- R1 RCM (Ogden, 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
- Providence (Seattle, WA)
- …patient and/or caregiver, the physician, other health care providers and the payer . This position functions as a professional role model by demonstrating competency ... in all phases of the nursing process, collaborating with other health care workers to promote quality patient care, and acting as a resource for home care nursing staff for patients with infusion home care needs. This position acts as the primary communication… more
- R1 RCM (Murray, 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
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …areas + Relevant experience in pharmaceutical industry within commercial, medical, payer or academic institution + Good understanding of payers and reimbursement ... landscape + Working knowledge of pharmaco-economic principles + Ability to manage cross functional projects + Ability to analyze complex models and scientific data and draw out key messages + Understanding of FDA, ACCME, PhRMA regulations + Proficiency in… more
- Adecco US, Inc. (Knoxville, TN)
- …cashiering, etc.) + Responsible for Patient Accounting system master file integrity, payer monitoring, and customer relations. + Remain current on procedural and ... regulatory changes issued by Medicare, TennCare, managed care payers, and agencies. Communicate updates to staff and other departments that need to know. + Utilizes resources available appropriately, ie use of system equipment and/or supplies. + Ensures… more
- UPMC (Pittsburgh, PA)
- …financial alignment. + Stay up to date on relevant regulatory changes, payer updates, and organizational initiatives that may impact specialty workflows or revenue ... cycle functions. Required Education and Experience: + Bachelor's degree in accounting or related business field required. + Minimum of three years of related work experience required. + OR High School Diploma/GED and five years of related work experience.… more
- UPMC (Pittsburgh, PA)
- …of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to ... effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate. + Demonstrate the ability to identify, assess, counsel and effectively intervene with medically and psychosocially complex patients with the ability to… more
- Ardon (Portland, OR)
- …operational impact to leadership as appropriate. Coordinates responses to escalated payer inquiries and communicates escalated patient needs to payers, with guidance ... from operational leadership. Responsible for application tasks, including but not limited to: Processing incoming documents Maintaining patient records Loading insurance information Performing prescription data entry Processing prior authorization notices… more
- Highmark Health (Columbus, OH)
- …data + 5 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 5 years of providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Medical coding certificate… more