- Houston Methodist (The Woodlands, TX)
- …section + Bachelor's degree preferred **WORK EXPERIENCE** + Three years of hospital clinical nursing experience, which includes two years in case management ... of local and national coverage determinations + Recent work experience in a hospital or insurance company providing utilization review services + Knowledge of … more
- Texas Health Resources (Arlington, TX)
- …productivity targets . Represents department in a positive manner to hospital /system/community . Completes assigned work within scheduled hours and offers assistance ... of a clean, safe work environment that is compliant with departmental, hospital and regulatory agency requirements . Works in partnership with peers, other… more
- Houston Methodist (The Woodlands, TX)
- …and social work resources and needs for the department and the hospital . Exemplifies/leads teamwork by responding positively to requests for assistance. Fosters ... workers and case managers, and ancillary departments, based on physician orders, payor/ reimbursement practices and regulations that may impact the patient's plan of… more
- AdventHealth (Bolingbrook, IL)
- …**Schedule:** PRN days; 8:30am-5pm **Location:** UChicago Medicine AdventHealth Bolingbrook Hospital , 500 Remington Blvd, Bolingbrook, IL **The role you'll ... or Manager and is responsible for patient evaluations of post- hospital needs; development of a transition of care plans...remove barriers to timely and efficient care delivery and reimbursement . The Social Work Care Manager provides education to… more
- Texas Health Resources (Fort Worth, TX)
- …Finance Officer must have the ability to anticipate and model what changes in reimbursement will mean for the hospital . Texas Health requires a resume when ... of Bad Debt reserves, Managed Care discounts, accrued liabilities and Medicare /Medicaid liabilities. . Provides and interprets financial information to Senior… more
- AdventHealth (Hinsdale, IL)
- …and weekend requirement; Holiday rotation **Location:** UChicago Medicine AdventHealth Hinsdale Hospital , 120 N Oak Street, Hinsdale, IL **The role you'll ... or Manager and is responsible for patient evaluations of post- hospital needs; development of a transition of care plans...remove barriers to timely and efficient care delivery and reimbursement . The Social Work Care Manager provides education to… more
- University of Rochester (Rochester, NY)
- …ensuring the visit balances on the accounts receivable are at expected reimbursement based on contractual agreements with payers, and determining and completing the ... insurance claims and resolve billing issues. Must track payer/billing issues that affect reimbursement of claims and advising the management team of those trends and… more
- Texas Health Resources (Arlington, TX)
- …by licensed assistants and therapy technicians . Attends and/or leads hospital , department, and community meetings / educational in-services . Meets established ... productivity targets . Represents department in a positive manner to hospital /system/community . Completes assigned work within scheduled hours and offers assistance… more
- Texas Health Resources (Southlake, TX)
- …plan of care, and re-certifications in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines. + Documents all aspects of ... each treatment session in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines. + Obtains physician signature on all plans care… more
- Houston Methodist (Houston, TX)
- …and knowledge of electronic health record software (EPIC preferred) + Knowledge of Medicare , Medicaid and managed care reimbursement methodologies + Ability to ... with the patient or patient guardian/representative. Ensures all Centers for Medicare & Medicaid Services (CMS) regulatory items are completed properly, including… more