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Capital Health (US)
Overview
The representative is responsible for preparing and submitting claims, responding to routine inquiries, and contacting payors regarding the status of outstanding claims, while meticulously documenting all interactions in the patient account record system. This role involves identifying and billing all implant or trailer services according to work lists, management direction, and hospital managed care contracts, ensuring compliance with contract terms.
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Compensation
$18 - $26 / HOUR
Posted
22 days ago
PAM Health Rehabilitation Hospital of Allen
The Case Manager coordinates care for a designated patient population and performs reviews of inpatient admission records to ensure proper resource utilization. They also assess discharge needs and collaborate with the interdisciplinary team to facilitate financial and quality outcomes.
Salary not listed
1 month ago
UHS
The Utilization Management Coordinator manages and monitors resource utilization to ensure clinical appropriateness and effective patient care. They act as a liaison between payors, the business office, and the treatment team to secure service authorizations and optimize reimbursement.
Bowen Health
The Provider Enrollment Coordinator is responsible for managing the timely enrollment of licensed providers with private payers, Medicaid, and Medicare, while also overseeing staff credentialing and completing necessary provider privileges according to governing body requirements. Key duties include performing various enrollment functions using systems like CAQH and NPI, tracking applications, resolving enrollment issues, and managing recredentialing and privilege documentation.
3 months ago
Encompass Health
The Case Manager actively manages and directs resource utilization to achieve high-quality outcomes during a patient's rehabilitation, coordinating and advocating for the patient from admission through post-discharge. This role involves facilitating timely communication, establishing discharge plans, and overseeing service coordination across areas like team conferences, patient education, and fiscal management.
