- Option Care Health (Hudson, OH)
- …Creates documentation required to service the patient per policy and payer guidelines. + Determines estimated patient financial responsibility using insurance ... verification information and payer contracts and/or self-pay guidelines. **Supervisory Responsibilities** Does this position have supervisory responsibilities? (ie… more
- Sanofi Group (Cambridge, MA)
- …+ Deliver decision-shaping insights: Provide financial insights on GTN programs, payer /channel mix, product launches, and contract structures to support leadership ... the financial impact of pricing strategies, market access programs, and payer negotiations; translate assumptions into clear implications for profitability and… more
- St. Luke's Health System (Boise, ID)
- …expired medications within drug classes + Support New Drug Reviews, including payer coverage inquiries + Assist in finalizing System P&T agendas and meeting ... biosimilar financial modeling and preference card analysis + Supporting medication payer coverage and financial analyses + Attending monthly Business Coach meetings… more
- BrightSpring Health Services (Huntington, WV)
- …documentation within established agency guidelines + Ensures compliance with state/local/ payer requirements and that documentation reflects the care provided and ... meets company, regulatory and payer standards + Requisition and management of equipment and supplies required to increase the client's function and independence as… more
- Sanofi Group (Cambridge, MA)
- …account development. It also works cross-functionally with Sales, Medical, Training, Payer Access & Public Affairs (PA&PA), Patient Support Services (PSS), and ... integrated into key account strategies + Collaborate across marketing, medical, training, payer access & public affairs, patient support services, and analytics to… more
- AbbVie (Florham Park, NJ)
- …stakeholders (eg, Strategic Channel Account Management, Area Leads, Area Marketers, Payer Strategy, FRMs, MOSLs, AbbVie Patient Services) to share insights, address ... + Advanced degree (MBA, MPH, etc.) + In-depth knowledge of regional payer landscapes, healthcare policies, and key customer types (IDNs, VISNs, Employers). +… more
- Robert Half Accountemps (Cincinnati, OH)
- …resolve coding discrepancies. * Stay current with coding regulations, guidelines, and payer requirements to ensure compliance. * Assist in quality assurance efforts ... care. * Ability to perform medical necessity checks and ensure compliance with payer guidelines. * Excellent attention to detail and organizational skills. * Strong… more
- BrightSpring Health Services (Louisville, KY)
- …quality, Prior Authorization, Claim Overrides and customer service* Validate Admissions payer information if missing from New Admissions* Participates in Quarterly ... in conjunction with Account Management to communicate billing, Prior Authorization and Payer information with the customer, group or chain.* Review monthly interim… more
- Northwell Health (Riverhead, NY)
- …to the health care team regarding quality, utilization of clinical resources, payer , and reimbursement issues. + Works with on-site screeners in transitioning ... clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + Identifies patients for Alternate Level Care (ALC) care list… more
- UPMC (Pittsburgh, PA)
- …for closing accounts. Responsible for account balances according to their respective payer when applicable, and for timely and accurate billing in accordance with ... + Verify accuracy of payment posting and reimbursement. + Work with appropriate payer and/or department to resolve any payment discrepancies. + Ability to understand… more
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