- Covenant Health Inc. (Knoxville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... posting to the patient account. + Maintains strict confidentially of patient information. + Does not promote or participate in solicitation during working hours within the department. + Recommends to the Coordinator updates to existing policies and procedures… more
- University of Rochester (Rochester, NY)
- …limited to, pre-certifications, Utilization Management, Medicaid Pending, third party payer issues, and denials/appeal processes. Communicates and follows-up with ... assigned area, Financial Assistance, Social Work, Utilization Management, Financial Case Management, patients, families, third-party payers, and governmental agencies. **ESSENTIAL FUNCTIONS** + Documents demographic and insurance information in a timely,… more
- Trinity Health (Troy, NY)
- …orientation process. + Work closely with the medicalstaffcredentialing & payer credentialing departments to ensuretimelysubmission of applications and documents. ... _Leadership & Collaboration:_ + Serve as a liaison between anesthesia providers, surgical teams, nursing, and hospital administration. + Facilitatesregular communication and feedback loops to address concerns and improve service delivery. + Lead initiatives to… more
- AbbVie (Mettawa, IL)
- …interactions; generation and dissemination of clinical and scientific data; provider and payer educational initiatives. This position can be based from our Mettawa, ... IL or Florham Park, NJ or Cambridge, MA location. Key Responsibilities + Collaborates with Pipeline Medical Strategy team to contribute to scientific strategy for pipeline psychiatry assets, including asset, education, and evidence strategies + Develops and… more
- Hologic (Marlborough, MA)
- …(such as CPT, HCPCS). + Strong understanding of private and public payer environment and medical policy. + Strong communication and relationship building skills ... with demonstrated success leading complex initiatives with cross functional teams. + Experience leading initiatives and working with all levels of an organization. + Ability to work collaboratively within and outside Hologic, and develop deep, strategic… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …experience, preferably in full-stack development, with knowledge of the healthcare payer domain. + Proven experience leading, mentoring, and coaching a team ... of product owners. + Demonstrated ability to manage relationships with senior business stakeholders and executive sponsors. + Proficiency in agile methodologies and tools such as Jira, Confluence, or Azure DevOps. + Strong knowledge of AI/ML concepts,… more
- UnityPoint Health (Fort Dodge, IA)
- …in accordance with home health conditions of participation (CoPs), various payer home health coverage criteria, accreditation standards, professional standards for ... discipline/credential and the home health plan of care. .Maintains competence in OASIS data collection and documentation and submits all initial and corrected assessments according to CMS guidance and agency policies and procedures. .Participates in clinical… more
- HCA Healthcare (San Antonio, TX)
- …an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services. ... + Reviews, coaches, and assists with training of new staff/interns as assigned within approved practice and program guidelines. + Participates in developing department goals/objectives and clinical programming. Performs utilization review as assigned. +… more
- Performance Optimal Health (Stamford, CT)
- …account follow-up. + Ensure all billing practices comply with federal, state, and payer regulations, as well as internal policies and procedures. + Manage accounts ... receivable, monitor aging reports, and implement strategies to improve collections and minimize denials. + Support financial operations by ensuring accurate billing, reconciliation, and reporting to maintain strong revenue cycle performance. + Oversee… more
- HCA Healthcare (Orange Park, FL)
- …an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services ... . Performs utilization review as assigned . Participates in developing department goals/objectives and clinical programming . Reviews, coaches and assists with training of new staff/interns as assigned within approved practice and program guidelines. .… more