- J&J Family of Companies (Orange, CA)
- …and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start ... appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and… more
- J&J Family of Companies (Stamford, CT)
- …and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start ... appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and… more
- Pfizer (Salt Lake City, UT)
- …and coverage questions + Provide education for HCPs/office staff regarding local/regional payer landscape, payer coverage and formulary change updates, payer ... contacting payers to understand policy or procedures and to provide information on payer requirements + Compliantly use Pfizer's designated case notes system + The… more
- Baylor Scott & White Health (Dallas, TX)
- …for ensuring that complete and accurate appeals of denied claims are submitted to the payer in a timely manner according to guidelines set forth by the payer . ... THE ROLE** Ensures that all documentation submitted to the payer is true and accurate, any necessary forms are...all documentation is submitted to the appropriate provider portal, payer address or fax number. Ensures that submissions are… more
- J&J Family of Companies (St. Louis, MO)
- …and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start ... on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and… more
- Publicis Groupe (Morristown, NJ)
- …with tackling a labyrinth of payers and organized customers, with limited resources, payer marketers can sometimes feel trapped between a rock and-well you know. ... to rock in a hard space. Since day one, Payer Sciences has approached managed markets from a different...in sharp minds and multiple perspectives. To that end, Payer Sciences has assembled a flat and flexible organization,… more
- J&J Family of Companies (Tucson, AZ)
- …and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start ... appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and… more
- University of Rochester (Rochester, NY)
- …any delays from admission until the final bill is produced and any payer denials associated with the above. **ESSENTIAL FUNCTIONS** + Reviews each visit for ... history by utilizing the hospital system along with all third-party payer systems. + Obtains benefits, pre-certification requirements, and/or completes notification… more
- University of Rochester (Rochester, NY)
- …of revenue has been collected, using detailed understanding and application of all payer contracts. + Contacts applicable agency, payer or department for ... for questions from assigned collection and billing staff on payer policies, procedures and methods of revenue collection. +...new staff on the use of the billing application, payer systems, and clearinghouse systems. + Demonstrates how to… more
- National Vision (Duluth, GA)
- …support personnel in sales audit and accounting. + Evaluating managed care payer agreements to determine revenue recognition treatment or other new revenue ... agreements. + Evaluating managed care payer agreement reimbursement rates to determine payer ...care payer agreement reimbursement rates to determine payer reserve analysis + Monitoring billing, claims processing, and… more