- Hartford HealthCare (Vernon, CT)
- …o visits. o Maintains productivity as established by the Agency. o Utilizes payer sources correctly, reflecting changing levels of care. o Delegates patient care ... home care aides at a minimum of every 14 days or as required by payer source. 6. Develops and maintains sufficient professional skills and credentials to meet the… more
- Trinity Health (Chelsea, MI)
- …patient while adhering to ethical practices per insurance guidelines for each payer . Works with site leader, director and/or secretarial staff to ensure schedules ... each patient while adhering to ethical practices per insurance guidelines for each payer . + Works with site leader, director and/or secretarial staff to ensure… more
- Cognizant (Phoenix, AZ)
- …with 20 to 24 years of expertise in Program Management, particularly in Healthcare Payer industry. The ideal candidate will manage and deliver complex projects in a ... impact on society. **Required Skills and Qualifications:** . US Healthcare Payer Delivery experience and domain expertise (20+ years). . Significant experience… more
- Prime Healthcare (Redding, CA)
- …up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid. This includes ... billing rules, regulations, and deadline 8. Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the… more
- Beonair Network of Media Schools (Denver, CO)
- …enroll within five days, same-day financial aid estimate, students enrolled in auto debit/ payer express, cash collected vs. cash due, title 4 drawdowns on time, ... student is packaged and all internal documentation is filled out, enroll the student in payer express to contribute to the campus goal. * Set all students up in… more
- Select Medical (Grand Rapids, MI)
- …an ICU or post-surgical stay by utilizing your strong clinical background, payer knowledge and problem-solving skills. + Perform clinical assessments of referred ... physicians to create a smooth pre-admissions and transfer processes through removing payer -related and operational barriers for the patients getting into our highly… more
- Point32Health (Boston, MA)
- …data sets using large, complex data from multiple sources, such as claims data (All Payer Claims Data, CMS Medicaid TAF data) and EHR data * Lead the implementation ... data sets using large, complex data from multiple sources, such as claims data (All Payer Claims Data, CMS Medicaid TAF data) and EHR data * Lead the implementation… more
- University of Michigan (Ann Arbor, MI)
- …problems to discover root causes and possible solutions via various hospital and payer systems + Read and interpret insurance plan benefits; explain benefits to ... knowledge with clinical business operation systems + Knowledge of 3rd party payer rules and (Medicare, Medicaid, BCBSM, commercial, MVA, worker's compensation) +… more
- Children's Hospital Los Angeles (Glendale, CA)
- …for timely billing. This role involves verifying documentation, confirming payer information, addressing potential claim denials, and collaborating with various ... office. 1 year of hospital billing experience preferred. Knowledge of payer policies and claim submission processes preferred. Problem-solving skills to identify… more
- BriteLife Recovery (Englewd Clfs, NJ)
- …+ . Familiarity with managed care principles, insurance authorizations, and payer requirements. + . Excellent organizational, communication, and time management ... residential SUD programs. + Ability to advocate for clients while balancing payer relationships and compliance. Physical Demands: + . Virtual Office environment with… more
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