Responsible for timely processing, documenting, and follow-up of faxes received in referrals folders.
Responsibilities
Receives and processes e-faxes in a timely manner with attention to quality, accuracy, and completeness of work
Screens e-faxes received, uploads documents to EHR, tasks referring provider, updates initial referral, follows up if needed, and forwards a copy of the document to HIS
Responds to inquiries regarding current status of faxes by assessing the request and evaluating the circumstances to provide regular, consistent, and timely information as needed
Demonstrates professionalism both verbally and non-verbally
Listens to customers (internal and external) and addresses needs and is accountable and responsive to customer concerns
This is a full‑time remote position working from home anywhere in the US, managing PAR Provider Post Service payment disputes and appeals for Medicare.
Locations (2)
Hartford, Connecticut, United States
United States
Compensation
The typical pay range for this role is: $66,575.00 - $142,576.00
Responsibilities
Request and research submitted provider clinical information to support case review and determination processes.
Review documentation to identify relevant clinical details and apply CMS guidelines, regulatory requirements, and applicable supplemental policies.
Based on clinical review findings, prepare a comprehensive nurse summary for medical director evaluation or finalize appeal determinations in accordance with pre‑approved workflows.
Navigate and manage multiple computer systems and applications to ensure timely, accurate, and compliant processing of cases.
Work independently with a high degree of self‑motivation while contributing to teamwork and collaboration in a virtual environment.
Occupational Therapist - Adult Acute - Relief
Oregon Health & Science University · Posted Nov 12, 2024
Provide occupational therapy services to adult acute patients, including ADL training, splint fabrication, exercise, sensory and perceptual/cognitive training, patient education, documentation, coding, and supervision of interns.
Responsibilities
Evaluate patients and determine appropriateness of referral
Identify rehab potential and establish treatment goals
Develop and implement treatment plans
Document evaluations and treatment in medical record
Enter accurate codes for services performed
Requirements
Completion of an occupational therapy educational program recognized by the Oregon Occupational Therapy Licensing Board
Answers incoming phone calls, responds to inquiries, and directs calls appropriately.
Welcomes patients; updates, verifies, and enters patient demographics, insurance, and billing information and processes forms into appropriate systems.
Registers patients for services, ensures accuracy, facilitates timely discharge, and maximizes reimbursement.
Ensures all financial assessments, eligibility, and benefits memos are clear, updated, and thorough to support post-care financial needs.
Maintains a working relationship with clinical partners to ensure open communication between clinical, ancillary, and patient access departments, enhancing patient experiences.
Requirements
High School Graduate or Equivalent
Associate's Degree in Health Services Administration or other related medical or business field
Nice to have: Certified Healthcare Access Associate (CHAA)
The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing, verifies eligibility/coverage, schedules appointments, enters charge information, posts payments, and assists patients with billing questions.
Compensation
Minimum: $18.11 Maximum: $27.17
Responsibilities
Obtains authorizations from insurance companies for referrals to physicians/medical facilities and/or procedures/testing
Schedules appointments for testing at medical facilities or appointments with physicians
Verifies eligibility/coverage for referral/testing via phone/fax/Internet
Investigates billing problems and denials
Notifies patients of referral process whether authorized or denied in a timely manner
Lead the engineering organization responsible for the end‑to‑end technology stack that powers licensed Starbucks stores, driving hardware, software, and integration strategy across domestic and international markets.
Responsibilities
Own the end‑to‑end licensee technology stack across hardware, firmware and software
Serve as the single point of reference and accountable owner for the licensed stores technology roadmap
Lead the rationalization and convergence of store technology stacks across Company Operated, Licensed, and International markets
Define and govern the API and integration strategy that enables licensees to connect bespoke loyalty, sales, payments, and reporting systems to Starbucks platforms
Drive the hardware lifecycle for the licensed estate
Requirements
Nice to have: 10+ years of experience in software, platform, or store systems engineering
Nice to have: 5+ years leading engineers and engineering managers
Nice to have: Experience leading engineering at director-level scope for store technology in retail, restaurant, hospitality, or other store-based operations
Nice to have: Experience supporting a franchise or licensed business model
Nice to have: Experience leading large-scale platform migrations or POS replacements
Responsible for executing receiving and merchandising standards while ensuring Associates are processing efficiently and effectively, and working as a team.
Compensation
This position has a starting pay range of USD $16.75 to $17.25 per hour.
Responsibilities
Executing receiving and merchandising standards
Ensuring Associates process efficiently and effectively
Maintaining a clean and organized store
Promoting a culture of honesty and integrity
Orchestrating truck delivery and processing merchandise onto the sales floor
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Referrals Specialist TempNewSan Ysidro Health · San Diego, US
Appeals Nurse ConsultantNewLifelancer · Remote, US+1 more
Occupational Therapist - Adult Acute - ReliefNewOregon Health & Science University · Portland, US
director engineering – Retail Technology PlatformsNewStarbucks · Seattle, US