The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.

Performs insurance verification for all scheduled patient services and obtains required precertifications in a multi disciplinary environment. Two of the four skill levels required 1. One year experience in healthcare environment or 2. Completion of healthcare related certificate program 3. One year experience with medical insurance in a hospital or physician office or 4.

Demonstrate superior skills in three of five areas of Patient Access. Proficiency will be demonstrated by being ranked as "exceeds expectations" in three key areas quality of work (using measures for accuracy and completeness), patient satisfaction ( using measures in the area of friendliness, courtesy and ease of registration process), and efficiency (using measures rela

This is a per diem position. Wellington Regional Medical Center is located in Wellington, Florida. It is a 235 bed, acute care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected healthcare management organization. Wellington Regional is proud to have provided high quality healthcare services to the residents of Palm Beach County since 1

Are you a caring and skilled mental health professional with a passion for making a difference in the lives of those seeking help? Join our team at Burrell as an Evaluator and utilize your expertise to perform comprehensive initial assessments for individuals across the lifespan. Your insights and guidance will enable us to develop tailored treatment plans and ensure prop

Are you looking for a place to work where you can make a real difference in the lives of over 200,000 college students every year? Would you like to be part of an organization that adds $7.2 billion dollars to the economy and supports nearly 100,000 jobs in the fastest growing county in the United States? Whether you're teaching, working, or learning Make It Happen At Mar

Purpose This is a full time position to serve as a member of the Office of Risk and Compliance at Dell Medical School generally focusing on the University of Texas at Austin's clinical practice, UT Health Austin. This position is responsible for policy management at UT Health Austin. The Policy Administrator reports to the Office of Risk and Compliance. The position works

Insures patient accounts are handled according to hospital policy and that contacts with the public are conducted in a concerned and efficient manner Enter detailed notes explaining account activity in the Patient Accounts system Determine and assist but not limited to qualifying patients for Indigent, Bankruptcy, Deceased, Financial Assistance, Medicaid eligibility, Pres

Population Specific Care No Direct Patient Care Denials Analysis & Resolution 1) Conducts root cause analysis of denials to determine where improvements within PFS or other departments may be necessary. 2) Collaborates with and provides support to PFS staff and management in appeals including, but not limited to, follow up with departments where letters of medical necessi

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Responsible for review of the clinical information received from physicians, department queues and other clinical providers, ensuring clinical data is substantial enough to authorize services for both 1 time visit account types and recurring accounts. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. R

Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in

Responsible for review of the clinical information received from physicians, department queues and other clinical providers, ensuring clinical data is substantial enough to authorize services for both 1 time visit account types and recurring accounts. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. R