- Intermountain Health (Ogden, UT)
- …available resources, and educating patients and families while delivering regulatory or payer notifications. **Job Specifics** + Pay Range Clinical: $19.87 - $28.31 ... documentation to support the delivery of government-mandated forms or payer communication. + Performs clerical tasks to support care...to the patient choice consultation conducted by the care manager or social worker. + Aids in transition planning… more
- Rush University Medical Center (Oak Park, IL)
- …functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including HIPAA privacy ... process which is a required communication with the patient's payer to ensure that the payment for patient's inpatient...13. Other duties as needed and assigned by the supervisor/ manager . Rush is an equal opportunity employer. We evaluate… more
- Catholic Health (Kenmore, NY)
- …for delays of treatment. This individual also works to maintain third-party payer relationships related to Utilization Review Activities. This includes, but is not ... license + Holds, or will obtain within one year of hire, Certified Case Manager (CCM) + Certification in a Nationally Recognized Utilization Review Criteria set is… more
- Saint Francis Health System (Tulsa, OK)
- …CPT/diagnosis code information to support authorization/precertification according to payer guidelines. Accurately monitors, reviews and processes authorizations and ... and/or patients to facilitate additional information when required by payer . Coordinates with patient, referring physician's office and/or referring location,… more
- Penn Medicine (Philadelphia, PA)
- …and insurance verification and that authorization/pre-certifications are obtained per payer regulations and maintains accurate records of authorizations within the ... and insurance questions before they are escalated to a supervisor or manager + Coordinates benefits by effectively determining primary, secondary, and tertiary… more
- Sanofi Group (Denver, CO)
- …cross functional matrix field teams (including but not limited to field sales, payer account team, thought leader liaisons, patient support services) + Maintain open ... experience including direct market access experience or First Line Manager experience + A minimum of two (2) years...preferred + Significant experience and understanding of the ever-changing payer environment and its impact on patient access to… more
- Medtronic (MN)
- …analysis for **spine and neuroscience procedures** , including CPT, ICD-10, and payer policy review. + Conduct **internal and external coding audits** , identify ... neuroscience coding** , including CPT and ICD-10. + Demonstrated **audit experience** ( payer , provider, consultancy, or internal review). + Strong written and verbal… more
- Tenet Healthcare (Detroit, MI)
- …support efficient patient throughput, e) implements and monitors processes to prevent payer disputes, f) develops and provides physician education and feedback on ... to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials documented and followed… more
- Ellis Medicine (Schenectady, NY)
- …revenue cycle functions, including coding and billing guidelines and government/ payer regulations. + Working knowledge of healthcare revenue cycle functions, ... including coding and billing guidelines and government/ payer regulations. SECTION III; MAKING ELLIS EXCEPTIONAL (MEE) BEHAVIORS & STANDARDS SECTION IV:… more
- University of Southern California (Alhambra, CA)
- …versus clinical-related denials, evaluating claims deemed inappropriately paid by the payer /external auditors, and determining the need for appeal. Performs all 1st ... claims. Prepares appeals and rebuttals letters/packages in responses to payer 's reason for coding-related 'claims denials' and 'claims rejections'-including… more
Recent Jobs
-
Electrical Apprentice
- Aerotek (Omaha, NE)
-
Design and Analysis Engineer (Electronic Sys Design & Analy)
- The Boeing Company (Berkeley, MO)
-
Account Relationship Manager Executive
- Wolters Kluwer (Juneau, AK)
-
Cook
- Elior North America (Cleburne, TX)