- e CancerCare (Nashville, TN)
- Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance ... Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance, … more
- Vanderbilt University Medical Center (Nashville, TN)
- …issues occurring with managed care contracts. . KEY RESPONSIBILITIES * Coordinates payor specific operations meeting, both ad hoc and regularly scheduled with high ... Maintains database to track and manage operational issues by payor . * Identifies and discusses concerns or trends with...on the job and trains others in them. * Contract Interpretation (Advanced): Understanding and making educated decisions based… more
- Elevance Health (Indianapolis, IN)
- …a check, or ask you for payment as part of consideration for employment. **Provider Contract /Cost of Care Consultant** + Job Family: RDA > Health Economics & Cost of ... + Ohio, Mason + Delaware + Indiana, Indianapolis **Description** **Provider Contract /Cost of Care Consultant** **Location:** This position will work a hybrid… more
- Amgen (Cincinnati, OH)
- …worldwide. It's time for a career you can be proud of. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account Manager ... Committee, etc., that act as partners or decision-makers within the Health System Manager assigned accounts + Presents MAC approved data and CV product messaging for… more
- Philips (Malvern, PA)
- As a Reimbursement Services Manager , you will oversee and manage the daily operations of accounts receivable for all aspects of AM&D's revenue cycle, which includes ... process, as well implementing process improvements. **Your role:** + Identifying payor trends and making recommendations for increased revenue opportunities and… more
- Aspen Dental (Phoenix, AZ)
- …or proposing innovative enhancements to our process and or system. **Fee & Contract Integrity:** Responsible for the intake and organization of all fee schedules for ... on anniversary date. + Fee Key management for each Payor based on coverage locations. + Import fee schedules...Eligibility) Projects + Back-up coverage for Field-Facing tickets at manager 's request + Support training initiatives within team as… more
- Prime Healthcare (Ontario, CA)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Manager of Contract ... Contract Analytics and Revenue Integrity functions. The Manager of Contract Analytics, CDM will also...EAPG, revenue code, etc. is required + Understanding of payor payment methods viz.. Fee Schedule, RCC, Case rate… more
- TEKsystems (Plano, TX)
- …+ Payer knowledge especially Medicare and commercial plans Description: The Collection Manager is responsible for daily functions of the commercial department in ... productivity; solves problems identified by staff and works with payor to resolve trends and issues. This position is...critical payer relationships Ensure collection team has knowledge of Contract Terms, State and Federal prompt pay statutes and… more
- Scripps Health (San Diego, CA)
- …chargemaster. * Developing reports to evaluate the reimbursement effect of third party payor contract proposals as requested by the facility Fiscal Directors and ... managers to implement and monitor CDM changes. Provides other support to the Manager Chargmaster as needed. CDM responsibilities include but are not limited to: *… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- **Overview** **Scope of Responsibilities:** The 340B Program Manager is responsible for planning, implementing, supporting, and optimizing projects related to the ... surveillance, assist in 340B off site audits as necessary, contract management/implementation, reporting/analyzing, and program enhancement/ optimization projects including… more
- Tidelands Health (Pawleys Island, SC)
- …practice, contract management system logic, basic reporting skills, and payor policies and procedures. + Prior certification course, training program in medical ... supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- University of Rochester (Rochester, NY)
- … Manager ensures appropriate credit balance prioritization based on contract and government requirements, prepares reports, identifies credit balance trends, and ... Responsibilities **Job Summary:** The Manager for Credits is responsible for working across...cycle results by effectively managing all government and commercial payor credit balances within established governmental and contractual guidelines… more
- Consulate Health Care (Williamsburg, VA)
- …Care of Williamsburg | Full Time **Looking for a qualified Assistant Business Office Manager to join our team.** We are searching for an **Assistant Business Office ... Manager ** to join our community that is resident and...calculation and summary reports. + Generate timely billing of payor classes. + Responsible for the generation and submission… more
- Bozeman Health (Bozeman, MT)
- …12. North Dakota 13. Wisconsin 14. Tennessee Position Summary: The System Manager of Patient Financial Services is responsible for assisting other leaders and ... Conditions of Participation, Medicare Billing and Reimbursement regulations, Commercial payor billing rules, and Bozeman Health Payer Contracts +...classification. They are not to be construed as a contract of any type nor an exhaustive list of… more
- Bozeman Health (Bozeman, MT)
- …12. North Dakota 13. Wisconsin 14. Tennessee Position Summary: The System Manager of Customer Service is responsible for planning, directing, organizing, monitoring ... Conditions of Participation, Medicare Billing and Reimbursement regulations, Commercial payor billing rules, Bozeman Health Payer Contracts, and ICD...classification. They are not to be construed as a contract of any type nor an exhaustive list of… more
- UCLA Health (Los Angeles, CA)
- …this and more at UCLA Health. You will collaborate closely with budget, contract management, revenue cycle, operations, and decision support to resolve net revenue ... entries to report the value of Medicare, Medi-Cal, contracts, and other payor revenue and accounts receivable * Ensure fee-for-service estimates are correct *… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …requirement for the Reimbursement Specialist I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all ... equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is… more
- Beth Israel Lahey Health (Burlington, MA)
- …for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned ... claims. 3. Establishes relationships and maintains open communication with third party payor representatives in order to resolve claims issues. 4. Reviews claim… more
- Trinity Health (Fort Lauderdale, FL)
- …patients, staff, and the organization. *Responsible for business planning, contract management, engagement and directing opportunity assessment and variance ... operations, evaluations, recruitment, practice audits, practice budget performance, and payor mix to maximize practice/program effectiveness and system integration.… more
- Elevance Health (Columbus, OH)
- …care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual ... + 2 years experience in broad-based analytical, managed care payor or provider environment as well as experience in...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more