- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct ... a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's clients by unlocking new… more
- Community Health Systems (Franklin, TN)
- …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... **Job Summary** The Part-Time Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital… more
- Johns Hopkins University (Baltimore, MD)
- …**Preferred Qualifications** + Epic experience. + Understanding of third party payer issues. Classified Title: Coding Specialist II Role/Level/Range: ATO ... We are seeking a _Coding Specialist II_ is responsible for understanding all aspects...aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. Works closely with departmental management and… more
- Pfizer (Remote, OR)
- …enable Pull-through of access. + Collaboration partners include sales colleagues, government relations , Payer Channel Access (PCA), marketing, and other Pfizer ... improve their lives. **What You Will Achieve** The Specialty Healthcare Sales Specialist (SHSS) will target key Centers of Excellence (COE's) and select community… more
- Select Medical (West Orange, NJ)
- …Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** ... **Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization… more
- University of Southern California (Alhambra, CA)
- …compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials' ... versus clinical-related denials, evaluating claims deemed inappropriately paid by the payer /external auditors, and determining the need for appeal. Performs all 1st… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Locations: 300 Ocean Avenue - Revere Position Summary: The Provider Enrollment Specialist is responsible for supporting the provider enrollment processes of the ... actions are performed at the time of provider departure. The Provider Enrollment Specialist verifies that data obtained from the provider and internal and external… more
- Trinity Health (Albany, NY)
- …& professional behavior & safe work practices. **Functional Role** Supports customer relations , physician relations , patient care & hospital business services by ... performing administrative & scheduling for multiple areas. ** Specialist I** Responsible for pre-registration, scheduling, electronically verifying insurance… more
- Sevita (Austin, TX)
- …today, and experience a career well lived. **Program Administration Eligibility Specialist (Temporary Role)** **Location** **:** Austin, TX **Hourly Rate:** $20/hr ... teams as needed for supporting documentation. + Researches complex eligibility issues via payer websites or by phone, and communicates directly with state, payer… more
- Tenet Healthcare (Detroit, MI)
- Rehab Care Coordination Specialist Full Time Days - 2506003435 Description : DMC Rehabilitation Institute of Michigan is one of the nation's largest hospitals ... skills to effectively resolve conflict. Promotes a positive customer relations environment. Coordinates the utilization review function for assigned patients.… more
Recent Jobs
-
Solution Architect
- Dynatrace (Detroit, MI)
-
SR Elec Colo Regional Engineer, Colocation Region Engineering- AMER
- Amazon (Dallas, TX)
-
Force Design Analyst
- CACI International (Washington, DC)
-
Groundsman - Telecom Experienced - Traveling
- Quanta Services (Medford, OR)