- 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
- Logan Health (Kalispell, MT)
- …and contracting processes? At Logan Health, we are seeking a meticulous and detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. ... Your role will be pivotal in managing payer enrollment processes, ensuring compliance with regulations, and building strong partnerships that drive our mission… 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
- Sharp HealthCare (San Diego, CA)
- …helps facilitate monthly payer calls in conjunction with management and Contract Reimbursement Specialist in reviewing claims processing and rejection issues ... questionable payment/denial practices occur to ensure regulatory requirements governing payer /provider relationships and the terms of the contract .Coordinate… 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
- Trinity Health (Silver Spring, MD)
- …Full time **Shift:** Day Shift **Description:** **Job Title:** Senior Payer Credentialing Coordinator **Employment Type:** Full-Time **Shift:** Days **(SUMMARY) ... Washington DC and Baltimore, MD. **Description:** . Monday-Friday . The Senior Payer Credentialing Coordinator contributes to the overall success of the department… more
- Bozeman Health (Bozeman, MT)
- …above to be applicable for this position. Position Summary: The Epic Reimbursement Contract Specialist is responsible for building and maintaining the HB ... appeal confirmed underpayment instances, and continuously build and maintain system contract configuration to ensure accuracy against payer reimbursement terms.… 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
- Mount Sinai Health System (New York, NY)
- …billing office by staying up to date on NYS regulatory laws, managed care payer policies, contract language, contract negotiations, CMS fee schedule updates, ... FPA Departments, Network Practices, and Revenue Managers, with key aspects of contract reimbursement analysis including: reporting, cpt and work rvu(Wrvu) analysis, … 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
- 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
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Contract BI Specialist ? At HCA Healthcare, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Contract BI Specialist like you to be...company-wide reporting relevant to Pricing Transparency data including Internal Payer bandwidth and Pricing Transparency bandwidth + Establish and… more
- Intermountain Health (Jefferson City, MO)
- …complex duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety of...issues and/or trends and communicate findings to management, including payer , system or registration issues. + Maintain basic understanding… more
- CVS Health (Monroeville, PA)
- … agreement compliance. The Reimbursement Specialist will also be responsible for Payer Contract Creation and Maintenance in support of accurate billing and ... an opportunity for a full-time Reimbursement Specialist . The Reimbursement Specialist is primarily responsible for monitoring Payer reimbursement data and… more
- Robert Half Accountemps (Newtown, PA)
- Description Job Title: Collections Specialist (Medicaid-Focused) - Contract -to-Hire Location: Near Newtown, PA Schedule: Monday to Friday, 9:00 AM - 5:00 PM ... Dress Code: Business Professional Job Type: Temporary-to-Hire Contract (with potential for permanent placement based on performance) Organization Overview: We are a… 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
- Avera (Pierre, SD)
- …insurance information and authorization details to optimize reimbursement from both the payer and patient. The Specialist must maintain strong working knowledge ... of insurance plans, contract requirements, and resources to facilitate appropriate insurance verification and authorization. Specialists must also be able to… more
- AdventHealth (Altamonte Springs, FL)
- …knowledge regarding the appeal process, changing rules and regulations, and understanding payer contract language. + Strives towards meeting and exceeding ... and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and to all rules and… more
- Johns Hopkins University (White Marsh, 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 ... formula. **Preferred Qualifications** + Epic experience. + Understanding of third-party payer issues. Classified Title: Coding Specialist II Role/Level/Range:… 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