- Select Medical (Chardon, 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
- UNC Health Care (Morrisville, NC)
- …Based Purchasing, abstracted core measures, eCQMs, and other regulatory or payer -based quality transparency initiatives. The Manager ensures timely, accurate, and ... complete data submission, as well as data-driven quality improvement in performance areas tied to public reporting, reimbursement, and hospital reputation. The Manager also stays current with proposed rule changes, new measures, methodology updates, data… more
- University of Michigan (Ann Arbor, MI)
- …Conduct clinical review on admission; review every 3 days or as requested by payer + Determine patient classification with provider and ensure all patients placed in ... observation classification are notified; For inpatient to observation cases, ensure Condition Code 44 billing requirements are met + Communicates with third party payers to obtain necessary authorization for reimbursement of services. + Obtain anticipated LOS… more
- Oracle (Salem, OR)
- …(registration types, visit classes, and encounter mapping) + Insurance, payer , and financial class configuration (eligibility verification rules, coverage mapping) ... + Rules, alerts, and validations to support accurate and compliant patient intake + Integration and dependency awareness with downstream billing and clinical systems + Experience designing and configuring Registration workflows that ensure accurate patient… more
- Humana (Montgomery, AL)
- …years of solution architecture experience with healthcare delivery or payer /provider ecosystems; proven delivery within regulated environments (HIPAA/PHI). + ... Hands‑on architecture across Azure services and Snowflake/Databricks (data lake/data platform patterns, data sharing, identity & access, vault/secrets management). + Experience integrating EMR (eg Homecare Homebase (HCHB)) and provider data sources into… more
- Cardinal Health (Juneau, AK)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Penn Medicine (West Chester, PA)
- …address, phone number, guarantor data and phone number, third party payer , etc., while verifying applicable information via on-line software. Assigns coordination ... of benefits in hospital information system.Explains and obtains signatures on the HIPAA Privacy Notice as appropriateVerifies eligibility and benefits and obtains authorizations/pre-certifications, and referrals when applicableIdentifies and collects co-pays… more
- Bausch + Lomb (Charleston, SC)
- …contracted accounts. + Collaborate with Patient Services, Contracting, Pricing, Payer Marketing and trade organizations on comprehensive strategies and tactics ... aligned to business objectives. + Identify opportunities and apply sound business practices to effect appropriate changes to issues affecting Managed Markets including contracting, formulary access, product distribution, Medicaid/Medicare, Chain Drug Store… more
- Robert Half Office Team (Sacramento, CA)
- …Analyze documentation to optimize reimbursement and ensure alignment with third-party payer requirements. * Address missing or unclear information by consulting with ... providers and other stakeholders. * Follow all official coding guidelines and ethical standards as outlined by recognized organizations. Requirements * Proficiency in ICD-10-CM coding and Diagnosis Related Group (DRG) assignment. * Strong knowledge of coding… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …patient accounts. This position requires timely response to inquiries from both the payer and the patient. This position has high contact with patients, employees, ... physicians and other members of the community. Occasional stress related to workload and deadline time frames. Attendance is an essential function of this job. more