Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat

Essential Duties & Job Functions Operates keyboard controlled data entry devices such as computer, key operated magnetic tape, or disc encoder to transcribe data into a format suitable for computer processing. Operates an alphanumeric keyboard and transcribes procedures and relevant data entry equipment. Works under close supervision and follows specific procedures or det

As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy p

Support assigned supervisor and members of the team in routine office administration, personnel, time and attendance, database administration, and project requirements; Responsible for all administrative and IT requirements for in processing or newly arrived personnel; including, but not limited to, submission of requests for computer and facilities access and issuance of

This is an entry level part time position that provides administrative support. Help facilitate the onboarding of Direct Support Professional (DSP) employees by maintaining all onboarding compliance documentations. The position will require the employee to be 100% on site. Primary Duties Reasonable accommodations may be made to enable individuals with disabilities to perf

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the

Responsible for reviewing clinical information obtained from physicians, department queues and other clinical providers, ensuring data is substantial enough to authorize services for appropriate visit account types. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. Ability to properly obtain insurance

Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in

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Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in

This is a hybrid role; 3 days in office, 2 days remote The Claims Examiner investigates, and processes Workers' Compensation claims for VCUHS employees. This job assists in the coordination of an effective commercial insurance and self insured Workers' Compensation Claim Program that is compliant with state laws and that meets the needs of VCUHS. This job is responsible f

Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in

Performs insurance verification for all scheduled patient services and obtains required precertifications in a multi disciplinary environment. Two of the four skill levels required 1. One year experience in healthcare environment or 2. Completion of healthcare related certificate program 3. One year experience with medical insurance in a hospital or physician office or 4.

Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in

Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in