2000 16th St,Denver,Colorado,80202 5117,United States of America TheClinical Enterprise Analyst/Senior Analyst, Strategy and Special Projects will support the development of DaVita's integrated care strategy and prepare the organization for a shift to value based care. In an integrated care environment, we aim to provide the comprehensive and preventative care each patient

Located in the heart of the community of Washington Heights in Northern Manhattan is a 705 bed rehabilitation and nursing care facility with a mission to provide quality care through diverse programs and services designed to support health and independence to individuals needing short stay or long term inpatient care. Establishes financial status and Medicaid eligibility

Manage incoming Bordereaux from program managers Review and ensure Bordereaux submitted have accurate template format Complete review of validation errors from Bordereaux ingestion, follow up with individual program managers for correction Ensure and maintain accurate data within the LOC, written and affiliate Bordereaux trackers Manage the LOC process Manage OFAC check p

This position is responsible for ensuring institutional compliance with the Virginia Department of Behavioral health and Developmental Services, Virginia Medicaid Services, Tricare and Joint Commission. This position is tasked with ongoing compliance audits of current medical records. Key Responsibilities The Medicaid Specialist is tasked with auditing all open charts con

The Insurance Specialist will report to the Insurance Manager within the Risk & Safety Department and work under the guidance of the Director of Risk & Safety Management. The Insurance Specialist will have limited supervisory oversight of the Claims Coordinator(s) and provide guidance and direction for complex or challenging insurance related transactions. This individual

Providing exceptional care for our patients as well as recognizing the value of your co workers is the expectation of all members of the Prevea Health organization. All members are expected to focus on the patient's needs; relate to all in a friendly, accepting manner, communicate in a positive and professional way to patients and co workers; use time effectively and effi

Obtains insurance prior authorization for patient prescriptions, treatments, services, or procedures and re authorization for additional units including performing any retro authorization requests as allowed by payers; appeal prior authorization denials and help facilitate peer to peer reviews as needed. Appropriately document authorization details in the patient's medica

This position completes daily insurance verification/authorization for proposed services and patient notification for estimated payments due. The position works with clinicians audiologists and speech language pathologists, and schedules patients in the Practice Management database. The person hired will demonstrate the highest degree of accuracy and readability for all w

The Accounts Receivables (A/R) Representative assists in review and resolution of hospital claims under general supervision of the Patient Financial Services Supervisor. Posting, processing and balancing activities related to third party remittances on both hospital and physician based claims and all forms of payments received from patients. The Payment Applications Repre

Reporting directly to the Finance Department, the successful candidate will be responsible for coordinating insurance activities, analyzing insurance data, ensuring compliance with regulations, and fostering effective communication between internal and external stakeholders. This role will report directly to the Controller and will interact with third party insurance brok

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

EXCELLENT LOCAL OPPORTUNITY!

At Niagara, we're looking for Team Members who want to be part of achieving our mission to provide our customers the highest quality most affordable bottled water. Consider applying here, if you want to Work in an entrepreneurial and dynamic environment with a chance to make an impact. Develop lasting relationships with great people. Have the opportunity to build a satisf

Title Enrollment Processing Spec Employee Classification 52 Wks Unit Department Enrollment Management Salary Range 37,645.00 Who we are We are not for profit St. Louis Community college (STLCC) is a non profit institution dedicated to empowering students, expanding minds, and changing lives. Employees are committed to strengthening the St. Louis community with inclusive a

Primary Duties and Responsibilities (details of the basic job functions) Assist in the implementation and oversight of The Auto Club Group (ACG) membership sales and service delivery in multiple retail locations across assigned region. Play a key role in the delivery of exceptional membership experience. Develop and implement initiatives to drive the attainment of members