- Ochsner Health (New Orleans, LA)
- …by obtaining/initiating prior authorization of ordered services based on payer requirements, after benefits and eligibility have been determined. Coordinates ... with physician and/or staff for appropriate level of care setting and essential clinical documentation to support medical necessity of services ordered and works collaboratively with Case Management to establish level of care for direct admits and inpatient… more
- HCA Healthcare (Ocala, FL)
- …the established chain of command + Makes appropriate referrals to third party payer , disease and case management programs for recurring patients and patients with ... chronic disease states + Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to… more
- R1 RCM (Boise, ID)
- …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
- Highmark Health (Erie, PA)
- …which assure efficient care coordination and transition, Hospital throughput, and adherenceto payer requirements in order to minimize financial risk to patients and ... the health system. (5%) + Lead and support evidence based projects & research by assisting in the identification of opportunities to incorporate the scientific method into practice. (5%) + Other duties as assigned. **QUALIFICATIONS:** Minimum + Master's Degree… more
- Covenant Health Inc. (Knoxville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... posting to the patient account. + Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity. +… more
- 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
- BJC HealthCare (St. Louis, MO)
- …to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, ... Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements. Each patient completes HIPAA acknowledgement. This position requires a higher level of independent thinking in order to solve complex issues. + Utilize critical thinking skills to assess and… more
- Select Medical (Youngstown, 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 + Insurance Verification Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Northwell Health (Lake Success, NY)
- …to inquiries regarding an account. Guides tasks in helping to resolve payer enrollment-related denials. Job Responsibility + Assists and guides the processing and ... managing of physician claims. + Oversees the collection of payments from physicians for processing. + Resolves any issues relating to the physicians account. + Answers any questions physicians may have about their account. + Assists physicians with terms for… more
- Prime Healthcare (Reno, NV)
- …be able to demonstrate understanding of and ability to interpret third party payer principles and terms and COBRA laws. Strong organizational skills required for ... effective communication with patients, physicians, public, staff and administrations. Must be able to work in fast paced environment with frequent interruptions + Knowledge of medical terminology preferred. + Effective written, verbal communication, and… more
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