- Amgen (Newark, NJ)
- …for Horizon rare disease therapies, common prior authorization requirements, and coding and billings requirements + Provide access and reimbursement education based ... background and ability to learn product and disease information. + Nursing or other clinical background a plus + Access and reimbursement for buy and bill products +… more
- Henry Ford Health System (Troy, MI)
- …Facilitating communication between insurance representatives, clinicians, case management, clinical staff, central business office, community physician offices and ... cycle operations and day-to-day functionality. + Knowledge of CPT and diagnosis coding and Third Party billing regulations preferred. + Experience at a large,… more
- Parkview Health (Fort Wayne, IN)
- …oximeter, and refers to the WIC Stoplight Assessment Tool to collaborate with the clinical team on escalating a patient concern. Education Must be a high school ... preferred. Must have experience working with computers. Medical terminology and/or coding experience preferred. Other Qualifications Must have excellent verbal and… more
- CommonSpirit Health (Prescott Valley, AZ)
- …flow. - Maintains and facilitates communication within the business and clinical divisions. - Responds professionally and within appropriate timeframes to telephone, ... an office setting; hospital or clinic collection experience preferred - Knowledge of coding rules and guidelines and the ability to appropriately interpret EOBs -… more
- Molina Healthcare (Saginaw, MI)
- …with Molina policies/procedures or CMS guidelines/regulations, or to assess the non- clinical quality of customer service provided to Molina members. * Provides ... related to utilization management, pharmacy, quality of care, and correct coding . * Independently delivers training and presentations to assigned providers and… more
- Sutter Health (San Francisco, CA)
- …the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions. ... of care and associated regulatory compliance requirements. + General understanding of coding and DRG assignment process preferred. + Must be able to effectively… more
- University of Colorado (Aurora, CO)
- …equivalent, in a wet lab setting_ + _Prior experience with common coding languages_ + _Previous experience with bioinformatics/statistics using R, Python, or related ... or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the… more
- Prime Healthcare (Ontario, CA)
- …verification, financial counseling, patient financial services, and coordination with HIM, Coding , Utilization Review, Charge Master, and Clinical Documentation. ... Partners closely with the offshore team in managing end-to-end revenue cycle efficiency and results. The Regional VP identifies trends and assists in the management of payor trends, productivity, AR management, DNFB, payor and patient cashflow and, denials,… more
- PeaceHealth (Springfield, OR)
- …between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. **Details ... Outlook **Skills** + Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding . (Preferred) + Knowledge of insurance process and regulations. (Preferred) +… more
- Sutter Health (Sacramento, CA)
- …workload, or technical development)._ **JOB ACCOUNTABILITIES** PERFORMS MENTAL HEALTH CLINICAL CARE * Conducts histories and physicals, and psychiatric evaluation. ... forms for billing of team services and identifies patient diagnosis for ICD-9 coding within established time frames. ASSISTS IN PROGRAM PLANNING AND DEVELOPMENT *… more