- Select Medical (South Dennis, MA)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal movement._ _Equal Opportunity Employer/including Disabled/Veterans._ Apply for this job… more
- Humana (Effingham, IL)
- …for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member's ... care as appropriate and required by our comprehensive contract. **Use your skills to make an impact** **Required Qualifications** The Care Coordinator (Care Coach 1) must meet **one (1)** of the following requirements: + Bachelor's degree in social sciences,… more
- HCA Healthcare (El Paso, 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
- Centene Corporation (Springfield, IL)
- …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
- 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 + Growth/patients-per-day measures + Demonstrates leadership including, but not limited to: + Supervision of… more
- Banner Health (Scottsdale, AZ)
- …coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services ... delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. CORE FUNCTIONS 1. Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction… more
- Childrens Hospital of The King's Daughters (Virginia Beach, VA)
- …required. + General knowledge of ICD-9/CPT coding and third party payer insurance verification processes and medical terminology required. + 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
- Rush University Medical Center (Chicago, IL)
- …surgical coding experience. * Extensive knowledge of federal, state, and payer -specific regulations and policies pertaining to documentation, coding, and billing, ... with demonstrated ability to interpret such guidelines. * Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10-CM and HCPCS code assignment by passing a department administered coding proficiency… more
- Select Medical (Berlin, CT)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal movement._ _Equal Opportunity Employer/including Disabled/Veterans._ Apply for this job… more
- Select Medical (Raleigh, NC)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum** **Qualifications** **:** + High School Diploma or GED + 1 Year of Front Desk Experience **Preferred Qualifications:** + 1 Year of Medical Office Experience **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal… more
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