- Hartford HealthCare (Bridgeport, CT)
- …submission. This role ensures compliance with Medicare, Medicaid, and other Commercial payer requirements, helping to prevent billing errors and reduce denials. This ... that visits are properly scheduled and documented. Maintain up-to-date knowledge of payer guidelines and regulatory changes to ensure billing readiness for Medicare,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …role in revenue cycle and reimbursement, by ensuring accurate and eligible payer information, along with financial responsibility, prior to claims processing * Makes ... of registration process * Increased knowledge of insurance coverages and payer policies * Increased knowledge of Medicare billing requirements for admission,… more
- BrightSpring Health Services (Dothan, AL)
- …from the patient's physician/allowed practitioner + Ensure compliance with state/local/ payer requirements and that documentation reflects the care provided and ... meets company, regulatory and payer standards; and completes documentation within the required timeframe + Participates with after-hours coverage, including weekends… more
- Sumitomo Pharma (Lansing, MI)
- …goal of supporting attainment of coverage goals and maximizing net revenue + Develop payer & provider deal models to assess the implications of deal scenarios on ... and developing new approaches, processes and methodologies + Experience evaluating PBM/ payer contracts to ensure they support Market Access objectives +… more
- CenterWell (Augusta, ME)
- …identify educational opportunities. + Conduct research as needed. + Participate in Payer calls/chart reviews. + May participate in provider education programs on ... guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements + Proficiency in Microsoft Office Suite (Word, Excel,… more
- ServiceNow, Inc. (Boston, MA)
- …to a particular industry vertical, ie, life science, healthcare provider, healthcare payer ). A representative list of core responsibilities of the ITAM Solution ... partner / vendor or customer) . Experience working with or in healthcare payer , provider or life science organizations . Located in Eastern or Central time… more
- Stanford Health Care (Palo Alto, CA)
- …and faculty + Solid understanding of coding conventions and current third-party payer rules and regulations Knowledge of coding conventions + Current knowledge of ... third party payer rules and regulations + Knowledge of computer systems, specifically, Epic Care and related interfaces + Knowledge of management and supervision and… more
- MyFlorida (Largo, FL)
- …Medicare A&B, Medicaid, Medicaid Managed Care, Third Party Insurers, and any other payer for the State Veterans' Homes. + Review and monitor resident accounts ... ensuring that the account set up and payer types have been correctly established by the facility. + Verify insurance eligibility. + Review and monitor accounts on a… more
- Northwell Health (New Hyde Park, NY)
- …coding resources, reference materials (eg online coding platforms, coding manuals, payer policies), and internal expertise to ensure accurate code selection, ... abreast of changes in coding guidelines, regulations (eg, CMS updates, payer -specific policies), and coding software updates. 14.Proactively enhances coding skills… more
- Walgreens (Valhalla, NY)
- …pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and ... pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (Adverse event reporting, data and… more
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