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Seeking a Credentialing Specialist who will be responsible for credentialing new and established health care providers and the maintenance of information to include primary source verification, follow-up, data collection, data entry and document review.
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As part of the Care Management/ Health Home six core services, the Integration Specialist provides care transition assistance from in-patient settings, follow-up in the home, as well as community based care coordination, health promotion, patient and family support, referral to community and social support services, and comprehensive care management.
$26.52Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Work corroboratively with other clinicians and health-care providers to implement and maintain innovative disease management programs and clinical pharmacy services. Follows up on formulary compliance issues and/or communicates issues to management.
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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. Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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The Accounts Receivables (AR) Specialist performs collection follow-up steps with insurance carriers regarding open accounts receivable and/or delinquent accounts to result in maximum cash collections.
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Follows up with the physicians to get resolution of all queries prior to patient’s discharge to ensure accurate quality data and appropriate reimbursement whilst maintaining up to date DRG. Assists coders in follow-up on queries and clarifications to physicians done retrospectively post patient discharge.
$93,800Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Claims Specialist: Manages the full claims process in our EHR, from creation to follow-up, handling insurance inquiries with expertise. Follow-Up Expert: Provides daily updates on the status of authorization requests to ensure optimum service delivery.
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Full time, Permanent Care Management Specialist - Social Worker in Atlanta, GA Take the next step in your career with Georgia's Top Hospital. The Lead will follow the patients managed for 30 days post discharge to help reduce readmissions and ensure community resources, follow up, post-acute management or services are in place.
$27 - $40 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Shift Details: The Safety Specialist will be responsible for providing technical expertise to team members, develops, implements, and managing the day to day functions of Emergency Management, Safety/Environment of Care programs, and monitoring Life Safety program within the hospital/healthcare setting including freestanding Emergency Department.
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Skills:Payment posting, Collection, Medical collections, Medical, Payment poster, Data entry, Customer service, Medical billing, Call center, medicaid, Collection calls, Revenue cycle, outpatient, Outbound calls, Accounts receivable, Cash postings, Collections customer service, 50 wpm, Medical insurance, Insurance follow up, Icd-10, Medical terminologyExperience Level:Intermediate Level About TEKsystems: We're partners in transformation.
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Follow-up in improving clinical documentation to reduce such denials. Regularly participates in scheduled case management meetings and actively exchanges information pertaining to clinical documentation, plan of care affecting coding and reimbursement.
$93,800 - $128,950 a yearFull-timeExpandUpdated Yesterday - UpvoteDownvoteShare Job
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Follow-up with providers regarding missing documentation/dictation preventing the account from being coded. Follow-up with ancillary/nursing departments for missing documentation as outlined.
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Patient Support Specialist work independently with minimal supervision to connect patients with community resources by scheduling appropriate follow-up appointments prior to the hospital discharge.
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Assists in Recovery Audit Contractor (RAC) and other audit follow up and contributes to appeals on insurance denials as requested. The RN Utilization Specialist (RNUS) is an experienced registered professional nurse with extensive knowledge of patient care, medical treatments, hospital procedures and has expertise in hospital utilization.
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As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care.
$18.15 - $22.5 an hourFull-timeExpandApply NowActive JobUpdated Yesterday
care management full follow up jobs Title: specialist in Rogers, Arkansas
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