- Logan Health (Chester, MT)
- …+ Completes all required documentation in a timely manner according to payer guidelines (Medicare, Private Insurance, Medicaid) and Montana practice guidelines for ... physical therapy + Enhances rehabilitation services by participating in projects/programs within the department, the facility and the community. + Achieves set productivity standards per department protocol. The above essential functions are representative of… more
- Select Medical (Merritt Island, FL)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/353889/medical-receptionist… more
- Avera (Sioux Falls, SD)
- …to ensure claim accuracy for timely processing. + Monitor and review payer correspondence for claim processing updates, claim audits and denials, and refund ... requests. + Serves as a resource to various departments within the Central Business Office to answer questions with regard to network discounts, reimbursement, provider networks, and government payers. + Monitors & reports trending of third party reimbursement… more
- Cleveland Clinic (Independence, OH)
- …consent for care. + Demonstrate knowledge of coverage criteria based on payer source, including: skilled needs, intermittent care, homebound status, and physician ... ordered care. Minimum qualifications for the ideal future caregiver include: + Graduate of an accredited school of Professional Nursing + Knowledge of Home Care and the OASIS data set + Experience with Infusion therapy, venipuncture, diabetes management,… more
- UnityPoint Health (Grinnell, IA)
- …consistent with Hospice Conditions of Participation, qualifying hospice criteria, payer coverage criteria, and providing visits/treatments consistent with the plan ... of care to honor patient/ family values/ wishes Qualifications Education: + Graduate of State Board approved program for Registered Nurses Licensure/Certifications: + Valid license as an RN in state(s) where providing care + Valid licensed driver with… more
- TEKsystems (Baltimore, MD)
- …or pre-certification prior to services being provided as required by the payer . Also will be obtaining patient information to facilitate the verification of ... the unique patient identifiers for clinical purposes, billing and collections process. Will also be estimating self-pay portions after benefits have been determined (deductibles, co-pays, non-covered services). Responsible for the accurate, complete, and… 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
- R1 RCM (St. Augustine, FL)
- …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
- Presbyterian Homes and Services (Marion, IA)
- …in electronic medical record. + Demonstrate understanding and knowledge of payer sources and regulatory requirements. + Complete and document supervisory visits ... per regulations. + Communicate effectively with residents/clients, families, caregivers, physicians, referral sources, and interdisciplinary team. Qualifications + Graduate from an accredited Physical Therapy program. + Current licensure in the state(s) of… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Word and Excel. + Has knowledge of governmental and managed care payer requirements. + Demonstrates understanding of the various "Self Pay" account classifications ... and their applicable patient statement processes. + Understands the data elements required to generate a clean bill. + Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards. + Must have the ability to… more