- Highmark Health (Pittsburgh, PA)
- …Power Point + Advanced knowledge of American Healthcare Ecosystem and the provider, payer , and producer environment + Detailed working knowledge of all aspects of ... distribution administration and sales + Ability to develop, interpret, and explain analytical reports + Influential an dstrategic relationship-building + Quantitative & qualitative problem-solving + Strong interpersonal communication and negotiation skills +… more
- Childrens Hospital of The King's Daughters (Virginia Beach, VA)
- …terminology, computer skills, ICD-10/CPT coding, quality risk coding and third party payer insurance and billing processes. + Ability to audit denials and perform ... root cause analysis for future denial prevention. + Excellent customer service skills required to communicate with various companies and multiple departments. + Ability to effectively gather and exchange information in both oral and written communications and… more
- Robert Half Accountemps (Los Angeles, CA)
- …and improve revenue cycle operations. + Research industry regulations and payer policies to ensure compliance and optimize reimbursements. + Provide regular ... reporting to department leaders on revenue cycle performance, including key performance indicators (KPIs). + Support system upgrades and technology implementation to enhance revenue cycle efficiency. + Identify and resolve discrepancies in payments or coding… more
- UCLA Health (Los Angeles, CA)
- …daily review of high-acuity patient records to identify potential and active payer denials, assess clinical validity, and to support denial prevention, analysis, and ... appeals across inpatient and outpatient settings; continuously communicating with department staff; educating physicians, residents, and mid-levels; and assisting with appropriate documentation strategies. Partnering with Medical Coding, Clinical Documentation… more
- HCA Healthcare (Austin, TX)
- …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
- Covenant Health Inc. (Tazewell, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... with chart audits. + Meets established target for quality/outcome measures, service/patient satisfaction measures, financial/productivity measures, and growth/patients-per-day measures. + Demonstrates leadership by including, but not limited to, participating… more
- Childrens Hospital of The King's Daughters (Newport News, VA)
- …required. + General knowledge of ICD-9/CPT coding and third party payer insurance verification processes and medical terminology preferred. + WORKING CONDITIONS ... + Normal office environment with little exposure to excessive noise, dust, temperature and the like. + PHYSICAL REQUIREMENTS + Click here to view physical requirements. (https://www.chkd.org/uploadedFiles/Documents/Employees/Category%20A%20Jobs.pdf) more
- University of Rochester (Rochester, NY)
- …completion of all appropriate forms by patients, such as, Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient ... identification to verify identity, provision of Financial Assistance Program, etc. + Appointment Scheduling: Schedules new and return visits to ambulatory care using the electronic medical record and patient access and revenue cycle system, monitors schedules… more
- UCLA Health (Los Angeles, CA)
- …the pharmacy analytics field and recognized expertise in financial analysis/transactions, payer contracting, data analytics, and strategic planning. You will provide ... analytical and strategy support for highly complex budget, financial and resource projects supporting the growth of the ambulatory pharmacy department. You will exercise judgement in selecting methods, techniques and evaluating criteria for obtaining results.… more
- HCA Healthcare (Cottonwood Heights, UT)
- …payor quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the ... organization's coordination of care goals, quality goals, and financial performance goals + Conducts in-person and virtual meetings with practice managers, staff, providers and managers to communicate program goals, results, and provide education + Maintains… more