Browse Career Research in Healthcare & Medical
Healthcare & Medical Career Research
Senior Whole Health, LLC( contract to hire with Medix Staffing Solutions)
Develop and maintained relationships between our community physicians, their organizations/societies and the hospital institutions. Assisting and servicing all providers in the network as well as developing and managing relationships with providers. This activity will include but not limited to; Outreach, educate and train contracted providers; support of recruitment, and other expansions efforts
Avg. Salary: $67,000 · Company Rank: Not Available
BLUE CROSS BLUE SHIELD OF MA
Achieved Provider Services satisfaction goal of 88% by facilitating meetings with groups and individual physicians to discuss, review, and educate them on administrative policies and procedures relating to contracting, claims issues, medical policy and member education. Built exceptionally strong relationships and maintained a corporate liaison position between our community physicians, their organizations/societies and the...
Avg. Salary: $67,000 · Company Rank: Not Available
BLUE CROSS BLUE SHIELD OF MA
Formed exceptionally strong relationships, providing leadership, motivated teams by giving direction to meet corporate goals. Developed cross-functional teams to assure customer quality and member satisfaction.Conducted coaching sessions and performance review and Mentored associates for performance, productivity and development growth Excellent leadership and advanced project management skills and ability to meet aggressi...
Avg. Salary: $67,000 · Company Rank: Not Available
BLUE CROSS BLUE SHIELD OF MA
Oversee associates in the absence of the Manager to ensure operations are meeting or exceeding service goals. Assist in reducing daily inventory and handling priority issues.Establish and maintain positive relationships and effective communications with internal and external customers. Coached and mentored associates. Assisted in delivering coaching feedback sessions recognized the contributions of associates. Facilitated m...
Avg. Salary: $67,000 · Company Rank: Not Available
BLUE CROSS BLUE SHIELD OF MA
Mentored and trained new associates on BCSBS systems, policy and procedures.Provide an outstanding level of service to both our internal and external customers, primarily via incoming calls. • Investigate, resolve and provide ongoing feedback to all members inquires. • Contributed to Team inventory reduction
Avg. Salary: $67,000 · Company Rank: Not Available
Stonecrest Medical Center
Assessed ER patients that required possible admissions, Home Health, Rehab (Psych and/or Addiction). Provided resources for free or discounted required for uninsured or on TennCare. Confirmed appropriate status for admission into the hospital (full admission or observation) and if admission was necessary. Using Case Management standards. Assigned beds for direct admissions, ER patients, Surgical patients, and started dis...
Avg. Salary: $55,000 · Company Rank: Not Available
RxCrossRoads
•Successful co-marketing with specialty sales representatives and business relations managers to promote and procure target providers for reimbursement hotline services and pharmaceuticals. •Successfully overcomes product reimbursement challenges via first and second level appeals. •Quality assurance analysis of benefit verifications for commercial, Medicaid, and Medicare payers. •Accurate interpretation of insurance med...
Avg. Salary: $31,824 · Company Rank: 3.0 out of 5
MedAssist
•Handled large volume of inbound hospital customer service calls. •Troubleshot and resolved hospital billing issues. •Created payment plans, charge disputes, and verification of high dollar claims.
Avg. Salary: $31,824 · Company Rank: 4.0 out of 5
Integrity Healthcare Services
•Analysis of explanation of benefits to ensure accuracy of payments. •Billing for infusion services to reduce the cost of goods sold and increased revenue. •Verified insurance benefits and re-authorized infusion therapies. •Versed in medical terminology, ICD-9, and HCPCS codes. •Created invoices for home health organizations and patients. •Conducted first and second level appeals to recoup funds owed for services ...
Avg. Salary: $31,824 · Company Rank: Not Available
Metro Nashville General Hospital
Assessment of patients for medical necessity for admission and admission status, plan of care and discharge planning, interdisciplinary meetings, family meetings, out sourcing procedures that could not be done at the facility. Transfers, formed relationships with public health (TB patients) housing for the homeless, assigned beds to appropriate area once status was confirmed.
Avg. Salary: $55,000 · Company Rank: Not Available
