- Robert Half Office Team (Atlanta, GA)
- …CPT codes. * Ensure all coding practices comply with regulatory requirements, payer policies, and official guidelines. * Collaborate with healthcare professionals to ... and inpatient coding guidelines. * Familiarity with healthcare regulations and payer policies. * Ability to work collaboratively with clinical and administrative… more
- Sharp HealthCare (San Diego, CA)
- …to healthcare team.Conduct daily concurrent reviews per protocol/policy and payer request.Utilize appropriate care guideline software to identify the correct ... required (experience with MCG an asset). + An understanding and knowledge of payer eligibility and reimbursement regulations and impact on the continuum of care. +… more
- BrightSpring Health Services (Newark, NJ)
- …competition within region and develops plans to impede competitive advances* Understands payer environment and demonstrates ability to manage payer mix* Performs ... other tasks or special projects as requested by management Qualifications * Bachelor's degree in related field* A minimum of seven years sales experience in the healthcare market and a minimum of three years in sales management* Demonstrated experience in… more
- Dignity Health (Bakersfield, CA)
- …regulatory, governmental, and external board relations in their Market + Partner with Payer Strategy on payer management, reimbursements, and provider fees for ... the respective Market as directed by Division President + Leverage Market data to support data-driven decision making and reporting + Attract, recruit, and retain the best clinical and operational talent for their Market + Support and provide input into… more
- UNC Health Care (Hendersonville, NC)
- …experience. . Three (3)+ years of denial experience with commercial and government payer types for both professional and facility claims. . Knowledge of regulatory, ... Federal, State, and Local billing regulations. . Demonstrated ability to navigate payer websites and understand billing requirements. . Ability to present data and… more
- Whidbey General Hospital (Coupeville, WA)
- …to develop a treatment plan to most appropriately meet patient needs and payer requirements. + Confers with provider as needed to discuss orders and/or patient ... a plan of care consistent with their assessment, MD orders and payer requirements, according to specific and measurable treatment goals, specifying expected outcomes… more
- Robert Half Finance & Accounting (Emmett, ID)
- …No Surprises Act and Hospital Price Transparency Rule + Build and maintain payer relationships to resolve issues impacting cash flow + Optimize charge capture, ... performance and provide coaching for continuous improvement + Advise leadership on payer relations and regulatory changes Please reach out to Lana Funkhouser with… more
- Whidbey General Hospital (Coupeville, WA)
- …to develop a treatment plan to most appropriately meet patient needs and payer requirements. Confers with provider as needed to discuss orders and/or patient ... a plan of care consistent with their assessment, MD orders and payer requirements, according to specific and measurable treatment goals, specifying expected outcomes… more
- Whidbey General Hospital (Coupeville, WA)
- …applicable, to develop a treatment plan to most appropriately meet patient needs and payer requirements. Confers with provider as needed to discuss orders and / or ... a plan of care consistent with their assessment, MD orders and payer requirements, according to specific and measurable treatment goals, specifying expected outcomes… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- …RWE, and other evidence generation initiatives to support regulatory, HTA, and payer submissions, and demonstrate the differentiated value of our products + Utilize ... associations etc. + Deep understanding of global HTA and payer requirements, regulatory frameworks, and healthcare systems. + Deep understanding… more