- Sumitomo Pharma (Carson City, NV)
- …+ Strong knowledge and experience with pharmaceutical data sources (ie, IQVIA, SHA, MMIT/ DRG formulary / market access data). + Solid understanding how brand payer ... access impacts sales strategy and field pull through tactics. + Proven success in developing analyses with Business Intelligence tools and methods (eg, Tableau, Qlikview, SQL). + Excellent team player and collaborative skills. + Strong demonstrated project… more
- Prime Healthcare (Reno, NV)
- …identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG ) as they relate to reimbursement. Communicates clearly and efficiently by phone ... and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to… more
- HCA Healthcare (Las Vegas, NV)
- …of the denial/downgrade + Explanation of Benefits/Remittance Advice + Payer denial/ DRG downgrade letters + Complex NCD/LCD guidelines, CMS/AHCA policies and ... regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug Administration, Medicare Administrative Contractors and payer websites + Escalates problem accounts/processes/trends and report… more
- Sumitomo Pharma (Carson City, NV)
- …Strong knowledge and experience with pharmaceutical data sources (ie, IQVIA, SHA, MMIT/ DRG formulary / market access data). + Excellent team player and collaborative ... skills. + Strong project management skills and managing external vendors/ deliverables within tight timelines. + Strategic partner to multiple cross-functional stakeholders. + Proven success in developing analyses with Business Intelligence tools and methods… more
- Datavant (Carson City, NV)
- …+ Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS- DRG assignments + Maintain a minimum production of 1 chart per hour or site-specific ... productivity benchmarks + Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues + Occasionally travel for professional development or meetings, if required **What You Need to… more