- WellSpan Health (Chambersburg, PA)
- …timely manner, in order to meet patient needs and third party payer requirements. 16. Effectively implements the treatment modalities appropriate to age/population ... served. 17. Plans for education needs of students assigned for supervision of internship, and assumes responsibility for communication with hospital staff regarding the student's plan of internship. 18. Responds appropriately to emergencies. 19. Demonstrates… more
- Robert Half Accountemps (Boca Raton, FL)
- …Proficiency in E/M coding and auditing principles. * Familiarity with Medicare claims, payer denials, and CPT codes. * Strong analytical skills and attention to ... detail in reviewing documentation and data. * Ability to communicate effectively with providers and administrative teams. * An associate degree from an accredited institution is preferred. * Experience with OB coding is a plus, though not mandatory. Robert… more
- Nuvance Health (Danbury, CT)
- …for compliance and accuracy.4.Performs insurance eligibility verification and executes payer requirements as needed. Obtains accurate insurance benefit information ... from payers, such as deductible, copay, and coinsurance amounts. Utilizes patient estimation tool to calculate estimate of patient liabilities. Requires an understanding of coding, procedural protocols and the charge description master. 5.Initiates requests… more
- Health Plus Management LLC (Bronx, NY)
- …based, best practice, and treatment planning + Experience with a diverse patient/ payer mix (Workers' compensation, personal injury, no-fault) is a plus Skills & ... Abilities: + Exceptional attention to detail. + Wonderful bedside manner. + Excellent communicator who can empathize with patients. + Ability to communicate effectively with patients. + Effective interpersonal skills, problem-solving and analytical skills +… more
- Sanford Health (Detroit Lakes, MN)
- …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
- Behavioral Center of Michigan (Warren, MI)
- …Communicates results to the case management entity for the specific insurance payer . Enters billing information for services. Receives and processes requests for ... appeal of denials. Responds to complaints per UR guidelines. Maintains utilization review and appeal logs, as needed. Analyzes patient recrods and participates in interdisciplinary collaboration with professional staff. Facilitates education programs and… more
- Owens & Minor (Salt Lake City, UT)
- …of intermediate diabetic related medical terminology . Demonstrated knowledge of payer /insurance auth processing and adjudication If you feel this opportunity could ... be the next step in your career, we encourage you to apply. Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic… more
- Deloitte (Fresno, CA)
- …experience + Experience in Epic integration is preferred + Experience with Payer /Provider applications + Experience with ANSI transactions + Experienced in ITIL ... service methodology or Service NOW + Familiarity with HIPAA and other regulations + Basic knowledge of messaging formats used in healthcare integration (HL7, EDI, CSV, XML, etc.) + Experience working in the US health care domain and managed care setup +… more
- AccentCare, Inc. (St. Paul, MN)
- …that is relevant to the patient care plan, including demographics, clinical data, payer , and other information, as required, on company approved forms to support ... diagnosis and home care orders. Assists agency in timely processing of physician orders. + Manages and grows referral sources by identifying new referral sources and educating them on available services provided by the agency, maintaining current referral… more
- Phoenix Home Care and Hospice (Topeka, KS)
- …state and Federal regulations, state practice acts for licenses personnel, payer requirements. + Practices safety, environmental, and/or infection control measures. ... + Performs miscellaneous job-related duties as assigned by Supervisor. Requirements + Active license in the state of Kansas required. + Home Health experience preferred, not required. + Competitive pay. + Multi-disciplinary collaboration for patient care.… more
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