- R1 RCM (Salt Lake City, UT)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
- HCA Healthcare (Anchorage, AK)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- UCLA Health (Los Angeles, CA)
- …professional development. + Ensure coding practices align with national guidelines, payer requirements, and state and federal regulatory standards, including CMS and ... Joint Commission requirements. + Develop, implement, and maintain coding compliance programs, audit methodologies, education plans, and performance improvement initiatives. + Monitor, analyze, and report coding metrics, dashboards, and trends; identify risks,… more
- Select Medical (San Diego, CA)
- …and business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications + Provide patients ... with pertinent information about their next appointment as they check out + Respond to requests for information from patients, providers, and coworkers **Qualifications** **Qualifications** Minimum Qualifications: + High School Diploma or GED required + 1 Year… more
- Baylor Scott & White Health (College Station, TX)
- …guarantors with understanding of claims processing or denial of services by payer . **KEY SUCCESS FACTORS** 3 years of healthcare experience or education equivalency ... required. Proven ability to problem-solve, perform critical thinking. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly… more
- Select Medical (Frisco, TX)
- …Planning + Care Planning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure per state ... guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline. **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred.… more
- Community Health Systems (Franklin, TN)
- …ensure maximum capture of Value Based Care incentives + Monitor changes in payer quality requirements that impact reimbursement and monitor trends and best practices ... in value-based care and patient care delivery. + Collaborate with the CHS Managed Care department to engage and negotiate with payers, health plans, and other stakeholders to ensure appropriate contract terms and optimize performance within value-based care… more
- BAYADA Home Health Care (Springfield, MO)
- …Client Services Managers, Clinical Nurse Managers and Field Nurses + Communicate payer information to our internal Insurance Verification team + Provide excellent ... customer service at all times **Qualifications** + College Degree required + 2-3 years' experience in Healthcare, Intake, or Contact Center may be accepted in lieu of degree + 1 year of work experience (to include internships), required. + Proven success in a… more
- Beth Israel Lahey Health (Lawrence, MA)
- …eligibility for visit, using various online tools and by contacting the payer directly. (essential) 2. Ascertains, creates, and assigns the guarantor for each ... patient, including personal/family relations, workers compensation insurance, third parties, behavioral health, or others as required. 3. Efficiently registers patients, capturing and verifying all required information in order to identify the patient, contact… more
- Actalent (Tyler, TX)
- …local, state, and federal regulations, as well as DEA policies and third-party payer contract rules. + Supervise pharmacy production staff to maintain order entry ... workflow, security of the pharmacy area, and adherence to delivery schedules. + Check the completeness and accuracy of all new and refill labels, orders, and drug packaging. + Oversee the preparation and supervision of sterile IV drug products or solutions. +… more