Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre authorization approvals for drugs and other services as ordered by provider. Medical terminology preferred. Knowledge of Medicare, Medicaid and third party payers. One year of experience with

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, IDs, Living Wills, and POAs and verifying and enteri

Responsible for the order entry process, communication and guest relations, medical record maintenance/analysis, responsible for transporting, lifting, positioning of patients, and various non technical/clerical duties. Demonstrates competency in the operation of radiologic systems for the management and transfer of digital images to complex media and converting images on

Coordinates activities for specific physician practices, including insurance verification/obtaining precertification, scheduling, pre registration, and order transmission (faxing). Purpose is to ensure maximum reimbursement and reduce denials related to incomplete insurance information and/or authorization. Maintains statistics and acts as liaison between clinical testing

Works in collaboration with the Case Manager and other healthcare team members to provide comprehensive and coordinated care. Engages in interventions to improve self management skills and improve quality of life for patients with chronic and/or complex illness. Provides education and behavior modification strategies and provides social support to patients and families. A

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, IDs, Living Wills, and POAs and verifying and enteri

Responsible for the provision of medical social work services to patients receiving care in the hospital setting. Assesses the social, cultural, environmental, and financial situations, as well as the disposition needs of each referred patient. Collaborates with healthcare team members for the patient and community organizations to identify needs and resources in the hosp

Qualifications N 4YR RN Bachelor's Level Degree (Required) Basic Life Support (BLS) Certification American Heart Association (AHA) RQI, Registered Nurse (RN) Single State Nursing License North Carolina, Registered Nurse (RN) Single State Nursing License Virginia, Registered Nurse License (RN) Nursing License Compact/Multi State License Nursing, Nursing Leadership Skills A

M.C. Dean is Building Intelligence . We design, build, operate, and maintain cyber physical solutions for the nation’s most recognizable mission critical facilities, secure environments, complex infrastructure, and global enterprises. Our success relies on great people delivering innovative projects and solutions for Fortune 100 companies and the most recognized age

Develops standardized facility procedures for the maintenance, storage, handling, transfer, release and destruction of patient records in accordance with state, federal, Jt. Commission and other licensing and regulatory guidelines as well as development, implementation and maintenance of the organization's policies covering the privacy of, and access to patient health inf

The Program Manager provides Project Management (PM) planning, coordination, documentation, and implementation of simple to complex Quality Improvement (QI) projects. Responsible for quality and/or population health related activities to include accreditation, regulatory, or value based care efforts associated with or required by the National Committee for Quality Assuran

Responsible for supporting the Finance leadership in the systems and accounting of cash receipts, billing, capitation and premium reconciliations, and revenue maximization of government programs. Engages in significant research and analysis in partnership with various departments to reconcile capitation payments received to ensure accurate payment for each contracted serv

Works in collaboration with the Case Manager and other healthcare team members to provide comprehensive and coordinated care. Engages in interventions to improve self management skills and improve quality of life for patients with chronic and/or complex illness. Provides education and behavior modification strategies and provides social support to patients and families. A

At Five Star Senior Living, our people are the critical link to those we serve, and it is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In addition to nurturing and advancing the lives of our residents, our team members enjoy meaningful opportunities for personal and professional growth, wit

Monitors delinquent accounts and performs collection duties Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer Reviews payment postings for accuracy and to ensure account balances are current Works with co workers to resolve payment and billing errors Monitors and updat