. Communicates with patients, payers, vendors, hospital departments, and outside parties in relation to patient accounts. Uses... required. Must be familiar with third party payer insurance verification, billing processes, medical terminology, ICD-9, CPT and HCPC coding...
Medical Ctr campus Overview You know that your job is about much more than gathering referral and payer information... established guest relation’s standards of professional behavior and confidentiality. Greets and directs patients, visitors...
will also involve overseeing the design, development, and execution of pharmacy programs that support payer and provider partnerships..., and fraud within the pharmacy reimbursement cycle. Develop and implement solutions to reduce costs for clients in relation...
Overview You know that your job is about much more than gathering referral and payer information. As a Revenue... established guest relation’s standards of professional behavior and confidentiality. Greets and directs patients, visitors...
to diagnose and solve root process, payer and communicate system issues impacting revenue cycle objectives Stay informed... base in relation to the insurance plans one plan at a time, so that in 6 months you are the subject matter expert...
/teaching as needed, in relation to the corresponding remote patient monitoring program. Travel between assigned locations... and federal entities, payer contracts etc. Possesses ability to communicate effectively, both verbally and in writing. Possesses...
at scale. You support use of RWD by designing studies to address clinical, operational, regulatory, or payer questions... in relation to the online application process, please contact us by completing this form ....
at scale. You support use of RWD by designing studies to address clinical, operational, regulatory, or payer questions... in relation to the online application process, please contact us by completing this form ....
and documentation in relation to established contracts and those in progress. KEY PERFORMANCE INDICATORS (KPI): Ensure ≥ 95... communication skills. Knowledgeable of payer and vendor contract management Good organizational and self-motivational skills...
: This position requires a working knowledge of third party payer regulations, medical terminology and CPT-4, ICD-10, and HCPCS coding... in relation to the physical demands detailed above. Salary Range: $28.07- $42.11 per hour...
to payer enrollment on payer contact spreadsheet. Treats patients and co-workers consistent with the NextCare Mission...: Understanding of contracting processes. Understanding of revenue cycle in relation to credentialing. Previous experience using...
necessity guidelines for Medicare’s advance beneficiary notices and other payer requirements. 8. Is proactive in asking... as pertains to job responsibilities. 11. Acquires and maintains knowledge of all third party payer insurance information. 12...
about payer formulary status You will play a critical account management role by independently engaging, influencing... with all federal, state, or local laws. If you have a disability and need an accommodation in relation to the online application...
, you will play a critical role in ensuring that patient services and evaluations are properly authorized with the insurance payer.... You will initiate contact with insurance companies to request authorizations, navigate payer portals to submit and retrieve approvals...
, and validation of reimbursement from third party plans in relation to the hospitals negotiated fees and adherence to contract terms... regarding contractual variances along with payer issues to leadership and work with the Managed Care Contracting team to resolve...
, and validation of reimbursement from third party plans in relation to the hospitals negotiated fees and adherence to contract terms... regarding contractual variances along with payer issues to leadership and work with the Managed Care Contracting team to resolve...
with their current needs and desires. Maintains a working knowledge and relationship with community resources and payer benefits... and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education...
Medical Ctr campus Overview You know that your job is about much more than gathering referral and payer information... established guest relation's standards of professional behavior and confidentiality. Greets and directs patients, visitors...
and rebates. Educate stakeholders about payer formulary status You will play a critical account management role by independently... in relation to the online application process, please contact us by completing this form ....
(SAM) and Managed Care team for effective market review of unique payer arrangements and affiliated contracts. Coordinate... and seminars. Assists in evaluation of reports, decisions, and results of department in relation to established goals. Recommends...