- ChenMed (Lakeland, FL)
- …Checklist. + Communicates alternative/approvals to Referral Coordinator. + Follows up with MMD/ Specialist /MND if no response after 24hours. + Calls and follows up ... meeting. Gather info from Medical Director /Network Director /Referral Manager . + Prepares Referral Team Meeting Minutes and send...entered into HITS prospectively. + Works with tier2/tier 3 specialist to make sure our patients are seen working… more
- Rush University Medical Center (Chicago, IL)
- …that affect the laboratory's ability to perform laboratory testing. The Laboratory Manager works closely with the Associate Vice President, Chairman of Pathology, ... American Medical Technologists (AMT) o Blood Bank (BB) or Specialist in Blood Banking (SBB) via the ASCP o...ensure that the proper billing, accounting, auditing, CPT coding, Medicare /Medicaid billing procedures and protocols are followed * Meets… more
- Texas Health Resources (Arlington, TX)
- …Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager 's discretion) Department Highlights: + Hybrid Position + Gain a sense of ... on emerging expectations. Participate in external regulatory audits, including Medicare , OIG, and non- Medicare denial reviews....Administrator Upon Hire Req Or CCS - Certified Coding Specialist Upon Hire Req Or CPC - Certified Professional… more
- AdventHealth (Shawnee, KS)
- Inpatient Social Worker Case Manager Relief Days - AdventHealth Shawnee Mission All the benefits and perks you need for you and your family: + Vision, Medical & ... Shawnee Mission, Kansas. The role you'll contribute: The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
- Carle Health (Peoria, IL)
- Overview The Case Assistant works under the direction of the Clinical Transition Specialist (RN Case Manager ) and/or Social Worker to establish appropriate ... through the distribution and documentation for the Important message for Medicare , the MOON and observation notices. Responsible for supporting readmission… more
- Banner Health (Phoenix, AZ)
- …(RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder ... preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or… more
- CenterWell (Atlanta, GA)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... for TB. **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare … more
- Molina Healthcare (Dayton, OH)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience… more
- ChenMed (Houston, TX)
- …any necessary copays for services. Assists with scheduling follow-up and in-house Specialist referral appointments, when necessary. + Escorts patients to exam rooms ... or fax. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Exceptional customer service skills and… more
- CenterWell (Sun City, AZ)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare … more