- 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
- Logan Health (Kalispell, MT)
- …record (EMR) in a timely manner and according to Medicare, Medicaid, and other payer guidelines. + Collaborate with the care team and leadership on care planning and ... discharge recommendations. + Demonstrate proficiency in using therapy tools, techniques, and equipment appropriate to the home health setting. + Meet productivity and documentation standards while ensuring quality patient care. + Maintain professional conduct… 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** Master's or Baccalaureate degree (Associate's or Nursing Degree if training prior to 1994). Successful completion of a physician… more
- Hartford HealthCare (Hartford, CT)
- …site visits, and other center of excellence applications (ie, private payer ). Attends Metabolic and Bariatric Surgery Committee meetings, minimum 2 per ... year, as well as professional development seminars/conferences at various annual meetings (eg, ASMBS, ACS Quality and Safety Summit). . Perform other related duties as required. . Travel required between Manchester, Glastonbury, Enfield, Farmington, West… more
- Gentiva (Augusta, GA)
- …team meetings + Assist in referrals, resource connections, and compliance with payer requirements **About You** **What You'll Need:** + Active RN license in ... the state of employment + Minimum of 1 year RN experience (acute care, oncology, long-term care, hospice, or home health preferred) + CPR certification + Valid driver's license and current auto insurance + Reliable transportation **Preferred Skills and… more