- NTT DATA North America (Raleigh, NC)
- …brings strong expertise in data architecture and management, vendor and customer relations , and a deep understanding of healthcare data and emerging industry ... + Direct ongoing development of enterprise care management and payer -based analytics, including supplemental reporting to payers, data integrity oversight,… more
- Penn Medicine (Bala Cynwyd, PA)
- …communication skills that will foster trust, mutual respect and positive staff and physician relations as well as being able to articulate a clear vision + Skill in ... organization + Basic understanding of CPT and ICD-9 coding, third-party payer billing processes, pre-certification requirements, and the overall revenue cycle +… more
- Avera (Pierre, SD)
- …and outreach strategies. + Support development of business cases for new payer models, territory expansion, or underserved provider groups. + Represent Avera HME ... years Experience in sales, business development, account management, provider relations , or referral coordination; preferably in healthcare, HME/DME, hospice, home… more
- Covenant Health Inc. (Knoxville, 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
- ChenMed (Atlanta, GA)
- …with healthcare network strategy, including network development, value-based care contracting, provider relations and local operations + Must be driven by a passion ... of innovative models of care delivery, strong understanding of the national payer and risk-bearing provider landscape, healthcare reform and population health trends… more
- Astellas Pharma (Northbrook, IL)
- …marketed products for a safety purpose. + Contributes to regulatory and payer dossiers and publications - provides statistical interpretation of the results. + ... a member of external industry or professional organizations, developing relations with leading academic institutions, advising internally on innovative Statistical… more
- Martin's Point Health Care (Portland, ME)
- …opportunities related to claim inaccuracies. + Partner with Claims, Provider Relations , Finance, Compliance, and IT teams to improve claims processes, enhance ... Ensure all payment integrity activities comply with Medicare and Tricare regulations, payer contracts, and internal policies. + Identify and implement best practices… more
- Essentia Health (Duluth, MN)
- …clinical standards) + Human Resources (eg benefits, technology, employee relations , leaves, accommodation) + Provider Compensation (eg model design, deployment) ... + Working knowledge of the concepts of credentialing, privileging and payer enrollment + Familiarity with physician/provider recruitment, retention, and engagement… more
- Ventura County (Ventura, CA)
- …ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and Payer -specific guidelines as required; + Oversees the Discharged Not Final Coded (DFNC) ... processing + electronic health records (EHR) systems + CDI program + public relations + personnel administration as applicable to allocated level and program +… more
- Emory Healthcare/Emory University (Peachtree City, GA)
- …level of interaction with facilities and clients. Enhance and expand client relations with facilities and their staff. + Evaluate and develop patients' plans ... accurate documents of each patient's evaluation and progress letters to physicians and payer sources, case managers, etc. as indicated appropriately and in a timely… more
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