- Ochsner Health (New Orleans, LA)
- …utilizing the EPIC system. + Completes and obtains all necessary authorizations for the service (s) to be performed. Works with the clinical providers , on- site ... case management team, as well as LPN/RN or Nurse Auditor in the Pre- Service department. + Performs Pre- Service collection estimation functions and… more
- Catalent Pharma Solutions (Kansas City, MO)
- …City facility is home to our Oral & Specialty Drug Delivery, Biologics Analytical Services and Clinical Supply Services businesses. The site provides a ... and healthier lives. Catalent is dedicated to delivering unparalleled service to pharma, biotech, and consumer health customers, supporting...range of integrated services for oral solid dosage forms, from formulation development… more
- Rush University Medical Center (Chicago, IL)
- …each case. **Summary:** As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient ... accuracy and documentation adequacy. The professional will work collaboratively with clinical providers to improve revenue cycle integrity while seeking and… more
- Baystate Health (Springfield, MA)
- …retirement company match & annual company contribution increase based on years of service + Free money coach advice from a certified professional + Wellbeing ... + HS Diploma/GED + 1-2 years experience in customer service (healthcare setting preferred) + Medical administrative experience strongly...also as a business partner to the department and clinical staff. Orients patients and families to the unit,… more
- Baystate Health (Springfield, MA)
- …retirement company match & annual company contribution increase based on years of service + Free money coach advice from a certified professional + Wellbeing ... experience strongly preferred + 1-2 years' experience in customer service (healthcare setting preferred) + Ability to work rotating...also as a business partner to the department and clinical staff. Orients patients and families to the unit,… more
- Grifols Shared Services North America, Inc (Lithonia, GA)
- …transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. **Center Quality Manager** ... of equipment and documentation of procedures. * Ensures that Clinical Lab Improvement Amendments (CLIA) proficiency test surveys, complaint investigations,… more
- Trinity Health (Livonia, MI)
- …billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services ... including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society… more
- Medical Mutual of Ohio (OH)
- …(CAHPS) and Health Outcomes Survey (HOS). Supports data capture and reporting of clinical quality of care received by members. Works closely with the Quality team ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more
- Aegis Therapies (Bettendorf, IA)
- …+ Plan, develop, implement, and monitor appropriate provision, documentation, billing of clinical services and customer relations. + Identify and implement ... of the nation's leading providers of rehabilitation and wellness services , is hiring a **Director of Rehabilitation** to join...for CCRC you will be responsible for:** + Overall clinical quality, integrity, service excellence, financial and… more