- Rush University Medical Center (Chicago, IL)
- …to adapt to changing situations with ease and speed. * Familiarity with payer 835/ERA file downloading and overall file transfer protocols. Competencies * Must be ... have accuracy focused on deposit date, appropriate payment code, payer , allowed amounts and remit codes when applicable. Ensure...for all incoming remittance checks tied to each 835 payer file. Using the current RUSH approved banking applications… more
- Mount Sinai Health System (New York, NY)
- …+ 3+ years in a leadership or management role + Strong understanding of payer policies, utilization management + **Skills & Competencies** : + Proven ability to lead ... HIPAA, CMS, utilization management standards) + Experience with EHR/EMR systems, payer portals, or access control tools + Excellent communication and interpersonal… more
- UTMB Health (Galveston, TX)
- …and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines * Demonstrates a basic understanding of CPT, ICD-9, HCPCS, ... payers and/or clients for hospital and/or Professional Patient Accounts * Resolves Payer rejections from billing system daily to bill submit hospital and/or… more
- Movn Health (NY)
- …existing accounts, drive referrals and renewals, and expand utilization under our national payer contracts. You'll own the revenue and net retention metrics for your ... referral champions. + Sign and activate new provider groups under existing payer agreements. Qualifications + 5-8 years in provider relations, physician outreach, or… more
- Abbott (Abbott Park, IL)
- …and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with Forecasting, ... Finance, and Commercial Teams to project and monitoring payer mix and net prices + Develop financial modeling, including pricing model upkeep and improvement +… 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
- Finger Lakes Health (Geneva, NY)
- …of service. Responsibilities will also include, although not limited to: 1. Verifying payer coverage of the services to be provided to the patient, pre-certify the ... service with the payer , and obtain any required pre-authorization(s), documenting all information...part of the process of identifying any third party payer billable for the service. 3. Serving as a… more
- National Health Transport (Miami, FL)
- …National Health Transport Inc. billing processes. + File complaints with the appropriate payer or their governing authority. + Identify and separate denials by code ... and payer + Follow through with payers correspondence in a...+ Review account status routinely as required for each payer type; minimum of 20 days. + Identify recurring… more
- Covenant Health Inc. (Knoxville, TN)
- …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Intermountain Health (Charleston, WV)
- …resources, and educating patients and families while delivering regulatory or payer notifications. **_Please note that a video interview through Microsoft Teams ... proper documentation to support the delivery of government-mandated forms or payer communication. + Performs clerical tasks to support care management services,… more