- Fairview Health Services (St. Paul, MN)
- …outcomes. Additionally, the role will maintain understanding of current regulatory and payer requirements and ensuring team maintains current in their application of ... vehicles for team, remaining current with CPT/HCPC coding regulations and payer billing requirements. + Performs succession planning and individualized plans to… more
- Sutter Health (Sacramento, CA)
- …and administration for affiliates. Creates periodic reports relating to payer performance, utilization, reimbursement and other clinical and financial data ... to assess and monitor contract/ payer performance, identifying trends and patterns. **Job Description** : Hybrid position with report requirements in Sacramento, Ca… more
- ARAMARK (Lexington, KY)
- …if a refund should be processed + Research and resolve requests for payer refunds within an established time frame + Research unidentified cash by requesting ... assistance from payer via telephone or written correspondence + Ability to effectively communicate with multiple customers and work with a diversity of people at… more
- UnityPoint Health (Rock Island, IL)
- …for all communications and information gathering activities + Follows EMTALA, HIPAA, payer and other regulations and standards Qualifications + Two years of ... payers and collections + Prior experience with verification, pre-certification and payer benefit and eligibility systems required + Knowledge of ICD coding… more
- Genentech (South San Francisco, CA)
- …healthcare shifts, allowing Genentech to proactively shape strategies for evolving payer and provider landscapes. + Enterprise Digital Transformation: Act as a ... + Strong proficiency in leveraging complex, large-scale healthcare data-including Payer Claims (IQVIA, Symphony, Optum), EHR, Clinical Trial, and Specialty… more
- University of Utah (Salt Lake City, UT)
- …requests, escalate for resolution. + Maintain familiarity with contracts, payer guidelines, and resources to determine appropriate coverage and eligibility. ... detailed documentation of authorization history. + Serve as a liaison between the payer and clinic schedulers/medical support staff. 20% + Complete other duties as… more
- Integra Partners (Troy, MI)
- …solving skills and planning abilities to diagnose and solve root process, payer and communicate system issues impacting revenue cycle objectives + Stay informed ... are the subject matter expert on those plans and are able to spot any payer issue trends. + During this time you will set measurable goals for personal development… more
- Surgery Care Affiliates (Danbury, CT)
- …as opposed from collecting from self-payers/individuals. + Works closely with payer provider relations representatives + Contacting insurance companies by email ... billing, accounts receivable, A/R, collecting payments, collecting re-imbursements from payer organizations or from the insurance company side + Experience… more
- Hackensack Meridian Health (North Bergen, NJ)
- …progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements. ... to optimize resource utilization and patient care. + Ensure compliance with payer regulations and medical necessity criteria (eg, MCG, InterQual). + Conduct… more
- Logan Health (Kalispell, MT)
- …for patients according to the principles of OT, Logan Health 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 occupational therapy. + Exhibits effective communication skills in… more