Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare B Physician Office and Professional Services, Ambulance Services, Laboratory, and others Performs first and second level of Medical Review in determination of claims payment review Condu

Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare Part A SNF, DRG, and Outpatient Facilities and Services. Performs first and second level of Medical Review in determination of claims payment review Conducts in depth claims analysis uti

The Patient Access Associate 3 provides excellent service by identifying customer needs and fulfilling customer expectations. Performs assigned duties related to patient admissions while completing assigned activities related to patient scheduling for medical procedures. Verifies and enters insurance information and authorization/referral requirements into databases. Coun

The Patient Access Associate 1 is responsible for financial counseling and insurance verification, and notification to patients and/or guardians of financial responsibility. Identifies and communicates payer authorizations and referral requirements as required. Job Responsibilities Works independently to complete assignments without close supervision; Improves inefficienci

Assists in the delivery of direct patient care under the supervision of the Registered Nurse. Provides basic activities of daily living nursing care (eg. bathing, feeding) and measurement of vital signs and intake/output. Demonstrates competency in all required clinical skills and technologies in accordance with IHS policies and procedures. Completes assigned patient duti

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

Provides administrative support to the unit/department (s) assigned. Serves as first point of contact for patients, family members and visitors on unit assigned requiring the application of excellent customer service skills. Supports unit/department(s) assigned with excellent computer and clerical skills. One of the following four skill levels required One year experience

Assists Office Manager leading administrative team and coordinating work. Serves as technical resource for other team members through quality control and improvement/evaluation activities, staff development activities and daily support to Rehab Centers. Leads training and implementation of best practices. Provides new employee orientation, training, initial competency ass

The Guest Services Representative ("GSR") position must demonstrate and promote a strong commitment to providing the best possible experience for our guests. The position is responsible for assisting guests at all times, answering phones, and checking in and checking guests out in accordance with company guidelines and procedures. The GSR also is responsible for completin

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

Billing Specialist No Clearance Requirement Administration City Springfield State Virginia Country United States Job Description ENSCO, Inc. is seeking a Billing Specialist to work in our Springfield, VA office. Responsibilities include, but are not limited to Working in conjunction with contract administrators and project managers to ensure timely and accurate submission

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

Health Information Specialist I Onsite Job Locations US VA Harrisonburg Requisition ID 2024 35727 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics comp

The Senior Medical Science Liaison III will act as a medical/clinical educational liaison to key departments within Exact Sciences and will be a member of the medical science liaison (MSL) group within the Precision Oncology business unit. This role will engage with customers and colleagues in our commercial and medical organization to provide medical and scientific suppo