- HCA Healthcare (Harrisonville, MO)
- …as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services. ... + Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- CommonSpirit Health (Burlington, CO)
- …operating units. + Maintain a thorough working knowledge of federal, state, and payer -specific payment methodologies + Maintain a high level of expertise and working ... knowledge of CMS and other federal regulations and statutes such as Critical Access Hospital and Rural Health Clinic conditions of participation and reimbursement, EMTALA, Medicare fraud and abuse, Stark/Antitrust legislation, and IRS guidelines + Support… more
- University of Miami (Miami, FL)
- …and external clients, applying correct fee schedules, billing rules, and payer /client requirements. + Reconcile laboratory activity against source systems (eg, LIS, ... billing platforms, requisitions, and financial reports) to identify and resolve discrepancies in charges, volumes, or client attribution. + Apply advanced knowledge of laboratory billing methodologies, CPT/HCPCS coding, modifiers, and transplant-specific… more
- HCA Healthcare (Las Vegas, NV)
- …the established chain of command, and make appropriate referrals to third party payer and disease and case management programs for recurring patients and patients ... with chronic disease states.** + **You will act as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies.** **What qualifications you will need:** + **Associate Degree in… more
- Dignity Health (Merced, CA)
- …of the point of sale machine. + Verifying identity and signatures of the payer prior to purchasing services. + Job incumbents may be asked to perform other ... duties. **Job Requirements** **This position is responsible for perioperative education. We are seeking a candidate with a strong perioperative background in an acute care setting.** **Required** + Must possess and maintain a current Registered Nurse License… more
- Fairview Health Services (Minneapolis, MN)
- …and providing cost benefit information. + Maintain current knowledge of payer requirements and general admitting practices including use of on-line verification ... applications and initial and ongoing training. + Provide financial counseling and support for patients as needed during the course of their treatment. Assist in resolving problems with payers and provide information and expertise to other departments. +… more
- One Therapy Network (Oklahoma City, OK)
- …delivery of services -Document care efficiently, while meeting clinical expectations and payer regulations -Comply with all local, state and federal rules and ... regulations Qualifications: *Graduate from an accredited Physical Therapy program *Current State licensure for physical therapy or the ability to obtain Our Culture: We are committed to providing a workplace that is supportive and provides each team member the… more
- BrightSpring Health Services (Denver, CO)
- …knowledge of Medicare hospice requirements, clinical service delivery, third party payer coverage, accreditation, and survey management + Excellent analytical and ... organizational, oral and written communication and teaching skills + Detail oriented, able to work independently and manage multiple projects simultaneously About our Line of Business BrightSpring Health Services provides complementary home- and… more
- Covenant Health Inc. (Sevierville, 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
- Childrens Hospital of The King's Daughters (Virginia Beach, VA)
- …subordinates. + Knowledge of medical terminology, ICD-9/CPT coding and third party payer insurance verification processes required. + Must possess the ability to ... identify problems and implement solutions for operational and organizational issues. + Interpersonal skills necessary in order to direct and assign work to subordinates, explain hospital and department policies and procedures and communicate effectively with… more
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