- Corewell Health (Grand Rapids, MI)
- …needs, and care gaps. + Collaborate with CDI, coding, and provider relations teams to prioritize outreach strategies. + Analyze documentation trends and recommend ... Certification held within 6 months of hire Preferred + Prior work in payer , ACO, MSO, or risk-bearing provider group. + Experience in risk adjustment analytics,… more
- Tenet Healthcare (Detroit, MI)
- …skills to effectively resolve conflict. Promotes a positive customer relations environment. Performs related clerical/secretarial duties as needed. Qualifications : ... up to 20 lbs. 7. Ability to understand and apply various third party payer requirements, verification procedures and benefits. 8. Ability to work within a complex… more
- Northwest Florida Community Hospital (Chipley, FL)
- …practices of patient registration, insurance reimbursement, governmental and other payer source billing, credit and collections, cashiering and admitting; familiar ... personnel of areas that require attention. + Commits to outstanding guest relations and customer service; provides excellent customer service to meet the… more
- Beth Israel Lahey Health (Beverly, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... creates, and assigns the guarantor for each patient, including personal/family relations , workers compensation insurance, third parties, behavioral health, or others… more
- CommonSpirit Health (Centennial, CO)
- …supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of ... human resources, employee benefits, finance, billing, talent acquisition/development, payor relations , IT, project management, community benefit and more. Many of… more
- Beth Israel Lahey Health (Beverly, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... creates and assigns the guarantor for each patient, including personal/family relations , workers compensation insurance, third parties, behavioral health or others… more
- Beth Israel Lahey Health (Exeter, NH)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and assigns the guarantor for each patient, including personal/family relations , workers' compensation insurance, third parties, behavioral health, or others… more
- CVS Health (Hartford, CT)
- …Aetna, First Health functions as a separate subsidiary, specializing in connecting its payer clients and their members to a nationwide network of doctors and ... planning. The Executive Director will oversee network management and provider relations , while also crafting a forward-looking vision to drive sustained revenue… more
- Highmark Health (Columbus, OH)
- …the Medical Policy department, other internal departments (eg, Operations, Provider Relations , Clinical Programs), and external vendors to ensure seamless policy ... data + 5 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 5 years of providing analytical consultation to clinical,… more
- Covenant Health Inc. (Crossville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow… more
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