- Adecco US, Inc. (Knoxville, TN)
- …cashiering, etc.) + Responsible for Patient Accounting system master file integrity, payer monitoring, and customer relations . + Remain current on procedural ... and regulatory changes issued by Medicare, TennCare, managed care payers, and agencies. Communicate updates to staff and other departments that need to know. + Utilizes resources available appropriately, ie use of system equipment and/or supplies. + Ensures… more
- Johns Hopkins University (Baltimore, MD)
- …address the Center's objectives. This position is responsible for community relations , including the oversight and implementation of clinical activities (ie, primary ... clinical activities remain solvent. We are seeking a **_Community Relations Manager_** who will play a crucial role in...program development. + Knowledge of state and federal regulations, payer mix, and compliance with coding and billing. +… more
- CareFirst (Baltimore, MD)
- …for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting quality service, ... level of education over time. + Responsible for representing Networks Management/Provider Relations in a variety of work groups to support divisional and corporate… more
- Cardinal Health (Hartford, CT)
- **_What Network and Payor Relations contributes to Cardinal Health_** Marketing is responsible for assessing customer needs, market conditions and competition to ... and monitoring the appropriate products and services. Network and Payor Relations is responsible for the development and management of business relationships… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …some travel, approximately 4-5 times a month, to other hospital/medical group/ payer offices in addition to meetings held at CHLA. **Minimum Qualifications/Work ... Experience:** _Required:_ 10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education.… more
- Pfizer (Augusta, ME)
- …include but are not limited to vaccine sales, pharmacy, institutional sales, government relations , medical, PCA ( Payer and Channel Access), IM, Oncology, I&I ... * Collaborate with across all customer facing teams (IM, Oncology, I&I, Gov't Relations , Medical, IS, Pharmacy, BU KAM teams, etc.) to ensure the customer is… more
- Hart Medical Equipment (Detroit, MI)
- …Anatomy and Medical Terminology. Strong background in patient care and customer relations . Familiarity with payer source requirements and legal aspects ... preferred. Athletic Trainer, Medical Assistant and Physical Therapy Assistant candidates will be strongly considered Skills & Abilities The ability to represent Hart Medical Orthotics & Prostetics and self in a courteous, dynamic and engaging manner and to… more
- Catholic Health Services (Melville, NY)
- …to the patient in advance if an out-of-network status applies. + Ensure payer requirements including the following are met: + Verify and document insurance ... visit information to determine whether authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account… more
- Covenant Health Inc. (Knoxville, TN)
- …This position demonstrates the ability to accurately submit claims in all payer categories, ie, Medicare, TennCare, Blue Cross, Commercial, and Managed Care. This ... timely manner. Analyzes claim edits within billing system and payer sites with a variety of different issues, such...duties as assigned or requested. + Promotes good public relations for the department ad the facilities, adhering to… more
- UNC Health Care (Morrisville, NC)
- …Managed Care Coordinator assists in the day- to- day activities of the Payer Policy Analytics function. This position will help coordinate and organize functions ... Health. Responsibilities: 1. Managed Care Analysis- Research, coordinate and analyze Payer Reimbursement Policies and associated updates on a regular basis. Provides… more