- University of Washington (Seattle, WA)
- …CMS 1500, ADA and other utilized billing forms according to regulatory or payer requirements, to ensure accurate and compliant billing of facility and professional ... fees + Analyze and take action on unresolved accounts, including payer denials + Analyze financial information provided by patients to determine their ability to… more
- Chiesi (Boston, MA)
- …arise, focusing on price trends, copay card utilization, distribution channel data needs, and payer invoice review. This role will need to remain up to date on ... portfolio. + Analyzing and regularly updating complex data sets ( payer mix, competitive market data etc.) + Organize and...needs + Pricing analyses and reimbursement tracking + Pulling payer insights by plan and geography The Market Access… more
- Southeast Health (Dothan, AL)
- …of days in A/R. Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full ... of and navigation of Medicare's DDE system and other governmental and commercial payer websites for claim status and corrections; + Accurately determines Part A and… more
- Albany Medical Center (Albany, NY)
- …AMHS has skill set encompassing strong working knowledge of third-party payer regulations; interpretation of payer contracts and applying contractual ... Degree - preferred + 3 - 5 years working knowledge of third-party payer regulations; healthcare financial counseling and Hospital or Physician office experience; in… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …renewal of all required documents, and support organizational compliance with payer and agency requirements. Key Responsibilities Credentialing & Compliance Maintain ... requirements. Set up and maintain provider profiles in credentialing and payer enrollment systems. Track all license, certification, malpractice, and DEA expiration… more
- Penn Medicine (Philadelphia, PA)
- …Receivable Supervisor manages the accounts receivable and associated staff for assigned payer (s). This position will also identify, report, and resolve issues to ... of accounts. Responsibilities: + Evaluates effectiveness of strategies by tracking payer key performance indicators and implementing corrective actions as necessary… more
- University of Rochester (Rochester, NY)
- …up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify ... working claims. + Reviews reasons for claim denial. + Reviews payer website or contacts payer representatives to determine why claims are not paid. + Determines… more
- BrightSpring Health Services (Colorado Springs, CO)
- …the referral to the branch + Responsible for keeping staff current with payer requirements and Amerita policy and procedures related to the intake process, CPR+ ... in local and regional payor requirements, ensuring team alignment with policy changes and payer nuances + Acts as an escalation point for complex or high impact… more
- Guidehouse (Chicago, IL)
- …is dedicated to managed care contracting - you will learn to read payer contracts (commercial and government), model reimbursement terms in our existing tools, and ... turn findings into clear, executive-ready recommendations. + Learn and interpret payer contracts (fee schedules, DRG/APC, per diem, percent-of-charge, case rates,… more
- HCA Healthcare (Denver, CO)
- …market. Oversees the following: . All data analytics and supports value-based payer contracting activity . Payer relations and contract negotiation management ... Creates the financial statements and HOCCP. Reports financial status to Boards. Payer relations and contract management: . Supports payor contract negotiations and… more
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