Admitting Quality Coordinator
Found in: beBee jobs US - 2 weeks ago
The Quality Coordinator, Admitting (PFS) is responsible for a wide range of duties in support of departmental efficiencies which may include but are not limited to performing financial clearance, performing thorough analysis discharge not final billed (DNFB) reports, duplicate encounter reports, Past Due Arrivals Reports, and other Revenue Cycle Reports and all other duties assigned by Patient Access Leadership.
Essential Duties:
Responsible for Reviewing and reconciling encounters on the DNFB/EBEW reports. Resolving the issues daily focusing on reducing the Patient Access DNFB.Responsible for working the Past Due Encounters with charges daily in Identifying if activation of the encounter is appropriate or escalating the encounter to the hospital charge auditor for review.Responsible for reviewing and auditing claims for coding accuracy, benefits payment and compliance through a thorough understanding of requirements for financially clearing patients for transfer and or admission, and ability to interpret and comprehend insurance benefits and division of responsibility (DOFFR) for all types of payors.Plan and conduct audits of medical claims against established criteria based on all types of payor: HMO, PPO, Medicare, Medi-Cal, Research and Workers Compensation.Responsible for daily quality assurance review of staff registrations:• Ensuring appropriate plan code usage, all elements required to ensure clean claim submission that supports Revenue Cycle Goals and initiatives.
• Analyze audit results to determine root cause of errors and recommend process improvements.
• Review error trends to identify training opportunities.
• May provide education on regulatory compliance and proper claims documentation methods.Performs other duties as assigned.Required Qualifications:Req High school or equivalentReq 4 years Experience in related field with emphasis in Medical Insurance and hospital registrationReq Advanced proficiency with Microsoft Office applications and competent keyboarding.Req Excellent organizational skills, oriented detail-oriented a strong ability to multi-task.Req Customer Service skills including problem resolution and patient satisfaction.Req Ability to maintain confidential information.Pref Familiarity with medical terminology.Req Must have strong understanding of insurance and authorizationsPreferred Qualifications:Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
The hourly rate range for this position is $ $39.69. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
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Admitting Quality Coordinator
Found in: beBee S US - 7 days ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeThe Quality Coordinator, Admitting (PFS) is responsible for a wide range of duties in support of departmental efficiencies which may include but are not limited to performing financial clearance, performing thorough analysis discharge not final billed (DNFB) reports, duplicate encounter reports, Past Due Arrivals Reports, and other Revenue Cycle Reports and...
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Credentialing Coordinator
Found in: beBee jobs US - 6 days ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeThe Credentialing Coordinator is responsible for assuring that the credentialing of practitioners is conducted in accordance with the Office of Integrated Credentialing/client policies and procedures, entity bylaws/credentialing plan, regulatory agencies, and accrediting bodies. The Credentialing Coordinator performs quality control audits and coordinates...
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Credentialing Coordinator
Found in: beBee jobs US - 6 days ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeThe Credentialing Coordinator is responsible for assuring that the credentialing of practitioners is conducted in accordance with the Office of Integrated Credentialing/client policies and procedures, entity bylaws/credentialing plan, regulatory agencies, and accrediting bodies. The Credentialing Coordinator performs quality control audits and coordinates...
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Research Coordinator II
Found in: beBee jobs US - 2 weeks ago
Los Angeles, CA - Health Sciences Campus, United States Keck School of Medicine Full timeUSC Norris Comprehensive Cancer Center's Clinical Investigations Support Office (CISO) is seeking a Research Coordinator II to join its team. The position serves as a lead, coordinating aspects of clinical research including study recruitment, scheduling of study-related tests and follow up of enrolled patients. This position requires a person with prior...
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Credentialing Coordinator
Found in: beBee S US - 5 days ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeThe Credentialing Coordinator is responsible for assuring that the credentialing of practitioners is conducted in accordance with the Office of Integrated Credentialing/client policies and procedures, entity bylaws/credentialing plan, regulatory agencies, and accrediting bodies. The Credentialing Coordinator performs quality control audits and coordinates...
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Credentialing Coordinator
Found in: beBee S US - 5 days ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeThe Credentialing Coordinator is responsible for assuring that the credentialing of practitioners is conducted in accordance with the Office of Integrated Credentialing/client policies and procedures, entity bylaws/credentialing plan, regulatory agencies, and accrediting bodies. The Credentialing Coordinator performs quality control audits and coordinates...
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Transplant Coordinator I, RN – Kidney Acquisition – Full Time 8 Hour Days
Found in: beBee jobs US - 2 weeks ago
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RN Case Manager
Found in: beBee S US - 7 days ago
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RN Case Manager
Found in: beBee jobs US - 2 weeks ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeIn collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role integrates...
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Director, Managed Care Administration
Found in: beBee jobs US - 2 weeks ago
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RN Clinic Manager
Found in: beBee jobs US - 6 days ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeThe Clinic Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) assigned. They will strive to achieve the optimal patient experience in a cost-effective manner, while applying evidenced-based leadership and practice. The Manager is responsible for the provision of...
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Department Secretary
Found in: beBee jobs US - 7 days ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeThe Department Secretary provides quality care and promotes smooth flowing visit for both patient and family. He/She is responsible for all clerical duties related to administrative functions of Department/Unit Services. The Department Secretary also functions as the receptionist and acts as a liaison between the department and other hospital and physicians...
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RN Staff
Found in: beBee S US - 2 weeks ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeAs an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and family in accordance with the standards, policies, and practices in a compassionate, supportive, and therapeutic...
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RN Clinical
Found in: beBee S US - 2 weeks ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeAs an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and family in accordance with the standards, policies, and practices in a compassionate, supportive, and therapeutic...
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RN Staff
Found in: beBee jobs US - 2 weeks ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeAs an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and family in accordance with the standards, policies, and practices in a compassionate, supportive, and therapeutic...
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Quality Improvement Coordinator
1 day ago
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RN Clinical
Found in: beBee jobs US - 2 weeks ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeAs an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and family in accordance with the standards, policies, and practices in a compassionate, supportive, and therapeutic...
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Los Angeles, United States Preferred IPA of California Full timeJob Description Job Description Openings for both a Quality Compliance Nurse and a Compliance Coordinator. QUALITY COMPLIANCE NURSE PURPOSE: The Quality and Compliance Nurse is responsible for working with the Medical Director, the VP of Clinical Policy, the QM Committee in developing, implementing, and refining the Quality Management Program. They are also...
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Los Angeles, United States Preferred IPA of California Full timeJob DescriptionJob DescriptionOpenings for both a Quality Compliance Nurse and a Compliance Coordinator. QUALITY COMPLIANCE NURSEPURPOSE:The Quality and Compliance Nurse is responsible for working with the Medical Director, the VP of Clinical Policy, the QM Committee in developing, implementing, and refining the Quality Management Program. They are also...
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Quality Manager
Found in: Appcast US C2 - 1 week ago
Los Angeles, United States Machina Labs Full timeCompanyMachina Labs, founded in 2019 by aerospace and auto industry veterans, is a smart manufacturing company based in Los Angeles, California. Enabled by advancements in artificial intelligence and robotics, Machina Labs is developing software-defined factories of the future. The mission of the company is to develop modular manufacturing solutions that can...
