- The Cigna Group (Bloomfield, CT)
- **Senior Program Manager (Business Architect)** We are seeking a dynamic healthcare professional to drive innovation in utilization management (UM) and Electronic ... exchange and support Cigna's strategic business objectives. As Senior Program Manager (Business Architect), you will lead project work and strategic decision-making… more
- Beth Israel Lahey Health (Charlestown, MA)
- …making a difference in people's lives.** Under oversight of the Department Manager , the Senior Specialist Patient Financial Services - Hospital Billing will be ... various work queues to completion and communicate to the Manager within the designated time frame (essential). * Contacts...demonstrates proper handling and escalation as needed. * Handles payer 277 rejections on accounts with the highest level… more
- Rochester Regional Health (Rochester, NY)
- …Revenue Cycle + Review and scan insurance cards, checking for precertification and payer requirements. + Collect full financial information: payer name, ID and ... insurance eligibility via appropriate websites. + Complete the Medicare Secondary Payer Questionnaire for eligible patients. + Complete all required Medicare… more
- Virginia Mason Franciscan Health (Burien, WA)
- …of patient care, medical necessity, compliance with regulatory guidelines, payer relationships; clinical documentation integrity, and identification of trends in ... resources to achieve optimal outcomes * Notify the case manager of any conflict of interest in reviewing a...with patients and families where appropriate * Liaise with Payer Strategy and Revenue Cycle regarding payer … more
- Rush University Medical Center (Chicago, IL)
- …and patient payment trends and reports specific to their supervisor or manager . Actively supports new ideas and technologies that produce a competitive advantage. ... changing situations with ease and speed. * Familiarity with payer 835/ERA file downloading and overall file transfer protocols....insurance and patient payment trends and report specifics to manager . * Ability to reconcile payments to a control… more
- WestCare Foundation (Dandridge, TN)
- …with payers, and ensuring compliance with relevant regulations and payer requirements. This role works closely with clinicians, administrative staff, ... other key metrics for review by the Revenue Cycle Manager . + Collaboration: Work closely with the coding team,...as needed. + Ensure compliance with NCQA, HIPAA, and payer -specific requirements. + Coordination with HR to collect required… more
- Beth Israel Lahey Health (Charlestown, MA)
- …making a difference in people's lives.** Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will ... all claims/data problems that cannot be handled to the Supervisor/ Manager within one (1) day of identifying the problem....demonstrates proper handling and escalation as needed. * Handles payer 277 rejections on accounts with higher level of… more
- Open Mind Health (NE)
- LOCATION: REMOTE REPORTS TO: CLIENT LIAISON MANAGER ABOUT OPEN MIND HEALTH We are a collaborative team of mind-body-spirit experts who provide innovative, ... ongoing monitoring. + Has worked with a variety of payer portals including Aetna, Blue Cross Blue Shield, Optum,...+ Screen incoming calls, handle faxes, and keep the manager and key stakeholders informed. + Handle confidential client… more
- Hartford HealthCare (Farmington, CT)
- …answer questions and provide information. 2. Understands healthcare billing and payer regulations to effectively communicate with patients about charges, payments ... patient balances. 8. Works directly with the Customer Service Manager to identify trends, provide improved education, scripting etc....a timely manner. . Ability to identify and communicate payer and/or system trends. . Knowledge of payer… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... portals, revenue cycle policies and procedures, productivity protocols, and payer policies and regulations. Develops course outline, objectives, proficiency testing… more