- Rush University Medical Center (Chicago, IL)
- …discharge care transition referral communication. In collaboration with the case manager , provides referral and follow-up contacts to agencies, facilities and ... appropriate level. + Provides designated support for functions including payer approval/certification communication, denial appeals, and/or level of care management… more
- Wolters Kluwer (Draper, UT)
- …based on business objectives + Develop research plans collaboratively with the Product Manager and other team members + Lead research projects from start to finish, ... and problem solving + Understanding of the healthcare ecosystem, particularly in payer and provider sectors and experience with value-based care models and health… more
- Cedars-Sinai (CA)
- …Work is performed under the direct supervision of a Social Work manager . **Primary Duties and Responsibilities** Assists in locating facilities appropriate for ... needs of the patient as ordered by the physician and meeting payer requirements. Contact insurance companies/ medical groups to acquire authorization for post-acute… more
- Covenant Health Inc. (Sevierville, 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
- Beth Israel Lahey Health (Boston, MA)
- …or Retail Pharmacy. 4. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. ... difficult and/or unpredictable situations. Work progress is monitored by supervisor/ manager . 4. **Written Communications:** Ability to communicate clearly and… more
- Covenant Health Inc. (Knoxville, TN)
- …patient 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
- Beth Israel Lahey Health (Beverly, MA)
- …their homes and communities in accordance with home care regulations and payer guidelines. **More Specifically:** * Assumes responsibility to coordinate patient care ... as required. * Attends regular case conferences and team meetings per Clinical Manager and as needed. * Communicates with team COTA when delegating appropriate… more
- Avera (Cresco, IA)
- …revenue from patient/client accounts by submitting claims to the appropriate payer . Review daily receipts and process payments to patient accounts. Communicate ... with other duties as assigned by the Patient Financial Services (PFS) Manager . POSITION QUALIFICATIONS: High school diploma. Knowledge of medical billing and… more
- Beth Israel Lahey Health (Woburn, MA)
- …their homes and communities in accordance with home care regulations and payer guidelines. **More Specifically** : + Assume responsibility to coordinate patient care ... of the care plan development and is in communication with the primary RN Case Manager . **What You'll Need** : + An active valid Massachusetts RN license; + An active… more
- R1 RCM (Detroit, MI)
- …join our Data Platform team. This role will report to the Senior Engineering Manager of Data Platform and be involved in the planning, design, and implementation of ... 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