- Ascension Health (Halethorpe, MD)
- …**Experience with HCPCS and understanding EOB's** + **Knowledge of insurance payer guidelines** + **Ability manage complex claims and resolve billing discrepancies** ... **Why Join Our Team** Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and… more
- Atlantic Health System (Wayne, NJ)
- …documentation in the electronic medical record (EMR) in accordance with hospital, payer , and regulatory standards + Ensure compliance with hospital policies, HIPAA, ... and professional practice standards + Participate in quality improvement initiatives and outcome tracking Education & Professional Development + Stay current with evidence-based practice related to pelvic health physical therapy + Participate in continuing… more
- UNC Health Care (Chapel Hill, NC)
- …issues and/or trends and provide suggestions for resolution to management, including payer , system or escalated account issues. + May maintain data tables for ... systems that support PB Claims operations. + Evaluate carrier and departmental information and determines data to be included in system tables. + Read and interpret EOB's (Explanation of Benefits). + Maintain basic understanding and knowledge of health… more
- Select Medical (San Francisco, CA)
- …and business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications + Provide patients ... with pertinent information about their next appointment as they check out + Respond to requests for information from patients, providers, and coworkers **Qualifications** **Qualifications** Minimum Qualifications: + High School Diploma or GED required + 1 Year… more
- Elara Caring (Benton Harbor, MI)
- …accurate, timely documentation and ensures compliance with **CMS, Medicare, and payer requirements** . + Implements strategies to promote patient safety and ... reduce avoidable hospitalizations or ER visits. + Upholds Elara Caring's mission while maintaining strict **HIPAA privacy and confidentiality** standards. **Why Join Elara Caring?** + Autonomy and flexible scheduling + Meaningful 1:1 patient and… more
- Centene Corporation (Spring Hill, FL)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- Centene Corporation (Greenville, NC)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- Covenant Health Inc. (Oak Ridge, 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, supervising… more
- Tidelands Health (Myrtle Beach, SC)
- …completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy Notice, AOB ... (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and responsibilities, HIPAA Privacy Notice, and any financial assistance documentation. + Thoroughly and accurately… more
- Sanford Health (Fargo, ND)
- …practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources, ... as applicable. Demonstrate extensive advanced knowledge of medical principles, practices and techniques. **Qualifications** Completion of a master's, postmaster's, or doctorate from an nurse practitioner program accredited by the Commission on the Collegiate… more