- University of Miami (Doral, FL)
- …Prelude, Radiant, OP Time, Care Everywhere, Resolute, Real Time Eligibility, UHealth Contract Summary, Payer Websites, Nice in Contact Communication, and Aria ... Clinical Access has an exciting opportunity for a full-time Manager , Patient Access position. Core Job Summary: The ...maintained on a 24-hour basis. + Assists in the development and implementation of the department's annual budget. +… more
- OhioHealth (Columbus, OH)
- …- in our careers and in our communities. **Job Description Summary:** The Manager , Quality & Risk Adjustment is responsible for the strategic coordination of quality ... are not limited to: PHS Provider & Practice Engagement, PHS Value-based Contract team, Care Management, CIN Medical Directors & Quality Enhancement Council,… more
- Adecco US, Inc. (Minneapolis, MN)
- A Pharmacy Operations Manager position (100% remote) through Adecco Healthcare and Life Sciences is now available. This role supports cross-functional design, ... development , and execution of Pharmacy benefit solutions for customers,...and implement new process improvements related to pharmacy product. ** Contract type:** Temp-hire **Work location:** Remote **Work hours:** Monday-Friday… more
- Catholic Health Services (Melville, NY)
- …staff and other health team members to understand and help comply with payer / contract issues and appeal preparation. + Maintains strict standards for patient ... named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according to industry… more
- Amazon (Boston, MA)
- …becoming the world's safest and fastest online pharmacy. The Role: We seek a Senior Manager of Business Development leader to drive growth within our strategic ... business objectives - Lead RFP responses for expanded business opportunities and contract re-negotiations - Partner with product and technical teams to ensure our… more
- Bozeman Health (Bozeman, MT)
- …denials, and underpayments to inform process improvements. + Collaborates with the PFS Manager , Contract Specialist, and Compliance team to address denial trends ... administrative team in collaboration with the Patient Financial Services (PFS) manager . This role oversees and coordinates the insurance billing function for… more
- Catholic Health Initiatives (Lufkin, TX)
- …and to bring that information to the attention of management. * Able to perform Payer Contract Compliance Audits to identify payers at risk as needed by ... the Market's patient data repository and cost accounting system (McKesson Performance Manager ). Tasks include: * Work with department managers to develop and review… more
- Catholic Health Initiatives (Chattanooga, TN)
- …practices, regulatory/reporting in the revenue cycle function, clinic operations, medical insurance, payer contract , CPT and ICD codes + Oversee daily ... communicates resolution to all interested parties. Participates in the development of, and implements, new/revised guidelines, procedures, processes and/or training… more
- Catholic Health Initiatives (Houston, TX)
- …related tools. 1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement ... Division Physician Enterprise Revenue Cycle function and for the development /maintenance of advanced ad hoc reports/databases consistent with industry standards,… more
- Johns Hopkins University (Middle River, MD)
- …a clean claim including special billing procedures that may be defined by a payer or contract . + Review and update patient registration information (demographic ... to a higher-level specialist. + Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims. _Technical Knowledge_… more