- Hackensack Meridian Health (Belle Mead, NJ)
- …all Access data elements, such as real time eligibility (RTE), Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB ... (Coordination of Benefits), and reviews physician licensure. Works with Access assigned Work Ques (WQs) to correct the edits causing the stop bills. Included in this is the compilation of edit findings to provide management with a tool to provide education,… more
- Hartford HealthCare (Hartford, CT)
- …in EPIC to support the obtained insurance authorization. Communicates changes in payer and or federal regulatory guidelines to their manager, pharmacy staff, ... providers and other clinical departments, as applicable. Communicates with patient to provide pre- and post-surgery instructions, and obtains completed consent forms and required tests or preparations needed prior to surgery. Prepares and distributes surgery… more
- Lilly (High Point, NC)
- …environment, utilizing critical thinking and strategic mindset to understand the environment ( payer , health systems, business) and gain access to the customers to ... make an impact on patients' lives. + Work colabortativily with territory and Lilly partners to leverage impact across your territory and district. + Operate with high integrity and comply with Lilly policies and procedures. **Basic Qualifications** +… more
- Moore County Hospital District (Dumas, TX)
- …are reviewed and revised to maintain compliance with regulatory and payer agencies. EDUCATIONAL/EXPERIENCE REQUIREMENTS: Ability to read and comprehend simple ... instructions, short correspondence, and memos. Ability to read and write simple correspondence. Experience in Medicare and Medicaid billing. High school graduate or equivalent preferred. EXPERIENCE REQUIREMENTS: 3 years of business operations experience… more
- Logan Health (Whitefish, MT)
- …+ Completes all required documentation in a timely manner according to payer guidelines (Medicare, private insurance, Medicaid) and Montana practice guidelines for ... Speech Therapy. + Enhances rehabilitation services by participating in projects/programs within the department, the facility and the community as applicable to assigned area(s). + Achieves set productivity standards per department protocol and as applicable to… more
- Robert Half Accountemps (Sacramento, CA)
- …collections, including supervisory roles. * Expertise in handling medical denials, payer issues, and reimbursement rates. * Proficiency in using billing software. ... * Strong knowledge of Medicare billing and healthcare billing processes. * Ability to process write-offs and coordinate month-end tasks effectively. * Familiarity with insurance and billing websites, ensuring proper staff access and use. * Excellent… more
- Covenant Health Inc. (Crossville, 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 in… more
- Covenant Health Inc. (Crossville, 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 in… more
- AbbVie (Denver, CO)
- …healthcare marketplace dynamics such as insurance, drug benefit plans, and key payer strategies (eg, PBMs, pharmacies, employers, consumers). + Ability to act ... independently and demonstrate sound business judgment within the scope of broad guidelines. Demonstrated ability to create and implement comprehensive GA strategies that include lobbying, association engagement, third party advocacy, media, and other… more
- San Antonio Behavioral Health (San Antonio, TX)
- …Word and Excel. + Has knowledge of governmental and managed care payer requirements. + Demonstrates understanding of the various "Self-Pay" account classifications ... and their applicable patient statement processes. + Understands the data elements required to generate a clean bill. + Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards. + Must have the ability to… more
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