- University of Washington (Seattle, WA)
- …and maintain accurate records + Update patient demographic, financial, and payer information in applicable systems + Communicate with medical center staff, ... patients, and third-party payers to verify billing information and resolve concerns + Review patient account status and determine appropriate actions for resolution + Skip trace return mail accounts and analyze bankrupt or deceased patient accounts + Maintain… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …clinical information to third-party payers. Ensures compliance with established third-party payer criteria for reimbursement and appeal of clinical denials. Provides ... feedback as appropriate, for performance improvement, utilization management, and compliance related issues. Conducts precertification with third party-payers including VA and Community Care as applicable. Validates Service Connection (SC)/Special Authority… more
- Insight Global (Miami, FL)
- …correspondence. - Updates patient account information. - Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. - ... Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. - Manage all assigned worklist daily for assigned insurances. - Utilize collection techniques to resolve accounts according to company's policies and… more
- Gentiva (Warner Robins, GA)
- …sources, and the care team * Assist with referrals, regulatory documentation, and payer compliance * Travel to various Gentiva hospice locations as assigned to fill ... urgent needs **Schedule & Travel:** This role typically follows a Monday-Friday schedule, with occasional on-call responsibilities. Travel is required and may include: + Option 1: Overnight travel required to cities within a 100-mile radius. + Option 2:… more
- Boehringer Ingelheim (Ridgefield, CT)
- …relates to quality, value and population health: ambulatory care, acute/post-acute care and payer + Knowledgeable about how value evidence is used by Health System ... and/or Health Plan decision makers to inform adoption and diffusion decisions. Ability to translate data driven evidence into decisions and actions (preferred). + Knowledge of current trends in data science in healthcare (preferred). + Excellent… more
- Amgen (Thousand Oaks, CA)
- …and keep the training team informed of industry changes in the Healthcare industry, payer & access, and in the learning and development realm. + Design, develop, and ... implement professional, polished training materials such as Instructor Guides, Microsoft PowerPoint presentations, and job aids. + Manage training materials with vendors for development through the MAC approval process. + Manage calendars schedule to maximize… more
- BrightSpring Health Services (Duluth, GA)
- …training aligns with Amerita policies, HIPAA, URAC/ACHC/Joint Commission standards, and payer requirements + Creates and administers assessments to validate staff ... competency post-training + Identifies gaps in compliance or performance and deliver targeted corrective training + Collaborates with Compliance and Quality teams to integrate new regulations into training + Serves as a subject matter expert (SME) on intake… more
- Saint Francis Health System (Tulsa, OK)
- …payers. Demonstrate competencies in registration, billing and federal payer programs. Demonstrate excellent financial, analytical, negotiation and decision-making ... skills. Working knowledge of community resources related to financial resources. Ability to integrate the analysis of data to discover facts or develop knowledge, concepts or interpretations. Ability to organize and prioritize work in an effective and… more
- Arms Acres (Carmel, NY)
- …8:00am - 5:00PM In addition, you will be responsible for following all payer and state set forth guidelines for Behavioral Health claim submissions and allocations ... per insurance Explanation of Benefits for self-pay monthly statements. Duties also include analyzing discharged accounts for preparing all required documentation for Bad Debt recommendations along with validation of refund requests. Fielding phone calls from… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …databases, claims submission, and other bolt on software products. + Monitor payer denial data. Recommend and implement operational procedures and protocols to ... improve services, reduce lag days and increase cash flow. + Extensive knowledge and understanding and/or experience with CMS regulations/industry standards and medical terminology knowledge. + Remains current with all licensure, certifications and mandatory… more
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