- Rochester Regional Health (Rochester, NY)
- …and families for community, urgent and chronic care health care coverage and payer opportunities. + This may include NYS/ other state, federal entitlement programs, ... and community -based programs + Review self-pay census to identify under and uninsured. + Receives referrals from community agencies and internal health care team members. + Initiates contacts with patient/family/representative to assess necessary assistance… more
- Select Medical (Arlington, VA)
- …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 + Insurance Verification Experience **Preferred Qualifications:** + 1 Year of Medical Office Experience **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal movement._ _Equal… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …standards and other regulatory (CMS, State of WI) and third-party payer requirements. Supports Medical Staff with performance improvement activities including but ... not limited to professional practice monitoring, peer review, clinical practice change based on best practice and registry outcomes. HOURS: Supplemental or .4 FTE, 32 hours every pay period. Day shift only. Experience/Qualifications + Knowledge of patient care… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …in business, health care administration, or nursing. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + A minimum of ... five years of experience in care management or utilization review + A minimum of five to seven years of leadership experience in care coordination, case management, or utilization review, in an integrated healthcare delivery system and/or health plan. +… more
- John Muir Health (Walnut Creek, CA)
- …state of "audit readiness." + Works with medical auditors on third-party payer audits to ensure coordination of efforts and maximum collection. **340B Contract ... Management** + Manages relationships, billing services, and compliance with contracted 340B pharmacies. **Program Enhancement/Optimization** + Assesses opportunities for cost savings and business improvements with the 340B program. + Develops action plans to… more
- One Therapy Network (Tulsa, OK)
- …Document services with our easy-to-use EMR system to meet clinical standards and payer regulations. ✔️ Collaborate with SLPs and other team members to ensure ... comprehensive patient care. ✔️ Provide guidance and supervision to Occupational Therapy Assistants (COTAs) and Occupational Therapy Students. What We're Looking For: ✅ Degree in Occupational Therapy from an accredited program (or expected graduation). ✅… more
- University of Washington (Seattle, WA)
- …information by appropriate means + Determine eligibility for care by use of payer web portals and phone inquiries + Collect co-payment or other patient liabilities ... + Respond to patient questions; provide directions to specified areas such as clinics, units, ancillary and support departments, parking and eating facilities + Assist patients in accessing hospital and community services by consulting and making referrals to… more
- University of Miami (Miami, FL)
- …integrated delivery network environment preferred. + Knowledge of CMS regulations, payer requirements, and billing compliance preferred + Epic HB certification ... required; additional Epic certifications (eg, PB, Resolute) preferred. + Strong understanding of hospital billing workflows and revenue cycle operations preferred. + Excellent problem-solving, communication, and project management skills preferred. +… more
- Phoenix Home Care and Hospice (Winfield, KS)
- …physician's plan of treatment, individual plan of care, as authorized by client's payer source. + Observes, records and reports reaction to treatment and any changes ... in client's condition to appropriate personnel and/or physician. + Provides ongoing instruction and supervision of client, family or other health team personnel in the plan of treatment. + Participates in education programs, quality assessment activities,… more
- Guthrie (Binghamton, NY)
- …in nursing practice. + Preferred experience with care management/utilization review, and payer knowledge. + RN considered. Education: + Completion of an accredited ... LPN program Licenses: + The Wellness Nurse must be licensed in both New York and Pennsylvania. + The applicant must have a current license as a Practical Nurse in their state of practice prior to position start date. + Additional state licensure must be… more