- Datavant (Carson City, NV)
- …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. (Carson City, NV)
- …Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite **Skills ... **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
- Walgreens (Las Vegas, NV)
- …growing the business at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures that store personnel provide ... Fully abides to all compliance policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including… more
- CenterWell (Carson City, NV)
- …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
- Open Mind Health (NV)
- LOCATION: REMOTE REPORTS TO: CLIENT LIAISON MANAGER ABOUT OPEN MIND HEALTH We are a collaborative team of mind-body-spirit experts who provide innovative, ... on short notice. They also facilitate appointment completion and billing by ensuring intake documents are completed and insurance...ongoing monitoring. + Has worked with a variety of payer portals including Aetna, Blue Cross Blue Shield, Optum,… more
- Elevance Health (Las Vegas, NV)
- …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 (Las Vegas, NV)
- …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
- HCA Healthcare (Las Vegas, NV)
- …performance driven, incentive plan driven, customer needs, identified trends, RAC, payer , etc.) for inpatient and/or outpatient coding (eg, DRG/code validation, ... Specialists (CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and services + Ensures… more
- Intermountain Health (Carson City, NV)
- **Job Description:** This position is responsible for billing , follow-up, and resolving issues that delay or prevent payment of the patient's account within ... management, and designated areas in the response process. 5. Assists manager with interviews, onboarding, monitoring and measuring goals, annual reviews and… more
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