- 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
- Kaniksu Community Health (Sandpoint, ID)
- …+ Monitor and track performance measures, including UDS, HRSA, HEDIS, PCMH, and payer quality metrics. + Collect, validate, and submit quality data for internal ... administrative support to the Population Health Analyst, and Process Improvement Manager . + Gain exposure to leadership and decision-making processes, positioning… more
- Covenant Health Inc. (Powell, 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
- Oracle (Pierre, SD)
- …bring products to market quickly, navigate the regulatory pathway and negotiate payer reimbursement and coverage. KEY OUTCOMES As a Senior Research Consultant, you ... which may include your details being shared with the hiring manager . **Responsibilities** An experienced professional who is responsible for applying scientific,… more
- AccentCare, Inc. (Brooklyn, NY)
- …and resolves payroll and billing questions under direction from the Client Service Manager . + Functions as liaison for Field Supervisors in communicating with ... payer Case Management teams + Supports recruiting and onboarding needs of team Why AccentCare? Patient Service Coordinator Qualifications: + Previous home health care… more
- WellSpan Health (Chambersburg, PA)
- …timely manner, in order to meet patient needs and third party payer requirements. 16. Effectively implements the treatment modalities appropriate to age/population ... Reporting Structure: A. Formal Reporting and Chain of Command - Clinical Manager of Outpatient Behavioral Health Services or delegated supervisor. B. Informal… more
- Beth Israel Lahey Health (Cambridge, 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
- Childrens Hospital of The King's Daughters (Williamsburg, VA)
- …co-payments, referrals, authorizations, and billing inquiry functions. Reports to Manager /Supervisor. + ESSENTIAL DUTIES AND RESPONSIBILITIES + Renders exceptional ... required. + General knowledge of ICD-9/CPT coding and third party payer insurance verification processes and medical terminology preferred. + WORKING CONDITIONS… more
- Choctaw Nation of Oklahoma (Talihina, OK)
- …patient demographics, and verifies insurance eligibility. You will report to the Manager . **Primary Tasks:** 1. You will establish, update, and correct patient chart ... and assign referrals to the Benefit Coordinator. 4. Complete Medicare Secondary Payer questionnaire for Medicare patients. 5. You will educate patients on health… more
- Elevance Health (Los Angeles, CA)
- …medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more