The Payment Integrity Program Lead will ensure that claims are paid accurately through Coordination of Benefit (COB) processing using secondary insurance coverage information. This position is directly responsible for researching and maintaining coordination of benefits of all contracted and non contracted health plan entities as reported by multiple sources. This role wi

This position is accountable to perform clerical duties, act as unit receptionist, coordinate unit/patient activities with other departments via proper use of the computer and telephone, and maintain an orderly and efficient nursing station. Nature and Scope This position has internal contact daily with personnel from all departments for the purpose of assisting with unit

This position is accountable to perform clerical duties, act as unit receptionist, coordinate unit/patient activities with other departments via proper use of the computer and telephone, and maintain an orderly and efficient nursing station. Nature and Scope This position has internal contact daily with personnel from all departments for the purpose of assisting with unit

This position is accountable to perform clerical duties, act as unit receptionist, coordinate unit/patient activities with other departments via proper use of the computer and telephone, and maintain an orderly and efficient nursing station. Nature and Scope This position has internal contact daily with personnel from all departments for the purpose of assisting with unit

This position's primary function is to screen and process referrals, determine and secure the financial pre authorizations, review financial policies with patients and/or caregivers, process referral requests and orders from internal and external sources, pre register patients, and maintain the scheduling for new patient appointments. In some roles the referrals will be r

Maintain a cordial and courteous relationship with patients. Always greets patients with a smile. Functions as "Director of First Impressions Answers phone calls and routes to appropriate party. Always informs patient they are going to go to voice mail. Take accurate, complete written messages as required. Schedule, cancel and reschedule patient visits based on establishe

Responsible for overseeing and optimizing all aspects of patient access functions across our healthcare system. The role plays a crucial part in ensuring seamless patient experiences, efficient operations, and compliance with regulatory requirements. This position requires strong leadership, strategic planning, and operational expertise to drive continuous improvement in

This position is responsible for the operational, financial, quality and patient experience performance for their assigned departments. This position supports organizational Administrative and Physician Leaders in the delivery of quality care and service in a cost effective manner. The Administrative Director is responsible for the execution of strategic initiatives both

EOB/Payment Analyst SMRMC Patient Accounting Facility Saint Mary's Regional Medical Center Location US NV Reno ID 2024 160835 Category Admin Position Type Full Time Shift Days Job Type Non Exempt Overview Join an award winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary's Health Network, a member of Prime H

This Payment Specialist opportunity is full time at 40 hours per week, offers full benefits and a convenient Monday Friday day shift schedule. Independence Physician Management Company is a multispecialty medical and mental health billing company. Universal Health Western Regional Central Ambulatory billing office. Electronic Medical Records and Management services.One of

This Payment Specialist position is full time at 40 hours per week, offers full benefits and a convieneint schedule. Independence Physician Management ("IPM") was formed in 2012 as a separate and distinct physician practice management unit of Universal Health Services (UHS). Operating as a subsidiary of UHS, with more than 140 locations nationwide, IPM is dedicated to the

The Risk Adjustment Submissions Manager is a core member of the Risk Adjustment team who specializes in submission of healthcare encounter data to CMS, use of the submissions platform to manage submissions and errors, applicable regulatory edits and business rules. The Risk Adjustment Submissions Manager maintains the throughput of encounter data to the proper regulatory

The Compliance Analyst provides support to the organization to execute key initiatives for the effectiveness of the Compliance Program for health plan products, including Medicare Parts C and D, large and small group health plans, third party administration, and other commercial health plan products. The Compliance Analyst captures and analyzes data used to detect trends

This position's primary function is to process authorization requests timely and accurately in accordance with federal, state and accreditation guidelines. This position will be responsible for the completion of authorizations, including but not limited to, data entry of information received by phone, fax or electronically, verification of member eligibility, benefit cove

Education Must have working level knowledge of the English language, including reading, writing, and speaking English. Experience Two years of applicable and recent clinical experience. License(s) State of NV Registered Dietitian license required Certification(s) Certified Diabetes Educator required within 90 days of employment. Current CPR certification required. Compute