- UNC Health Care (Rocky Mount, NC)
- …impact on AR 4. Demonstrates advanced knowledge of both commercial and governmental payer structures, and ensures changes in payer requirements are addressed in ... resolved independently. 6. Demonstrates advanced knowledge of both commercial and governmental payer structures, and ensures changes in payer requirements are… more
- Rochester Regional Health (Rochester, NY)
- …computer system reviewing for mandatory precertification and/or other third party payer requirements + Collects complete financial information to include payer ... eligibility via insurance websites, where appropriate + Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients + Completes all admission… more
- Moore County Hospital District (Dumas, TX)
- …the practice act of Texas State Board of Physical Therapy, regulatory agencies, payer guidelines, and policies and procedures of the department is maintained through ... Texas State Board of Physical Therapy examiners. Compliance with regulatory agencies, payer guidelines, and the policies and procedures of MCHD and the department… more
- Nuvance Health (Danbury, CT)
- …of comprehensive appeals, ensuring accuracy, clinical validity, and adherence to payer requirements. Monitor appeal outcomes and adjust strategies as needed. * ... all relevant federal, state, and local regulations, accreditation standards, and payer requirements. Maintain up-to-date knowledge of changing healthcare policies. *… more
- Rochester Regional Health (Rochester, NY)
- …computer system reviewing for mandatory precertification and/or other third party payer requirements * Collects complete financial information to include payer ... eligibility via insurance websites, where appropriate * Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients * Completes all admission… more
- UnityPoint Health (Des Moines, IA)
- …file for each patient. * Obtains information and completes MSPQ and other payer -specific documents. * Reviews and explains all registration forms prior to obtaining ... as applicable after developing an estimate applying allowable (based on payer ). * Identifies prearranged payment commitment and follows instructions as outlined… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …business areas (eg, health economic modeling, value communications, observational research, payer partnerships) to a high standard. How you will contribute: * ... specifications across therapeutic areas, ensuring alignment with product value and payer needs. * Collaborate with cross-functional teams to design VBA frameworks,… more
- Moore County Hospital District (Dumas, TX)
- …the practice act of Texas State Board of Physical Therapy, regulatory agencies, payer guidelines, and policies and procedures of the department is maintained through ... Texas State Board of Physical Therapy examiners. Compliance with regulatory agencies, payer guidelines, and the policies and procedures of MCHD and the department… more
- Penn Medicine (Philadelphia, PA)
- …progression, denial management, compliance with governmental and private payer regulations, and appropriate physician documentation requirements. Reporting directly ... of care recommendations * Stay current on changes in payer rules including CMS rules as it pertains to...billing for services * Provide feedback to Contracting on payer denial patterns where appropriate * Facilitate, mentor, and… more
- Bozeman Health (Bozeman, MT)
- …areas to ensure smooth operations and revenue flow. Conduct research through payer portals to identify missing remittances. Minimum Qualifications: Required + High ... Apply contractual adjustments, write-offs, and denials as needed in compliance with payer contracts and organizational policies. + Reconcile NSF checks and lost… more