Support execution of a PCORI project developing a framework for patient engagement in heart and brain health research.
Assist with grant reporting, meeting planning, and volunteer management with internal teams and external stakeholders.
Collaborate with evaluation, science, research administration, and program implementation teams to ensure project deliverables.
The American Heart Association is a non-profit voluntary health organization focused on fighting heart disease and stroke, founded in 1924. It offers an internship program with a supportive culture emphasizing work-life harmonization and professional development.
Apply utilization criteria to monitor appropriateness of admissions and continued stay reviews.
Communicate with third-party payers for initial and concurrent clinical review.
Prepare appeals on denied cases when appropriate.
Northpoint Recovery Holdings is a leading behavioral healthcare provider offering evidence-based treatment for adults with substance use and co-occurring disorders. Operating under an in-network commercial insurance model, the company has grown to seventeen facilities across the Western US and is guided by core values of humility, heart, inspiration, and conviction.
Research patient and insurance credit balances to determine refund eligibility.
Validate overpayments and process accurate refunds within established timelines.
Collaborate with internal teams and insurance carriers to resolve account discrepancies.
Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontic, and oral surgery practices across the country to provide technology, resources, and support. The company fosters a collaborative, people-first culture with a focus on teamwork and continuous learning.
Perform thorough review of medical records for identification of relevant diagnoses and procedures.
Assign appropriate ICD-CM and ICD-10 PCS codes to ensure accurate MS-DRG and APR-DRG assignment.
Abstract required data elements and adhere to compliant provider query practices and coding guidelines.
University of Utah Health is a patient-focused organization that enhances health through patient care, research, and education. It is a Level 1 Trauma Center with five hospitals and eleven clinics, nationally ranked for academic research and quality standards, and values collaboration, excellence, and integrity.
Coordinates all patient scheduling activities including appointments, procedures, and exams for multiple hospital, physician practice, and outpatient departments.
Collects clinical information, verifies insurance, and educates patients regarding protocols and procedures to ensure appropriate scheduling.
Serves as a resource for staff and referring offices, utilizing scheduling software to facilitate patient access and reduce errors.
Lehigh Valley Health Network is a nationally recognized health network providing advanced, compassionate healthcare to the community. With nearly 20,000 professionals, it is the region's largest employer and has been repeatedly recognized for excellence in patient safety and outcomes.
Collect, verify, and submit information necessary for enrollment of hospitals/physicians with Out-of-State Medicaid payers.
Develop and maintain ongoing policies and procedures specific to each state for new hospital/physician enrollments.
Manage work queue to ensure all timely submissions and deadlines of payor-specific forms and documents.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM platform. The company is a multi-year recipient of the Top Workplaces award, recognized as Black Book's #1 Specialty Revenue Cycle Management provider in 2024, and has been among the top one percent of Inc. 5000 fastest-growing private companies for eleven years.