- Strategic Health Partners (Kennesaw, GA)
- …rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for payer claim processing accuracy per contract . Work with clinical ... accounts are reviewed, appealed, escalated or adjusted within the designated payer timeframes and are documented appropriately in the patient accounting system.… more
- South Coast Children's Society (Upland, CA)
- …employment activities. Maintain proficient and accurate documentation adhering to all program, contract , and payer standards. Work in coordination with the ... autonomy, and a strong support system of seasoned employees. The Family Specialist develops a strength-based relationship with children while providing support, case… more
- Tidelands Health (Myrtle Beach, SC)
- …completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy Notice, AOB ... needed. May assist with identifying and initiating necessary referrals for specialist appointments, procedures and tests. Organizes, expedites and follows-up on any… more
- Arkansas Children's (Little Rock, AR)
- …CIN Administration **Summary:** Monday - Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts ... reimbursement issues to optimize revenue and contract performance. The Payer Contract Specialist collaborates closely with and supports Revenue Cycle,… more
- CommonSpirit Health (Rancho Cordova, CA)
- …California and have California physician contract experience. **Job Summary:** The Contract Specialist Divisional Payers Payer Strategy & Relationships ... and negotiation support is to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines represent industry best practices… more
- Premier Health (Moraine, OH)
- …function as a resource and intermediary on questions of contract interpretation between offices, patients, and third-party insurance companies. **Qualifications** ... 1. Minimumof Associates degree and/or experience preferably in Business or Computerswith experience in health care billing, reimbursement, and/or contracting 2. A minimum of one year experience in credentialing, or 3+ years experience with medical billing is… more
- Organon & Co. (Plymouth Meeting, PA)
- …a highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in ... creation. + Strong background in payor access, contracting, value-based modeling, and contract analytics. + Experience in payer marketing and relationship… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Job Summary: The Contract Variance Specialist will research payment policies and ... None. Work Experience: Minimum 3 years of experience in combined/comprehensive contract variance review/analysis, healthcare claims in billing and/or collections, or… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Specialist (Remote) serves as a subject matter expert and team lead, responsible for ... technologies administered by the department to support payment compliance and contract management activities. + Analyzes workload demands through data analysis,… more
- Beth Israel Lahey Health (Burlington, MA)
- …of the Manager of the Office of Sponsored Research, the Contracts Specialist works with investigators, sponsors and contract research organizations, and ... research agreements in accordance with Lahey and BILH policies. The Contracts Specialist reviews and negotiates contract terms and conditions, develops and… more
- Corewell Health (Grand Rapids, MI)
- …value for Corewell Health. Lead tactically by helping junior staff with complex contract terms and negotiating techniques to help prepare for successful contract ... policy to increase knowledge providing leverage for the department to use in contract negotiations. Essential Functions + Manages the contract development and… more
- Corewell Health (Grand Rapids, MI)
- …contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ownership of provider contracts at assigned ... the key contact and subject matter expert for all contract related activities - this could include but is...contract lifecycles on behalf of either their part payer or health care providers Preferred + 5 years… more
- Robert Half Accountemps (St. Paul, MN)
- …a Medical Accounts Receivable Specialist to join our team on a long-term contract basis. In this role, you will work remotely to support healthcare billing and ... accounts receivable functions, ensuring compliance with payer policies and timely resolution of claims and disputes....job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- Johns Hopkins University (Baltimore, MD)
- …produce a clean claim including special billing procedures that may be defined by a payer or contract . + Maintains a system of billing accuracy through encounter ... We are seeking a **_Coding Specialist II_** who will be responsible for all...special billing procedures that may be defined by a payer or contract . + Maintains a system… more
- Johns Hopkins University (Middle River, MD)
- …produce a clean claim including special billing procedures that may be defined by a payer or contract . + Maintains a system of billing accuracy through encounter ... We are seeking a **_Coding Specialist III_** responsible for all aspects of coding,...aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Works closely with departmental management and… more
- Alameda Health System (San Leandro, CA)
- …departments where necessary. 2. Generate an appeal based on the dispute reason and contract terms specific to the payer . This includes online provider disputes ... Patient Financial Services Denial Specialist + San Leandro, CA + Finance +...4. Escalate exhausted appeal efforts for resolution. 5. Work payer projects as directed. 6. Research contract … more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …resolve claim issues. Guarantee timely secondary billing submissions based on the payer requirements. Complete understanding of contract requirements of each ... Job Summary The Patient Account Specialist is responsible for accurate and timely billing...Verify all services delivered are billed to the correct payer . Work all pre-billing/post-billing reports to ensure correct data… more
- Pfizer (New York, NY)
- …governance process: + Run internal net cost models from both Pfizer and Payer perspective to determine trade-off between contract offers; utilize outputs to ... **ROLE SUMMARY** The Financial Modeling Specialist will oversee the development of Pfizer perspective...inform contract offers and payer specific contracting strategies + Utilize propriety and public… more
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical ... Billing Specialist answers inquiries from insurance companies, patients, and processes...Inc. billing processes. + File complaints with the appropriate payer or their governing authority. + Identify and separate… more
- Hunterdon Health Care System (Flemington, NJ)
- …to include, but not limited to, charge capture; CPT/RVU code assignment; payer bulletin interpretations; and denials avoidance. This position will collaborate with ... to ensure accuracy with all revenue cycle processes. This role will lead payer specific audits to ensure accurate and timely payment around new programs and… more
