- 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
- Medtronic (Minneapolis, MN)
- …advanced degree) in the healthcare industry sector with significant exposure to market access, payer relations , and reimbursement roles. + At least 3 years of ... ever-changing environment. **Position Summary** Medtronic is seeking a US Payer Advocacy and Market Access Principal Specialist ,...US Payer Advocacy and Market Access Principal Specialist , a role responsible for driving patient and market… more
- University of Michigan (Ann Arbor, MI)
- …provider performance metrics. + Collect and maintain information related to payers and plan relations , including the Payer and Plan Grid, Payer Profiles and ... employer. **Job Detail** **Job Opening ID** 267243 **Working Title** Managed Care Payer /Operations Analyst **Job Title** Admin Specialist Inter Health **Work… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_Coding Specialist II_** who will be responsible for all aspects of coding, quality assurance, compliance with Federal payer documentation ... to ensure a smoothly functioning billing operation and good patient relations . This includes coordination of the patients' financial billing responsibilities for… more
- Datavant (Trenton, NJ)
- …as a key liaison between coding, billing, utilization review, case management, and payer relations to reduce denials and improve revenue leakage. **You will:** ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… 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 Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_Coding Specialist II_** is responsible for understanding all aspects of coding, quality assurance, and compliance with Federal payer ... for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. + Works closely with Office of Compliance for Professional… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors ... resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up...special billing procedures that may be defined by a payer or contract. + Review and update patient registration… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors ... resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up...special billing procedures that may be defined by a payer or contract. + Review and update patient registration… 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
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