Field based representative responsible for increased levels of revenue attainment and resolution of unbilled exception management with CMS physicians, other healthcare professionals and support staff. Essential Functions Facilitate additional documentation collection when indicated for medical orders and authorizations to ensure timely and accurate claims processing by th

Responsible for providing overall strategic and operational leadership to the branch office and field staff. Responsible for business development initiatives and managing all functions necessary to ensure operational, service, and business goals are aligned with company and division business objectives. Manage the overall operations of the branch office. Oversee daily ope

The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction and submission of accurate data required by CMS. Facilitates concurrent modifications to clinical documentation to in

Effectively oversee and manage the continuum of the new patient referral process within department standards. Provides strong customer service to patients and internal and external stakeholders as the clinic's first point of contact. Independently assesses patient needs to prioritize and triage referrals. Answers phone calls, takes messages and responds to routine patient

Planning and scheduling surgeries with the patient, provider and hospital Inquiring and Obtaining Authorization, pre certification and/or pre determination on scheduled surgical procedures Answers all incoming calls; assesses callers' needs and directs to appropriate personnel. Pages clinic personnel as appropriate. Obtains and communicates messages in an accurate and tim

In a High Reliability Organization, the Peer Review Nurse, reporting to the Director of Quality, is responsible for organizing and coordinating Medical Staff Peer Review activities of hospital. This individual, as a designee of the Chief Medical Officers, will demonstrate their expertise in quality management through performance of medical staff screening to determine whe

PROGRAM COORDINATOR (BEAUMONT AREA) Job Locations US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | US TX BEAUMONT | ... ID 2024 141779 Line of Business ResCare Community Living Position Type Full Time Pay Min USD $16.00/Hr. Pay Max USD $16.00/Hr. Our Co

Provides leadership, management and operational oversight to the Medical Staff Services department. The director works collaboratively with the Regional Chief Medical Officer and Medical Staff Leaders to plan, organize, direct and coordinate the programs and activities of the Medical Staff and ensure that the strategies of the Medical Staff are supported and attained, goa

The Communication Technician performs the necessary functions to promote and maintain a courteous, well organized and efficient communications center in accordance with PICC/Vascular/Transfer Center Department policies and procedures. The PICC/Vascular/Transfer Center Communication Center Technician will actively participate in the following o Depatments Committees o Depa

In collaboration with other clinical leaders in the Regional Group, is responsible for ensuring that patient care is delivered within the framework of evidence based practice throughout the health system continuum and for understanding existing and emerging requirements in healthcare quality, safety, service/experience, and operational improvements. Responsible for resear