- J&J Family of Companies (Miami, FL)
- …and/or overnight travel Preferred Qualifications: + Working knowledge of reimbursement, payer , provider and infusion operations + Working knowledge of immunology, ... dermatology, rheumatology, and/or gastroenterology. + Prior experience managing through complex reimbursement issues + Candidates with prior Management Development courses, experience in project-oriented selling situations in a high incentive and individual… more
- Mental Health Association of SCK (Wichita, KS)
- …their respective field of study. + Must be eligible for approval of 3rd party payer systems and apply for a variety of insurance panels. + Must possess excellent ... verbal and written communication skills. + Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions. + Valid KS driver's license and access to personal vehicle required. EEO Race, Color,… more
- American Medical Association (Chicago, IL)
- …classification systems, anatomy, and physiology required. Claims processing and physician payer policy knowledge also preferred. + Ability and willingness to mentor ... new and junior level staff. + Superior writing, research, and analytical skills, including the ability to clearly conceptualize issues, synthesize and organize material, and develop and write comprehensive/insightful reports and other materials. + Exceptional… more
- BJC HealthCare (St. Louis, MO)
- …systems. Demonstrates ability to understand and comply with Medicare Secondary Payer , HIPAA privacy standards, Patient Bill of Rights and Responsibilities, Advance ... Directives, Consent to Treat, EMTALA, and JCAHO requirements. Ensures updates regarding changes to operational procedures are communicated to the staff. Performs visual quality audits and reports results to leadership. May participate in the development of… more
- BAYADA Home Health Care (Minneapolis, MN)
- …effectively in a variety of settings, with respect to service area, payer sources, etc. + Business development / marketing background, ideally with preestablished ... contacts + Demonstrated record of strong interpersonal skills **BAYADA Offers:** + BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life… more
- Mental Health Association of SCK (Wichita, KS)
- …Eating Disorders, Play Therapy, etc + Must be eligible for approval of 3rd party payer systems and apply for a variety of insurance panels + Possess excellent verbal ... and written communication skills + Knowledge of principles, method, and procedures for diagnosis treatment, and rehabilitation of physical and mental dysfunctions + Valid KS driver's license and access to personal vehicle required PHYSICAL REQUIREMENTS: *… more
- Penn Medicine (Bala Cynwyd, PA)
- …experience necessary + Extensive knowledge of federal, state, and third party payer inpatient documentation requirements. + Ability to perform work independently and ... make judgments without close oversight. + Understanding of electronic audit tool use and capabilities We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and… more
- Tenet Healthcare (Commerce Township, MI)
- …to ensure accurate bill production. Ensures compliance with third party payer requirements. Registers and schedules patients for health services ensuring ... appropriateness of setting for services provided Explains appropriate forms to patient and family and ensures that necessary consent, regulatory forms, and MSP questionnaire (if applicable) are completed correctly and that patient signatures are obtained.… more
- Centene Corporation (Des Moines, IA)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform on-site visits to assess member's needs and ... collaborates with providers or resources, as appropriate + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits +… more
- Baylor Scott & White Health (Grapevine, TX)
- …of responsibility including federal and state regulations, compliance, and complex payer requirements. **Key Success Factors** + Requires professional knowledge of ... general insurance terminology to include, but not limited to, governmental and commercial payers. + Excellent written and verbal communication skills. + Proven ability to problem-solve, perform critical thinking. + Requires excellent listening and… more
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