- Select Medical (Wasilla, AK)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + 1 Year Front Desk experience + 1 Year of Medical Office Experience **Additional Data** Go Anywhere with Us! 1900 centers in 39 states offering internal movement _Equal Opportunity Employer/including… more
- Penn Medicine (Philadelphia, PA)
- …meetingsUtilization Management: Adheres to guidelines to satisfy 3rd party payer requirements Educates team in appropriate documentation to reflect Intensity ... of service (IS) / Severity of Illness (SI) and plan of care Proactively addresses level of care issues to ensure appropriate care settings and timely patient flowelevates issues appropriately Enters all review activity in Canopy concurrently Accounts for all… more
- Northwell Health (Lake Success, NY)
- …to ensure compliance with federal and state regulations. * Stay informed on payer policies and reimbursement procedures to maintain accuracy. * Ensure the accuracy ... and completeness of all patient accounts and billing information. * Assist with internal and external audits as needed. * Uphold the confidentiality of patient and company information in line with HIPAA regulations. * Perform additional administrative and… more
- WMCHealth (Valhalla, NY)
- …N/A Special Requirements: Proficient in: Kronos, Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial ... authorizations. Microsoft office products such as Excel, Word and Outlook. Document imaging systems and vendor management. About Us: NorthEast Provider Solutions Inc. Benefits: We offer a comprehensive compensation and benefits package that includes: + Health… more
- Henry Ford Health System (Troy, MI)
- …accounts receivable billing. One (1) year of experience with resolving insurance payer denials. + Experience with both technical (UB) and professional (1500) ... billing, preferred. + Experience with billing and follow up of variety of insurance payers, preferred. + Experience at a large, complex, integrated healthcare organization, preferred. + Experience with patient billing, patient accounting and other related… more
- University of Miami (Miami, FL)
- …integrated delivery network environment preferred + Knowledge of CMS regulations, payer requirements, and billing compliance preferred + Ability to communicate ... effectively in both oral and written form. + Ability to maintain effective interpersonal relationships. + Ability to recognize, analyze, and solve a variety of problems. + Ability to lead, motivate, develop and train others. + Proficiency in computer software… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …you will be responsible for coordinating the credentialing, re-credentialing, and payer enrollment process for providers in accordance with delegated credentialing ... agreements, policies and procedures, industry best practices, and regulatory requirements. Every day you will manage daily credentialing operations, including resolution of non-responsive providers. You will also work collaboratively with various clinic… more
- Trinity Health (Chamblee, GA)
- …& Revenue Integrity:** Co‑own site budget adherence; monitor visit volumes, payer mix, sliding‑fee utilization, and charge capture accuracy. Partner with revenue ... cycle on front‑end eligibility, copay collection, and documentation completeness to support UDS reporting and compliant billing. **Regulatory Readiness & Quality Improvement:** Maintain continuous readiness for HRSA/UDS standards; lead mock audits and… more
- Carle Health (Champaign, IL)
- …accordance with Carle Health's objectives, will participate in discussions with payer physicians to ensure efficient and appropriate utilization of hospital services ... for their assigned patient population. + The Behavioral Health Physician Advisor can, at times, serve as a consultant and as a resource for attending physicians in individual settings as well as group meetings such as the hospitalist meetings related to their… more
- Northwell Health (New York, NY)
- …applications, required. *Strong verbal and written communication skills, required. * Payer , occupational health or wellness services experience preferred. *Combined ... Sales & Account management experience preferred Preferences: + Experience working with third party administrators + Experience serving as the point person across all departments and cross functions internally and externally to ensure timely issue resolution… more