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In collaboration with the manager/director of Performance Improvement is responsible for assisting in the coordination, integration, and implementation of the organization wide performance improvement activities to ensure compliance with company policies and state/federal regulatory and accreditation standards. Activities include but are not limited to chart reviews, data abstraction for CMS Core
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1. Completes Core Measure and other data abstractions for reporting to various state and federal regulatory bodies with accuracy and minimal supervision and direction. 2. Performs concurrent and retrospective case reviews. 3. Entry of data from chart screening and peer reviews in the computerized quality database and produces reports from this data base as needed. 4. Analyzes data collected for Pe
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The position functions as a liaison between the ACGME and the residents/fellows, teaching faculty, GME Office, departments/caregivers internal to the hospital, and institutions serving as outside teaching sites for residents and fellows. The DME/DIO should also be knowledgeable about health care compliance and regulatory requirements, and demonstrate abilities in areas of financial analysis, strat
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The position functions as a liaison between the ACGME and the residents/fellows, teaching faculty, GME Office, departments/caregivers internal to the hospital, and institutions serving as outside teaching sites for residents and fellows. The DME/DIO should also be knowledgeable about health care compliance and regulatory requirements, and demonstrate abilities in areas of financial analysis, strat
Posted Today
The position functions as a liaison between the ACGME and the residents/fellows, teaching faculty, GME Office, departments/caregivers internal to the hospital, and institutions serving as outside teaching sites for residents and fellows. The DME/DIO should also be knowledgeable about health care compliance and regulatory requirements, and demonstrate abilities in areas of financial analysis, strat
Posted Today
The Corporate Revenue Cycle Director Behavioral Health is responsible for overseeing and influencing department activities as it relates to Authorizations, Utilization Review, Billing/Collections and Denial Management for Exempt and Non Exempt services. The Director maintains operation within budgetary parameters. The individual will be collaborating with leadership within the Revenue Cycle Team t
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1. Manage all aspects of Patient Access including preregistration, insurance verification, point of service collections, financial counseling, and registration ensure timely processing and patient flow 2. Performs all department functions, as necessary 3. Completes employee evaluations timely 4. Monitors employee attendance, insures employees attend mandatory education and other programs or traini
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The Regional Revenue Cycle Director is responsible for all areas of Patient Access, liaison with ancillary departments regarding hospital charges, monitoring DNFB report for delinquency in HIM coding, and working closely with Case Management. The Regional Director will maintain a good working relationship with all facilities in their region to ensure clear communication. Effectively interacts with
Posted Today
The Revenue Cycle Director is responsible for all areas of Patient Access, liaison with ancillary departments regarding hospital charges, monitoring DNFB report for delinquency in HIM coding, and working closely with Case Management. The Regional Director will maintain a good working relationship with all facilities in their region to ensure clear communication. Effectively interacts with patients
Posted Today
Upholds and supports the philosophy, objectives, and policies of PHC. Performs authorizations, referrals and post authorization reviews in a timely manner utilizing criteria approved by the CMOs and VP of Employee health. Determines priorities for the order in which members need to be authorized. Applies appropriate clinical judgment in the concurrent review process to ensure that information in t
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This position partners with Supply Chain Directors and their customers to analyze work process design and flow, improve processes and leverage the return on technological capabilities. The Sr. Application Analyst ensures adherence to project schedules, maintains a systems orientation and can work effectively with peers to meet technology priorities. This position is hands on and requires strong kn
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This supports the execution of Prime Healthcare’s enterprise initiatives, development and execution of enterprise level controls, and operational support activities. This includes planning and designing potential business initiatives, supporting documentation of project activities, and address concerns during project execution. #LI CC1 Qualifications Required qualifications 1. Bachelor&rsquo
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The Specialist, Cash Applications is the lead responsible for posting all incoming payments to correct patient accounts on a daily basis. Inputs and retrieves data from computer systems. Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Ability to communicate with school age, adolescent, young adult, middle adult to older adults. Please note any duties or
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Under the supervision of the PFS Director, the Reimbursement Specialist position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement rec
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Under the Corporate Finance Manager – Revenue & Reporting, this position will be a key team member with the following responsibilities • Working with Revenue Cycle, Business Office, and Decision Support in analyzing and monitoring the valuation of patient accounts receivables and credit balances for all hospitals and physician groups. • Development, enhancement, and continuous stan
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