- iCare Health Solutions Enterprise (Miami, FL)
- …years of experience in healthcare contracting, provider reimbursement, revenue cycle, or payer relations Expert knowledge of both fee-for-service and managed ... Job Type Full-time Description Manages the life cycle of payer agreements across commercial and government programs. Responsible for the accurate configuration and… more
- CVS Health (Woonsocket, RI)
- …of Pharmacy Reimbursement Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly evolving Pharmacy Reimbursement ... quantify the value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also… more
- Johns Hopkins Healthcare (Baltimore, MD)
- …with peers and business leaders (ie revenue cycle, supply chain, contracting and payer relations , and financial and accounting services) to establish service ... growth, diversification, and operational efficiency; program and asset optimization; and payer strategy, among others. Candidates will be able to demonstrate… more
- VIBRANTCARE REHABILITATION, Inc. (Citrus Heights, CA)
- …noted in routine and investigative compliance audits. Ensure strong physician and payer relations and coordinate implementation of clinical specialty programs as ... participation in local and regional professional meetings and college relations ' activities. Provides patient care skills development opportunities for clinical… more
- CSI Pharmacy (Nash, TX)
- …analysis interpretation, implementation, maintenance of the contract's performance, and payer relations Responsible for coordination and communication between ... and contract language attainable through the revenue cycle operations Oversight of payer credentialing Will assist with various payer prior authorization,… more
- Hart Medical Equipment (Detroit, MI)
- …Anatomy and Medical Terminology. *Strong background in patient care and customer relations . *Familiarity with payer source requirements and legal aspects ... preferred. *Athletic Trainer, Medical Assistant and Physical Therapy Assistant candidates will be strongly considered Skills & Abilities *The ability to represent Hart Medical Orthotics & Prostetics and self in a courteous, dynamic and engaging manner and to… more
- Recovery Centers of America (Waldorf, MD)
- …to focus on treatment (examples: coordination with family for childcare, employer relations , legal concerns, etc.) The Case Manager works collaboratively with the ... Continued Care Plan (CCP) and other patient resources/supports (Employer/FMLA, Legal, Payer programs, Referral sources, Peer Support, etc.) Completes a new patient… more
- Sarasota Memorial Health Care System (Sarasota, FL)
- …for keeping abreast and complying with all managed care contracts and third party relations for your designated payer /s. Tracks and trends escalated payer ... concerns. Handles all correspondence and communications in a professional and timely manner. Inputs data as required to comply with department specific quality assurance measures and for feedback to other departments and insurance companies. Contributes to… more
- Beth Israel Lahey Health (Boston, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... creates, and assigns the guarantor for each patient, including personal/family relations , workers compensation insurance, third parties, behavioral health, or others… more
- Tenet Healthcare Corporation (Detroit, MI)
- …among assigned staff members. Maintains accountability for third party payer communications for discharge planning and decision-making. Monitors activities for ... and ensures compliance with laws, third party payer requirements, government regulations, Joint Commission requirements pertaining to areas of responsibility. As… more
- South Shore Health (Weymouth, MA)
- …criteria and determines need for continued hospitalization based upon third party payer /guidelines. 2 - Plays an essential role in assisting physicians, nursing and ... choices, including public, private, and governmental payers and established / preferred ACO relations a - Maintains a working knowledge of the requirements of the… more
- Ardent Health Services (Montclair, NJ)
- …and initiating or recommending personnel actions and maintaining good employee relations with department staff. Ongoing monitoring of expense structure to identify ... and joint venture partner on managed care negotiations to maximize payer contracts. Qualifications Education & Experience: Bachelor's Degree in accounting/finance or… more
- OptiMindHealth (Medford, MA)
- …and/or breakdowns that would be critically important to long term referral relations and recommend solutions to OptiMindHealth's Director of Physician Relations , ... 2. Understanding of the practice of medicine including referral relationships, payer requirements and other economic and clinical influences. 3. Experience and… more
- UnitedHealth Group (Portland, OR)
- …Travel between care sites mandatory Care Coordination Understand the Payer /Plan benefits, CCM associate policies, procedures and articulate them effectively ... by partnering with key stakeholders (ie : internal sales function, provider relations , facility leader) to maintain and develop membership growth Exhibit original… more
- Cape Cod Healthcare Inc. (Falmouth, MA)
- …information when scheduling appointments, including updated demographics and insurance/ payer information Reschedules patient appointments and extends patient ... have not scheduled a future visit Maintains harmonious and cooperative relations with fellow employees, medical staff, patients and guests Maintains confidentiality… more
- Banner Health (Mesa, AZ)
- …patient and family. 5. Acts as a liaison between patient/PFS department/ payer to enhance account receivables performance, resolve outstanding issues and/or patient ... Services setting. Must have highly developed interpersonal, communications and human relations skills. Must also possess accurate and efficient keyboarding skills,… more
- Excela Health (Greensburg, PA)
- …current home care/hospice patients who are re-admitted to the hospital. Cognizant of payer requirements for patients, and acts as a resource for hospital staff. ... strong understanding of area competitors. Cultivate and maintain good customer relations through regular customer servicing and problem solving. Solicit feedback… more
- Ovation Healthcare (Brentwood, TN)
- …trust and open communication, they will create a positive client experience. Client Relations : Required: You must have a minimum of 3 years experience managing ... any of the following systems: EPIC, Cerner, Allscripts, etc. Knowledge of payer /hospital contracts, healthcare code sets, and RCM analysis. Working Conditions and… more
- St. Croix Hospice (Mequon, WI)
- …comprehensive working knowledge of markets including government agencies, major payer groups, key referral sources, and competitor's market positioning Enhances ... clients. Demonstrates good communications skills, negotiation skills, and public relations skills. Demonstrates autonomy, organization, assertiveness, flexibility and cooperation… more
- Community Health Systems (Bullhead City, AZ)
- …required Experience with financial analysis, revenue cycle management, and provider relations preferred Knowledge, Skills and Abilities Strong knowledge of practice ... regulations. Expertise in budgeting, financial planning, revenue cycle management, and payer contracting. Ability to analyze financial and operational data, identify… more
