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

Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures. Knowledge/Skills/Abilities Develop sales s

$3,000 hiring bonus available!

Performs surgical or procedural scheduling and clerical duties while functioning as an integral communication link for the nursing team, physicians and clinics. Accountable for follow up with clinics and service coordinators. Accurately assigns surgical cases to available time slots by working within guidelines. Aligns with OR service coordinators to ensure proper equipme

Reception Team Staff Clinic Hatchery Hill Clinic 3051 Cahill Main, 3051 Cahill Main, Fitchburg, Wisconsin, United States of America Req #1804 Wednesday, March 20, 2024 Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER 20 hours/week, .50 FTE. Daytime hours, M F, with no weekends. The Reception Team Staff Clinic position is responsible for providing a wid

Develop strong relationships with key business and risk partners, while providing appropriate and timely responses to business line and other inquiries. Maintain an understanding of Allspring's operations and regulatory guidance/expectations Test, draft, and provide advice and guidance on 38a 1 and 206(4) 7 policies & procedures, as well as regulations Conduct third party

As a family company, we serve people and communities. When you work at Meijer, you're provided with career and community opportunities centered around leadership, personal growth and development. Consider joining our family take care of your career and your community! Meijer Rewards Weekly pay Scheduling flexibility Paid parental leave Paid education assistance Care.com/b

The Guest Services Representative ("GSR") position must demonstrate and promote a strong commitment to providing the best possible experience for our guests. The position is responsible for assisting guests at all times, answering phones, and checking in and checking guests out in accordance with company guidelines and procedures. The GSR also is responsible for completin

Overview Find Your Passion and Purpose as a Business Operations Manager Reimagine Your Career in Hospice As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think

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

At Five Star Senior Living, our people are the critical link to those we serve, and it is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In addition to nurturing and advancing the lives of our residents, our team members enjoy meaningful opportunities for personal and professional growth, wit

Lead daily operation and coordination of mobile and school based patient care services Develop and implement programmatic expansion of school based and mobile health services Identify opportunities to improve quality, safety and efficiency Serve as a liaison between patients, families and additional care staff Develop collaborative relationships with leadership members fr

This is a key education and training position within the clinical team. The position reports to the Chief Operating Officer to support the organization's delivery of safe, effective, and culturally sensitive trauma informed patient care services. The RN Clinical Staff Educator collaborates with management, other clinic leaders, and staff to assess, plan, develop, implemen

Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica

Providers with the Division of Hospital Medicine provide comprehensive, patient centered care for the diagnosis and treatment of acute and chronic illnesses at UW Health practice sites. They are also provided the opportunity to grow the next generation of physicians through hands on instruction of residents, fellows, and medical students. Our Division prides itself on bui