- Blue Mountain Hospital (Blanding, UT)
- …to registration staff. This role ensures compliance with all regulatory and payer requirements while maintaining a seamless transition from clinical care to ... to prevent billing errors and ensure compliance with EMTALA, HIPAA, and payer regulations. Create and present Registration trainings regularly and at new hire… more
- GRAIL (Washington, DC)
- …internal and external strategies related to broad access policy and specific public payer engagements / policy initiatives. Your role will directly contribute to the ... and meaningful reimbursement. + Manage/direct external consultants on GRAIL public payer reimbursement activities. + In partnership with VP, collaborate with… more
- Lundbeck (Deerfield, IL)
- …status and program eligibility + Educate providers and key stakeholders on payer processes and procedures + Meet face-to-face or virtually to answer technical ... a deep subject matter expert on the local market access expertise including payer landscape for Lundbeck specialty products + Provide education to accounts and field… more
- Ihealth Labs Inc (Sunnyvale, CA)
- …in the healthcare industry. Summary: This position performs complete health insurance payer analysis with respect to medical billing and reimbursement functions and ... is responsible for all aspects of payer research, communicate and manage complex payer and industry changes that impact the iHealth’s revenue cycle for Remote… more
- Dermatology Associates of Virginia (Richmond, VA)
- …ICD-10, HCPS coding guidelines plus all applicable federal, state, local, and payer specific directives to analyze and interpret patient medical records, encounter ... to established departmental policies and independently resolves all coding associated payer denials by providing supporting medical documentation to the payer… more
- Stanford Health Care (Palo Alto, CA)
- …(APCs) for billing, and process National Correct Coding Initiative (NCCI) and payer specific edits related to hospital and professional coding. The Single Path ... that may apply for hospital and professional coding + Process coding-related payer specific edits for the hospital and professional claim + Communicates effectively… more
- Caris Life Sciences (Irving, TX)
- …productivity/quality standards. + Provide daily coaching, feedback, and training on payer follow-up techniques and effective communication strategies. + Assist staff ... leadership to refine scripts, workflows, and call strategies. + Ensure compliance with payer requirements, HIPAA, and internal policies. + Serve as a liaison between… more
- Simplex (Austin, TX)
- …activities—maximizing reimbursement while maintaining strict compliance with payer requirements. Cross-Functional Collaboration: Partner with clinical, product, ... with reimbursement models, especially Remote Patient Monitoring (RPM) CPT codes and payer compliance would be a big plus Strong communication and stakeholder… more
- Southeast Healthcare (Columbus, OH)
- …codes are properly sequenced and compliant with federal, state, and payer regulations, including Medicare and Medicaid requirements Communicate with providers and ... posting, and denial management. Familiarity with Medicare, Medicaid, and commercial payer regulations. Proficiency in electronic health record (EHR) systems and… more
- DIGESTIVE CARE SPECIALISTS LLC (Germantown, MD)
- …authorization and pre-certification requests Communicate with insurance carriers via payer portals and phone to obtain approvals, authorizations, predeterminations ... coverage policies and prior authorization requirements Proficient use of EHRs and payer portals Proficiency in medical terminology, ICD-10 and CPT coding Strong… more
