- UPMC (Mckeesport, PA)
- …of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to ... effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate. + Demonstrate appropriate professional practice, maintaining respect for confidentiality and freedom of choice as outlined by the Code of Ethics by the… more
- Select Medical (Glendale, AZ)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** ... **Qualifications** Minimum Qualifications: + High School Diploma or GED required + 1 Year of Medical Office Experience Preferred Qualifications: + 1 Year of Front Desk Experience + Insurance Verification Experience Physical Requirements: + Ability to walk,… more
- Select Medical (Cleveland, OH)
- …Planning + Care Planning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Registered Nurse (RN) ... licensure OR a Bachelor's or Master's in a human services discipline. + Previous experience in Case Management and Discharge Planning required. **Preferred Qualifications** + CCM Certification Preferred. **_*Post offer employment testing (POETs) are completed… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …to competitive threats and opportunities + Educates office staff on payer guidelines and reimbursement procedures to increase pull through + Effectively ... utilizes promotional materials + **Selling Skills, Engagement & Account Pull Through** + Maintains ongoing awareness of internal support team resources available throughout the ecosystem and utilizes appropriately + Applies market and industry knowledge to… more
- UCLA Health (Santa Monica, CA)
- …to expeditiously coordinate follow-up * Working knowledge of third party payer verification terminology * Working knowledge of medical terminology to sufficiently ... identify various procedures to obtain optimum benefit information * Ability to accurately and completely process payments and cash receipts * Ability to write concise, grammatically correct reports and correspondence * Ability to type 55 words per minute (WPM)… more
- Accura Healthcare (Lake City, IA)
- …service opportunities, completion, potential market area changes, and maximizes census, payer mix, and ancillary revenues. + Knowledge and adherence to safety ... / disaster preparedness plan. + All other duties as needed. REQUIRED SKILLS & ABILITIES: + Excellent verbal and written communication skills. + Excellent customer service skills with a desire to build and nurture relationships. + A professional, courteous, and… more
- Presbyterian Homes and Services (North Oaks, MN)
- …in electronic medical record. + Demonstrate understanding and knowledge of payer sources and regulatory requirements. + Complete and document supervisory visits ... per regulations. + Communicate effectively with residents/clients, families, caregivers, physicians, referral sources, and interdisciplinary team . Qualifications + Graduate from an accredited Speech Language Pathology program. + Current licensure in the… more
- Insight Global (Bloomington, MN)
- Job Description Insight Global is hiring a Pharmacy Product Owner for a payer /provider. The Product Owner drives the delivery of high-quality analytic products by ... prioritizing work, shaping user stories, and ensuring alignment with business objectives. Acting as the primary liaison to sponsor, the PO ensures clear communication of goals, trade-offs, and progress. They collaborate with developers, analysts, and engineers… more
- Actalent (Chandler, AZ)
- …medical records to population health management platforms. + Proactively work on payer care gap and frequent flier/high-risk reports for all value-based lives. + ... Collaborate with the primary care team and clinical performance consultant to effectively manage value-based lives. + Disclose relevant training, experience, and credentials to help patients understand the scope of services qualified to provide. + Work… more
- BrightSpring Health Services (Murfreesboro, TN)
- …an agreed-upon approach for engaging referral sources that ensures the insurance payer mix aligns with company expectations + Execute weekly, monthly, and quarterly ... strategies to increase market share through key account development of existing and prospective accounts + Provide professional guidance to referral sources and internal operational staff to ensure Qualifications + Bachelor's degree in business administration,… more