- Nuvance Health (Danbury, CT)
- …and follow-ups of all delinquent claims. 3. Responds to all patient and payer inquiries, denials, correspondence and telephone inquiries. 4. Advises other areas of ... updated insurance information and claim denials, ie, registration. 5. Follows through with education of rules and regulations in the managed care system, as well as State & Federal guidelines. 6. Adjusts account balances to specific account needs. 7. Maintains… more
- Northwell Health (Lake Success, NY)
- …Responsibilities: * Review and obtain insurance authorizations ensuring compliance with payer requirements. * Verify patient eligibility and coverage details with ... insurance providers to facilitate the authorization process. * Communicate effectively with insurance companies and patients to resolve any authorization issues or discrepancies that arise. * Regularly update clinical staff on the status of pre-authorizations… more
- AccentCare, Inc. (Brooklyn, NY)
- …Service Manager. + Functions as liaison for Field Supervisors in communicating with payer Case Management teams + Supports recruiting and onboarding needs of team ... Our Investment in You Caring for others starts with caring for you. We're committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: + Medical,… more
- Nuvance Health (Danbury, CT)
- …processes, and their practical application. * Working knowledge of third-party payer guidelines/medical necessity criteria (eg, knowledge of admission criteria for ... all levels of care) * Understanding of approaches to denials management * Familiarity with clinical documentation requirements * Working knowledge of Centers for Medicare and Medicaid Services rules and regulations, and interest in building this knowledge… more
- University of Southern California (Alhambra, CA)
- …and all other third party payment methods: + Pref Understanding of contract payer policies and procedures + Pref Ability to interpret Managed Care Contracts + ... Pref Bilingual English/Spanish Required Licenses/Certifications: + Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The… more
- HCA Healthcare (Asheville, NC)
- …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
- South County Hospital (Wakefield, RI)
- …resolution skills; basic knowledge of EHR programs, medical terminology; various payer regulations and contracts; efficient time management skills and ability to ... multitask; excellent writing, oral, and interpersonal communication skills; exceptional organizational, planning, coordinating and collaborating skills; strong understanding and comfort level with computer system. Minimum three (3) years registration… more
- ProMedica Health System (Sylvania, OH)
- …are available. You will help patients complete the application process for any payer source including Medicaid, COBRA and all other public funding resources. You ... will coordinate with external vendors to ensure eligibility for possible insurance or government programs has been thoroughly reviewed and pursued. The above summary is intended to describe the general nature and level of work performed in this role. It should… more
- Lawrence General Hospital (Lawrence, MA)
- …resolution and appeals of accounts with payers in compliance with applicable payer and departmental guidelines and policies. + Embraces and uses technology provided ... to complete daily tasks. + Reviews all claims assigned prior to electronic submission and corrects any errors. + Understands insurance principles, terminology and regulations. Keeps abreast of HIPAA regulations and requirements. + Reports billing and… more
- HCA Healthcare (Margate, 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
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