- Beth Israel Lahey Health (Burlington, MA)
- …Improvement and CQI issues as well as to unsafe working conditions. Notifies manager of concerns. Participates in unit based QI activities and is familiar with ... by the provider. Completes referrals and pre-authorizations per healthcare payer and practice protocols. Organizational Responsibilities * Maintains strict adherence… more
- Hartford HealthCare (Manchester, CT)
- …19 towns. POSITION SUMMARY: This position reports directly to the Administrative Manager and indirectly to the Director of Ambulatory Behavioral Health Services. ... processing medical records requests, scheduling, authorizations, charge entry and payer information and maintaining and monitoring databases. May perform… more
- Trinity Health (Fort Lauderdale, FL)
- …medical documentation and coding compliance with Federal, State and Private payer regulations. a. Perform coding functions, including CPT, ICD-10 assignment, ... level assignment and charge entry. Other related responsibilities as assigned by manager . Minimum Qualifications: + High school diploma or equivalent combination of… more
- Beth Israel Lahey Health (Beverly, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration: 16. Efficiently registers patients, capturing and verifying all… more
- Centene Corporation (Olympia, WA)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform on-site visits to assess member's needs and ... or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions,… more
- Ochsner Health (Slidell, LA)
- …and cross trained to support multiple functions across all patient and payer types. **Schedule** Varied shifts during week, weekend and late shifts, varied ... related experience **Certifications** Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification… more
- Covenant Health Inc. (Tazewell, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... per month. + Physician office visits + Community lectures/volunteer + Case Manager visits/marketing + Provide in-services + Follows policies, procedures, and safety… more
- HCA Healthcare (Fort Walton Beach, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes, and possesses a thorough understanding of managed-care ... with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate and aligns with the patient care… more
- Sharp HealthCare (San Diego, CA)
- …billing order of insurance plans.Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.Validate insurance eligibility electronically (eg MPV, ... post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow.Document Imaging - Secure necessary Access… more
- R1 RCM (Evansville, IN)
- …completing assistance program applications and determine eligibility and coverage. Notify manager , physician and servicing department of possible delay of service ... of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare… more