- Beth Israel Lahey Health (Beverly, MA)
- …their homes and communities in accordance with home care regulations and payer guidelines. **More Specifically** : + Coordinate care for assigned patient caseload ... including but not limited to: delegating to and supervising of PTA staff (if applicable), processing patient condition change visits, and completing OASIS time points. + Complete and document an initial assessment of patient and family to determine home care… more
- Beth Israel Lahey Health (Westwood, MA)
- …prescriptions. + Develop and master an understanding of product and payer reimbursement landscape and prior authorization guidelines and processes. Collects and ... communicate all data needed to facilitate prior authorization approvals. Convey status updates as appropriate including information with appeals. + Provides exceptional customer service to internal and external customers. Resolves any customer requests in a… more
- Sanford Health (Bemidji, MN)
- …practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources, ... as applicable. Demonstrate extensive advanced knowledge of medical principles, practices and techniques. **Qualifications** Master's or Baccalaureate degree (Associate's or Nursing Degree if training prior to 1994). Successful completion of a physician… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... professionalism, we're hired as strategic and creative partners by our biopharmaceutical clients to drive category/brand awareness and growth. Position Overview The Talent Acquisition Partner, Contingent Workforce, will lead all initiatives related to… more
- Catholic Health Services (Melville, NY)
- …Posting of payments and adjustments to patients' accounts. + Review denials from payer sources and provide necessary follow-up. + Work on Accounts Receivable reports ... to maintain that all payments have been received and posted accurately. + Follow-up with outstanding accounts either electronically or speaking to insurance companies. + Obtain necessary insurance verification for coverage. Run reports in Epic as necessary for… more
- Planned Parenthood of Greater New York (New York, NY)
- …and finance, to ensure data integrity and accuracy. . Monitor payer performance and reimbursement trends, providing insights to support strategic decision-making. ... . Assist in the development of financial models to project revenue and optimize revenue cycle performance. . Prepare and present data findings to stakeholders, ensuring clear communication of complex information. . Stay current with industry trends and… more
- Covenant Health Inc. (Knoxville, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... with chart audits. + Meets established target for: + Quality/outcome measures + Service/patient satisfaction measures + Financial/productivity measures + Growth/patients-per-day measures + Demonstrates leadership including, but not limited to: + Participates… more
- Select Medical (Cleveland, OH)
- …managers to create smooth patient transfer processes and to help remove payer -related and operational barriers to getting appropriate patients into the best next ... level of care. This is a salaried position with monthly bonuses. The hours are Monday- Friday with rotating weekend/holiday on-call responsibility. **Responsibilities** **Specific Duties** + Work with hospital case managers and physicians to identify and… more
- Blue Matter (New York, NY)
- …on market access related roles (ie pricing, contracting, market access analytics, payer mix analysis, provider mix analysis, specialty pharmacy and IDN dynamics, ... patient services and patient access) + Demonstrated ability to integrate business and industry knowledge in developing creative solutions + Strong analytical and problem solving skills + Excellent written and oral communication skills + Solid time management… more
- Select Medical (Houston, TX)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required + 1 Year of Medical Office Experience + Insurance Verification Experience **Preferred Qualifications:** + Bilingual **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal… more