- 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
- Sanford Health (Canton, SD)
- …practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources, ... as applicable. Demonstrate extensive advanced knowledge of medical principles, practices and techniques. **Qualifications** Master's or Baccalaureate degree (Associate's or Nursing Degree if training prior to 1994). Successful completion of a physician… more
- Covenant Health Inc. (Oak Ridge, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... with chart audits. + Meets established targets for: + Quality/outcome measures + Service/patient satisfaction measures + Financial/productivity measures + Growth/patients-per-day measures + Demonstrates leadership including but not limited to: + Development… more
- Presbyterian Homes and Services (Eden Prairie, MN)
- …in electronic medical record. + Demonstrate understanding and knowledge of payer sources and regulatory requirements. + Complete and document supervisory visits ... per regulations. + Communicate effectively with residents /clients , families , caregivers, physicians, referral sources, and interdisciplinary team . Qualifications + Graduate from an accredited Occupational Therapy program. + Current licensure in the… more
- Covenant Health Inc. (Sevierville, TN)
- …regulatory guidelines related to compliance. Incumbent demonstrates knowledge of all payer categories, ie Commercial, Managed Care, Self-Pay, Blue Cross, Workers ... Comp, Tenncare and Medicare. Incumbent is accountable for assuring all records are located and processed on a daily basis. Incumbent acts as a liaison between patients and/or family members and other medical personnel. Incumbent must have excellent customer… more
- Sutter Health (Modesto, 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. Decision making and problem-solving skills. Must be able to work concurrently on a variety of tasks/projects in diverse environment. Ability to meet or… more
- Beth Israel Lahey Health (Boston, MA)
- …Healthcare or Retail Pharmacy. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. ... Ability to develop strong relationships with diverse groups of professionals (physicians, nurses, administration, etc. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook,… more