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Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.
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Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide.
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Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms.
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Our hospitals have been named among the Top 5 percent of all U.S. hospitals by Healthgrades and a five-star hospital by the Centers for Medicare & Medicaid Services. Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.
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Hospital administration Can work in patient care locations which include potential exposure to life-threatening patient conditions. Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment.
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Responsibilities The Home Health Aide is responsible for providing patients with in-home personal care and designated health related services to maintain the patient's physical and emotional well-being, while following the written plan of care, Medicare/Medicaid regulations and agency policies and procedures.
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Frequent prolonged standing, sitting, and walking Occasionally push a wheelchair to assist patients with mobility problems. Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
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With our comprehensive allied professionals and nurse staffing services, we provide you access to a qualified network of healthcare professionals including allied and nursing staff. Compiles & types statistical reports such as daily & monthly census, Medicaid days, admissions, discharges, or length of stay.
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Reporting to Enterprise Denial Nurse Manager, this role serves as a support to revenue cycle including clinical departments, finance, accounting, compliance, patient financial services, revenue integrity, managed care, utilization review, and patient access.
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Headquartered in King of Prussia, PA, UHS has , employees and through its subsidiaries operates acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
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Experience advising on statutes, regulations, and guidance documents applicable to market access activities, including Medicaid, 340B program, Veterans Administration, federal and state anti-kickback statutes, state drug pricing transparency laws, OIG guidance documents and advisory opinions, the False Claims Act, and the PhRMA Code.
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As a Community Health Worker (CHW), you will act in a liaison role with Medicaid members to ensure appropriate care is accessed as well as to provide home and social assessments and member education.
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Provides billing and collections on behalf of the patient for all of the following: Medicare, Medicaid, Commercial insurance, any government agencies, and all third-party liability claims. Ability to learn billing and collection system within rural health facilities and critical access hospitals.
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Collaborate with U.S. Market Access Team to understand individual payer access strategies for Commercial, Medicare, and Medicaid and manage the impact to patient access and affordability strategies and tactics.
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Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS.
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