Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We

Coordination of "Important Message from Medicare" (IM) correspondence. 4)Obtains signatures from Medicare Beneficiaries or their emergency contact within 48 hours prior to discharge as directed by the Care Manager or Social Work Staff. 5)Mails out appropriate letters to emergency contacts when the Medicare Beneficiary is unable to take receipt of the acknowledgement or wh

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

Position Highlights Position Utilization Management Assistant Location Warrenville, Part Time 28 hours/week Hours 7am 1p; Tues 7am 12 30 (flexible start time) A Brief Overview Supports the UM Coordinators, Utilization Review by assisting with the workflow which includes conducting inpatient or outpatient precerts and discharge reviews, preparing appeals and completing ins

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

AFSCME 1276 Interviews and assists patients with the medical assistance application process through the gathering of pertinent financial, demographic and other data to acquire medical assistance under Medicaid, Managed Care and charity care programs. Reviews supporting documentation, explains hospital policies and procedures related to the process. Verifies data and acces

AFSCME 1276 Interviews and assists patients with the medical assistance application process through the gathering of pertinent financial, demographic and other data to acquire medical assistance under Medicaid, Managed Care and charity care programs. Reviews supporting documentation, explains hospital policies and procedures related to the process. Verifies data and acces

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

BASIC FUNCTION This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. May provide consultation to users and lead cross functional teams to address business issues. Produ

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Position Highlights Sign on bonus $10,000 Position Medical Social Worker LCSW Location Chicago, IL Full Time A Brief Overview Provides direct social work assessment and services to patients and families. Shall act in accordance with hospital and department philosophy, the NASW code of ethics, federal, state, and local laws, and other regulatory bodies such as HFAP. What y

Position Highlights Sign on Bonus $10,000 Position Medical Social Worker LCSW Location Chicago, IL Full Time Hours PM Shifts A Brief Overview Provides direct social work assessment and services to patients and families. Shall act in accordance with hospital and department philosophy, the NASW code of ethics, federal, state, and local laws, and other regulatory bodies such