- Kaleida Health (Buffalo, NY)
- …skills, as well as possess a thorough understanding of external, regulatory, payer and other forces impacting healthcare financial operations. Expected to organize ... resources, provide leadership and achieve results in a project oriented and fast-paced setting. The utilization of strong and sound business acumen while possessing the ability to communicate effectively, discuss revenue and financial related matters with… more
- ProMedica Health System (Toledo, OH)
- …will review code change requests and conduct review of coding denials or other payer requests. The above summary is intended to describe the general nature and level ... of work performed in this role. It should not be considered exhaustive. REQUIREMENTS + Associate degree, preferably in a health information management or related field + Extensive knowledge of ICD-10, CPT and HCPCS coding. + Minimum of 3 years of… more
- University of Colorado (Aurora, CO)
- …in process optimization efforts. + Maintain compliance with HIPAA, payer requirements, billing standards, and departmental guidelines. **Customer, Clinic, and ... Vendor Support - 10%** + Serve as a knowledgeable resource for patients, providers, schedulers, and clinic staff regarding authorization status and benefit questions. + Respond to calls and messages promptly to support a high-quality patient experience. +… more
- Select Medical (Delaware, OH)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + 1 Year Front Desk experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- CareFirst (Baltimore, MD)
- …quality. + Strong leadership skills, vendor oversight skills and an experience in payer , provider and industry collaboration. + Ability to work in a fast-paced ... environment and drive consistent actions across a matrixed environment. Salary Range: $105,040 - $194,981 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at… more
- Covenant Health Inc. (Lenoir City, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... with chart audits. + Meets established targets for: + Quality/outcome measures + Service/patient satisfaction measures + Financial/productivity measures + Growth/patients-per-day measures + Follows policies, procedures, and safety standards. Completes required… more
- UPMC (Wexford, PA)
- …is preferred. Must be able to learn and apply third party payer guidelines and reimbursement practices. Basic knowledge of health insurance preferred. Must ... be able to maintain confidential information. Must have strong interpersonal, organizational, and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances.Licensure, Certifications,… more
- Sanford Health (Rapid City, SD)
- …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
- San Antonio Behavioral Health (San Antonio, TX)
- …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 knowledge and ability to conduct psychotherapy groups based on a CBT, DBT, and trauma models. + Provides accurate, timely and appropriate… more
- Penn Medicine (Philadelphia, PA)
- …cycle management/oversight. Ensure practice alignment with all standards. + Managed Care/ Payer Management - Support implementation of managed care contracts and ... operational processes. + Participation in the following duties may be assigned at the discretion of department and/or entity leadership: + Practice Financial Strategies & Policies - Support the Operational and Finance Leadership teams in developing and… more