- 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
- Aspirus Ironwood Hospital (Wausau, WI)
- …Develops and helps guide processes necessary to comply with government and payer regulations and to support managed care agreements while developing pricing ... related field required. + Five years with the following experience: payer contract negotiation, charge master system administration, healthcare finance and revenue… more
- System One (Tulsa, OK)
- …of insurance claims to ensure timely reimbursement. This role manages payer communications, resolves claim issues, supports accounts receivable processes, and ... outstanding claims to ensure timely and accurate payment + Respond to payer inquiries, requests for documentation, and insurance correspondence + Review and resolve… more
- Community Health Systems (Franklin, TN)
- …current knowledge of federal and state billing regulations, ensuring compliance with payer guidelines and revenue cycle best practices. + Identifies and escalates ... + Strong understanding of medical billing processes, revenue cycle workflows, and payer reimbursement policies. + Proficiency in Athena, Microsoft Excel, and other… more
- J&J Family of Companies (Horsham, PA)
- …record planning and executing access or CX strategy, including navigating payer systems, reimbursement, field engagement, and fulfillment + Strong understanding of ... patient / customer journey design, HCP engagement, omnichannel channels, and payer dynamics + Expert ability to translate data into insights, define actionable… more
- Covenant Health Inc. (Knoxville, TN)
- …guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which ... program and safety standards + Demonstrates an ability to understand the payer requirements of insurance carriers. + Demonstrates an understanding of all patient… more
- Intermountain Health (Boise, ID)
- …leadership team. + Performs extensive data mining, mentoring/training, regulatory and payer policy review, abstracting of financial and clinical information from ... experience and operational success. + Demonstrates advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring. **Preferred** + **Cath… more
- TEKsystems (Sterling, VA)
- …+ Ability to navigate multiple computer systems simultaneously + Understanding of payer processes, especially Medicaid, CareFirst BCBS, Cigna, and Aetna + Knowledge ... and able to manage competing priorities + Confident in both patient‑facing and payer ‑facing communication Job Type & Location This is a Permanent position based out… more
- Corewell Health (Kentwood, MI)
- …those area's authorization requirements. + Demonstrates the ability to utilize all payer websites and maintains up to date credentials to assist verifying patient's ... abstraction to pull clinical data from a patient's chart for review by a payer 's clinical team. + Adheres to all department procedures, guidelines, and standard work… more
- Genentech (Los Angeles, CA)
- …an in-depth understanding of relevant medical strategy and clinical, patient/caregiver, payer and healthcare/market landscape + Act as a guardian for high ... + Understanding of the US health care environment including the payer landscape, marketplace factors/dynamics, evidence-based medicine tools and practices, etc. +… more
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