- AdventHealth (Shawnee, KS)
- …maximum benefit is achieved or according to standards of practice and payer guidelines. Documents accurately, completely, and timely using measurable and objective ... terminology. Charges patients accurately, timely, and legibly according to CPT code format and insurance guidelines. Utilizes knowledge of growth and development to evaluate age-appropriate behavior, motor skills, and physiological norms, modifying approach… more
- Penn Medicine (Philadelphia, PA)
- …complete, accurate, and timely clinical and financial information required for payer reimbursement. + Provides education to patients and clinical practices regarding ... patient insurance coverage as it relates to their discharge medications. + Performs duties in accordance with Penn Medicine and entity values, policies, and procedures + Other duties as assigned to support the unit, department, entity, and health system… more
- Trinity Health (Mason City, IA)
- …experience of at least 1 year within a healthcare provider and/or payer environment, performing patient access and/or customer services activities are preferred. ... **Special Skills and Competencies:** + Annual assessment of competency is completed every year. + Must be able to read, write and/or speak English. + Computer/PC experience/skills are required. + Typing (40 words per minute) or data entry (50-60 keystrokes per… more
- CentraCare (St. Cloud, MN)
- …prior to working without a preceptor. + Successful completion of third-party payer credentialing must be completed prior to billing for services CentraCare has ... made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer. CentraCare CentraCare is committed to the patients and families we serve… more
- Houston Methodist (Katy, TX)
- …interoperability initiatives to bridge case management functions across EHR, payer systems, and external providers. **SUPPLEMENTAL REQUIREMENTS** **WORK ATTIRE** + ... Uniform: No + Scrubs: No + Business professional: Yes + Other (department approved): No **ON-CALL _*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below._ + On Call* No… more
- AdventHealth (Ocala, FL)
- …service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements. + Attends department meetings and ... promotes positive dialogue within the team. + Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls. + Performs cashiering functions such as collections and cash reconciliation accurately. + Other duties as… more
- PeaceHealth (Vancouver, WA)
- …on **concurrent and retrospective UM reviews** , leveraging clinical expertise, payer policy knowledge, and technology tools to guide patient status determinations ... and promote appropriate utilization of hospital resources. You'll work fully remote*, with PeaceHealth-provided computer equipment-empowered by a collaborative team, supportive leadership, and a strong organizational commitment to diversity, cultural humility,… more
- BrightSpring Health Services (Englewood, CO)
- …prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines. + Collaborate with healthcare providers, ... insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions. + Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and… more
- Boehringer Ingelheim (San Jose, CA)
- …ILD territory business needs and actively involves Associate Director, Clinical Educator, Payer Relations Managers, and other BI Internal support personnel in the ... development, management and accomplishment of business strategies, plans and opportunities. + Analyzes territory information to optimize ILD HCP calls. Monitors and effectively reacts to local market conditions for changes that impact business. + Develops… more
- CVS Health (Chicago, IL)
- …and oversight bodies to ensure compliance and readiness.** + **Collaborate with payer , community, and enterprise partners to advance safety and quality beyond the ... clinic.** + **Represent Oak Street Health externally as a thought leader in patient safety and quality.** **Qualifications:** + **Physician (MD or DO) or Nurse Practitioner (DNP preferred) with active, unrestricted license.** + **Board certification in a… more
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