- Lilly (Indianapolis, IN)
- …Marketing Capabilities, New Product Planning, Market Research, Managed Healthcare, or Pricing/ Payer Marketing teams to help us deliver unparalleled experiences to ... our customers. Via interaction with colleagues and leadership, you'll gain an understanding of Lilly's global business within the pharmaceutical industry, deepen your knowledge within a key marketing area, and strengthen your professional business skills. In… more
- Covenant Health Inc. (Morristown, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... posting to the patient account. + Maintains strict confidentially of patient information. + Recommends updates to existing police and procedures that support our values and are intended to increase efficiency and promote data integrity. + Notifies the… more
- TEKsystems (Nashville, TN)
- …plans. + Maintain accurate and up-to-date provider records in internal databases and payer portals. + Track application statuses and follow up with payers to ensure ... timely processing. + Collaborate with providers and credentialing staff teams to gather required documentation and resolve discrepancies. + Monitor and manage re-credentialing and revalidation timelines to ensure continuous participation. + Respond to… more
- Northwell Health (Lake Success, NY)
- …and verifying insurance benefits for surgical and diagnostic services, navigating payer requirements efficiently to ensure seamless patient care. + Exceptional ... patient communication skills, with a compassionate and professional demeanor. + The ability to thrive in a fast-paced, dynamic environment, handling multiple priorities with meticulous attention to detail. Job Responsibility Complex Scheduling & Coordination:… more
- Takeda Pharmaceuticals (OR)
- …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
- Hunterdon Health Care System (Flemington, NJ)
- …as well as other appropriate stakeholders to ensure adherence to third party payer quality incentive programs as well as CMS innovative programs and PCMH ... Accreditation. The Director supervises and has direct responsibility for population health planners, as well as population health initiatives. The Director is also responsible to work with Practice Managers and Medical Directors to ensure compliance with all… more
- Beth Israel Lahey Health (Boston, MA)
- …stays and appropriate patient status. + Proactively interfaces with the payer , where required, verifying coverage/benefits for anticipated discharge needs. + ... Identifies patients that are at readmitted or at high risk for unplanned readmissions and initiates appropriate interventions. Identifies organizational resources within the community and engages those resources as necessary. + Documents avoidable days (if not… more
- Insight Global (Washington, DC)
- …and Sensory Requirements: * Ability to interpret and consider physician volume and payer mix data in the development of an overall hospital and market positioning. ... * Effective project management and plan execution skills with the ability to respond to multiple competing priorities. * Strong communication and presentation skills. Ability to communicate in English, both verbally and in writing. ○ Additional languages… more
- AnMed Health (Anderson, SC)
- …+ Verify insurance benefits and eligibility using insurance verification software and/or payer websites. + Verify pre-certification is complete, if required. + Place ... ID band on all patients after confirming the two hospital identifiers: patient name and date of birth. + Identify any co-pays, deductibles and out-of-pocket amounts, and then initiate up front collections. + Notify clinical area by phone, fax or by printing… more
- AnMed Health (Anderson, SC)
- …compliance. + Gather and analyze medical records and billing for insurance payer audits. + Responsible for quarterly compliance reporting and quarterly Medicare and ... Medicaid credit balance reports. + Work credit balances for all payers. + Responsible for assigned mail in lockbox. + Detailed accuracy for scanning insurance information to patient's records. Qualifications + High school diploma or GED. + Good communication… more