Registered Nurse New Jersey Respiratory, Inc.Registered NurseWillimantic, CTFull timeWhy This Role is Different Unlike traditional bedside nursing positions, PDPM Nurses serve as clinical assessment specialists, helping skilled nursing facilities accurately identify and document patient conditions that affect care planning and Medicare reimbursement. This role combines patient assessment, clinical documentation review, and interdisciplinary collaboration to support skilled nursing facilities in accurately identifying patient conditions and maintaining compliance with Medicare's Patient-Driven Payment Model (PDPM).
Claims Quality Control Auditor (44912) Neighborhood Health Plan of Rhode IslandClaims Quality Control Auditor (44912)Smithfield, RIResponsibilities include, but are not limited to the following: Review Neighborhood's claim process functions, including auto adjudicated and manually processed claims and issues, based on provider and health plan contractual agreements and claims processing guidelines. This Master IA will be created from results of the weekly Claims Adjustment Committee meeting and be used by adjusters from each delegate to reprocess claims according to the respective configuration changes in each system.
NewRev Integrity Analyst 2 - CL / Greater Manchester Region Admn Hartford HealthCare CorpRev Integrity Analyst 2 - CL / Greater Manchester Region AdmnManchester, CTRemoteThis position is responsible for assisting Revenue Cycle Services, Coding, Clinical Documentation Improvement (CDI), and other departments with resolution of billing issues and/or denials requiring clinical expertise, participating in external audit requests, and special projects as needed. Performs denial resolution by analyzing denial data to identify root causes of preventable denials, develop and implement corrective action plans to address root causes, including collaborating with the clinical areas as well as other departments within revenue cycle.
Sr Software Engineer, Mobile LennarSr Software Engineer, MobileWaterford, FloridaLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. This is primarily an active position which requires the Construction Manager to have the ability to work in excess of eight hours a day in the confined quarters of a construction trailer, the ability to operate a motor vehicle, read plans, climb stairs, climb ladders, bend, stoop, reach, lift, move and/or carry equipment which may be in excess of 50 pounds.
Patient Service Representative, Full-Time 40 Days, 40 Hours, Dermatology Day Kimball Healthcare IncPatient Service Representative, Full-Time 40 Days, 40 Hours, DermatologyCTReceives and documents in the information system patient responsible payments including co-payments, past balance payments, and time of service patient-responsible charges Check-out each patient via established policies, including charge entry for current visit if appropriate, scheduling of future appointments, facilitation of ancillary procedures as necessary, and provides for the patient a receipt for services rendered. Responsible for collaborative interaction with patients, physicians, other staff members and management, patient satisfaction and accurate processing of all front-end functions are integral to the success of this individual Follows procedures for verification of patient demographics information including insurance verification prior to the patient visit for all pre-scheduled patients Registers all patients at each visit utilizing established policies for the capture of complete and up-to-date patient and insurance information.
Field Reimbursement Manager - Hartford, CT Amgen Inc.Field Reimbursement Manager - Hartford, CTWest Greenwich, RI$145,471–$196,813 / yearIn addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.
Software Engineer I LennarSoftware Engineer IWaterford, FloridaLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. While this role is primarily back-end/full-stack focused, experience in these areas is a plus: CMS & Platform Engineering : Any experience with or interest in CMS platforms, with Optimizely a nice-to-have (content delivery, personalization, workflows, and integrations).
Medical Assistant Yale New Haven HealthMedical AssistantNew London, CTMinimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic.
Medical Assistant-Dermatology Yale New Haven HealthMedical Assistant-DermatologyWesterly, RIMinimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic.
Medical Assistant-Primary Care, Old Lyme Yale New Haven HealthMedical Assistant-Primary Care, Old LymeOld Lyme, CTMinimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic.
Medical Assistant-OBGYN Yale New Haven HealthMedical Assistant-OBGYNNew London, CTMinimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic.
Medical Assistant-Pain Management, Fair Harbour Yale New Haven HealthMedical Assistant-Pain Management, Fair HarbourNew London, CTMinimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic.
Medical Assistant-Float Pool Yale New Haven HealthMedical Assistant-Float PoolNew London, CTMinimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic.