- Dignity Health (Long Beach, CA)
- …(ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Where You'll Work** CommonSpirit Health was formed by the ... alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US, from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four US residents.… more
- Dana-Farber Cancer Institute (Boston, MA)
- …integrity. + Verifies insurance eligibility and benefits using automated eligibility systems, payer websites, or by calling the insurance carriers and determines if ... any authorization requirements exist. + Ensures Privacy Policy Acknowledgement and required consent forms are signed/acknowledged. + Confirms patients are financially cleared or escalates patients to the Financial Clearance team for further review as needed. +… more
- Mallinckrodt Pharmaceuticals (Atlanta, GA)
- …by tests and Field Contact Reports. + Gain understanding of local ' Payer ' environment and incorporate appropriate sales strategies. + Prepare for, attend, and ... actively participate in all required sales conferences and training classes at local and/or remote locations. Qualifications Education & Experience + Bachelor's degree with 3-5 years' relevant experience preferred. + Biopharmaceutical Industry experience… more
- Guthrie (Sayre, PA)
- …and delivering training programs - Familiarity with CMS regulations, payer guidelines, and healthcare compliance standards - Strong communication, presentation, ... and instructional design skills Education: + Bachelor's degree in Healthcare Administration, Health Information Management, or related field (required) + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification… more
- Guthrie (Sayre, PA)
- …and billing workflows. + Oversee the loading, validation, and maintenance of payer reimbursement rates in the hospital electronic health record System (EPIC HB) ... for Federal, State, and Commercial plans following the build approval process. + Collaborate with IT and clinical informatics to ensure Epic supports compliant and efficient revenue processes. + Ensure accurate and timely charge capture across all service… more
- DATAMAXIS (MI)
- …Salesforce Health Cloud, Sales Cloud, and Service Cloud within the healthcare payer ecosystem + Strong understanding of the Salesforce data model, security ... architecture, sharing & visibility, Apex programming, LWC/Aura and automation capabilities (eg, Flows, Triggers, etc) + In-depth knowledge of Salesforce best practices, support mechanisms, salesforce operational procedures, and platform limitations + Hands-on… more
- Lawrence General Hospital (Lawrence, MA)
- …standards impacting billing and collections (eg, HIPAA transaction standards, payer requirements, Medicare/Medicaid rules, NCCI/CCI concepts as applicable). + ... MEDITECH Expanse revenue cycle experience (Patient Accounting/Revenue Cycle modules) is strongly preferred; experience supporting build, testing, upgrades, and optimization is a plus. #IND234 more
- R1 RCM (Salt Lake City, UT)
- …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
- R1 RCM (Detroit, MI)
- …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
- R1 RCM (Detroit, MI)
- …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