- Blanchard Valley Health System (Findlay, OH)
- …activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are ... complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …the health of our communities. About the Role:Job SummaryThe clinical informatics specialist (CIS) functions as a consultant, educator, and evaluator to maintain and ... increase the joy of patient care with technology and data . The CIS also helps to mentor and mature...and system improvements that allow clinicians to provide high quality care, in the most efficient manner possible, utilizing… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …the health of our communities. About the Role:Job SummaryThe Research Regulatory Specialist performs a wide range of tasks essential to the submission, approval, ... Investigational Brochure and other documents required. Develops, implements, and evaluates data and time management processes to meet compliance guidelines and … more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and to support an accurate provider roster. Works in partnership with the Quality Specialist , the Provider Relations Representative and the Central Verification ... Office (CVO) to achieve mutual objectives. Enrolls providers with various payer groups as directed to include initial enrollment and re-credentialing to ensure… more
- Northeast Georgia Health System, Inc (GA)
- …charges to correctly assign outpatient procedure codes (ED Only).Reviews all official data quality standards, coding guidelines, Company policies and procedures, ... meetings. Minimum Job QualificationsLicensure or other certifications: Certified Coding Specialist (CCS)Educational Requirements: High School Diploma or GED. Must… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Quality Data Payer Specialist - Rensselaer - FT/DAY** Under the direction of the ... methods, basic statistics, business intelligence applications, and data analysis. Payer Experience and Ambulatory Quality Experience preferred + Excellent… more
- Logan Health (Kalispell, MT)
- …learn other software as needed required. + Possess knowledge and understanding of data entry and retrieval skills preferred. + Demonstrated ability to work with ... not be limited to; assists in obtaining, maintaining and tracking payer certifications for providers and/or facilities, ensures contracted providers are credentialed… more
- RWJBarnabas Health (Hamilton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... services rendered and minimizing financial risk. The Patient Access Specialist has extensive knowledge of payer requirements...when necessary + Utilize system generated reports to analyze data + Analyze denial data to determine… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Patient Access Specialist ** is responsible for all Inpatient and Outpatient Patient Access functions within ... in their assigned area/hospital(s) at Hackensack Meridian Health (HMH). Conducts quality interviews with every patient to ensure compliance with patient safety… more
- University of Utah (Salt Lake City, UT)
- …on one or in-group settings as needed. 4. Responsible for identifying and summarizing payer concerns and escalating for resolution. 5. Quality Review of team for ... payer policy, procedures, workflows and updates. Working with Quality Assurance Educators, communicates to appropriate personnel and departments. 7. Assists… more
- Dignity Health (Sacramento, CA)
- …Home. **Responsibilities** The incumbent is knowledgeable in billing procedures with a variety of payer sources. Has knowledge in the current ICD and CPT coding in a ... *Demonstrates attention to detail to minimize coding errors, performs compliance and quality audits, and ensures accurate billing *Print and use the Arrived Patient… more
- Pfizer (New York, NY)
- …we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients.Our science and risk-based ... compliant quality culture is innovative and customer oriented. Whether you...Achieve** Pfizer Rare Disease is seeking an experienced sales specialist for the continued promotion of Oxbryta (Voxelotor). The… more
- Houston Methodist (Houston, TX)
- …also providing support when IT related or systematic changes are needed. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources (medical ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the...records, claims data , payer medical policies, etc.), determines the causes for denials… more
- Tidelands Health (Murrells Inlet, SC)
- …in researching and responding to Business Office questions and/or questions by the payer + Works collaboratively with CDI, Quality , and other facility leadership ... using ICD-10-CM and PCS codes as defined in the Uniform Hospital Discharge Data Set (UHDDS), based on the American Health Information Management Association (AHIMA)… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity Location: Midtown Org Unit: AR - Coding Medicine Work Days: Exemption Status: Non-Exempt Salary Range: $29.15 - ... met for billing. + Analyze for invalid denial trends, payer specific carrier submission requirements & system optimization. +...as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). + Should be certified from AHIMA or… more
- HCR Home Care (Rochester, NY)
- Role and Responsibilities The Billing Specialist position is a member of the Billing Team which reports up through the Finance Department . Th e Billing S pecialist ... for submitting and receiving all electronic claim files and payer response/rejection files , and for r esearching and...setup process. + Support, maintain , and administer multiple data systems for commercial insurances . + Daily mapping,… more
- Community Clinic Inc. (Silver Spring, MD)
- CCI Health Services' mission is to deliver high quality , accessible care to our community members, leading the way to a more equitable health care system for ... everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support...and in compliance with all State, Federal, and/or contracted payer rules, terms, regulations, and guidelines. + Ensures claims… more
- AdventHealth (Altamonte Springs, FL)
- …and implementation of the enterprise-wide PCI-DSS compliance program. The PCI Specialist - Intermediate will analyze cardholder (Credit/Debit) data flows ... the scope of the organizations PCI-DSS assessments and the risk to cardholder data . The PCI Specialist - Intermediate will ensure organization-wide compliance… more
- Billings Clinic (Billings, MT)
- …and pre-authorization needs. Responsible for the integrity and accuracy of the payer data *Assists patients/family members with status of pre-certification or ... You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and… more
- Trinity Health (Baker City, OR)
- …Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We are looking to hire a **Patient Access Specialist ** ... at Saint Alphonsus Medical Center. As a **Patient Access Specialist ** you will play a significant part in creating...forms to ensure accuracy. + Accesses information and translates data into information acceptable to the claims processing system.… more
