• Chief Financial Officer -Physician & Ambulatory…

    BayCare Health System (Tampa, FL)
    …to monitor productivity, panel size, and access metrics. **Value-Based Care and Payer Strategy** + Support payer strategy through analysis of reimbursement ... trends, contract performance, and value-based arrangement opportunities. + Provide financial insight on risk-based arrangements including shared savings, capitation, and bundled payments. + Collaborate with population health and care management teams to align… more
    BayCare Health System (01/08/26)
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  • Intake Referral Representative - Full Time

    Penn Medicine (King Of Prussia, PA)
    …personal data, selection and entry of appropriate insurance companies, management of payer master file, support of patient medical history file, and price matrix ... Qualification Process Reviews and interprets Medicare, Medicaid and third-party payer guidelines to determine appropriateness of diagnosis and related therapy(ies)… more
    Penn Medicine (01/08/26)
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  • Regional Sales Director

    Option Care Health (Olympia, WA)
    …business unit and specialty enterprise objectives + Partners with operations and payer counterparts to build regional strategic market plans to increase market ... opportunities. + Must be an expert in local market dynamics (including payer issues, state and government regulations, provider payment issues, etc.) and clinically… more
    Option Care Health (01/08/26)
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  • Payment Poster

    HCA Healthcare (Dallas, TX)
    …role:** + You will post all payments and adjustments daily + You will contact payer and initiate requests for payment and refunds for overpayment + You will enter ... Strong cash posting experience + Solid understanding of managed care, payer contracts, insurance carriers, financial ledgers, refunds and credit balance resolution.… more
    HCA Healthcare (01/08/26)
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  • Patient Access Rep II

    Finger Lakes Health (Geneva, NY)
    …outstanding information/co-payments on the date of service. Responsibilities also include: Verifying payer coverage of the services to be provided to the patient, ... Pre-certifying the service with the payer , Obtaining any required pre-authorization(s), and documenting all information related to the certification/authorization.… more
    Finger Lakes Health (01/08/26)
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  • Medical Coding Auditor

    Humana (Jackson, MS)
    …cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code ... cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code… more
    Humana (01/07/26)
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  • Corporate Billing Supervisor

    Tarrytown Rehabilitation & Nursing Center (Tarrytown, NY)
    …Monitor billing processes to ensure timely submission of claims and adherence to payer requirements. + Review and analyze billing reports to identify trends, issues, ... care setting. + Strong knowledge of Medicare, Medicaid, and third-party payer billing regulations. + Excellent leadership, communication, and interpersonal skills. +… more
    Tarrytown Rehabilitation & Nursing Center (01/07/26)
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  • Contract Pricing Advisor

    HCA Healthcare (Brentwood, TN)
    …is responsible for the What-if modeling of managed care contracts, partnering with Payer Contracting & Alignment in creating payer contracts to ensure HCA's ... competitive position in the market. The Contract Pricing Advisor will use financial modeling tools to evaluate the impact of proposed terms on profitability, trend and other metrics. Responsibilities: + Model managed care contracts through available modeling… more
    HCA Healthcare (01/07/26)
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  • Senior Associate, Healthcare Financial Analysis…

    Ankura (PA)
    …+ You'll work with critical data: Dive deep into patient volumes, payer contracts, financial performance, and utilization metrics to build a complete picture ... and utilization trends for all service lines, facilities, and payer contracts. + Healthcare Metrics Analysis: Analyze healthcare-specific operational metrics… more
    Ankura (01/07/26)
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  • Risk Adjustment Coding Specialist - Remote

    Trinity Health (Columbus, OH)
    …missed or undocumented HCCs. + Maintain compliance with CMS, HHS, and payer -specific risk adjustment guidelines. + Participate in internal audits and quality ... knowledge of Risk Adjustment and HCC coding. + Knowledge of payer contracts and reimbursement. **Position Highlights and Benefits:** + Competitive compensation… more
    Trinity Health (01/07/26)
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