- HCA Healthcare (Dallas, TX)
- …an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral ... services** + **Performs utilization review as assigned** + **Participates in developing department goals/objectives and clinical programming** + **Reviews, coaches and assists with training of new staff/interns as assigned within approved practice and program… more
- University of Miami (Miami, FL)
- …capture best practices. Compliance & Documentation + Ensure adherence to payer guidelines, coding standards, and regulatory requirements. + Participate in internal ... audits and support external audit responses. + Maintain documentation of findings, recommendations, and resolutions. Reporting & Insights + Generate and analyze reports on revenue integrity KPIs. + Present findings to leadership and operational teams. +… 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. + Provides financial counseling services at check-in, explains benefits, creates estimates, and notifies patients of self-pay liabilities including co-pays, deductibles, co-insurances, global self-pay… more
- Select Medical (Silver Spring, MD)
- …and business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications + Provide patients ... with pertinent information about their next appointment as they check out + Respond to requests for information from patients, providers, and coworkers **Qualifications** **Minimum Qualifications:** + High School Diploma or GED required **Preferred… more
- Phoenix Home Care and Hospice (Wichita, KS)
- …physician's plan of treatment, individual plan of care, as authorized by client's payer source. + Observes, records and report's 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… more
- University of Miami (Boca Raton, 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. + Provides financial counseling services at check-in, explains benefits, creates estimates, and notifies patients of self-pay liabilities including co-pays, deductibles, co-insurances, global self-pay… more
- University of Miami (Miami, FL)
- …care continuum which includes interacting with consulting physicians, third party payer and other health care providers to facilitate movement of the ... patient through the system and arrangement of an appropriate discharge plan.* Works collaboratively with the multidisciplinary staff to design and implement treatment plans and discharge plans for the patient.* Provides education and counseling to patients and… more
- Robert Half Finance & Accounting (Jackson, MI)
- …or revenue recognition models + Demonstrated experience managing multi- payer , grant-funded, cost-based, or contract-driven billing environments + Strong ... understanding of internal controls, financial reporting, and compliance + Proven ability to partner cross-functionally with operations, compliance, and leadership + Hands-on leader comfortable operating at both strategic and detailed levels + Strong… more
- Boehringer Ingelheim (Roanoke, VA)
- …Information (HCEI) to appropriate audiences in line with approved payer guidance, to assist pharmacy & therapeutics/formulary decision-makers and influencers ... to make informed decisions. + Communicates on-label clinical information as needed to support overall value proposition with assigned customers. + Engages with decision makers to support clinical protocol development and care pathway placement with approved,… more
- Johns Hopkins University (Baltimore, MD)
- …care, and clinical program development. + Knowledge of state and federal regulations, payer mix, and compliance with coding and billing. + Comfortable with the use ... of social media for health promotion, combating misinformation, and generating client demand for prevention and primary care services. **Competencies (Using the JHU Competency Framework) and Expected Level of Contribution** + Pursues Excellence - Individual… more