- AdventHealth (Hinsdale, IL)
- …The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital ... patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- AdventHealth (Bolingbrook, IL)
- …The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital ... patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- UnityPoint Health (Ankeny, IA)
- …Full Time/Days + Job ID: 169892 Overview Insurance Billing and Follow Up Specialist II Location: On-site in Ankeny, IA Days, Full-time The Insurance Billing and ... Follow Up Specialist II will be responsible for performing all billing...and claims status on unpaid claims + Review payment denials and discrepancies and take appropriate action to correct… more
- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state billing regulations and… more
- Baylor Scott & White Health (Dallas, TX)
- …Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their authority. The ... prompt, efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using discretion and independent judgment on… more
- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... to reconcile any discrepancies and/or answer any questions. Escalates case management when medical assessment is needed. Prioritizes referral requests using medical… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- Summary This position is located in the Health Information Management (HIM) section at the Black Hills Health Care System. MRTs (Coder) are skilled in classifying ... all duties of a MRT (Coder). Responsible for program management of a coding section/unit to ensure performance monitors...or uncoded episodes of care for inpatients Ensures claim denials related to coding errors are resolved, and/or daily… more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the level of ... and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of… more
- Albany Medical Center (Albany, NY)
- …on staff and providing thorough education and feedback, projects assigned by management , and special requests to review coding for external departments such as ... quality management and CDI. Responsible for monitoring and tracking trends...Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These… more
- University of Rochester (Rochester, NY)
- …staff, resolving simple and complex questions and providing performance feedback to management . The Coding Lead is required to have demonstrated knowledge and ... some aspects of billing office operations, including basic principles of staff management /supervision. The Coding Lead is expected to maintain expert knowledge of… more