Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health. Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies. Enters authorization/pre determination requests into information system according to Network Health policies, procedures and des

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

This position is responsible for performing compliance monitoring of sub contracted organizations, working collaboratively with departments across CareOregon. Primary responsibilities include delegation oversight, process improvement, and reporting. Essential Responsibilities Delegation Oversight Work at the guidance of and with input from the Regulatory Manager to interp

Gather and maintain tax records for our US S Corporation, partnership and individual tax returns. Prepare tax returns, related schedules and reports as well as estimated quarterly and extension tax payments. Maintain fixed asset reporting and prepare tax depreciation calculations. Conduct tax research and report findings. Collaborate with other Income Tax Accountants and

Recommends and meets annual department goals, initiatives and objectives. Anticipates change and makes adjustments based upon organization strategic plans. Ensures department activities are efficient and effective. Manages day to day operations of credentialing department and associates, assigns workloads and manages responsibilities such as hiring, training, staffing cov

The Purchasing Agent is responsible for negotiating with suppliers to purchase goods and services on behalf of the company. Essential Duties and Responsibilities Purchasing of inventory and disposable inventory items Purchasing of Galvanized materials Coordinating deliveries and resolving shipping errors with suppliers Purchasing of pipe, valve and fittings Purchasing pro

The Health Care Coordinator (HCC) acts an entry point to CareOregon's Regional Care Teams, as well as provides care coordination. This position provides intake functions, physical and behavioral health plan navigation, and care coordination including assessing member needs, developing individualized care plans, coordinating with providers and with members. A focus of this

To some people, home is a place. To others, it's a feeling. To us, it's whatever our patients need it to be, wherever they are. Horizon is a home care and hospice provider built on a foundation of care that celebrates the human spirit and the desire for security, comfort and compassion. We make a loving difference in the lives of our patients and families in offering our

We Are Hiring Health Unit Coordinator 5 Med 0.7FTE 8hr/12hr Day Shift Schedule Details This .7 FTE commits to 28 hours per week. Mix of 8hr and 12hr Days (7am 330pm or 7am 730pm) Weekend rotation, 1 2 Holidays per calendar year. Availability to work above FTE to cover PTO. This is not a seasonal or temporary position. The Medical Unit at WMH is a fast paced, 53 bed unit s

Responsible for greeting and welcoming patients in person. Provides a standard registration process by collecting demographic and financial data and enter information into a electronic medical record. Primary Responsibilities Greets and welcomes patient in person Collects demographic and insurance information Checks in or interviews patient to complete appropriate paperwo

Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (i.e., CPT, ICD 10 and HCPCS, NDC, revenue codes and medical terminology). Will obtain necessary documentation from various resources. Ability to timely and accurately communicate with internal teams and external customers (i.e., third party payors, auditors, other entity

Supports the day to day functions of the Legacy Lane with passion for providing care and education of dementia while adhering to current federal, state and local standards, guidelines and regulations that govern long term care facilities. Duties and Responsibilities 1. Coordinates, with the direction of the Executive Director, the leadership team, responsibility and accou

The overall responsibility is for a major contribution to the revenue cycle/accounts receivable operation and patient registration function(s) for the Gerald L. Ignace Indian Health Center, Inc. The responsibility includes the submission of properly executed claims on a timely basis to third party payers, guarantors, and other responsible parties. Re billing, corrections

Knuckleheads Trampoline Park ? Rides ? Bowling is currently seeking upbeat, outgoing individuals who are passionate about customer service and providing an exceptional experience for every Knuckleheads guest. Essential Duties and Responsibilities (other duties may be assigned) Greet customers in a friendly manner while providing information on attractions, promotions, pri

Your Job Georgia Pacific's Corrugated business has an exciting leadership opportunity in Sheboygan, WI! We are now hiring a Director of Operations to take on overall operations of this facility with a workforce of around 100 full time employees including a 15 person leadership team. The Director of Operations will lead the team to ensure a safe and injury/incident free en