- 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
- 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
- St. Luke's Health System (Boise, ID)
- …of detailed financial models, analyses and reports to support third party payer contract negotiations and optimization of the performance of existing third-party ... payer relationships. Responsible for the development of the necessary...Location : City** _Boise_ **Category** _Professional_ **Work Unit** _Payor Relations and Reimbursement System Office_ **Position Type** _Full-Time_ **Work… more
- Johns Hopkins University (Baltimore, MD)
- …all aspects of coding, quality assurance, and compliance with federal payer documentation guidelines. Works closely with department management and coordinates with ... to ensure a smoothly functioning billing operation and good patient relations . This includes coordination of the patients' financial billing responsibilities for… more
- UTMB Health (Galveston, TX)
- …compliance with federal and state regulations. This role will oversee payer relationships, evaluate financial and operational performance of contracts, and ... to support strategic initiatives related to revenue cycle, provider relations , and population health management. **EDUCATION & EXPERIENCE** **Minimum… more
- Ellis Medicine (Schenectady, NY)
- …communication (verbal, written and phone), interpersonal and positive customer relations skills required. + Certification: n/a RESPONSIBILITIES OF THE POSITION: ... meetings with all payers to continuously improve communications between provider and payer in order to resolve issues, reduce outstanding aged accounts, increase… more
- Covenant Health Inc. (Knoxville, TN)
- …medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to promptly review, ... interpret and communicate current and changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to answer policy… more