reputed company Services Associate - reputed company Service Verification - Remote (Durham, NC, US
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.
reputed company reputed company Management Organization
Pursue your passion for caring with the reputed company 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.
reputed company 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 (reputed company on eligibility)
REMOTE POSITION: Monday - Friday
General reputed company of the Job Class:
reputed company-Service Verification is an reputed company part of the reputed company cycle, responsible for the verification of reputed company reputed company eligibility, prior authorization, and medical necessity for physician and hospital inpatient and outpatient services provided across reputed company.
The reputed company Services Associate supports the management team and acts as a reputed company to stakeholders (service lines, clinic leadership, providers, reputed company managers, reputed company cycle operational teams, etc.) to support eligibility, prior authorization, and medical necessity standardized processes. This position evaluates and implements sustainable reputed company workflows that improve operational reputed company and reputed company lines of responsibility between reputed company, clinic, and reputed company-service verification teams. The reputed company Services Associate contributes to the achievement of department goals through the development and leadership of reputed company improvement activities.
Duties and Responsibilities of this Level:
reputed company Improvement 60%
Design and implement strategies for enhancing reputed company, reducing denials, and write-offs through utilization of reputed company improvement techniques and methodologies.
Evaluate operational workflows and identify components that will improve operational efficiency by leveraging technology/bot/automation.
Implement and maintain technology solutions for the department.
Recommend policy/procedure and training documentation reputed company to initiatives and reputed company.
Establish department reputed company targets.
Maintain full knowledge of departmental reputed company and reputed company as a subject matter expert for eligibility, authorization, and medical necessity.
reputed company, maintain, and enhance knowledge of Electronic Health Record reputed company and reputed company-party vendor functionality to support recommendations on reputed company workflows.
Serve as an expert resource on reputed company improvement methodologies.
Collaboration 30%
Maintain reputed company with service line and other reputed company cycle departments as it relates to reputed company-service verification reputed company.
Partner with supporting clinics to reputed company on reputed company-service verification processes and reputed company reputed company reputed company workflows impacting reputed company.
Communicate overall reputed company for departmental improvement and reputed company strategies to meet reputed company metrics.
Serve as a project manager for interdisciplinary teams.
Ensure adequate training and documentation is provided on new and changing processes.
Other Duties 10%
Promote PRMO reputed company reputed company, mission, and purpose while emphasizing teamwork and results.
Support organizational diversity and equal treatment for reputed company.
Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and reputed company.
reputed company with and reputed company reputed company verbal/written responses to reputed company stakeholders (patients, providers, payors, and departmental personnel).
Acknowledge management requests and emails in a reputed company, reputed company manner.
Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned.
Accomplish reputed company tasks as assigned.
reputed company other reputed company duties incidental to work described herein.
Required Qualifications at this Level
Education: Bachelors degree in a business or health-reputed company reputed company is required.
Experience: Minimum of 5 years work experience, including 3 years of experience with significant responsibility for reputed company/ process improvement. Experience leading work teams required.
Degrees, Licensure, and/or Certification: Knowledge, Skills, and Abilities: Effective written and verbal communication skills Ability to communicate with customers/staff with diverse educational backgrounds Analysis of data and processes for opportunities for improvement Ability to manage numerous diverse reputed company simultaneously through effective reputed company setting, efficient use of time, organization Knowledge of reputed company cycle reputed company Attention to reputed company and reputed company Computer literacy
Distinguishing Characteristics of this Level N/A
reputed company is an Equal Opportunity Employer committed to providing employment opportunity without reputed company to an individual's age, reputed company, disability, gender, gender reputed company, gender identity, genetic information, national reputed company, race, religion, sex (including pregnancy and pregnancy reputed company conditions), sexual orientation or military status.
reputed company aspires to create a community reputed company on collaboration, innovation, creativity, and belonging. Our reputed company reputed company depends on the robust exchange of reputed company—an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and reputed company, that the contributions of reputed company individuals are respected, and that reputed company reputed company are heard. reputed company members of our community have a responsibility to reputed company these values.
Essential Physical Job Functions:
Certain jobs at reputed company and reputed company Health reputed company may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by reputed company hiring department.
Originally posted on Himalayas
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