- Datavant (Hartford, CT)
- …and life experiences to realize our bold vision for healthcare. **Position Summary** The ** Payer Billing Manager ** leads the end-to-end billing cycle ... specialists. **Key Responsibilities** + Manage and execute all aspects of monthly client billing for payer -related accounts + Research and apply contract and… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on...reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide product access expertise to healthcare… more
- Hartford HealthCare (Farmington, CT)
- …Conduct regular audits of clinical documentation to ensure it supports coding and billing practices and meets payer requirements. . Ensure that proper ... proper documentation, and collaborating with other departments to address payer concerns. Key responsibilities include timely investigation of DRG downgrades,… more
- CenterWell (Hartford, CT)
- …related to revenue recovery including but not limited to Government and private payer requests. + Collaborates with branch and billing department staff to ... Functions:** + Responsible for responding to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with… more
- Amgen (Hartford, CT)
- …sales, and performing total territory account management. The Specialty Account Manager , Nephrology (NSAM) is responsible for representing Amgen products to ... to customers and Amgen staff regarding local, regional and national payer policies, reimbursement regulations and processes (ie, eligibility and benefit… more
- Elevance Health (Wallingford, CT)
- …or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement ... 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
- Elevance Health (Wallingford, CT)
- …guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
- Hartford HealthCare (Farmington, CT)
- …and reporting of revenue and compliance with government and third-party payer requirements. Assesses the accuracy of all charging vehicles, including clinical ... Document findings and corrective actions reporting to the Revenue Integrity Manager . 4) Provides guidance, communication and education on correct charge capture,… more