- SUNY Upstate Medical University (Syracuse, NY)
- …local laws and regulations. Monitors billing compliance with all third-party payer regulations. + Maintains confidentiality in compliance with HIPAA regulations and ... ensures that department remains compliant with all relevant regulations. + Completes other duties as needed and assigned. Works closely with: + UUMAS Billing System Analyst + MedBest Director of Billing, other Directors and Billing Supervisors + MSG Business… more
- Dignity Health (Northridge, CA)
- …DME, Hospice, etc.,) revenue related activities ( authorizations, certifications and payer communications ), stocking and monitoring office supplies and equipment ... and maintaining accurate and complete departmental records. This position may function as the point of contact for the department, and is responsible for the professional and timely response to calls, messages and the forwarding of communications to the… more
- Select Medical (Tucson, AZ)
- …Planning + Care Planning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure per state ... guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline. **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred.… more
- HCA Healthcare (Arlington, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Rochester Regional Health (Rochester, NY)
- …of comprehensive assessment/documentation, which may include assessments required by payer sources (eg, Outcome and Assessment Information Set (OASIS), Hospice ... Item Set (HIS)).* Plans, organizes and prioritizes care needs for an assigned caseload of patients to ensure their care needs are met and services are delivered according to plan of care* Communicates all changes in patient status and/or service needs to the… more
- Select Medical (Florissant, MO)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + 1 Year Front Desk experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Amgen (San Bernardino, CA)
- …our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a **Specialty Representative or Senior ... Specialty Representative** to deliver on our commitment to serve patients. The Specialty Representative/Senior Specialty Representative acts as the primary customer contact and is responsible for implementing marketing strategy and promoting Amgen products as… more
- Select Medical (Houston, TX)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required + Insurance Verification Experience **Preferred Qualifications:** + Bilingual **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal movement._ _Equal Opportunity… more
- Hartford HealthCare (Farmington, CT)
- …to ensure timely assignment and scheduling at the region level. * Verify payer source and in-network insurance acceptance to confirm 1st level financial clearance ... and referral process success. * Maintain accurate logs and tracking systems for referral status and follow-up. * Ensure compliance with HIPAA and internal policies regarding patient information. * Escalate urgent or complex referrals to appropriate clinical… more
- Amgen (Washington, DC)
- …or directing the allocation of resources + Significant prior Account Management or Payer experience preferred + Proven track record of access creation in managed ... markets + Experience negotiating contracts with regional payers & IDNs + Knowledge of the US reimbursement environment and state level policies within a regional geography + Prior experience developing and implementing strategic initiatives with… more