• Payer Manager Managed Care

    AdventHealth (Maitland, FL)
    …This position requires the ability to understand and interpret payer contract terms, complex reimbursement schedules, payment policies, patient accounting ... billing information and other sources of data to build,...the contract management systems. Provides guidance and feedback in response to outcomes. * Responsible for ensuring system builds… more
    AdventHealth (09/13/24)
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  • Patient Access Analyst , Oncology

    Hackensack Meridian Health (Neptune, NJ)
    …complete patient registration in the approved organization electronic scheduling and billing systems and on-site insurance verification while being able to navigate ... technical denials for lack of prior authorization. Understand if payer rules governing when or if a prior authorization...query (RTE) on all eligible insurances. Must review RTE response to ensure correct plan code assignment and correct… more
    Hackensack Meridian Health (07/17/24)
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