- Prime Healthcare (Chicago, IL)
- …be able to demonstrate understanding of and ability to interpret third party payer principles and terms and COBRA laws. Strong organizational skills required for ... effective communication with patients, physicians, public, staff and administrations. Must be able to work in fast paced environment with frequent interruptions. + Knowledge of medical terminology preferred. + Effective written, verbal communication, and… more
- HCA Healthcare (Fort Worth, TX)
- …an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services ... . Reviews, coaches and assists with training of new staff/interns as assigned within approved practice and program guidelines. **What qualifications you will need:** . Basic Cardiac Life Support must be obtained within 30 days of employment start date .… more
- Centene Corporation (Springfield, IL)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform on-site visits to assess member's needs and ... collaborates with providers or resources, as appropriate + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits +… more
- Northwell Health (Lake Success, NY)
- …and procedural coding, ensuring compliance with the latest regulations and payer guidelines + Conduct meticulous audits, identify discrepancies, and provide targeted ... education to maintain top-tier coding standards + Collaborate with physicians, clinical teams, and administrative staff to streamline documentation and coding processes + Develop and implement policies and procedures that drive efficiency and compliance +… more
- Select Medical (Drexel Hill, PA)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + 1 Year Front Desk experience + 1 Year of Medical Office Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Select Medical (Philadelphia, PA)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + 1 Year Front Desk experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- ZOLL Medical Corporation (Danbury, CT)
- …as they work closely with payers to drive efficiencies within the payer 's environment.Maintain working knowledge of potential clinical and other value propositions ... based on ZOLL products and services.Ensure timely processing of required documentation to prevent delays in the appropriate provision of services and products and reduce risk to recurring revenue streams. + Develop and maintain full working knowledge of a… more
- The Cigna Group (Austin, TX)
- …Functions:** + Lead a team of attorneys supporting pharmacy operations, product, payer relationships, and arrangements with 340B covered entities and others + ... Provide strategic legal counsel on regulatory, operational and transactional matters involving our pharmacies and other affiliates + Work cross-functionally in analyzing complex transactions to identify and navigate issues impacting the organization + Support… more
- Aveanna Healthcare (Santa Clarita, CA)
- …nurse hiring, orientation and education PRN * Maintain awareness of third party payer rules and regulations * Assist and support marketing efforts * Maintain ... awareness of monthly budget * Maintain effective interdepartmental communication * Performs and provides direct patient care as appropriate and needed * Participates in location administrative and clinical call as needed * Perform on site supervisory visits to… more
- Walmart (Orlando, FL)
- …as necessary in the appropriate timeframe to meet board of pharmacy regulations payer requests or internal needs for the provision of services to our patients ... Troubleshoots prescriptions by correcting legal clinical financial and physical filling issues and taking corrective action to resolve exceptions for example missed counts incorrect labels or product Provides direction and guidance to pharmacy technicians by… more