- Cognizant (St. Louis, MO)
- …and secure environment for all stakeholders. . Utilize domain knowledge in Payer to tailor security solutions that meet specific industry requirements. We strive ... to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though… more
- R1 RCM (Evansville, IN)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
- Sutter Health (Jackson, CA)
- …systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently. ... + Possess verbal and written communication and active listening skills. + Accuracy and attentiveness to detail. + Decision making and problem-solving skills. + Must be able to work concurrently on a variety of tasks/projects in diverse environment. + Ability… more
- Texas Health Resources (Fort Worth, TX)
- …expectations are met + Ensures documentation meets all departmental, regulatory and payer requirements. Additional perks of being a Texas Health Physical Therapist * ... Benefits include 401k, and discounts in the cafeteria. * Delivery of high quality of patient care through education, research and innovations in practice. * A supportive, team environment with outstanding opportunities for growth. * Explore our Texas Health… more
- Fairview Health Services (St. Paul, MN)
- …appropriate. + Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding ... through daily work + Understands and Adheres to Revenue Cycle's Escalation Policy + Demonstrates proficiency through daily work + Responsible for processing accounts through multiple workflows + Responsible for working accounts requiring more attention to… more
- Providence (Lubbock, TX)
- …and experience + 2 or more years of experience with payer billing, collections and reimbursement methodologies, and contract language requirements **Preferred ... Qualifications:** + Bachelor's Degree or another closely related field of study + 2 or more years of experience working with contract laws and legal terminology + Skilled in reading, analyzing, and interpreting and understanding financial data related to… more
- Centene Corporation (Orlando, FL)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …support. + Knowledge of pharmacy benefit vs. medical benefit processes, payer dynamics, and relationships with PBMs, specialty pharmacies, and insurers (including ... Medicare and Medicaid). + Strong analytical skills to evaluate vendor reporting, monitor performance, and identify areas for improvement. + Ability to mentor, coach, and guide new Vendor Managers and staff to strengthen operational capabilities. + Exceptional… more
- Hartford HealthCare (Norwich, CT)
- …through demonstrating critical decision making, analyzing insurance eligibility, analyzing payer conflicts, and ensuring authorization is on file. PAS Registrars ... are responsible for practicing sound decision making as it relates to patient privacy and safety standards. Patient Access is committed to anticipating the needs of patients and exceeding patient expectations; as well as, preparing patient charts, meeting… more
- Takeda Pharmaceuticals (NC)
- …launch experience + In-depth knowledge of buy-and-bill reimbursement models and payer dynamics + Skilled in complex biologics **TRAVEL REQUIREMENTS:** + Willingness ... to travel up to 50% of the time, inclusive of conferences on weekends, overnight programs as well as attendance at key internal meetings Individual must reside within territory boundaries given the extensive travel arrangements of this role. **More about us:**… more
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