, Health Logic, and other WellStar entities. Serves as the intermediary with Waystar in relation to ERA payer files. Serves... and unposted cash. Identifies and reports payer ERA and EFT enrollments that need to be completed Measures team member system gap...
Prefer ACM or CCM certification or attainment within 2 years of hire InterQual experience Payer relation experience... departments, physician and payer. This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland...
. Attends payer in-services (as assigned) and departmental meetings in order to enhance communications and public relation...
, communication, spelling, and public relation skills are required. Requires the use of office equipment, such as computer terminals... patients(s) or guarantor's drivers' license(s) and insurance card(s). Inputs third party payer information, according...
Manager and Revenue Cycle tools to monitor and maximize revenue potential. Reporting & Payer Relations Generate and modify... spreadsheets and reports to track payer-specific rejections and global billing issues. Attend payer meetings to discuss...
Overview You know that your job is about much more than gathering referral and payer information. As a Revenue... established guest relation’s standards of professional behavior and confidentiality. Greets and directs patients, visitors...
Prefer ACM or CCM certification or attainment within 2 years of hire InterQual experience Payer relation experience... departments, physician and payer. This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland...
current clinical practice in relation to research based best practice. Maintains documentation of care management assessment... and monitors their financial impact of the service line. Complies with payer guidelines on utilization review process to promote...
such as discounts and rebates. Educate stakeholders about payer formulary status. You will play a critical account management role.... If you have a disability and need an accommodation in relation to the online application process, please contact us by completing this form ....
daily Works collaboratively with team to assure referrals are processed timely Keeps abreast of new insurance and payer... in relation to the physical demands detailed above. Join our award-winning team and apply today!...
excellence, and revenue acceleration across PointClickCare's Acute & Payer and Senior Care business lines. Reporting directly... and Technical Solutions teams across Acute & Payer and Senior Care markets Serve as the strategic face of the organization to the...
and dissemination. They are expected to maintain an in-depth understanding of the medical strategy and relevant clinical and payer..., and consistent with all federal, state, or local laws. If you have a disability and need an accommodation in relation to the online...
and payer related qualifications and criteria for patient reimbursements Remains current on payer reimbursements and industry... and relation conditions, sexual orientation, or gender identity), age (40 and older), disability, genetic information (including...
requirements to secure full insurance or government payer reimbursement Documents all required scheduling, financial clearance... is recorded For uninsured patients, identifies and verifies active payer sources for patients, or refers to financial...
, hospital departments and other outside parties in relation to patient accounts. Performs other duties as assigned. LICENSES... of medical terminology, ICD-9/CPT coding and third party payer insurance verification processes required. Must possess the...
Overview: Presbyterian is seeking a Provider Enrollment Coordinator to process health plan payer provider enrollment... to provider enrollment processes, licensing agencies and payers. Assist department manager with delegated payer annual/quarterly...
: Continuously evaluates the appropriateness of hospital admissions, continued stays, and treatment plans in accordance with payer... in UR/UM practices, payer requirements, clinical guidelines, and regulations affecting utilization management Professional...
medical strategy and clinical, patient/caregiver, payer and healthcare/market landscape Act as a guardian for high standards... economic interpretations Understanding of the US health care environment including the payer landscape, marketplace factors...
, continued stays, and treatment plans in accordance with payer guidelines and evidence-based practice Quality of Practice... initiatives Education: Attains and maintains current knowledge in UR/UM practices, payer requirements, clinical guidelines...
admissions, continued stays, and treatment plans in accordance with payer guidelines and evidence-based practice Quality... improvement initiatives Education: Attains and maintains current knowledge in UR/UM practices, payer requirements, clinical...