Location: WK Medical Center. Department: Physician Network. Classification: Full-Time. Shift: 8:00 AM-5:00 PM. Date Posted: 4/25/2024. Description: Willis Knighton Physician Network is offering an exciting and challenging opportunity for a qualified candidate to assist the Revenue Tracking Department with managed care contracts. The qualified candidate is responsible for tracking managed care payor reimbursement and performance, maintaining up to...
Job Family: MED > Medical Ops & Support (Non-Licensed). Type: Full time. Date Posted: Apr 15, 2024. Anticipated End Date: May 31, 2024. Reference: JR108979. Description. Intake Specialist. Location. 3033 W George Bush Highway, Suite 100, Plano, Texas 75075. This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week. The. Intake Specialist. is responsible for the administ...
The Patient Account Manager's basic function is to verify eligibility, pre-certify and ensure compliance with all policies and procedures of insurers, PPO, HMO, Managed Care Companies, etc. prior to the provision of services to advse patients of any non-covered services/out of pocket expenses. To address any and all questions/concerns from patients/payors regarding services, rights and responsibilities, cost, etc. RESPONSIBLE TO. The Office Manag...
Job Details. Job Summary. The Manager of Managed Care will report directly to the Vice President of Managed Care and will be responsible to lead the Managed Care Specialist and Ancillary Contractor in single case agreements (SCA’s), credentialing, and assisting with managed care contracts, including Pay for Performance and Centers of Excellence. Responsibilities. Oversees the Single Case Agreements (SCA’s) process on behalf of the Network, includ...
Job Summary. Manages administration of the contract portfolio and the day-to-day relationships between the System and Managed Care Organizations (MCOs) within that portfolio. Coordinates the financial, legal, operation and other administrative processes between the Systems and MCOs that are necessary to secure new contracts and maintain the viability of existing contracts. Supports designated leaders as assigned. Essential Functions. Manages admi...
BASIC FUNCTION. To ensure the facility improves/maintains overall census, assist in marketing the facility in creative ways, working collaboratively with the IDT to ensure the profitability of the facility promoting a team approach. REPORTS TO. Administrator. ESSENTIAL JOB FUNCTIONS. The employee must be able to perform each essential job function effectively to be successful in this position. Provide tours to potential residents/representatives ...
Come join this collaborative and innovative team. At Integritus Healthcare you will enjoy WEEKLY pay, generous time off, exceptional health insurance, and the ability to grow in your career. Integritus Healthcare wants you. Generous Sign-on Bonuses. Referral Bonus. Competitive pay based on experience. RN $35.00 - $47.50 per hour. LPN $30.00 – 38.66. At Hillcrest Commons Nursing & Rehabilitation Center, we have been caring for area families sinc...
Process claims for multiple payer types (Commercial, Managed Care, Medicare, Medicaid, etc.). Assure all assigned claims meet clearinghouse and/or payer processing criteria. Assure appropriate follow-up on assigned work lists. All work meets departmental productivity and quality review standards. Provide Team Management with issues regarding claims follow-up process. Provide Team Supervisor or Manager with issues and potential resolutions regardi...
Woodstock Nursing and Rehabilitation is seeking an energetic and dynamic RN/LPN for our Admission nurse position. . The Admission nurse is responsible for working collaboratively with the Clinical Team in responding to inpatient, referral requests from clinicians, patients, family members, Emergency Departments, managed care company staff, and others. The Admissions Nurse will facilitate patient admission to the facility, complete the initial adm...
The MDS-RN assures the implementation of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement. MDS-RN is also responsible for regulatory compliance and quality improvement efforts to attain appropriate Medicare or Managed Care reimbursement. This position int...
Chestnut Ridge Nursing and Rehabilitation is seeking an energetic and dynamic RN for our Admission nurse position. . The Admission nurse is responsible for working collaboratively with the Clinical Team in responding to inpatient, referral requests from clinicians, patients, family members, Emergency Departments, managed care company staff, and others. The Admission RN will facilitate patient admission to the facility, complete the initial admiss...
MDS coordinator. The MDS-RN assures the implementation of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement. MDS-RN is also responsible for regulatory compliance and quality improvement efforts to attain appropriate Medicare or Managed Care reimbursement. ...
