- Northeast Georgia Health System, Inc (Gainesville, GA)
- …the health of our communities. About the Role:Job SummaryThe clinical informatics specialist (CIS) functions as a consultant, educator, and evaluator to maintain and ... technology. This position carries out complex scientific and information assessments to support patient care policies and practices, including decision support … more
- Kolmac (Cumberland, MD)
- …clinic and, with support (as needed) from the RD, RVP of Operations and VP of Real Estate Development, manages maintenance or other physical clinic projectsOther ... is a key member of the leadership team and provides supervision, direction, and support for all clinical and administrative staff in the region or center they… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Quality Data Payer Specialist - Rensselaer - FT/DAY** Under the direction of the Director ... (5) years progressively responsible related work experience, including knowledge of payer operations and quality programs, research methods, basic statistics,… more
- AscellaHealth (Berwyn, PA)
- …and oversight of our marketing and communications management strategy and daily operations for our Payer /Health plan segment. They will work closely ... focus, and audience segments across all channels (online/offline/social). + Support the building of brand awareness and work to...Working closely with the Marketing Project Manager and Sr. Specialist to ensure the budget numbers are up to… more
- Albany Medical Center (Albany, NY)
- …Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre-Authorization Specialist will assist the Patient Engagement Center Liaison, Representatives and other ... Authorization Specialists with patient clinical questions, payer escalation and triaging patient calls accordingly. Will work collaboratively with Clinic Nursing… more
- Abbott (Livermore, CA)
- …related correspondence leading to enhanced business revenue. + Provides or coordinates clinical support during the sales process to enhance payer awareness and ... more than 160 countries. **Job Title ** **Managed Care Specialist , HF** **Working at Abbott** At Abbott, you can...the company and effectively build and promote the company's payer value proposition to national, regional, and local insurance… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...the department. Trains Insurance Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and… more
- Trinity Health (Farmington Hills, MI)
- …review. Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. Other duties as needed ... day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) for an assigned Patient Business Services (PBS) location.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial ... clinical staff and revenue cycle staff as needed on payer denials, denial reason and trending, interpretation of ...up, etc.) of the revenue cycle while also providing support when IT related or systematic changes are needed.… more
- University of Massachusetts Amherst (Amherst, MA)
- …Job no: 521343 Work type: Staff Full Time Location: UMass Amherst Department: Operations Union:USA/MTA Categories: Administrative & Office Support About UMass ... intellectual energy of the region. Job Summary The Patient Benefit and Referral Specialist performs all functions related to the patient intake process at University… more
- Tidelands Health (Murrells Inlet, SC)
- …is required for accurate and complete coding. + Have knowledge of payer guidelines related to MUE, Medical Necessity, LCD/NCD requirements and HIPAA/Compliance in ... order to take correct actions to allow for payer processing for payment. + Collaborate with Clinical Documentation Integrity (CDI) team as part of the clinical… more
- Houston Methodist (Houston, TX)
- …including Medicare, Medicaid and commercial payers, and applicable department's revenue cycle operations . Provides coaching and support to projects related to ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is responsible… more
- Tidelands Health (Murrells Inlet, SC)
- …serve as department expert on coding questions. + Have knowledge of payer guidelines related to MUE, Medical Necessity, LCD/NCD requirements and HIPAA/Compliance in ... order to take corrective actions to allow for payer processing for payment. + Gathers and verifies all information required to produce a clean claim including… more
- UNC Health Care (Chapel Hill, NC)
- …onsite to meet business needs.** **Summary** : The Clinical Documentation Specialist will be responsible for analyzing and auditing medical records concurrently ... valid, complete, and compliant. In addition, the Clinical Documentation Specialist will be responsible for educating physicians, non-physician clinicians, nurses,… more
- The Wesley Community (Saratoga Springs, NY)
- Billing Specialist Full Time | Day Shift | 8am-4:30pm ** Pay rate $ 20-23 /hour ** The Wesley Community is no longer requiring employees to be vaccinated for ... the heart. What will I do as a Billing Specialist for The Wesley Community? + Process mail and...reports/recommendations to the Resident Financial Services Manager about office operations and accounting procedures. + Assist in standardizing the… more
- Universal Health Services (Sparks, NV)
- Responsibilities This Payment Specialist position is full time at 40 hours per week, offers full benefits and a convieneint schedule. Independence Physician ... than 140 locations nationwide, IPM is dedicated to the support and service of acute care facilities, with limited...industry trends and business models; provides oversight for efficient operations to ensure quality care at a reasonable cost,… more
- Beth Israel Lahey Health (Winchester, MA)
- …eligibility for visit, using various online tools and by contacting the payer directly. (essential) 2. Identifies payer medical necessity determination before ... 3. Determines authorization requirement and, when necessary, obtains authorization from payer by utilizing payer specific protocols. Requests and coordinates… more
- Universal Health Services (Sparks, NV)
- Responsibilities This Payment Specialist opportunity is full time at 40 hours per week, offers full benefits and a convenient Monday-Friday day shift schedule. ... UHS and it's 300+ locations Job Description: The Payment Specialist is responsible for the accurate and timely import...is strictly prohibited. Exercises good judgement in escalating identified payer specific ERAs that are not posting 100% to… more
- Trinity Health (Farmington Hills, MI)
- …expertise and clinical judgment within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center. Serves as ... Maintains a strong working relationship with the associated Ministry Payer Strategy team's in order to ensure proper identification,...and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to… more
- Albany Medical Center (Albany, NY)
- Department/Unit: Admitting Operations Work Shift: Day (United States of America) Salary Range: $18.00 - $23.79 The Patient Access Specialist is responsible for ... Physician office experience preferred * Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care… more
