- Covenant Health Inc. (Knoxville, TN)
- …guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which ... program and safety standards. + Demonstrates an ability to understand the payer requirements of insurance carriers. + Demonstrates an understanding of all patient… more
- Robert Half Accountemps (Indianapolis, IN)
- …accounts receivable. + Maintain current knowledge of federal/state regulations and payer -specific requirements; act in compliance with all applicable rules. + ... healthcare accounts receivable follow-up, denials & appeals, compliance, provider relations , or medical billing. + Experience with claims review/analysis and… more
- BrightSpring Health Services (Baltimore, MD)
- …not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning and positive ... public relations + Monitors current industry and marketplace changes and...closely with support departments to achieve routine collaboration with payer contracting to negotiate the strongest contracts + Monitors… more
- Dignity Health (Bakersfield, CA)
- …based on community need + Manage business, community, regulatory, governmental, and external board relations in their Market + Partner with Payer Strategy on ... payer management, reimbursements, and provider fees for the respective Market as directed by Division President + Leverage Market data to support data-driven decision making and reporting + Attract, recruit, and retain the best clinical and operational… more
- BrightSpring Health Services (Cleveland, OH)
- …not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning and positive ... public relations + Monitors current industry and marketplace changes and...closely with support departments to achieve routine collaboration with payer contracting to negotiate the strongest contracts + Monitors… more
- BrightSpring Health Services (Huntsville, AL)
- …not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning and positive ... public relations + Monitors current industry and marketplace changes and...with support departments to achieve + Routine collaboration with payer contracting to negotiate the strongest contracts + Monitor… more
- St. Luke's Health System (Boise, ID)
- …changes, RVU shifts, APC/DRG refinements, modifier rules, NCCI edits, and payer policy changes; prepare analytical summaries and recommended pricing adjustments. + ... Prepare scenario models, forecasts, dashboards, and ad-hoc analyses to support payer contracting, strategy development, and network performance monitoring. + Perform… more
- University of Rochester (Rochester, NY)
- …Chair of Medicine's Office for all faculty appointments, hospital privileging, and payer credentialing- - - Ensure completion of all requirements for timely ... new faculty, interviewing, contracts/recruitment, faculty appointment, hospital privileging, and payer credentialing Other Duties as assigned: - Supports seasonal… more
- East Boston Neighborhood Health Center (Revere, MA)
- …to enroll a provider with the payers and the requirements of each payer . + Gathers and disseminates information to appropriate administrative stakeholders to ensure ... is accurate and up to date every 90 days to avoid delays with payer credentialing and recredentialing. + Answers phone calls and other inquiries regarding Medical… more
- BrightSpring Health Services (Newark, NJ)
- …not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning and positive ... public relations + Monitors current industry and marketplace changes and...closely with support departments to achieve routine collaboration with payer contracting to negotiate the strongest contracts + Monitors… more