- Lilly (Manhattan, NY)
- …grow and own business outcomes. * Navigates the ever-changing healthcare environment and payer landscape to increase understanding of accounts and be able to impact ... key stakeholders to become trusted partners. * Utilizes appropriate business insight tools, data, and analytics to identify trends, priorities, opportunities, and potential obstacles. * Implements and adopts new technologies, including the integration of AI… more
- IQVIA (New York, NY)
- …+ Training in COA methods, including the emerging regulatory and payer perspectives. + Experience leading presentations, chairing meetings, and workshop ... facilitation. + Proven ability to manage large-scale and/or multiple projects, meeting deadlines and ensuring high quality outcomes. + At least 5 years of COA experience in drug or device development. + Experience in developing relationships with senior level… more
- Takeda Pharmaceuticals (New York, NY)
- …model + Experience with buy & bill product selling/account management + Understand payer access and reimbursement at assigned regional, state, and local levels + ... Advanced business or scientific degree (MBA, MS, PharmD, etc.) + Experience managing and communicating complex reimbursement issues + Experience with complex selling situations + Pharmaceutical product launch experience + Experience calling on specialists… more
- Outreach Development Corporation (Richmond Hill, NY)
- …coded and billed in compliance with healthcare regulations, and payer requirements (eg, Medicare, Medicaid, Managed Care Organizations, and Commercial/Private ... insurers). + Implement and maintain billing procedures and best practices to optimize revenue collection. + Managing the collection process, including follow-up on outstanding claims and patient balances, and resolution of billing/denial issues. + Analyzing… more
- Fresenius Medical Center (New York, NY)
- …knowledge of CMS Conditions of Coverage for ESRD facilities, Value Based Payer Programs, knowledge of quality improvement concepts, principles and practices to ... perform tasks and duties. + Utilizes quality improvement techniques to promote collaboration between facilities and areas to share processes and strategies for success. Mentors and assists facilities in identifying effective practices applicable to their… more
- Otsuka America Pharmaceutical Inc. (White Plains, NY)
- …to competitive threats and opportunities + Educates office staff on payer guidelines and reimbursement procedures to increase pull through + Effectively ... utilizes promotional materials + **Selling Skills, Engagement & Account Pull Through** + Maintains ongoing awareness of internal support team resources available throughout the ecosystem and utilizes appropriately + Applies market and industry knowledge to… more
- Elevance Health (Latham, NY)
- …medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working ... in person or virtually in the below location(s), the salary* range for this specific position is $81,852 to $155,088 Locations: California; Colorado; District of Columbia (Washington, DC), Illinois, New Jersey; Maryland, Minnesota, Nevada; New York; Washington… more
- OLV Human Services (Lackawanna, NY)
- …entry. - Managing patient insurance verifications utilizing other 3rd party payer portals verification systems. - Demonstrates friendly, courteous attitude in all ... communications. - Operating computer using dental practice management software, internet and other vendor related programs. - Maintain a neat and orderly work environment. - Check patients in and out. - Runs daily reports consistent with the needs of the… more
- University of Rochester (Rochester, NY)
- …completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient ... identification to verify identity, provision of Financial Assistance Program, etc. - Schedules new and return visits to ambulatory care using the electronic medical record and patient access and revenue cycle system, monitors schedules and reports problems to… more
- Cognizant (Albany, NY)
- …ideal candidate will have extensive experience in Kafka and a strong background in the Payer domain. This is a hybrid work model with day shifts and no travel ... required. The candidate will play a crucial role in developing and maintaining our systems ensuring they meet the highest standards of performance and reliability. **Location:** **Owings Mills - MD USA, (Remote** **)** **Candidate must be legally authorized to… more