- Guidehouse (Birmingham, AL)
- …ability to effectively review remittance advices and electronic billing reports from payer to determine appropriate actions. This position performs all related job ... experience with Metrix, SSI, and HealthQuest + Experience with spreadsheets, reporting, payer websites and sFax. + Excellent communication and interpersonal skills +… more
- Genesis Healthcare (Shillington, PA)
- …is responsible for achieving organizational goals related to patient census and payer management. This role maintains and expands the patient referral source list, ... response times of less than 15 minutes, and achieving budgeted census and payer goals. *Build and nurture relationships with key referral sources in the community… more
- HCA Healthcare (Atlantis, FL)
- …of hospital's peer review committees as requested. Business Development and Payer Relations + Evaluates clinical appropriateness of new medical technologies and ... and consultant to hospital case managers and hospital staff in the reduction of payer denials and in the denial and appeals process, as requested by the Case… more
- Whidbey General Hospital (Coupeville, WA)
- …to develop a treatment plan to most appropriately meet patient needs and payer requirements. Confers with provider as needed to discuss orders and/or patient ... a plan of care consistent with their assessment, MD orders and payer requirements, according to specific and measurable treatment goals, specifying expected outcomes… more
- Walgreens (Houston, TX)
- …of customer service (including patients, providers, and pharmaceutical and payer partners), and developing and protecting department assets. **Job Responsibilities** ... pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- TEKsystems (Louisville, KY)
- …and patient responsibility to the agency. + Obtains all authorization needed from payer for services ordered or requested + Documents specific details related to the ... end dates + Serves as a liaison between the branch location and the payer on a regular basis. Pay: $17-$18.50/hr Top Skills Details Prior Authorization, Insurance… more
- Henry Ford Health System (Detroit, MI)
- …management. Regulatory, Technology & Policy Strategy + Monitor regulatory and payer policy changes, assessing financial and operational impacts in coordination with ... or revenue integrity. + Extensive knowledge of reimbursement methodologies, payer requirements, and regulatory frameworks. + Demonstrated experience with net… more
- Prime Healthcare (Joliet, IL)
- …Coordinates payment for all scheduled/elective services required according to payer specifications prior to services rendered. Collects payments, discusses payment ... Pursues and participates in education opportunities to remain current with payer changes in the healthcare industry. Qualifications EDUCATION, EXPERIENCE, TRAINING… more
- Intermountain Health (Salt Lake City, UT)
- …needs, and prepares and implements solutions. + Partners with Intermountain's payer contracting function to oversee the growth and administration of value-based ... payer contracts and makes recommendations that consider contracting, medical management, provider/member relations, sales and marketing, and claims administration. +… more
- AdventHealth (Hinsdale, IL)
- …Description:** + Collects patient clinical and demographic data and insurance or payer information, verifies payer coverage, and obtains physician orders. + ... Arranges for support services and ensures written orders for homecare are obtained or requests an RN to take verbal orders when needed. + Oversees secretarial staff to assure accurate data entry, appropriate phone answering, management of clinical records, and… more