By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating authorizations on a timely basis Collaborate effectively …
Skilled Inpatient Facility Care Coordinator – RN PT OT or SLP – Kokomo IN – Remote
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Skilled Inpatient Care Coordinator NaviHealth Pine Bluff Arkansas
Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating authorizations on a timely basis Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes …
Senior Software Engineer – Eden Prairie, MN
Building and operating secure cloud platform capabilities that meet business requirements Innovate to improving efficiency, reducing technical drag, and create usable app patterns Practice SRE principles, to eliminating repetitive tasks, monitor performance, simplifying work practices, defining outcomes and metrics, and assure operational quality Manage security controls at the platform layer to enable the organization to operate securely, efficiently, and within policy Assist multiple partner teams to understand and apply information security guidance and standards with the goal of mitigating information …
Senior Provider Relations Advocate – Northern Indiana
Solid analytical skills required to support, compile, and report key information Drive processes and technology improvement initiatives that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, using standard project methodology (requirements, design, test, etc.) Use data to identify trends, patterns and opportunities for the business and clients. Develop business strategies in line with company strategic initiatives Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities Evaluate and drive processes, provider …
Senior Pharmacy Technician – Community
Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to maintain inventory records Works with the Pharmacist to asset in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements Performs various clerical duties …
Senior Patient Care Coordinator
Greets patients as they arrive and manage appropriate standard wait times Complete check-in and check-out tasks to include insurance verification, complete pre-authorizations and/or precertification of procedures, and copy required documents Collects co-payments, co-insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Processes walk-in patients and visitors Answers phones and schedules appointments Answer telephone calls, re-direct calls as appropriate, assist callers with questions or concerns, and take messages as needed Manages medical records (maintains, …
Senior Patient Care Coordinator
Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration Properly identifies the patient to ensure medical record numbers are not duplicated Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message …
Senior Insurance Representative – Remote in Minneapolis, MN
Understand edits and appropriate department procedures to effectively submit and/or correct errors on claims to the production standards of the department Utilize various resources such as third-party publications, procedure manuals and participating contractual agreements, etc. to reconcile accounts Advanced knowledge and understanding to process third party rejections using the Payor system and the billing system. Follow-up on open accounts receivable, re-filing and department status procedures Utilize Excellian and various systems and demonstrate understanding of procedures for registration/verification modules, Claims Processing …
Senior Inpatient Facility Coder
Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and/or AHIMA Adhere to and maintain required levels of performance in both coding …