- SSM Health (MO)
- …from the patient. + Determines patient qualification for coverage by third-party payer and informs financial counselor, patient or family member of status. + ... Verifies all commercial insurance coverage, workers compensation insurance, TPL insurance and state and government programs. + Documents and resolves patient concerns or inquiries that are received via telephone, mail or walk-in within an established time… more
- Lilly (Indianapolis, IN)
- …PRA, and commercial partners. + Provide medical expertise for payer partnerships, promotional material review, and business‑to‑business/government engagements. + ... Support training of sales, medical, and patient support teams. + Lead definition of Patient Journey and contribute clinical perspective to patient programs. + Participate in relevant professional and industry associations. **2. Scientific Exchange & Data… more
- Amgen (Washington, DC)
- …to customers and Amgen staff regarding local, regional and national payer policies, reimbursement regulations and processes (ie, eligibility and benefit ... verification, prior-authorization, billing, coding, claims, and appeals/denials), Medicare and Medicaid rules and regulations, and OSHA and HIPAA compliance as related to Amgen products. + Consistently meets or exceeds corporate sales goals. + Communicates… more
- CVS Health (IL)
- …+ 7+ years Program Management experience leading complex initiatives within the payer clinical space such as utilization management. + 5+ years successful experience ... in strategy, innovation and/or portfolio management within healthcare industry or equivalent industry + Strong interpersonal and communication skills, effectively communicate key messages across all levels of the organization including executive leaders and… more
- Abbott (Alameda, CA)
- …and deliver actionable solutions-enhancing adoption, adherence, campaign effectiveness, payer access, and health-system performance in collaboration with channel ... partners. + Partner with CGM business leaders to prioritize a portfolio of analytics programs; define objectives, milestones, resourcing, dependencies, and risk mitigations; and report progress toward plan. + Continuously scan and integrate industry… more
- Select Medical (Chicago, IL)
- …in person and via phone + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications + Regular communication with ... parties such as therapists,insurance companies, attorney offices, translation companies, market operational leaders and business development team **Qualifications** **Qualifications** Minimum Qualifications: + High School Diploma or GED required + 1 Year of… more
- Gentiva (Bala Cynwyd, PA)
- …and coordinate the intake and admission process, ensuring all legal, clinical, and payer requirements are met + Serve as a liaison between referral sources and ... our hospice care team-ensuring seamless handoffs, clear communication, and rapid response to needs + Make daily visits to hospitals and facilities, maintaining visibility and accessibility with discharge planners, case managers, and physicians + Build and… more
- AdventHealth (Louisville, CO)
- …maximum benefit is achieved or according to standards of practice and payer guidelines. **The expertise and experiences you'll need to succeed:** **QUALIFICATION ... REQUIREMENTS:** Master'sBasic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, Occupational Therapist (OT) - EV Accredited Issuing Body, Occupational Therapist - Temporary - Accredited Issuing Body **Pay Range:** $35.78 - $66.55 _This… more
- Amgen (Tampa, FL)
- …of 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
- Elara Caring (Lafayette, IN)
- …patient needs + Ensure compliance with Medicare, Medicaid, and third-party payer requirements **_Compliance & Quality_** + Ensure accurate, timely, and compliant ... documentation + Maintain state licensure, Medicare certification, and regulatory compliance + Stay current with national standards of care and Conditions of Participation + Uphold and advocate for the Patient's Bill of Rights **_People & Performance… more