- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct ... a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's clients by unlocking new… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_Coding Specialist II_** who will be responsible for all aspects of coding, quality assurance, compliance with Federal payer documentation ... to ensure a smoothly functioning billing operation and good patient relations . This includes coordination of the patients' financial billing responsibilities for… more
- Datavant (Hartford, CT)
- …as a key liaison between coding, billing, utilization review, case management, and payer relations to reduce denials and improve revenue leakage. **You will:** ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
- Community Health Systems (Franklin, TN)
- …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_Coding Specialist II_** is responsible for understanding all aspects of coding, quality assurance, and compliance with Federal payer ... for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. + Works closely with Office of Compliance for Professional… more
- Amazon (Seattle, WA)
- …operational efficiency, and successfully delivering projects * Manage upstream dependencies ( Payer Relations , Compliance, Ops Compliance, Tax, Legal, Global ... be the world's most customer centric pharmacy option. The Payer Biz Dev team is seeking a Risk Manager...AP as it is the primary mechanism to maintain payer credentials and reduce unintended network impacts. The ideal… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors ... resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up...special billing procedures that may be defined by a payer or contract. + Review and update patient registration… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors ... resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up...special billing procedures that may be defined by a payer or contract. + Review and update patient registration… more
- Select Medical (West Orange, NJ)
- …Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** ... **Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization… more
- Billings Clinic (Bozeman, MT)
- …needs for program expansion to Manager. * Works closely with Medical Staff, Payer Relations and Patient Financial Services to coordinate needed pre-certification ... to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Authorization Specialist (Full-time) PRE-ACCESS (BILLINGS CLINIC BOZEMAN AMBULATORY) req10316 Shift:… more
- Priority Health Care (Gretna, LA)
- …direct supervision of the Senior Staff Accountant/PSS Supervisor, the Patient Service Specialist (PSS) will function as the initial point of contact for patients. ... payments, preparing daily deposit reports, and data entry. The Patient Service Specialist will provide quality customer service to internal and external customers;… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating appropriate length of… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a **Pharmacy Technician Prior Authorization Specialist for a Full Time, 1.00 FTE, Day position.** The salary range for this ... infusion service referral and authorization records and assists to obtain payer authorization. Ensures insurance carrier documentation requirements are met and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Health Insurance Recovery Specialist ** **Job Class: Human Services Program Specialist 2** **Agency: Human Services Dept** + **Job ID** : 89335 + ... position is responsible for assuring that Medicaid is the payer of last resort in cases where a third...response to time sensitive work load. + Excellent customer relations skills to provide information in a professional and… more
- Methodist Health System (Dallas, TX)
- …**Your Job:** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in ... and resolving no response claims, denied claims, and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by effectively… more
- Charles B. Wang Community Health Center (Queens, NY)
- …in electronic health records + Establish linkage to external social services programs, specialist services and payer 's care management services + Participate in ... Full-Time Care Management Specialist Reports to: Manager, Care Management Services Queens/Manhattan,...the care plans + Communicate and establish effective working relations with care team + Advocate and work with… more
- Globus Medical, Inc. (Collegeville, PA)
- …Summary:** Reporting to the Senior Director, Global Reimbursement, the Market Access Specialist will play a vital role supporting projects related to expanding ... payer coverage, health economic analyses, monitoring healthcare policy trends,...and phone communication skills. + Customer service / client relations required. + Advanced Microsoft Excel skills including advanced… more
- Intermountain Health (Wheat Ridge, CO)
- …for effective pre-registration and pre-visit preparation as needed. Also collaborates with Payer Relations to provide the required documentation relating to any ... **Job Description:** The Contact Center Referral Specialist I processes insurance pre-authorization for primary and specialty service office visits and testing.… more
- Methodist Health System (Dallas, TX)
- …States of America) **Job Description :** Your Job: The Cash Application Specialist will provide excellent customer service, accurately posting payments and handling ... Job Responsibilities: * Accurately post and allocate all payments per vendor or payer details to patient accounts. * Ensures accuracy of cash application by… more
- Staffing Solutions Organization (OH)
- …-** **Enrollment/Call Queue Support** + Respond to inbound calls to the provider relations line. Calls can include a range of inquiries including application status ... year of the experience must have included provider monitoring, Medicaid or third-party payer provider billing, or provider training. One year of the experience must… more