- 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 (CA)
- …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
- 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
- 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
- Datavant (Olympia, WA)
- …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
- Amazon (Seattle, WA)
- …operational efficiency, and successfully delivering projects * Manage upstream dependencies ( Payer Relations , Compliance, Ops Compliance, Tax, Legal, Global ... be the world's most customer centric pharmacy option. The Payer Biz Dev team is seeking a Risk Manager...AP as it is the primary mechanism to maintain payer credentials and reduce unintended network impacts. The ideal… 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
- Billings Clinic (Billings, MT)
- …needs for program expansion to Manager. * Works closely with Medical Staff, Payer Relations and Patient Financial Services to coordinate needed pre-certification ... to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Pre-Certification Specialist (Full-time) PRE-ACCESS (ROCKY MOUNTAIN PROFESSIONAL BUILDING) req10481 Shift:… more
- Priority Health Care (Gretna, LA)
- …direct supervision of the Senior Staff Accountant/PSS Supervisor, the Patient Service Specialist (PSS) will function as the initial point of contact for patients. ... payments, preparing daily deposit reports, and data entry. The Patient Service Specialist will provide quality customer service to internal and external customers;… 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
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