- Cabinet Peaks Medical Center (Libby, MT)
- …This position obtains insurance pre-authorizations and follow up as required by each payer on all insured patients. The Rehab Assistant works with the manager to ... a tracking system to ensure timeliness of reports and adherence to payer regulations. Confirms monthly invoices. Functions as a departmental resource and is… more
- BrightSpring Health Services (Nashville, TN)
- …to referral processing including obtaining applicable medical documentation, accurate payer verification, and timely and accurate entry into electronic Medical ... to referral processing including obtaining applicable medical documentation, accurate payer verification, and timely and accurate entry into electronic Medical… more
- Henry Ford Health System (Jackson, MI)
- …information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer ... response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. EDUCATION/EXPERIENCE: + High school diploma or equivalent required. + Two years of experience in an office… more
- Sharp HealthCare (San Diego, CA)
- …between PFS Business Office Staff and Regulatory Compliance department. Utilize the payer contract tool to report payer trends. **Required Qualifications** + ... 5 Years Experience with coding, auditing and patient account follow up in a business office + Certified Professional Coder (CPC) - AAPC -REQUIRED **Preferred Qualifications** + Bachelor's Degree **Essential Functions** + Customer serviceSystem… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and ambulatory pharmacy locations, ensuring all documentation (licenses, registrations, payer contracts, portal user names and passwords, etc.) and operational ... are current, and aligns with the departmental, state/federal regulatory and payer expectations. The ideal candidate will have experience in pharmacy operations… more
- Albany Medical Center (Albany, NY)
- …registration + Responsible to interpret information received from Insurance Payer regarding patient's eligibility and financial responsibility + Responsible to ... to maintain the Electronic Health Record + Comprehend Federal, State, Third Party Payer regulations as it pertains to a hospital registration. + Ability to work… more
- Prime Healthcare (Ontario, CA)
- …follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for managed care. This includes ... billing rules, regulations, and deadline 8. Working experience with all payer types including commercial, governmental, Medicare, Medicaid, HMO, etc. and the… more
- Select Medical (Mobile, AL)
- …an ICU or post-surgical stay by utilizing your strong clinical background, payer knowledge, and problem-solving skills. + Perform clinical assessments of referred ... to create a smooth pre-admission and transfer process through removing payer -related and operational barriers for patients getting into our highly effective… more
- HCA Healthcare (Nashville, TN)
- …market and technology intelligence spanning the healthcare revenue cycle, finance, payer -provider policy, clinical operations, and emerging technologies such as AI. ... progressively responsible experience in healthcare operations, revenue cycle, finance, payer -provider relations, utilization management, or clinical operations - Preferred… more
- CareFirst (Baltimore, MD)
- …and government programs plans and experience administering plans in a large payer organization. We are looking for an experienced professional to work remotely. ... and government programs plans and experience administering plans in a large payer organization is helpful. + Overall technical knowledge and understanding of Guiding… more
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