looking for service and/or provider information as well as members or providers requesting authorizations and denials of services... and supervision of the Care Manager. Responsibilities: Assist with scheduling and coordination of service needs identified in the...
patient flow to provide seamless admissions, transfers, and discharges to minimize diversions, delays, or denials of patients... issues that arise after hours. Communicates issue and problem resolution actions to department manager....
of the Practice Manager and the organization. Assists in monthly financial close operations for the unit. Responsible... for the oversight of denials management and following company protocols on follow up processes. Acts as the subject matter...
issues to the Billing manager to resolve claim denials. Oversee Performance Monitoring and processes and implement corrective...Job Summary The Billing Supervisor aka Non Government Follow Up Supervisor oversees A/R Follow-up, denials...
. In addition to providing direct assistance, the Benefits Advocate collaborates with the Program Manager to analyze trends... in appealing benefit denials and navigating the reconsideration process. Act as a subject matter expert on benefit programs...
patient flow to provide seamless admissions, transfers, and discharges to minimize diversions, delays, or denials of patients... issues that arise after hours. Communicates issue and problem resolution actions to department manager....
Manager. Prepares and distributes resident and community communications such as rule reminders, violation notices, rent.... Reviews and codes invoices and statements for Community Manager approval. Schedules clubhouse rentals and processes rental...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory... as requested. 20. Works with supervisor and manager to develop and exceed annual goals. 21. Maintains confidentiality...
patient flow to provide seamless admissions, transfers, and discharges to minimize diversions, delays, or denials of patients... issues that arise after hours. Communicates issue and problem resolution actions to department manager....
All unbillable encounters should be coordinated through the Billing Manager to obtain missing information Rebill denials...
patient flow to provide seamless admissions, transfers, and discharges to minimize diversions, delays, or denials of patients... issues that arise after hours. Communicates issue and problem resolution actions to department manager....
. Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer policy. Ability to read... virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week...
or manager, responsible for performing pre-registration functions and obtaining authorizations from various insurance carriers... direction for submission to insurance companies to obtain authorization or appeal denials. Maintains current records on managed...
as necessary to ensure patient compliance with prescribed treatment plan. Assists Practice Manager with data collection... and denials including obtaining pre-certifications or referrals as needed. Registers patients and schedules or coordinates the...
Job Description: The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop... an active role in denial prevention. Proactively intervenes with payers to prevent inpatient denials. Performs retroactive...
for additional information if necessary. Ability to initiate pre-determination, prior authorizations, and appeals for denials based... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work...
is responsible for manually reviewing all remittances from patients and payors as well as posting payments, adjustments, and denials... for overpayments Identify patterns and trends that indicate a potential issue and notify manager Qualifications High School...
of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs, development... and discharge plan Proactively identifies patients who no longer meet medical necessity and escalates potential denials, documents...
Job Description: The Primary Children's Hospital Lehi Campus, Care Manager Intensive Services-Social Service Worker... prevention. Proactively intervene with payers to prevent inpatient denials. Communicate any necessary information to payers...
Manager. Prepares and distributes resident and community communications such as rule reminders, violation notices, rent.... Reviews and codes invoices and statements for Community Manager approval. Schedules clubhouse rentals and processes rental...