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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
Posted Today
1. Ensures effective implementation of new and renewing contracts through communication and coordination with other functional areas. Note Only for Contracted but not Employed Physician Groups. 2. Oversees the corresponding credentials and maintenance of the contract files in an orderly manner. 3. Follow up with physicians and/or vendors on the status of a contract and/or missing information to ac
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Strong knowledge of State and Federal regulations regarding the provider appeals and claims processes within the healthcare industry. Meeting regulatory compliance per Prime’s SPDs (Summary Plan Description) Maintaining the completeness of Prime Healthcare’s Provider Appeals Data. through Prime Healthcare’s written provider appeals processes & guidelines (e.g., creating an appeal
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The Billing Manager is responsible running Corporate wide billing initiatives across our 45 hospitals. Such initiatives’ goals are to improve our billing processes while optimizing reimbursement from payors. The Manager maintains operations within budgetary parameters. Effectively interacts with patient, significant others, and other health team members, while maintaining standards of profes
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Provides management support and coordination for all medical staff, medical education and continuing education services. Maintains productive, professional relationships with all levels of staff. Develops departmental plans, budgets and directs staff as appropriate. Maintains knowledge of the medical staff and medical education standards as related to deemed agencies, state law, and other regulati
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The Director of Rehabilitation & Wellness Services is responsible for the overall operations & success of nursing, therapies, wellness and business services. The Director is responsible for developing and maintaining rehabilitation and wellness programs to meet the identified needs of the community. The Director is administratively responsible for the management of fiscal and personnel resources,
Posted 1 day ago
Provides medically prescribed consultative and therapeutic services within scope of practice in order to restore function and prevent disability for clients or patients with musculoskeletal , neuromuscular and cardiopulmonary disorders. Performs responsibilities in accordance with department and Hospital Policies, state, federal and regulatory requirements Title 22 Section 70517, 70519. Functions
Posted 1 day ago
Responsible for the evaluation, treatment planning and implementation of treatment for patients demonstrating disorders of speech, language, cognition, swallowing and other services prescribed by a physician. Assists in developing and implementing new and ongoing programs beneficial for the enhancement of the department. Qualifications EDUCATION, EXPERIENCE, TRAINING Graduate of an accredited col
Posted 1 day ago
Corporate Service Line Director, Maternal Child Health Facility Prime Healthcare Management Inc (PHMI) Location US CA Ontario ID 2020 44823 Category Director Position Type Full Time Shift Days Overview The Corporate Director of Maternal Child Health (MCH) is a Registered Nurse (RN) who assumes 24 hour administrative responsibility for the management and coordination of all Maternal Child Health Ca
Posted 1 day ago
Responsible for the daily coordination and oversight to the Referral Technicians with regard to referral distribution and tracking. Assists Director of UR Dept. in providing oversight and monitoring productivity of UR Coordinators and Referral Technicians. Provides training to new staff on system and referral processes. Assists physician offices and vendors with problem resolution. Knowledgeable i
Posted 5 days ago
Regional Manager, Managed Care Health Plan Operations is responsible for the management and data integrity of the managed care agreements in place at all hospital facilities. The Regional Manager effectively interacts with Corporate Executive Management, Hospitals and Business Office Management and commercial insurance payers. The Regional Manager will work on contract negotiations (language and r
Posted 6 days ago
The Biller is responsible to bill all insurance companies, workers' compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. Qualifications Education and Work Experience Knowledge of multiple
Posted 6 days ago
The Account Resolution Specialist is the lead responsible for the timely follow up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience Minimum of four years hospi
Posted 6 days ago
The Clinical Documentation Specialist Coordinator Trainee (CDS Coordinator Trainee) supports Clinical Documentation Improvement program (CDI). CDS Coordinator Trainee shadows and supports CDS to improve communication with medical Staff. CDS Coordinator Trainee works closely with CDS to facilitate appropriate clinical documentation of patient care. Other responsibilities include assisting CDS in tr
Posted 7 days ago
The primary role of a mail clerk is to prepare and manage all outgoing packages including that of medical records, appeal letters etc.; mail clerk also verifies address, package items, ensure proper labeling, and arrange pickup from the post office, UPS, FedEx, or other carriers. Keeps track of packages mailed, delivery confirmations etc. Maintains shipping and mailing supplies, such as envelopes,
Posted 8 days ago
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