- South Shore Health (Weymouth, MA)
- …is responsible for reviewing the medical record of all observation and inpatient admissions and continued stays to ensure appropriate utilization and delivery of ... care. a - Using Interqual Criteria, physician certification, and payor specific criteria, assists the physician in determining the medical necessity for observation,… more
- Banner Health (Mesa, AZ)
- …criminal and education) are required. This position as a Patient Financial Specialist in Bone Marrow Pediatrics will be responsible for assisting with front ... for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary.… more
- Children's Mercy Kansas City (Kansas City, MO)
- …review, pre-bill denial avoidance and denial management. + Partners with Revenue Cycle, Payor Relations , HIM and Risk Management in support of utilization ... of patient flow and patient progression, clinical outcomes and efficiency of inpatient stays. Continually strives to integrate case management and social work across… more
- Banner Health (Casper, WY)
- …Center is located in the heart of Casper Wyoming. As the state's largest inpatient facility, Wyoming Medical Center is known and highly regarded for its cardiac and ... facilities, medical staff, medical leadership, external organizations, and contracted payor organizations. Responsible for coordinating services with other administrators,… more
