- Robert Half Finance & Accounting (Jackson, MI)
- …and operational decision-making + Ensure compliance with applicable accounting standards, payer requirements, grants, or contractual terms + Lead external audit and ... reimbursement, or revenue recognition models + Demonstrated experience managing multi- payer , grant-funded, cost-based, or contract-driven billing environments + Strong… more
- Rochester Regional Health (Rochester, NY)
- …timely fashion + Billing. Complete cash reconciliation daily; apply all third-party payer and patient payments to patient accounts; enter and maintain the integrity ... of all patient demographics and third party payer information in the applicable lab and billing systems EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS:… more
- University of Rochester (Albany, NY)
- …are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process taking timely and routine action to resolve ... accurate billing. Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of… more
- BrightSpring Health Services (Baltimore, MD)
- …not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning and positive ... + Works closely with support departments to achieve routine collaboration with payer contracting to negotiate the strongest contracts + Monitors metrics proactively… more
- Mount Sinai Health System (New York, NY)
- …stay informed of and integrate all relevant federal, state, and payer -specific billing and compliance regulations (eg, HIPAA, Medicare, Medicaid) into all ... and data. 9. Maintain strong understanding of revenue performance metrics and payer mix. 10. Ensure compliance with all HIPAA privacy and security standards.… more
- R1 RCM (Chicago, IL)
- …and appeals management, ensuring compliance with industry standards and payer regulations. + **Stakeholder Collaboration:** Collaborate with senior leaders and ... of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare… more
- BrightSpring Health Services (San Antonio, TX)
- …clinical outcome tools based on diagnosis.. Monitors patient, family, physician and payer /case manager, referral source satisfaction with the program on a regular ... and family members.. Communicates regularly with patient, family/ care partner, payer /case manager and physician regarding patient progress and any important issues… more
- Growth Ortho (Sioux Falls, SD)
- …on outstanding A/R, including unpaid, underpaid, and denied claims across all payer types. Analyze EOBs and prepare effective appeals to drive resolution. Review ... collections, payment posting, and/or denial resolution workflows. Ability to analyze payer responses and draft appeals. Familiarity with patient communication and… more
- Cabinet Peaks Medical Center (Libby, MT)
- …with other departments to gather the clinical information required by the payer to authorize services. Maintains accurate records of authorizations within the EMR. ... Maintains professional ton at all times when communicating with patients, payer representatives and fellow coworkers. Performs other clerical duties assigned by… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …from patients and performs accurate and timely verification of third party payer and worker's compensation. + Communication and/or updating of correct patient ... regulations. + Knowledge of complying with Federal and State law and private payer health care program requirements as well as the hospital's ethical and business… more