relations team on payroll issues to ensure resolution. 

• Audit and calculate merit increases, promotions, and bonus premium over-time (OT), and prepare import files. 

• Process retroactive calculations, bonus premiums and at times retroactive Paid Time Off (PTO) and/or Sick and Vacation plan adjustments for promotions of Non-Exempt to Exempt employees. 

• Review and audit daily hours and missed punches on employee timesheets for accuracy  

• Process and balance for employee hours worked, bonuses, prior pay period time off (manual), retro calculations for merits, overtime premium and retro overtime premium, gift cards, prizes, expenses, etc. 

• Audit pre-check reports for accuracy related to employee earnings and deductions. 

• Responsible for identifying process improvements and make recommendations for changes. Lead and support process quality and optimization initiatives. 

• Authorize and ensure new company tax set up is accurate during M&A 

• Perform other duties as assigned. 

Why You’ll Love This Patient Access Specialist I Job
Want a job where you can help patients and their families? Do you want to work with a close-knit
the team that shares a passion for making a difference? Join the team in our Patient Access
Specialist I position and take the first step towards a career you can be proud of.

When you join BrightView Health, you become part of a collaborative culture where your
team members want to help you succeed. You are encouraged to share your ideas and
collaborate with your compassionate team members to build a brighter future for the
patients we serve. Plus, we invest in your future through great benefits, competitive
compensation, and career development opportunities to help you build a career you love.

Help make a difference in the lives of the patients and families we serve and apply to our
Patient Access Specialist I position today!

Patient Access Specialist I Job Responsibilities
• Initiate new and existing patient scheduling requests.
• Conduct new patient intake and scheduling procedures.
• Review all scheduling daily.
• Communicate scheduling issues with managers and providers.
• Manage provider calendars for all offices.
• Understand patient scheduling guidelines and the patient scheduling process in the
EMR.
• Provide excellent customer service in scheduling.
• Implement directives from the Lead Patient Access Specialist or Director.
• Participate in special projects and assignments as requested by the Lead Patient