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Serve as a liaison between the Contractor and the State fiscal agent or other FSSA contractors regarding encounter claims submissions, capitation payment, member eligibility), enrollment and other data transmission interface and management issues.
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Serves as the 'Senior Business Architect' for Medicaid, with a strong understanding of how the industry's standard processes are executed in Humana's environment, from end to end. The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT and the aligned business group(s.
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Job Summary:The Pre-Authorization Specialist is a member of the Pre-AuthorizationDepartment who is responsible for verifying eligibility, obtaininginsurance benefits, and ensuring pre-certification, authorization, andreferral requirements are met prior to the delivery of inpatient,outpatient, and ancillary services.
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1 year or more of Income Maintenance experience in Medicaid or Food and Nutrition Services eligibility) Applicants must possess one year of experience in income maintenance eligibility in a Department of Social Services in order to be fully qualified.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Note: Eligibility for benefits may vary by location.
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Certified Tumor Registrar (CTR) designation OR Oncology Data Specialist designation (ODS-C) REQUIRED. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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HCA Healthcare Co-Founder. If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
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Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location. Experience: Minimum3 years health care management/leadership experience required Minimum 5 years recent inpatient hospital coding experience required Certificate/License: RHIA, RHIT and/or CCS preferred "Parallonprovides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
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Referral services for child, elder and pet care, home and auto repair, event planning and more. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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As a(an) Medical Records Specialist with HCA Florida Fort Walton-Destin Hospital you can be a part of an organization that is devoted to giving back! We are looking for an enthusiastic Medical Records Specialist to help us reach our goals.
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Come join our team as a(an) Medical Records Specialist PRN. We care for our community! Jump-start your career as a(an) Medical Records Specialist PRN today with Lakeview Hospital. If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Records Specialist PRN opening.
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Jump-start your career as a Medical Records Specialist today with Methodist Hospital Hill Country. Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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Conducts intensive screening of all worker's compensation, Medicare, Medicaid and managed care patients for pre-certification requirements and provider service eligibility, prior to registration as applicable.
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Verify all insurance and obtain pre-certification/authorization. Family support through fertility and family building benefits with Progyny and adoption assistance. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
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