for regulatory approvals, payer negotiations, and inclusive research standards, aiming for faster clinical trial enrollment..., and consistent with all federal, state, or local laws. If you have a disability and need an accommodation in relation to the online...
to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course Ensures... compliance with current state, federal, and third party payer regulations Documents the case management process in the medical...
. 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...
matrix organization and influence at all levels Maintains a high level of expertise and judgment in relation... Experience in scientific interactions with payer bodies Knowledge and understanding of marketplace dynamics Track record...
U.S. payer landscape, reimbursement processes, and value messaging. Experience with medical-legal-regulatory (MLR) review... and matching them with the finest positions across the globe. Hobson Prior is acting as an Employment Agency in relation...
U.S. payer landscape, reimbursement processes, and value messaging. Experience with medical-legal-regulatory (MLR) review... and matching them with the finest positions across the globe. Hobson Prior is acting as an Employment Agency in relation...
daily Works collaboratively with team to assure referrals are processed timely Keeps abreast of new insurance and payer... in relation to the physical demands detailed above. Join our award-winning team and apply today!...
guidelines including CPT, ICD- 9 /10-CM, and HCPCS coding systems and guidelines, payer guidelines and requirements. Minimum 1... and training providers and staff in relation to coding, billing and compliance issues Assists in developing annual work plan based...
& Payer markets Experience in agency and/or corporate environment $126,000 - $140,000 a year At PointClickCare, base... this information to evaluate your candidacy for the posted position. We also store this information, and may use it in relation...
Prefer ACM or CCM certification or attainment within 2 years of hire InterQual experience Payer relation experience... departments, physician and payer. This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland...
Prefer ACM or CCM certification or attainment within 2 years of hire InterQual experience Payer relation experience... departments, physician and payer. This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland...
management in relation to patient registration and scheduling; payment processing and charge reconciliation; message and work... and experience accessing/verifying insurance coverage. Experience using Real Time Eligibility (RTE) and Payer/Insurance Portals...
reporting tools, policies, and industry trends. Researches and assesses payer policies and payment integrity solutions... in relation to competitors and industry standards to identify new medical cost savings opportunities. Determines potential...
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...
practice with RN care managers, staff nurses, physicians, ancillary services, payer sources and outside agencies. Works...: Reviews patient data in relation to appropriate utilization of resources and makes treatment recommendations based...
of the healthcare industry/sector including experience with LTPAC, Acute and/or Payer audiences. Previous experience working..., and may use it in relation to future positions to which you apply, or which we believe may be relevant to you given...
This position provides strategic direction, leadership and financial success through effective management of payer... and physician relationships, managed care operations, non-contracted and/or contracted payer negotiations, account management...
will assess students` skills to determine their needs in relation to their specific discipline and develop Individualized... 614 Benefits Information BOE contributes $480 per month toward single payer policy--other options available Salary...
in our electronic health record system. Essential responsibilities will include: Monitors and tracks Revenue Cycle KPIs in relation... on deficiencies when identified. Works with TOC Contracting or Payor to resolve contract related payment variances. Manages payer...
both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new... to make improvements based on data and market research. Working closely with Contracting and Provider Relation Leaders...