- Mille Lacs Health System (Onamia, MN)
- …Lacs Health System for scheduled services in accordance with payer -provider contracts. Responsibilities include requesting service authorizations, preparing, and ... submitting documentation, and managing appeals. The position requires strong communication, insurance knowledge, and the ability to work independently and collaboratively in a fast-paced healthcare environment. Job Duties The essential functions of this job… more
- Logan Health (Whitefish, MT)
- …assessments + Ensure timely and accurate documentation per regulatory and payer guidelines + Participate in department and community-based initiatives to enhance ... rehab services + Meet established productivity standards and maintain equipment appropriately + Uphold professional standards in Speech-Language Pathology and carry out provider orders + Respect and support patient diversity, privacy, and confidentiality +… more
- Select Medical (Clearwater, FL)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED + 1 year of Front Desk Experience **Preferred:** + 1 Year of Medical Office Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Insight Global (Newtown, PA)
- …- Advanced SQL skills for data analysis and profiling - Validate payer data, including claims, membership, provider, and clinical datasets. - Collaborate with ... Azure Data Factory (ADF), Databricks, and Snowflake engineering teams to ensure end-to-end data delivery II. Strategy & Leadership - Assess, identify and articulate business need for technical and data solutions - Establish data quality SLAs, metrics, and… more
- Presbyterian Homes and Services (Clive, IA)
- …in electronic medical record. + Demonstrate understanding and knowledge of payer sources and regulatory requirements. + Coordinate with therapist on supervisory ... visits per regulations. + Communicate effectively with residents/clients, families, caregivers, physicians, referral sources, and interdisciplinary team. Qualifications + Graduate from an accredited Occupational Therapist Assistant program. + Current licensure… more
- Trinity Health (Schenectady, NY)
- …older in zip codes nearby both our centers. Eddy SeniorCare serves as both payer (we provide their Medicare and Medicaid insurance) and provider (offering a full ... range of services--from primary care providers, to home health care, transportation, adult day care, activities, social work, RN case management, nutrition, home delivered meals and medications and medical supplies, and much more!). This is a wonderful… 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 **Qualification** + ... Relevant advanced academic degree (eg doctorate or masters in psychology, anthropology, sociology, public health, epidemiology, psychometrics, clinical research, physiotherapy, pharmacy, medicine, biostatistics ) **Soft and technical skills :** + Appetite for… more
- HCA Healthcare (Kansas City, MO)
- …as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services. ... + Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- AbbVie (Hartford, CT)
- …and adjust as needed. + Remain current on all clinical, market, and payer developments, trends, and issues specific to Parkinson's Disease. + Complete all AbbVie ... required training and maintain adherence to all company policies and OEC/Legal procedures. + An essential requirement of your position is to meet health care industry representative (HCIR) credentialing requirements for entry into facilities and organizations… more
- Centene Corporation (Trenton, NJ)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their ... families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in… more