- Banner Health (Glendale, AZ)
- …personnel. External contacts include vendors, regulatory agency personnel and payer representatives. MINIMUM QUALIFICATIONS Skills and knowledge as typically ... acquired through an Associate's or Technical degree in a related field. Proof of good standing with the National Board for Respiratory Care (NBRC) as a Registered Respiratory Therapist (RRT). A current license in state practiced as required by state law.… more
- Ochsner Health (Meridian, MS)
- …choice. + Communicates with physicians, nurses, therapies, case managers and third party payer regarding the discharge plan. + Under the direction of a RN Case ... Manger performs utilization review functions for the Case Management Department. + Demonstrates participation in professional growth and development, maintaining required knowledge and skills needed to perform the duties of the position. + Adapts behavior to… more
- UTMB Health (Galveston, TX)
- …in patient registration activities of verifying demographic and Third Party Payer information. + Perform and teach COR, ED, Admitting Registrations functions ... as defined in each area's customized CBO tool. + Verifies all patient demographic, insurance coverage, benefits, and authorization requirements for all services. + Screens patient for financial responsibility and possible cash collections. + Determines… more
- University of Utah Health (Salt Lake City, UT)
- …Previous experience in clinical resource management activities and third party payer interactions. **Working Conditions and Physical Demands** _Employee must be able ... to meet the following requirements with or without an accommodation._ + This position involves light work that may exert up to 20 pounds and may consistently require light work involving lifting, carrying, pushing, pulling or otherwise moving objects involving… more
- Northwell Health (Sleepy Hollow, NY)
- …clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + Documents the case management process in the medical record; ... completes and documents a care coordination assessment on the patient. + Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. + Completes applicable areas of the patients discharge instruction… more
- Actalent (Tyler, TX)
- …with all local, state, and federal regulations, DEA requirements, and third‑party payer policies. + Supervise pharmacy production staff to maintain efficient order ... entry, secure pharmacy operations, and adherence to delivery timelines. + Verify the accuracy and completeness of all new and refill prescriptions, labels, and medication packaging. + Oversee the preparation and quality assurance of sterile IV medications and… more
- St. Luke's University Health Network (Bethlehem, PA)
- …ensure compliance with documentation standards, and maintain adherence to payer requirements + Ensure compliance with regulatory requirements, accreditation ... standards, and organizational policies through proactive monitoring, provider education, and implementation of best practices. PHYSICAL AND SENSORY REQUIREMENTS: Requires sitting for up to seven hours per day, 3.5 hours at a time. Standing for up to four hours… more
- UnityPoint Health (Waterloo, IA)
- …consistent with Hospice Conditions of Participation, qualifying hospice criteria, payer coverage criteria, and providing visits/treatments consistent with the plan ... of care to honor patient/ family values/ wishes + Makes visits to the homes of patients and assumes responsibility for an ongoing interdisciplinary assessment of the patient. + Performs initial, comprehensive, and recertification assessments on all patients in… more
- Sutter Health (San Francisco, CA)
- …systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently. ... + Possess verbal and written communication and active listening skills. + Accuracy and attentiveness to detail required. + Decision making and problem-solving skills. + Must be able to work concurrently on a variety of tasks/projects in diverse environment. +… more
- Mohawk Valley Health System (Utica, NY)
- …procedure codes, for accurate and timely billing of most appropriate payer + Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in ... collaboration with providers + Initiate and follow up on queries with providers + Abstract data elements and compile data for statistical reports + Provide education based on recognized trends, including physician documentation + Assist departments with… more
Recent Jobs
-
Senior Technical Program Manager (ST PM) (15.35)
- OCT Consulting, LLC (Washington, DC)
-
Mechanical Testing Technician (1st shift)
- Element Materials Technology (Fairfield, OH)
-
Branch Administrative Assistant
- EMCOR Group (Melbourne, FL)
-
Mechanical Designer
- Actalent (Maple Grove, MN)