- Evolent (Sacramento, CA)
- …product marketing and related sales operations functions, preferably in healthcare payer /provider services companies . Proven track record of accomplishment on ... development and execution of marketing strategies . Excellent communication and interpersonal skills, adept at navigating senior-level stakeholder discussions . Experience building and developing team members . Knowledge of the managed care and oncology market… more
- Cedars-Sinai (Los Angeles, CA)
- …and effectively communicates with the PB Management team. + Assist in maintaining Payer Plan structure within EPIC to support PB billing requirements as needed. + ... Has a solid understanding of services provided by client and how these services are accurately billed to payers. + Supports training team members, reviews reported issues, addresses concerns and works collaboratively to resolve them. + Guides and participates… more
- Scripps Health (San Diego, CA)
- …the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting ... any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price… more
- Scripps Health (San Diego, CA)
- …the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting ... any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price… more
- Walgreens (Brea, CA)
- …but not limited to Medication Therapy Management programs, Immunization Services, and Payer and Pharma Adherence & Clinical Programs. Drives the execution of ... multiple business plans and projects to ensure business needs are being met. + Drives compliance and continuous quality improvement in the delivery of clinical pharmacy patient care and services by studying, evaluating, and re-designing processes; monitoring… more
- Cedars-Sinai (Los Angeles, CA)
- …regular audits of claims data to ensure accuracy and compliance. + Manage specific Payer Revenue Management (PRM) Claim Edit work queues (WQs) and WQ maintenance. + ... Submit tickets for new edit or claim form requests. + Maintain late charge profile. **Qualifications** **Requirements:** + High school diploma or GED required. Bachelor's degree in computer science, management information systems (MISD) business or another… more