to initiate and mediate Physician to Physician reviews. Understands and retains knowledge of payer requirements in relation... of full verification, and payer information / requirements Essential Tasks and Responsibilities Responsible for ensuring...
paperwork, demographics, physician orders, patient health history, payer information criteria is met prior to admission.... · Requires excellent communication skills (including verbal, written and human relation); exercise professional telephone...
management in relation to patient registration and scheduling; payment processing and charge reconciliation; message and work... and experience accessing/verifying insurance coverage. Experience using Real Time Eligibility (RTE) and Payer/Insurance Portals...
direction to the Case Management staff in relation to denials/appeals which includes training and monitoring of staff competency.... Provides information and Interpretation of third party payer guidelines. Confers with the attending physician to determine...
of receivables on facility contracts coming up for renewal Pre-verification on the payer types of governmental agency or private... Intermediate knowledge of Microsoft Word and Excel Problem-solving abilities Excellent communication and customer relation skills...
, patient/family satisfaction, utilization, and cost. Complies with related Federal, State, Payer and regulatory requirements... and with consideration for safety, possibility for readmission, length of stay, cost effectiveness and payer requirements. Consults...
, patient/family satisfaction, utilization, and cost. Complies with related Federal, State, Payer and regulatory requirements... and with consideration for safety, possibility for readmission, length of stay, cost effectiveness and payer requirements. Consults...
, and validation of reimbursement from third party plans in relation to the hospitals negotiated fees and adherence to contract terms... for the preparing of reports regarding contractual variances along with payer issues to leadership and work with the Managed...
. They are expected to maintain an in-depth understanding of the medical strategy and relevant clinical and payer issues, while ensuring... in relation to the online application process, please contact us by completing this form ....
, basic accounting and detailed clerical skills and good customer relation skills. Manage the in network and out of network... accounts according to third party payer rules, and to comply with MTALA rules and regulation. Have knowledge...
. Preferred Qualifications: You hold an advanced degree You have deep Payer Experience, ideally including local, regional..., and consistent with all federal, state, or local laws. If you have a disability and need an accommodation in relation to the online...
in collaboration with Revenue Integrity Analyst. Assist in special projects in relation to coding & reimbursement to facilitate... payer regulations. Experience providing education and trend analysis related to revenue and reimbursement...
, 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...
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...
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 ....
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...