- Datavant (Boston, MA)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!)… more
- Beth Israel Lahey Health (Westwood, MA)
- …to prescribed medication. **Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. ... difficult and/or unpredictable situations. Work progress is monitored by supervisor/ manager . 4. **Written Communications:** Ability to communicate clearly and… more
- Beth Israel Lahey Health (Westwood, MA)
- …conjunction with the department leads to identify and resolve any payer related and reimbursement concerns, processing returned, and resolving customer complaints. ... area. May make recommendations for department policies, practices and programs. Manager or Director provides broad guidance and overall direction. 4. Written… more
- Cardinal Health (Boston, MA)
- …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 ... appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to… more
- Beth Israel Lahey Health (Boston, MA)
- …or Retail Pharmacy. 4. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. ... difficult and/or unpredictable situations. Work progress is monitored by supervisor/ manager . 4. **Written Communications:** Ability to communicate clearly and… more
- Beth Israel Lahey Health (Beverly, MA)
- …their homes and communities in accordance with home care regulations and payer guidelines. **More Specifically:** * Assumes responsibility to coordinate patient care ... as required. * Attends regular case conferences and team meetings per Clinical Manager and as needed. * Communicates with team COTA when delegating appropriate… more
- Beth Israel Lahey Health (Woburn, MA)
- …their homes and communities in accordance with home care regulations and payer guidelines. **More Specifically** : + Assume responsibility to coordinate patient care ... of the care plan development and is in communication with the primary RN Case Manager . **What You'll Need** : + An active valid Massachusetts RN license; + An active… more
- Baystate Health (Springfield, MA)
- …$27.53 **Summary:** Under the direction of the Financial Counselor Supervisor and Manager a Financial Counselor will provide services to uninsured and underinsured ... comprehensive coverage and sponsorship possible. **6)** Maintains knowledge of payer guidelines pertaining to benefit, eligibility, and authorization information by… more