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Responsible for overseeing and optimizing all aspects of patient access functions across our healthcare system. The role plays a crucial part in ensuring seamless patient experiences, efficient operations, and compliance with regulatory requirements. This position requires strong leadership, strategic planning, and operational expertise to drive continuous improvement in
Posted 2 days ago
Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description Responsible for the maintenance and processing of patient
Posted 2 days ago
Provider Relations Representative is responsible for assisting in the full range of provider relations and service interactions for all lines of business within Prominence Health Plan. Will assist in the design and implementation of programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice
Posted 2 days ago
Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description This position is responsible for accurately performing the
Posted 2 days ago
About Henderson Hospital Henderson Hospital is a member of The Valley Health System, a network of acute care and specialty hospitals that provide care for patients throughout Southern Nevada and nearby communities. Located in Henderson, NV, the acute care hospital offers emergency care, surgical services, including an outpatient surgery center, cardiovascular care, women'
Posted 2 days ago
The Member Outreach Representative serves as a call agent reaching out to members to promote quality and wellness programs. The primary function of the outreach agent will be contacting Prominence Health Plan members by phone to inform and educate them on the health insurance offerings, products or services, as well as respond to inquiries and assist with quality improvem
Posted 2 days ago
Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring the appropriate review, research, processing and responding to written member and provider complaints, appeals, and grievances. This position is required to apply analytical and critical thinking when reviewing contract language, benefits and covered services in researchin
Posted 2 days ago
About Centennial Hills Hospital Centennial Hills Hospital Medical Center is a 336 bed facility that is part of the six hospital The Valley Health System in the Las Vegas area. We provide a wide range of medical services and procedures, including comprehensive women's services for the Northwest Las Vegas area. In addition to providing digital mammography, gynecologic care
Posted 2 days ago
Scheduling referrals for patients, providers, pre authorizing & pre certifying tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff. Directly communicates with the clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. All other duties as assigned Independence Ph
Posted 2 days ago
Visits all patient care units to ascertain condition of patients, evaluate staffing needs and provide support to caregivers. Administers the effective distribution and utilization of personnel employed during the respective shift. Maintains staffing within staffing guidelines for each unit based on census. Provides justification to nursing director and CNO & VP of Clinica
Posted 2 days ago
Leads the overall functions of the medical office, including patient scheduling, patient check in and check out process including properly documenting registration, communication with patients and providers, answering phones, insurance authorizations, collecting co pays and cash payments from patients, entering charges, payments, and balancing the day, medical records and
Posted 2 days ago
Scheduling referrals for patients, providers, pre authorizing & pre certifying tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff. Directly communicates with the clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. All other duties as assigned Independence Ph
Posted 2 days ago
About Centennial Hills Hospital Centennial Hills Hospital Medical Center is a 336 bed facility that is part of the six hospital The Valley Health System in the Las Vegas area. We provide a wide range of medical services and procedures, including comprehensive women's services for the Northwest Las Vegas area. In addition to providing digital mammography, gynecologic care
Posted 2 days ago
Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description This position is responsible for accurately performing the
Posted 2 days ago
Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description Responsible for duties necessary in the processing of pati
Posted 2 days ago
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