- 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
- Northwell Health (Lake Success, NY)
- …addressing patient billing inquiries, collecting payments, assisting in helping resolve payer enrollment related denials and other problems, attending to inquiries ... regarding an account. Job Responsibility + Assists in processing and managing patient claims. + Assists in collecting payments from third party insurance carriers and patients. + Assists in resolving any issues relating to the physician account. + Assists in… more
- Insight Global (Norfolk, VA)
- …(eligibility, claims, benefits, authorizations) and familiarity with FHIR/HL7 and payer interoperability. -Expertise in Azure services, modern security practices, ... and integration patterns. -Practical experience with LLMs, chatbots, retrieval, and safety/guardrail design is strongly preferred. -Excellent communication, leadership, and collaboration skills with a track record of influencing cross-functional teams. more
- HCA Healthcare (Tamarac, FL)
- …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
- Select Medical (Willoughby Hills, OH)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + 1 Year Front Desk experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Good Samaritan (SD)
- …to assess referral documentation, confirm eligibility, and ensure regulatory and payer requirements are met prior to referral handoff for admission. Documents ... clinical review, findings, and determinations accurately and timely in designated electronic systems in compliance with applicable standards and regulations. Utilizes technology and electronic medical record systems to support safe, timely, and high-quality… more
- Fairview Health Services (Edina, MN)
- …records for treatments/supply obtained through our retail sites, when required by payer . + Maintain REMS (Risk Evaluation and Mitigation Strategies) trainings and ... certifications specific to the site: Tysabri, Lemtrada, bispecifics, etc. **Organization Expectations, as applicable:** + Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population… more
- Select Medical (Westerville, OH)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/354563/medical-front-office patient-service-specialist… more