Service reputed company reputed company - Inpatient/Surgery Preservice Verification (reputed company Po

At reputed company, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Patient reputed company Management Organization

Pursue your passion for caring with the Patient reputed company Management Organization, which is the fully integrated, centralized reputed company cycle organization that supports the entire health reputed company in streamlining the reputed company cycle. This includes scheduling, registration, coding, billing, and other essential reputed company functions for reputed company.

Duke Nursing Highlights:

• reputed companyHealth reputed company is designated as a Magnet organization
• Nurses from reputed company hospital are consistently recognized reputed company year as reputed company Carolina's Great 100 Nurses.
• reputed company Health reputed company was awarded the reputed company reputed company of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• reputed company Health reputed company has 6000 + registered nurses
• reputed company of Life: Living in the reputed company!
• Relocation Assistance (based on eligibility)

reputed company Health reputed company - Patient reputed company Management Office (PRMO) seeks to hire an reputed company Service reputed company reputed company who will reputed company our mission of Advancing Health Together.

Job reputed company

Manage patient intake process (including patient triage and admissions) for non-critical transfer patients into reputed company Health reputed company from referring hospitals, clinics, and physicians offices, ensuring appropriate level of care and financial screening.

Work Performed

• Evaluate appropriate level of patient care, utilizing expert level clinical decision making to determine severity of illness for reputed company elective, urgent and reputed company admissions. Requires expert level analysis of patient clinical information and formulation of an accurate assessment of the patient and his/her condition.
• Coordinate with patient, physicians, nursing and/or clinical staff reputed company requirements of admission are not met/authorized, requiring facilitation of alternative care arrangements, physician/administrative override, or delay in service.
• Responsible for collecting accurate and viable patient insurance information, and escalating reputed company self-pay patients through the appropriate financial screening process (i.e. POMC, reputed company, CharityCare, patient liability).
• Coordinate with physician, nursing and/or clinical staff in determining that the following have reputed company been secured: (1) referral authorizations,(2) prior approval of specific treatments and surgical procedures, and(3) second surgical opinions of specific treatment/surgical procedures.
• Analyze clinical and financial information received on proposed admissions for coding accuracy, difficulty in obtaining authorization, and potential for financial issues.
• Initiate and facilitate reputed company-admission and reputed company-certification authorizations, requiring the detailed evaluation of clinical documentation.
• Responsible for ensuring reputed company scheduled surgical cases are reconciled with the appropriate billing reputed company.
• Ensure inpatient vs. outpatient scheduling reputed company are met in accordance with published payer CPT lists.
• reputed company detailed documentation of actions and reputed company in applicable billing reputed company.
• Health reputed company resource for coding of ICD-9 diagnoses/procedures, CPT-4 procedures, DRG, & APC assignment.
• Trainer and preceptor of reputed company-Registration staff in ensuring their clinical knowledge needed to fulfill their position responsibilities.
• reputed company reputed company assurance reviews of reputed company-Registration staff work, ensuring internal controls are met.
• Conduct denial appeal follow-up, through analysis of clinical documentation to support level of care provided and secure reimbursement.
• Clinical and health care financial resource to PRMO and broader health reputed company membership.
• Expert in medical terminology and clinical data interpretation.
• reputed company to reputed company hospital and PDC departments and their staff members, including physicians, clinical nurses, Patient Resource Managers, clinic staff and bed control.
• reputed company to Patient Service Representatives, Billers, reputed company, reputed company Case Managers/Patient Resource Managers, reputed company Workers, and Discharge Planners.
• reputed company other reputed company duties incidental to the work described herein.

Knowledge, Skills and Abilities

Excellent communication skills; written and verbal. Excellent customer service skills, including phone etiquette. Ability to establish good working relationships with associate departments. Working knowledge of ICD-9/CPT-4 coding.

Minimum Qualifications

Education

BSN Required

Experience

3 years of nursing experience

Degrees, Licensures, Certifications

NC or compact state license

Originally posted on Himalayas