- HCA Healthcare (Mckinney, TX)
- …an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services ... . Reviews, coaches and assists with training of new staff/interns as assigned within approved practice and program guidelines. **What qualifications you will need:** . Basic Cardiac Life Support must be obtained within 30 days of employment start date .… more
- BJC HealthCare (St. Louis, MO)
- …to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, ... Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements. Each patient completes HIPAA acknowledgement. This position requires a higher level of independent thinking in order to solve complex issues. + Utilize critical thinking skills to assess and… more
- Select Medical (Hampden, ME)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required + Insurance Verification Experience **Preferred Qualifications:** + Health Care Experience **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal movement._ _Equal Opportunity… more
- Americas ER Medical Centers (The Woodlands, TX)
- …with payers and patients. This role ensures compliance with HIPAA and payer regulations while supporting efficient revenue cycle operations. Key Responsibilities . ... Prepare, review, and submit clean claims to insurance payers (CMS-1500 and/or UB-04) . Verify patient insurance eligibility and coverage . Ensure accuracy of patient demographics, charges, and modifiers . Submit claims electronically and track claim status .… more
- Dignity Health (Northridge, CA)
- …DME, Hospice, etc.,) revenue related activities ( authorizations, certifications and payer communications ), stocking and monitoring office supplies and equipment ... and maintaining accurate and complete departmental records. This position may function as the point of contact for the department, and is responsible for the professional and timely response to calls, messages and the forwarding of communications to the… more
- Select Medical (Tucson, AZ)
- …Planning + Care Planning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure per state ... guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline. **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred.… more
- HCA Healthcare (Arlington, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Select Medical (Florissant, MO)
- …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 + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Select Medical (Houston, TX)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required + Insurance Verification Experience **Preferred Qualifications:** + Bilingual **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal movement._ _Equal Opportunity… more
- Hartford HealthCare (Farmington, CT)
- …to ensure timely assignment and scheduling at the region level. * Verify payer source and in-network insurance acceptance to confirm 1st level financial clearance ... and referral process success. * Maintain accurate logs and tracking systems for referral status and follow-up. * Ensure compliance with HIPAA and internal policies regarding patient information. * Escalate urgent or complex referrals to appropriate clinical… more