- Houston Methodist (Houston, TX)
- …a fast-paced environment, to review clinical documentation for Medical Necessity and payer requirements, and have a high level and knowledge of medical terminology, ... CPT, International Classification of Diseases ICD-10 preferred. Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies + Ability to work under pressure and balance many competing priorities + Adapts to multiple ongoing priorities with… more
- CVS Health (Annapolis Junction, MD)
- …strategy to ensure the accurate entry of prescriptions with patient payer information. + Evaluates operating results with established objectives and recommends ... performance improvement opportunities. + Controls payroll costs through analyzing allocation of resources and staffing needs. + Generates and maintains communication throughout the organization. + Conducts performance appraisals to provide employees with… more
- AdventHealth (Orlando, FL)
- …and patient response per standards of practice and regulatory/third-party payer requirements. **The expertise and experiences you'll need to succeed:** ... **QUALIFICATION REQUIREMENTS:** Doctorate, Master's (Required)American Board Genetic Counseling (ABGC) - EV Accredited Issuing Body, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement **Pay Range:** $59,652.52 - $110,956.61 _This… more
- AdventHealth (Littleton, CO)
- …and accurate processing of patient accounts. + Stays up to date with payer guidelines, managed care changes, and relevant portals; communicates updates to the team. ... + Trains and evaluates team members, coordinating and setting up schedules for training and education sessions. + Audits team performance and educate staff to maintain high accuracy standards and reduce denials and write-offs. **The expertise and experiences… more
- Marshfield Clinic (Marshfield, WI)
- …secures scheduled encounters by verifying insurance, identifying and completing payer authorization requirements, and creating, communicating and collecting on ... estimated patient liabilities pre-service. This individual is responsible for verifying insurance details, documenting insurance benefits, producing price estimates, and communicating with patients regarding pre-registration and collection items. **JOB… more
- AdventHealth (Daytona Beach, FL)
- …maximum benefit is achieved or according to standards of practice and payer guidelines. Charges patients accurately, timely, and legibly. Practices principles of ... professional development and performance improvements by maintaining clinical knowledge, using best and or evidence-based practices, and serving as a Clinical instructor. Participates in practice changes resulting from performance improvement activities and… more
- Select Medical (Scottsdale, AZ)
- …and Care Planning Management; Fiscal Management; and Payer /Referral Management. **Qualifications** **Minimum Qualifications** + Current Licensure ... per state guidelines in clinical or related discipline OR a Bachelor's or Master's in health or human services discipline. + Working knowledge of the health care insurance industry and government reimbursement. + Minimum two (2) years of experience with… more
- Select Medical (Columbus, OH)
- …and Care Planning Management; Fiscal Management; and Payer /Referral Management. **Qualifications** **Minimum Qualifications** + Current Licensure ... in Social Work or in a clinical or related discipline (RN preferred), per state guidelines for case management and/or discharge planning, required. **Previous Experience** + Previous experience in Case Management and Discharge Planning preferred. + CCM… more
- Select Medical (Lower Merion, PA)
- …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
- Elevance Health (Seven Hills, OH)
- …medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working ... in person or virtually in the below locations, the salary* range for this specific position is $90,000 to $135,702. **Locations** : Maryland; Nevada In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive… more