- Arkansas Children's (Little Rock, AR)
- …goals and priorities. 8. Ensure compliance with applicable regulatory, payer , and institutional requirements, including 340B program standards. 9. Track ... overseeing performance, workflow efficiency, and compliance with regulatory and payer requirements. 12. Perform other duties as assigned, supporting organizational… more
- Billings Clinic (Billings, MT)
- …to government and third-party payers, assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying ... other prebilling insurance reports/worklists. Analyzes and review claims to ensure that payer specific regulations and requirements are met. * Prepares and presents… more
- BeOne Medicines (San Mateo, CA)
- …and decision-making. Additionally, the Director will analyze market trends, assess payer landscapes, and optimize GTN strategies to maximize market access and ... care industry + Possess in-depth knowledge of market access dynamics, payer landscapes, reimbursement strategies, and GTN accounting principles. + Expertise in… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …to patients + Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling + ... improvement to ensure a streamlined patient relationship consistent with selected payer specifications. This may include accessing systems such as partner CRMs… more
- Covenant Health Inc. (Knoxville, TN)
- …billing. + Ensures collection and assembly of patient demographic, medical, and payer information; documentation of all medical services provided to patients as part ... for the purpose of appropriately billing the patient and/or his or her payer (s). + Develops and monitors clinic and infusion center capital and operational budgets.… more
- BrightSpring Health Services (San Diego, CA)
- …and maintains positive working relationships with current and potential referral and payer sources + Builds and monitors community, customer, and patient perceptions ... comprehensive working knowledge of service markets including government agencies, major payer groups, key referral sources and competitor market positioning +… more
- Teresian House (Albany, NY)
- …billing for Medicare, MCO's, Medicaid and private insurers using electronic and payer formats. Monitor and manage outstanding balances and follow-up on unpaid ... + Working with other departments to ensure accurate census date and payer sources are maintained. + Assisting with audits and providing requested documentation… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …as required for delivery to Chief Compliance Officer for final submission to payer . * Review government and commercial payer policy updates (ie, MCR ... NCD/LCD), regulatory, legal and industry developments for their applicability to the operation, determine risks and participate in the dissemination of relevant information. * Manage audit software functions by setting criteria for routine and focused… more
- Truman Medical Centers (Kansas City, MO)
- …+ Awareness of trends in utilization review and governmental third party payer reimbursement policies, standards and procedures. + Knowledge of standard problem ... solving, management information systems and governmental and third party payer billing information requirements. + Written and verbal communication skills to… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Accounting, Revenue Cycle, External Affairs, Business Initiatives & Strategy, Payer Contracting. ▪ Experience in overseeing complex regulatory/compliance audits. ▪ ... unique to the industry. **SUPERVISORY RESPONSIBILITIES:** Direct Reports ▪ Sr Director Payer Contracting and Performance ▪ Sr Director Finance Administration ▪ VP… more