- East Boston Neighborhood Health Center (Revere, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... of the Medical Staff Office under the direction of the Credentialing Manager . This position will lead the coordination of the provider enrollment onboarding… more
- Sevita (Columbus, OH)
- …(MCOs, state referrals) and escalates potential issues (eg, unresponsive case manager , etc.); approves referral decisions to admit individuals into our services, ... targets. 2. Scouting: Responds to local requests for proposals to address payer needs; identifies and participates in new start development initiatives as… more
- Trinity Health (Mason City, IA)
- …medical center philosophy and policy in areas relating to accounts receivable, public relations , and third-party relations . **What you will do:** + Enters PHI ... 1500 claim form using proper data elements for each payer , ensuring correct billing units, dates of service, codes...and keeps unbilled claims to a minimum level. Provides Manager with statistical feedback of accounts. + Communicates with… more
- Covenant Health Inc. (Knoxville, TN)
- …accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Covenant Health Inc. (Knoxville, TN)
- …accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Trinity Health (Boise, ID)
- …hybrid work after an initial training period as designated by the hiring manager . + Day 1 Benefits for colleagues! Our comprehensive benefit package includes ... + Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities is highly desired… more
- Elevance Health (Norfolk, VA)
- …processes, and expertise with internal local technology preferred. + Experience with provider payer organization or payer relations within a large provider ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- University of Southern California (Alhambra, CA)
- …versus clinical-related denials, evaluating claims deemed inappropriately paid by the payer /external auditors, and determining the need for appeal. Performs all 1st ... claims. Prepares appeals and rebuttals letters/packages in responses to payer 's reason for coding-related 'claims denials' and 'claims rejections'-including… more
- Catholic Health Initiatives (Gilbert, AZ)
- …for all programs, including but not limited to, participation in program development, payer relations , facility relations ; patient tracking across the ... of leadership experience + Registered Nurse: AZ + Certified Case Manager and Accredited Case Manager upon hire **Where You'll Work** Located in the Phoenix,… more
- Omaha Children's Hospital (Omaha, NE)
- …state, federal regulations and medical terminology. This includes all aspects of payer relations , claims adjudication, contractual claims process and general ... practices, policies, regulatory, and legal requirements. * Assisting the department manager in the implementation of the strategic direction within the department… more