- Surgery Care Affiliates (Long Beach, CA)
- …Orientation: + Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and ... process of collecting over the counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare, Medicaid and other government… more
- Martin's Point Health Care (Portland, ME)
- …+ Ensure all payment integrity activities comply with Medicare and Tricare regulations, payer contracts , and internal policies. + Identify and implement best ... certified as a "Great Place to Work" since 2015. Position Summary The Manager of Payment Integrity is responsible for developing, implementing, and managing programs… more
- Robert Half Finance & Accounting (Emmett, ID)
- …is partnering with a growing healthcare organization to hire a Revenue Cycle Manager for a high-impact leadership role based in Emmett, Idaho. This position offers ... and Hospital Price Transparency Rule + Build and maintain payer relationships to resolve issues impacting cash flow +...job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- Pfizer (Augusta, ME)
- …focus is to ensure access to the Pfizer vaccine portfolio by leading contract negotiations with assigned customers and to improve immunization rates through the ... and the appropriate use of Pfizer vaccines. * Negotiate and manage contracts with targeted Integrated Delivery Networks, Medical Groups and Buying Groups. Enable… more
- Boehringer Ingelheim (New Orleans, LA)
- …Boehringer Ingelheim's high regard for our employees. The Key Account Manager (KAM) is responsible for proactively creating mutually beneficial B2B relationships ... BI's current and future portfolio and therapeutic categories. The Key Account Manager (KAM) will seek to expand Boehringer Ingelheim (BIPI) business opportunities by… more
- MedKoder (Mandeville, LA)
- …the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This ... staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering… more
- Highmark Health (Monroeville, PA)
- …Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates plans of action for ... management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational… more
- Northwell Health (Staten Island, NY)
- …to the health care team regarding quality, utilization of clinical resources, payer , and reimbursement issues. + Works with on-site screeners in transitioning ... clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + Identifies patients for Alternate Level Care (ALC) care list… more
- SUNY Upstate Medical University (Syracuse, NY)
- …will include: + Facilitates the collection of earned reimbursement, reviewing payor contracts to ensure contract fees are modeled accurately in the ... Job Summary: The Revenue Cycle Manager provides leadership, management, and training for the...laws and regulations. Monitors billing compliance with all third-party payer regulations. + Maintains confidentiality in compliance with HIPAA… more
- Beth Israel Lahey Health (Plymouth, MA)
- …resolution, monitoring & reporting of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care determination ... Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth...knowledge of InterQual Level of Care Criteria. + Understands payer contractual guidelines for all third party and government… more