- UPMC (Pittsburgh, PA)
- …is preferred. + Must be able to learn and apply third party payer guidelines and reimbursement practices. + Basic knowledge of health insurance preferred. + ... Must be able to maintain confidential information. + Must have strong interpersonal, organizational, and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances.Licensure,… more
- Robert Half Office Team (Trumbull, CT)
- …a healthcare setting. * Strong knowledge of insurance processes and third-party payer requirements. * Excellent customer service and communication skills to interact ... effectively with patients and staff. * Ability to work in a fast-paced environment while maintaining attention to detail and accuracy. * Proficiency in using online systems and applications for data entry and financial reconciliation. * Familiarity with… more
- CommonSpirit Health (Centennial, CO)
- …supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of ... the Revenue Management team to address coding issues and concerns. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana -… more
- R1 RCM (Boise, ID)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
- Aveanna Healthcare (Dallas, TX)
- …and state payers relevant to your open balances. * Review each payer 's specific guidelines (rates, filing/appeal deadlines, forms, etc.) as needed. * Promptly ... reply to inquiries made by Aveanna employees regarding your assignments. Requirements * High school diploma is required * Proficient computer skills including experience with Microsoft Excel and the internet * Experience with Kantime Preferences *… more
- Logan Health (Kalispell, MT)
- …area(s). + Interprets explanation of benefits (EOB) message codes, validates payer processing and identifies potential payment discrepancies as applicable to ... assigned area(s). + Effectively manages assigned work in accordance with team expectations, department productivity, and quality standards and as applicable to assigned area(s). + Provides exceptional customer service to stakeholders for questions and… more
- Hawaii Pacific Health (Honolulu, HI)
- …to complete the insurance collection process; and handling third party payer and patient questions/concerns appropriately. We are looking for someone motivated ... and self-directed with excellent organizational and customer service skills and a commitment to delivering the highest quality health care to Hawai'i's people. **Location:** First Insurance Center - **HYBRID Work Environment- Must Reside on Oahu** **Work… more
- Bon Secours Mercy Health (Florence, SC)
- …Contract work including but not limited to: direct patient care, managing payer relationships or health systems outcomes (required) + Working knowledge and ... familiarization with process improvement models (such asPDSA andA3) (preferred) + Experience in value-based arrangements, clinical reporting packages (such as Milliman or Tableau) (preferred) As a Bon Secours Mercy Health associate, you're part of a Mission… more
- Texas Health Resources (Arlington, TX)
- …and other relevant departments on regulatory requirements (CMS/Medicaid) and payer guidelines, ensuring compliance with evolving policies. Billing & Documentation ... Policy Feedback - Provide feedback on billing and documentation procedures, addressing conflicting or vague documentation issues. Recommend coding education, training, and best practices for areas vulnerable to compliance errors. Denial Support & Case Review -… more
- Sanofi Group (Morristown, NJ)
- …drug development process and the regulatory (FDA, EMA, local agencies) and payer (EUnetHTA, NICE, HAS, G-BA, other local agencies) environment **Soft and technical ... skills:** + Strong analytical and synthesis skills of qualitative and quantitative data + Accountability and hands-on mindset, autonomy and sense of initiative + Good interpersonal and communication skills, both written and oral + Ability to manage multiple… more