- MetroPlusHealth (New York, NY)
- …to building strong relationships with its members and providers.Position OverviewThe Medical Payments and Fee Schedules Analyst will lead the analysis, ... multidisciplinary team to interpret existing and develop new fee schedules and payment rates for medical services. Conduct financial modeling, impact… more
- Insmed Incorporated (NJ)
- …the fulfillment process.Manage and reconcile SP invoices for compliance and payment .Partner with Channel Operations to manage inventory/product supply for assigned ... collaboratively with internal stakeholders including Patient Services, Market Access, Medical Account Management, Finance, Legal, Compliance, Marketing, and Sales… more
- Northeast Credit Union (Dover, NH)
- …and cards portfolios, ensuring efficient delivery of deposit operations and card/ payment management. Leads negotiation and management of vendor and network ... partnerships (eg, card processors, payment networks). Develops strategies for interchange income, rewards/cashback optimization, and competitive fee structures.… more
- Aristeo Construction (Livonia, MI)
- …Create and manage the project schedule Manage financial aspects of contracts ( fee payment , rental equipment, and income/expenses, etc.) Initiate and maintain ... of its team with the best benefits and compensation packages, including: Free Medical Insurance Free Dental Insurance Free Life Insurance HSA Plan with a portion… more
- WSP USA (New York, NY)
- …your professional journey. WSP USA is actively searching for a dynamic **Fare Payments Manager** to spearhead exciting fare payment projects across North ... Are you ready to elevate your career in fare payments ? If you're eager to enhance your technical skills...you'll have the unique opportunity to work with cutting-edge payment technologies and experience swift advancement in your career… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …facility reimbursement mailbox + Maintain and update the hospital outpatient and drug fee schedules , including assessing and pricing new codes + Analyze claims ... Bring your true colors to blue. Reporting to the Payment Integrity Program Manager, the Payment Integrity...to become a trusted subject matter expert on facility payments . Excelling at this work as part of a… more
- AdventHealth (Maitland, FL)
- …operational, and analysis of managed care contracts, proposals, analyze fee schedules , and determine contract compliance. The Medical Economics Manager must ... Proficient with various reimbursement methodologies including Per Diem, DRG, fee schedules , and percent of charge Recommends contractual payment term changes… more
- Rising Medical Solutions (Milwaukee, WI)
- …and processing medical bills according to state laws and fee schedules , industry standards, appropriate network contracts, client specific instructions, ... Values daily + Analyze small to mid-size dollar threshold medical bills for payment recommendations based on...payment recommendations based on state worker's compensation law, fee schedules , usual and customary rates (UCR),… more
- City of New York (New York, NY)
- …coverage. Prepares recommendations for compensation. Processes payment for medical treatment. Computes benefit payments accruing to prospective recipients, ... telephone inquiries from claimants and their attorneys and physicians. Schedules independent medical examinations to determine entitlement...payment or objection. Authorizes the Comptroller to issue payment of proper fee based upon the… more
- New Jersey Housing and Mortgage Finance Agency (Trenton, NJ)
- …Employment Status: Full time JOB DESCRIPTION Administer Section 8 Housing Assistant Payment (HAP) disbursements; process Section 8 payments ; maintain Financial ... (HAP) Expenses and a Schedule of Housing Assistance Payment (HAP) Receipts. Utilize aforementioned schedules to...18. Review monthly HUD invoice for Performance Based Administrative Fee . 19. Process monthly Section 236 payments … more
- Mount Sinai Health System (New York, NY)
- …the recovery of all inpatient and outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance ... Chargemaster/Projects - MSH, Mount Sinai Hospital **Responsibilities** + Assures that fee schedules , Current Procedural Terminology (CPT) and International… more
- Prime Healthcare (Harlingen, TX)
- …referrals. Maintains a current knowledge of contracts and state Worker's Compensation fee schedules . Responsible for the handling of incoming and outgoing ... the appropriate state and federal regulations in order to assure compliance in payment practices. Responsible for posting all incoming payments to correct… more
- Whidbey General Hospital (Coupeville, WA)
- …authorization is obtained. Obtains income verification for self-pay patients eligible for sliding- fee scale. + Collects co- payments at time of registration. + ... authorization is obtained. Obtains income verification for self-pay patients eligible for sliding- fee scale. + Collects co- payments at time of registration. +… more
- Guidehouse (Chicago, IL)
- …into clear, executive-ready recommendations. + Learn and interpret payer contracts ( fee schedules , DRG/APC, per diem, percent-of-charge, case rates, carveouts, ... trail, documentation of assumptions). + Build/optimize ETL/ELT pipelines to ingest fee schedules and contract artifacts; implement QA/validation checks (eg,… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...of our team. **Job Summary and Qualifications** The VRM Pro- fee Manager is responsible for assisting in the development… more
- AdventHealth (Maitland, FL)
- …operational analyses of managed care contracts and proposals, analyze fee schedules , and determine contract compliance. The Senior Medical Economics analyst ... (Monday, Wednesday, Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and… more
- Mount Sinai Health System (New York, NY)
- …pre-determination of benefits, appeals and/or pre-certification limitations. + Develop and manages fee schedules and for self-pay patients. + Processes Workers ... Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with responses to problems or… more
- Saint Francis Health System (OK)
- … and rejection codes. Reviews insurance reimbursement to verify compliance with fee schedules appealing underpayments and denials using correct tools/resources. ... accounts are processed in a manner that results in prompt and accurate payment . Acts as a liaison between Patient Account Services, physician offices, clinical… more
- Primary Health Care (Des Moines, IA)
- …patients apply for the sliding fee program. + Collects and processes patient payments and applies payment to the correct visit. Manages assigned cash box per ... documents messages and communicates to the appropriate individual. + Schedules patient appointments for medical and/or dental...for the visit. Helps patients apply for the sliding fee program. Refers patients to Patient Service Specialists for… more
- Fair Haven Community Health Care (New Haven, CT)
- …collecting co-pays, deductibles and/or co-insurance at point of service; facilitating payment arrangements Patient Schedule: + Reviewing schedules daily to ... with patients during the pre-registration process to discuss financial terms and payment / payment arrangement options; calculating sliding fee eligibility… more
