- Humana (Columbus, OH)
- …reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related ... group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related… more
- Select Medical (Sarasota, 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 + 1 Year of Medical Office Experience **Preferred:** + Insurance Verification Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Elevance Health (Los Angeles, CA)
- …data modeling highly preferred. + Functional knowledge across the Healthcare Payer Industry, especially Sales and Customer Relationship Management highly preferred. ... + Strong understanding of business process design, human-centered design, and optimization highly preferred. + Proven ability to lead cross-functional teams and drive solution delivery highly preferred. + Familiarity with Agile and Waterfall SDLC methodologies… more
- Beth Israel Lahey Health (Boston, MA)
- …referrals for scheduled visit and documents in system. Document appropriate payer information, including worker's compensation and auto liability. Informs patient of ... necessary preparation for scheduled visit, including providing documents, films and notes from other providers, required preparation and protocol for diagnostic tests and procedures. Coordinates and interprets multiple data sets required for efficient… more
- Washington County Hospital and Clinics (Washington, IA)
- …stay appropriateness in accordance with CMS regulations, CAH requirements, and payer guidelines. + Participates in (in-person) inpatient unit table rounds and ... daily care coordination discussions M-F. + Ensures timely and accurate communication of patient information during hospitalization with LTC facilities. coordinates WCHC SNF referrals and collaborates with insurance payors as needed. + Serves as liaison among… more
- Sevita (Huntsville, AL)
- …and occupancy percentages; respond to local requests for proposals to address payer needs; identify and participate in new start development initiatives, and ... identify potential acquisition partners. + Implement regional strategies to maintain and foster relations with individuals receiving services, families, and guardians; oversee implementation of individuals supported satisfaction surveys, and implement… more
- Dignity Health (Chandler, AZ)
- …guidelines. + Provides notes in computer system by documenting all payer related information, patient issues, physician office communications, and any account ... related communication. + Verifies insurance eligibility/benefits and co-pay/deductibles and primary and secondary insurance. + Ensures that patient handouts are being given out and explained (ie: Patient Rights and Responsibilities, Advance Directives,… more
- Sanford Health (Gwinner, 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
- Ascension Health (Carmel, IN)
- …+ 24hr dedicated OB anesthesia + rapidly growing suburban market with mostly private payer mix + Carmel, Indiana, is located minutes north of Indianapolis, and it's ... been named one of the "Best Places to Live in America" by Money magazine and Niche.com. Call Schedule: dedicated on-site call coverage with frequency and responsibilities as noted above Projected 2000 deliveries/year. **About Ascension St. Vincent Medical… more
- Covenant Health Inc. (Powell, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... with chart audits. + Meets established targets for: + Quality/outcome measures + Service/patient satisfaction measures + Financial/productivity measures + Growth/patients-per-day measures + Demonstrates leadership, including but not limited to: + Development… more
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