- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates...and interim updates which may impact payers and products managed by other Managed Care … more
- AdventHealth (Maitland, FL)
- …School Grad or Equiv Required + 4 of experience in managed care , patient financial services or healthcare payer relations background Required . Certification ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… more
- AdventHealth (Maitland, FL)
- …Required + 5 payer /provider contract negotiations and responsibility of overseeing a managed care department or team + Experience with leading a managed ... leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- AdventHealth (Maitland, FL)
- …the analysis and evaluation of financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on ... skills. The Medical Economics Manager will manage and mentor managed care staff for both the Florida and Multi-State Divisions of AdventHealth, as… more
- AdventHealth (Maitland, FL)
- …coverage, payment, compliance, and basic billing rules for Government and Managed Care payers. Uses discretion when discussing personnel/patient related ... proper billing takes place on all assigned patient accounts. Depending on payer contract may be required to participate in conference calls, accounts receivable… more