Description Overview: This position reports to the Director, Reimbursements and Net Patient Service Revenue (NPSR..., and preparing to report on all supplemental Federal and State reimbursement matters Coordinates Medicare and Medicaid audits...
latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider..., development, promotion and implementation of policy and system changes to advance child health and the medical center policy goals...
for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place... in the hospital setting. Summary: Under the general supervision of the Director of Care Management, the RN Case Manager...
, and referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes... place in the hospital setting. Under the general supervision of the Director of Care Management, the RN Case Manager...
selection, direction and development of Accounts Receivable department team members, and will report to the Director, Revenue..., Skills, and Abilities: Three years’ management experience in the healthcare industry. Medicare and Medicaid billing...
with insurance, Health First Colorado (Medicaid), Medicare, CHP+, those without insurance, and those who prefer to pay out-of-pocket..., research, and the values and culture of our customers in our treatment and care. Our approaches are trauma-informed and based...
. Payer stakeholders include commercial private and public payers (Health Plans, Medicaid, Medicare), selected complex... the barriers to access to BSC Endobariatric technologies. This position will report to the Director, HEMA, Endoscopy...
. Payer stakeholders include commercial private and public payers (Health Plans, Medicaid, Medicare), selected complex... the barriers to access to BSC Endobariatric technologies. This position will report to the Director, HEMA, Endoscopy...
And more Description: RESPONSIBILITIES: This position reports to the Director, Reimbursements and Net Patient Service Revenue (NPSR), and oversees analysis... to report on all supplemental Federal and State reimbursement matters Coordinates Medicare and Medicaid audits and assists...
requests and documenting timely updates for service requests. Completes Administrative Denials and submits Medical Director... including, but not limited to, medical records coordination, technical retrospective claims review, referral/auth. entry...
to, medical records coordination, technical retrospective claims review, referral/auth. entry, research which may include... and submits Medical Director Reviews as directed. Correspondence with Provider/Member Notifies members and providers including...
requests and documenting timely updates for service requests. Completes Administrative Denials and submits Medical Director... including, but not limited to, medical records coordination, technical retrospective claims review, referral/auth. entry...
to, medical records coordination, technical retrospective claims review, referral/auth. entry, research which may include... and submits Medical Director Reviews as directed. Correspondence with Provider/Member Notifies members and providers including...
to, medical records coordination, technical retrospective claims review, referral/auth. entry, research which may include... and submits Medical Director Reviews as directed. Correspondence with Provider/Member Notifies members and providers including...
, Inflationary Reduction Act). Experience with and passion for pricing policy research (qualitative and quantitative impact..., reporting to the Senior Director of Government Pricing within the US Market Access department. This rapidly expanding function...
and submits Medical Director Reviews as directed. Correspondence with Provider/Member Notifies members and providers including... including, but not limited to, medical records coordination, technical retrospective claims review, referral/auth. entry...
promptly and accurately, following established policy. Maintains patient privacy and confidentiality. Communicates... Directed*/Research Protocols Consistently takes initiative to develop professionally; Positive attitude; Increased engagement...
Demonstrate proficiency and decision making by solving complex problems using available resources (documents, medical policy..., Medical Terminology, ICD-10 and CPT codes, Medicare and/or Medicaid Service Professional experience in a Clerical...
promptly and accurately, following established policy. Maintains patient privacy and confidentiality. Communicates... Directed*/Research Protocols Consistently takes initiative to develop professionally; Positive attitude; Increased engagement...
Description The St. Louis County Department of Public Health seeks a detail-oriented policy analyst and research... assistant to support the Division of Public Health Policy and Legislative Affairs. This position plays a key role in assessing...