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Position summary: The Medical Staff Liaison, using his/her knowledge of Schumacher Group policies in conjunction with Client Credentialing and Privileging policies, facilitates hospital privileging on behalf of all Schumacher Group candidates by serving as an ambassador and liaison between the Provider, Hospital Medical Staff Coordinator, or Credentials Verification Organization during the appl...
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14-Sep-2018Broussard, LA+6 milesGovernment Jobs
The Provider Enrollment Specialist directly impacts the financial stability of the Company by representing Schumacher Clinical Partners in the provider number approval process. The Provider Enrollment Specialist, using his/her knowledge of Schumacher Clinical Partners policies in conjunction with insurance carrier credentialing and enrollment qualifications, facilitates provider enrollment and ...
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The Reimbursement Liaison will be responsible for maintaining a smooth flow of info and documentation between Managed Care and Reimbursement. This will include maintaining up-to-date entries and records in the Managed Care contract database, performing system audits to ensure that all records are present and are the most current version, coordinating with the business systems team and the reimb...
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Hospital Medicine Liaison analyzes data and communicates production, outliers and special projects as it relates to Revenue through the Hospital Medicine Life of the Chart. Responsbilites: Generate and analyze audit reports weekly to show LOTC productivity and report on items below stated target. Generate and analyze weekly summary report to identify encounters that can flow into Chart Resource...
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This position supports all areas of the Reimbursement department. The purpose of this position is to own and maintain appeal projects for underpaid insurance claims, perform a retrospective review of appealed accounts, and develop a strategy around recovering the underpaid portion of the claims. Responsibilities: Review assigned accounts and EOBs to determine if an appeal is necessary. Gather a...
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This position supports all areas of the Reimbursement department and acts as a liaison to management, Managed Care, A/R, PRIV, the patient, and Insurance plans. The purpose of this position is to maintain higher level projects, conduct test appeal projects for underpaid insurance claims, perform a retrospective review of appealed accounts, and develop a strategy around recovering the underpaid ...
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This position is responsible for preparation of proposals, negotiation of contracts, and administration of commercial and governmental contracts in accordance with company policies and legal qualifications. Requires familiarity with a variety of healthcare reimbursement industry concepts, practices, and procedures. Assists in the implementation of and financial analysis of managed care contract...
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The Chart Acquisition Specialist participates general activities of Chart Acquisition regarding conducting in-depth quality reviews of the activities, processes and procedures of the department and its staff members, including auditing of electronically stored documents and log entry data. Responsibilities: Gather audit findings on standard posted transactions, verify figures, and review docume...
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Responsibilities: Review assigned accounts and EOBs to determine if an appeal is necessary. Gather and fill out all special appeal or review forms Create appeal letters, attach the materials referenced in the letter, and mail them Coordinate and perform phone appeals with the insurance company Maintain up-to-date records on status and any communications with the plan or patient. Provides abilit...
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Position summary Data and Performance Analysts serve as a consultant to the assigned Schumacher Clinical Partner Regions where they are responsible for analyzing provider performance, identifying opportunities and recommending actions to the operation teams. This will involve incentive plan solutions, evaluation, design, and implementation. This position is also responsible for the validation a...
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Position overview: The person will work under the direction of the Vice President of Compliance and is responsible for assisting with continual development and maintenance of an effective compliance program as identified by the Office of Inspector General. R esponsibilities: Assists in the monitoring and tracking of Business Associate Agreements and other HIPAA related activities Assists with C...
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The Clinical Documentation Improvement Specialist has an important role that affects revenue and quality of patient care by educating providers and internal teams on documentation data and systems, coding, and billing qualifications. Responsibilities: To advise and educate Emergency/Hospital Medicine providers on documentation/coding qualifications To counsel providers identified as outliers vi...
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The EMR and Scribe Services Coordinator will support EMR and Scribe Services initiatives with documentation data and systems analysis, coding, and billing qualifications. Responsibilities: Generate, prepare and distribute daily, weekly and monthly EMR and Scribe related reports for internal and external use. Create and maintain graphs and spreadsheets as needed to analyze and report EMR and scr...
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The Coding Specialist performs auditing as required as well as provides guidance to outsourcing partners as it relates to coding and edit reviews. Provide guidance as it relates to 3rd party audit reviews, patient complaints, coding denials etc. as required from billing companies and as directed by SG/Pro Code, Inc. Maintain a working relationship and communicate any coding and training issues ...
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Summary: The Provider Enrollment Specialist directly impacts the financial stability of the Company by representing Schumacher Group in the provider number approval process. The Provider Enrollment Specialist, using his/her knowledge of Schumacher Clinical Partners policies in conjunction with insurance carrier credentialing and enrollment requirements, facilitates provider enrollment and billi...
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This role is responsible for facilitating the process for medical record and appeal submissions. Duties will include, but are not limited to receiving requests and expending completions of submission packets. Responsibilities: Oversee intake and management of audit requests to include tracking of requests, coordinate completion of items with coding, clinician and clerical and complete required ...
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Changing the Face of Security At Signal 88 Security , we're changing the face of security and doing so very quickly! Our team is not like those at other security companies. We live for "moments of heroism" where we can truly be there for our clients, who join us in serving our communities. This type of work is a job to some, but to us, it's an opportunity to make a real difference. Why work wit...
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Overview: Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. Allied Universal, North America's leading security services provider, is experiencing tremendous growth. For all full time positions, we offer medical, dental, vision, flex spending, 401K, an anniversary bonus, ...
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