- HCA Healthcare (Davie, FL)
- …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
- One Therapy Network (Tulsa, OK)
- …Document services with our easy-to-use EMR system to meet clinical standards and payer regulations. ✔️ Collaborate with OTs and other team members to ensure ... comprehensive patient care . ✔️ SLPs provide guidance and supervision to SLPAs, graduate students, and Clinical Fellows, depending on your experience. What We're Looking For: ✅ SLPA - Associate or Bachelor's degree in Speech-Language Pathology or Communication… more
- University of Rochester (Rochester, NY)
- …pay plans. May also be responsible for reviewing and resolving third party payer issues. **ESSENTIAL FUNCTIONS** + Reviews reports of unbilled cash claims, self-pay ... plans not final billed, hold bill worklists, statement edits, credit balances, self-pay greater than $10,000, faith-based reports, and budget plans. Works reports and work lists as needed to decrease the amount of unbilled self-pay visits and ensure timely… more
- BrightSpring Health Services (Biloxi, MS)
- …Works closely with support departments to achieve . Routine collaboration with payer contracting to negotiate the strongest contracts . Monitor metrics proactively ... to effect change in a positive direction before month end . Collaborate with business partners and use appropriate resources to accurately forecast monthly admissions/growth . Assigned territory and area of operation can change based on business need… more
- Trinity Health (Newtown, PA)
- …across multiple facilities/states. + Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance ... standards and policies and procedures. **We offer a competitive salary and comprehensive benefits including:** + Medical, Dental, & Vision Coverage + Retirement Savings Program + Paid Time Off + DailyPay + Tuition Reimbursement + Free Parking + And more! **Our… more
- Zelis (St. Petersburg, FL)
- …supporting the Implementation Team in delivering effective solutions for healthcare payer clients. This position involves collaborating closely with team members to ... understand client data and requirements for print fulfillment. The specialist is responsible for configuring the Zelis system to ensure the successful composition and processing of various services, including the delivery of Explanation of Benefits, letters,… more
- University of Miami (Miami, FL)
- …Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire. + Serves as gatekeeper, performs insurance verification, and ... obtains referrals and/or authorizations as needed. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. Core Qualifications + High school diploma or… more
- Saint Luke's (Overland Park, KS)
- …for potential admission + Complete detailed preadmission screens in compliance with payer requirements and ensure Physiatrist signature before admission + Serve as ... the main admission office leadership contact for the rehabilitation team, internal admissions team, clients, and external sources to enhance outcomes + Promote effective public relations with patients and families, healthcare providers, and the community… more
- Atlantic Health System (Morristown, NJ)
- …coding updates. + Evaluates and provides appropriate documentation for the third party payer CPT denials to maintain the original CPT assignment, and when necessary, ... implement corrective action plan and/or educational programs to prevent similar denials and rejections from recurring. + Meets with the providers to review the audit findings and to recommend ways to improve when indicated + Orients and trains new providers… more
- University of Miami (Miami, FL)
- …Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire. + Serves as gatekeeper, performs insurance verification, and ... obtains referrals and/or authorizations as needed. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. Core Qualifications + High school diploma or… more