- J&J Family of Companies (Louisville, KY)
- …accountable to the institutional contract. + Develop and apply knowledge of payer access and affordability landscape in the territory regarding the company's ... products. + Devise and institute an integrated business plan that includes clear strategies and tactics to target key accounts utilizing all available resources, while aligning the plan with the district's, regions, and company's goals. + Analyze business… more
- UCLA Health (Los Angeles, CA)
- …$30.94-$44.42/hourly Qualifications Required: + Working knowledge of third party payer verification terminology + Working knowledge in the functional operations ... of third party payors and utilization review agencies to expeditiously coordinate follow-up + Working knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies +… more
- University of Michigan (Ann Arbor, MI)
- …information. + Coordinate clinical services provided to patients according to payer guidelines (eg, routing of lab specimens, ordering durable medical equipment). ... + Develop and recommend changes in patient care activities to improve the quality of patient care services. + Process patient care orders using the electronic ordering system may be required in certain areas. + Perform other related duties as assigned, which… more
- Sanford Health (Sioux Falls, SD)
- …practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources, ... as applicable. Demonstrate extensive advanced knowledge of medical principles, practices and techniques. This role will require varying shifts, on-call rotations, including nights, and weekends as needed." **Qualifications** Completion of a master's,… more
- Humana (Arlington, VA)
- …professional and personal growth **Preferred Qualifications:** + Healthcare / payer experience + Project management experience **Location:** Preferred working ... locations are Louisville, KY and Arlington, VA (Washington, DC metro area) and alternative hub sites on a case-by-case basis. The Transformation team operates on a hybrid work arrangement (in office expectation of 3 days per week). **Travel** : Occasional… more
- Corewell Health (Grand Rapids, MI)
- …implements new strategies and processes. Maintains advanced knowledge of current payer requirements, understanding of medical insurance, and Patient + Access ... Services processes. Engages in continuous study of professional field including implementing best practices, maintaining professional competence, and understanding industry trends. + Acts as a consultant to the administrative support staff and to members of… more
- Insight Global (San Antonio, TX)
- …of experience as a Business Analyst supporting a major health provider or payer * Strong proficiency in Jira; experience writing, refining, and tracking User Stories ... * Prior experience supporting a dedicated product team and acting as the liaison between Business and IT Bachelor's Degree Plusses * Previous experience supporting a Medicare Product Line * Background working within the IT space or on cross‑functional… more
- PruittHealth (Jacksonville, FL)
- …settings. 3. Strong understanding of Medicare, Medicaid, and other third-party payer requirements related to admissions and reimbursement. 4. Excellent communication ... and interpersonal skills, with the ability to build rapport with diverse stakeholders. 5. Proven leadership ability, including experience managing teams and driving results. 6. Detail-oriented with strong organizational and problem-solving skills. 7. Ability… more
- AdventHealth (Fletcher, NC)
- …responsible manner, including contract service management such as updating payer credentialing. Maintains continuity and coordinates office activities and procedures ... to support the standards of care established by the department. Directs staff to carry out responsibilities per department policy. Develops and implements policies and procedures to improve operational efficiency. Provides support and supervision to support… more
- University of Rochester (Rochester, NY)
- …completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient ... identification to verify identity, provision of Financial Assistance Program, etc. + Schedules new and return visits to ambulatory care using the electronic medical record and patient access and revenue cycle system, monitors schedules and reports problems to… more
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