- Guidehouse (Tampa, FL)
- …through efficient review and timely resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing ... + Maintains current knowledge of Medicare, Medicaid, and other third-party payer billing compliance guidelines and requirements. + Other duties commensurate with… more
- National Health Transport (Miami, FL)
- …National Health Transport Inc. billing processes. + File complaints with the appropriate payer or their governing authority. + Identify and separate denials by code ... and payer + Follow through with payers correspondence in a...+ Review account status routinely as required for each payer type; minimum of 20 days. + Identify recurring… more
- HCA Healthcare (Ocala, FL)
- …that are not paid in a timely manner. + Review EOB's, remits and payer correspondence while performing account follow-up and escalate any identified issues to the ... taken on the account. + Work with patients and guarantors resolve payer requests and discrepancies to promptly resolve pending claims. What qualifications you… more
- TEKsystems (Jacksonville, FL)
- …product and technology teams to grow our Payment Accuracy business supporting payer and provider accounts, both pre and post sales. The successful candidate ... the sales team. Pitching payment accuracy solutions and strategy to payer department leaders (claims operations, payment integrity, provider relations), provider… more
- Surgery Care Affiliates (Panama City, FL)
- …as opposed from collecting from self-payers/individuals. + Works closely with payer provider relations representatives + Contacting insurance companies by email ... billing, accounts receivable, A/R, collecting payments, collecting re-imbursements from payer organizations or from the insurance company side + Experience… more
- Cardinal Health (Tallahassee, FL)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + Knowledge of Diagnostic… more
- Cardinal Health (Tallahassee, FL)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range… more
- BayCare Health System (Tampa, FL)
- …to monitor productivity, panel size, and access metrics. **Value-Based Care and Payer Strategy** + Support payer strategy through analysis of reimbursement ... trends, contract performance, and value-based arrangement opportunities. + Provide financial insight on risk-based arrangements including shared savings, capitation, and bundled payments. + Collaborate with population health and care management teams to align… more
- Merck (Tallahassee, FL)
- …targeting and business analysis. + Articulates the complexities of the HIV payer environment, recognizing the role each stakeholder plays in the ability to ... and build partnerships with key stakeholders/departments. + Experience with complex payer environments, recognizing the role each stakeholder plays in the ability… more
- Cardinal Health (Tallahassee, FL)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... timely manner. The Coordinator, Individualized mediates effective resolution for complex payer /pharmacy issues toward a positive outcome and provides a positive… more
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