- Sanford Health (Tracy, MN)
- …practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources, ... as applicable. Demonstrate extensive advanced knowledge of medical principles, practices and techniques. **Qualifications** Master's or Baccalaureate degree (Associate's or Nursing Degree if training prior to 1994). Successful completion of a physician… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …Strong understanding of healthcare compliance standards (HIPAA, CMS guidelines) and payer requirements. + Familiarity with medical billing software, EMR systems, and ... data analytics tools. + Demonstrated ability to lead root cause analysis, develop corrective action plans, and manage complex technical workflows. + Excellent communication skills for collaborating with IT, operations, and clinical teams. Physical DemandsThe… more
- HCA Healthcare (San Antonio, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Stanford Health Care (Palo Alto, CA)
- …to staff as needed. + Understand enrollment functions that support appropriate payer contracting and claims adjudication + Support physicians and clinics to ensure ... that all professional revenue can be billed and paid by payors + Work closely with Providers, Clinic Operations and Revenue Cycle leadership to address issues and problems related to provider enrollment (eg enrollment constraints); Proactively communicate… more
- Merck (Rahway, NJ)
- …relevant value evidence data gaps from clinical, medical, regulatory, payer /access, and marketing stakeholders to define integrated evidence generation plans. ... + In collaboration with internal teams and external partners, design studies, author study protocols, develop measurement questionnaires, case report forms, data analysis plans, final study reports, scientific presentations, and publications. + Present… more
- HCA Healthcare (Austin, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- UNC Health Care (Chapel Hill, NC)
- …Delivers mandated federal notices to patients/ patient representatives related to their payer source + 40 hrs/week (Monday-Friday) + Weekend rotation + Holiday ... rotation + No Nights + No on-call Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Works in collaboration with the patient/family, and… more
- State of Minnesota (St. Paul, MN)
- …special projects and high-priority initiatives. These programs ensure that Medicaid is the payer of last resort pursuant to state and federal law and policy. HIRU ... ensures that county staff at the eligibility level understands and administers the Cost Effective Health Insurance Program effectively and accurately. HIRU works with managed care organizations (MCOs) under contract with the State to ensure they are… more
- Henry Ford Health System (Jackson, MI)
- …of patients, insurance verification, billing, collections, cash posting, and payer compliance. Protects the integrity of the hospital accounts receivable ... and respects the privacy of patients. Assist Leadership with interviewing new hires and orientating and providing training to all employees. Education/Experience Required: + High School Diploma or GED equivalent required. + Associates Degree preferred. + Three… more
- HCA Healthcare (Cleveland, MS)
- …backlogs, etc.) + Inform staff of relevant changes and developments in payer requirements + Oversee management of Patient Access personnel, providing recommendations ... for hiring, promotion, salary adjustment and personnel action where appropriate to Facility leadership + Identify and implement process improvements to lower costs and improve services to facility customers **What qualifications you will need:** + Bachelor's… more