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NYU Langone Health
Overview
Provides administrative and clinical support to RN Care Managers and LCSWs to facilitate the patient discharge process. Responsibilities include coordinating post-acute care, managing payer certifications, and handling utilization management documentation.
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Compensation
$33,533 - $50,096 / YEAR
Posted
25 days ago
North Country Healthcare
The Prescription Refill Nurse ensures the safe and timely renewal of patient medications by reviewing requests and collaborating with physicians. They are also responsible for documenting activities in EMR systems and managing insurance prior authorizations and appeals.
Salary not listed
Brown Medicine
Assists patients and families in resolving medically related problems by coordinating personal, hospital, and community resources. Responsibilities include developing service plans, maintaining case documentation, and managing discharge planning or utilization reviews in specialty areas.
$50,523 - $83,346 / YEAR
1 month ago
Mille Lacs Health System
The specialist manages the prior authorization process to ensure payers reimburse the health system for scheduled services. This includes submitting documentation, managing insurance appeals, and coordinating with providers to secure approvals.
$21 - $31 / HOUR
Pain Control of Texas PLLC
This role manages insurance denials and payer disputes from identification through resolution, focusing on ensuring accurate reimbursement for services rendered. Key duties include reviewing, analyzing, and resolving claim denials, and preparing and submitting first-level and escalated appeals to various payers.
3 months ago
Aspire Fertility Austin
The Authorization Specialist is primarily responsible for ensuring a positive patient experience by verifying patient eligibility and initiating necessary prior authorizations using online resources and direct communication with insurance providers. This role also involves reviewing medical records, updating information in the EMR system, and coordinating peer-to-peer meetings for physicians.
The Social Worker BSW assists patients and families by locating and coordinating necessary personal, hospital, community, and financial resources within a specialty service area. Responsibilities include interviewing patients, developing service plans, maintaining documentation, and arranging referrals to appropriate community agencies.
$24 - $40 / HOUR
Orlando Health
Responsibilities involve accurately and efficiently accessing specialty physician billing and Health Information Systems to gather records necessary for coding and billing professional physician and mid-level services using ICD-10, CPT, and HCPCS classifications. Senior Coders are also responsible for mentoring junior coders and serving as management support.
5 months ago
Florida Medical Clinic
The Physician Coder is responsible for accurately coding physician services using ICD-10, CPT, and HCPCS systems, reviewing medical records, and ensuring compliance with billing regulations. They will also collaborate with healthcare providers and assist in maximizing reimbursement for patient accounts.
