- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Revenue Cycle Manager provides leadership, management, and training for the Medical Service Group (MSG) Upstate University Medical Associates at ... local laws and regulations. Monitors billing compliance with all third-party payer regulations. + Maintains confidentiality in compliance with HIPAA regulations and… more
- Blue Matter (New York, NY)
- …planning also spans diverse care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join a startup firm with a dynamic and ... in both the medical and pharmacy benefit across all major US payer segments (eg, Commercial, Medicare, Medicaid, and Federal Markets) + Demonstrated knowledge… more
- Surgery Care Affiliates (Long Beach, CA)
- …secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance. + Utilize the centers selected vendor ... for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and...the patient's insurance is Out of Network notify the manager immediately. Follow the Policies and Procedures when accepting… more
- Centene Corporation (Oklahoma City, OK)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs + Provides feedback to leadership on opportunities to improve and enhance care and quality… more
- Centene Corporation (Topeka, KS)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their ... families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in… more
- Northwell Health (Plainview, NY)
- …clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + Documents the case management process in the medical record; ... completes and documents a care coordination assessment on the patient. + Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. + Completes applicable areas of the patients discharge instruction… more
- Northwell Health (Sleepy Hollow, NY)
- …Accounts to ensure compliance with governmental and other third party payer regulations; attends weekly meetings Tracks key performance indicators to quantify ... department contributions and continually assess opportunities for improvement; keeps current with developments in the field through participation in seminars, workshops, and publications. + Performs related duties as required. All responsibilities noted here… more
- Northwell Health (New York, NY)
- …applications, required. *Strong verbal and written communication skills, required. * Payer , occupational health or wellness services experience preferred. *Combined ... Sales & Account management experience preferred Preferences: + Experience working with third party administrators + Experience serving as the point person across all departments and cross functions internally and externally to ensure timely issue resolution… more
- Centene Corporation (Trenton, NJ)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs + Partners with leadership team to improve and enhance care and quality delivery for members… more
- Northwell Health (New York, NY)
- …applications, required. *Strong verbal and written communication skills, required. * Payer , occupational health or wellness services experience preferred. *Combined ... Sales & Account management experience preferred Job Preferences: + Experience with Health Insurance + Experience with TPA(third party admin) + MGU (managing general underwriter) experience + Experience with Health Insurance + Experience with TPA(third party… more
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