- BrightSpring Health Services (Cleveland, MS)
- …but not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning + Building ... brand awareness throughout referral base and monitoring community, customer, payer , and patient perceptions + Establishing and maintaining effective customer focused… more
- Ascension Health (Bartlesville, OK)
- …outcomes to internal and external teams. + Educate internal staff on payer policies, escalation procedures, and payer -specific issues. **Requirements** Licensure ... / Certification / Registration: + Preferred Credential(s): + Accountant. Licensure required relevant to state in which work is performed Education: + High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2… more
- Trinity Health (Columbus, OH)
- …in quality and patient safety, analytics, evidence-based medicine, CMS and payer pay-for-performance and regulatory affairs. Participates in ongoing optimization of ... Trinity Health, The Ohio Department of Health and other regulatory or payer entities. Provides executive leadership and direction ensuring the organization is… more
- AdventHealth (Maitland, FL)
- …capturing Solid Organ and Bone Marrow Transplant information. + Corresponds with payer survey contact as needed and ensures any additional information requested by ... payer is provided in a timely manner. + Assists with appeals and disputes of outcomes then reviews and forwards the decisions of these outcomes. + Assists with… more
- Aveanna Healthcare (Seal Beach, CA)
- …(RCM) to internal and external organizations, including government agencies, payer organizations, vendors, and business partners. KEY RESPONSIBILITIESDevelop ongoing ... trends and implement denials prevention/recovery programs. Routinely participate in payer trend analyses to ensure optimal processing and reimbursement, identify… more
- Robert Half Finance & Accounting (Hendersonville, NC)
- …healthcare financial best practices + Oversight of revenue cycle, billing, payer relationships, and financial controls + Capital planning, contract evaluation, and ... - CFO or Controller level preferred + Strong understanding of reimbursement, payer models, and regulatory compliance + Bachelor's degree required; MBA or CPA… more
- Fairview Health Services (St. Paul, MN)
- …appropriate. + Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding ... + Maintains, complies, and shares knowledge of all relevant laws, regulations, payer and internal policies, procedures and standards. + Extensive knowledge of other… more
- Trinity Health (Clinton, IA)
- …that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, ... Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes… more
- OhioHealth (Columbus, OH)
- …strong understanding and prior experience in navigating a specialty pharmacy through payer challenges with both pharmacy and medical benefits with commercial and ... patient financial assistance, prior authorizations, claims processing, financial performance, payer contracting, among others. **Work Shift:** **Scheduled Weekly Hours… more
- Logan Health (Chester, MT)
- …programs for patients according to the principles of therapy, LH policy and payer requirements. Completes all required documentation in a timely manner according to ... payer guidelines (Medicare, Private Insurance, Medicaid) and Montana practice guidelines for therapy + Collaborates with leadership to develop goals and discharge… more