- Caris Life Sciences (Irving, TX)
- …and apply acquired knowledge of Medicare, Medicaid, and other Third-Party Payer requirements **Job Responsibilities** + Proficient in and exceeding job ... responsibilities of Verification/ Authorization Personnel -Specialist either through Caris or with a former employer in a similar industry. + Identify ways to improve and promote quality and monitor your own work to ensure quality standards are met. + Answers… more
- Lundbeck (Joliet, IL)
- …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... **Pharmaceutical Environment/Compliance** - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and… more
- DESC (Seattle, WA)
- …Practice Standards** + Complete timely documentation meeting DESC, regulatory, and payer requirements. + Utilize electronic health records effectively and maintain ... accurate clinical and outreach notes. **Professional Development & Team Culture** + Participate in ongoing training on addiction medicine, harm reduction, trauma-informed practice, race and social equity frameworks, and emerging best practices. + Join case… more
- Caris Life Sciences (IN)
- …+ Utilize oncology market understanding and expertise while discussing the healthcare payer environment and its impact on oncology practices. + Billing support as ... it relates to patients, practices and hospital customers. + Understand information technology and how it interfaces with physician office systems. Able to demo different technology solutions, ie Portal, EMR connectivity and TC/PC, and advise on hardware &… more
- Tidelands Health (Georgetown, SC)
- …completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy Notice, AOB ... (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and responsibilities, HIPAA Privacy Notice, and any financial assistance documentation. + Thoroughly and accurately… more
- US Physical Therapy (Houston, TX)
- …federal regulations + Comply with all clinic policies, HIPAA regulations, and payer guidelines + Participate in staff meetings, in-services, and continuing education ... as required **Preferred** + Outpatient orthopedic experience + Experience with manual therapy techniques and therapeutic exercise progression + Familiarity with EMR documentation systems + Spanish-speaking (preferred but not required) **Physical Requirements**… more
- Seattle Children's (Seattle, WA)
- …to internal and external customers. Research and resolve denial records and payer requirements on assigned accounts in a compliant and efficient manner. **Required ... Education and Experience** Minimum of one year of professional or hospital billing or accounts receivable follow-up experience, OR. Minimum of two years experience in a Revenue Cycle role working primarily with payors, OR. Completion of the Seattle Children's… more
- Wipfli LLP (Milwaukee, WI)
- …ensuring regulatory readiness. + Maintain up-to-date knowledge of healthcare regulations, payer requirements, and industry trends to inform client solutions. + ... Collaborate with cross-functional teams (eg, compliance, IT, finance) to address client challenges and implement improvements. + Respond to client inquiries with professionalism and accuracy, particularly regarding healthcare-specific issues. + Proactively… more
- Organon & Co. (Plymouth Meeting, PA)
- …teams is essential. **Preferred Experience and Skills** + Experience supporting payer , PBM, Specialty Pharmacy, or government channel contracts. + Experience with ... pricing and reimbursement, Medicare, Medicaid, and government pricing implications. + Broad understanding of US Health Care and product contracting environment. **Who We Are:** Organon delivers ingenious health solutions that enable people to live their best… more
- Stanford Health Care (Palo Alto, CA)
- …payment practices for Medicare and MediCal + Working knowledge of commercial payer reimbursement models + Knowledge of Medicare billing practices. + Proficient ... EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . or + CCS - Certified Coding Specialist required . or + CPC and/or CCSP - Certified Professional Coder required .… more
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