- Elevance Health (Chicago, IL)
- …other industry stakeholders. + Oversees the development of business review content for payor account management to include payer level key performance indicators ... Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical… more
- ConvaTec (NJ)
- …more about Convatec, please visit http://www.convatecgroup.com **Position Overview:** The Corporate Account Manager (CAM) for Post Acute Distribution and DME ... for delivering and managing the relationships, contracts, product education and launches, service platform and clinical programs for the Wound and Ostomy portfolios… more
- Covenant Health Inc. (Maryville, TN)
- Overview Patient Account Representative, All Women's Care - Maryville Full Time, 80 Hours Per Pay Period, Day Shift Perinatal Center Overview: At Fort Sanders ... member of Covenant Health (http://www.covenanthealth.com/) . Position Summary: The Patient Account Rep II is responsible for inbound inquiries from patients, family… more
- Houston Methodist (Katy, TX)
- …but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service , cash applications, revenue ... At Houston Methodist, the Manager Revenue Cycle position is responsible for the...exceed performance standards related to departmental goals and objectives. ** SERVICE ESSENTIAL FUNCTIONS** + Plans and organizes day-to-day department… more
- UNC Health Care (Goldsboro, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Pre- Service Manager will be responsible for managing the overall operations of ... health care delivery system at UNC Health Wayne. The Manager is familiar with and has general knowledge of...account escalations and troubleshoots issues related to any pre- service modality. 11. Participates in Revenue Cycle and organizational… more
- Covenant Health Inc. (Knoxville, TN)
- …other duties as needed and requested by the Vice President of Patient Account Services, Officer and/or Corporate Manager of Revenue Integrity. + Supports, ... + Reviews ADR log, Denial Management System reports and payor websites to identify denials and other related issues...service areas are involved as deemed appropriate by manager . + Works with physician advisors and attorney in… more
- Corewell Health (Royal Oak, MI)
- Job Summary - Manager , Transplant Quality Manages the operations, provides financial oversight and oversees quality functions of the transplant programs at Corewell ... and direct supervision of transplant staff members. Essential Functions - Manager , Transplant Quality + In conjunction with transplant leadership, provides high… more
- Houston Methodist (Houston, TX)
- …limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial ... communicating claim issues to departmental management for further discussion with payor representatives and other key stakeholders as needed and as applicable.… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary** The Manager of B2B Customer Success plays a critical role in ensuring our Business to Business (B2B) clients receive the highest ... level of service and support while focusing on patient experience. This...value realization for our clients and for Walgreens. The Manager of B2B Customer Success works closely with external… more
- AbbVie (Oklahoma City, OK)
- …the following states: + Oklahoma + Arkansas The Immunology Field Reimbursement Manager - Gastroenterology acts as an alternative in-office resource that is available ... issues + Provide local expertise in regards to national/regional payor policies in order to educate providers on payer...related for approved products to Patient Services and MHC account management teams + Establish and maintain relationships with… more
- Guidehouse (Mitchell, SD)
- …Required** **:** None **What You Will Do** **:** The **Operations Manager ** oversees the day-to-day operations for Physician Managed Services. The Operations ... position will be in the **Mitchell, South Dakota** service center. This position is responsible for meeting and...with State and Federal laws and guidelines. The Operations Manager will perform all job-related duties, as assigned. Key… more
- Takeda Pharmaceuticals (LA)
- …inspire you and empower you to shine? Join us as a Territory Business Manager - Primary Immune Deficiency supporting New Orleans, LA. At Takeda, we are transforming ... Sr. Regional Business Director. **How you will contribute:** + The Territory Business Manager will achieve sales quotas through driving new patient starts, sales in… more
- Takeda Pharmaceuticals (Omaha, NE)
- …inspire you and empower you to shine? Join us as a Territory Business Manager - Alpha-1 supporting Nebraska and Iowa. At Takeda, we are transforming the ... Sr. Regional Business Director. **How you will contribute:** + The Territory Business Manager will achieve sales quotas through driving new patient starts, sales in… more
- Houston Methodist (Houston, TX)
- …role is also responsible servicing as the subject matter expert in account follow-up. Also is responsible for providing information regarding complex denial trends ... and procedures, including complying with The Houston Methodist Experience Service Standards. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to… more
- Houston Methodist (Houston, TX)
- …help build confidence and competency in skills, knowledge and abilities ** SERVICE ESSENTIAL FUNCTIONS** + Reviews incoming correspondence and takes appropriate ... action. Responds promptly to payor 's request for additional information/documentation. Confers with Billers, as...collaborations with third party vendors and projects + Informs manager of payer trends or any problems or changes… more
- Maxim Healthcare (Valencia, CA)
- … calls + Attends client service planning meetings as instructed by the Account Manager or Operations Leader + Maintains the consumer record + Assists the ... participants' ability to manage their care, and provide customer service . Why Join Maxim: + Competitive pay & weekly...timely updates to Case Managers as directed by the Account Manager or Office Operations Leader +… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …a **maker** **of possible** with us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General ... Manager of LMS, and is responsible for the establishment,...responsible for the establishment, development and execution of the payor , managed care, and payer contracting medical policy initiatives… more
- Tidelands Health (Murrells Inlet, SC)
- …administrative duties as it relates to the fiscal needs of the patients that we service . The PFS-FC will perform a variety of tasks related to patient needs and any ... patient accounts questions regarding payment plans, paying off accounts or employee account payment, as necessary. + **Work with various department heads to resolve… more
- Select Medical (Camp Hill, PA)
- …and representation of job function in monthly meetings. + Approve patient account contractual adjustments. + Work directly with payor relations representatives ... are followed with regard to collections procedures. + Work with CBO manager in recommending, counseling, and coaching for improved performance. Conducts performance… more
- Rush University Medical Center (Chicago, IL)
- …in working advanced outpatient coding edits as well as auditing charges for service lines with potential missed revenue opportunities. The individual who holds this ... * Apply advanced understanding of regulations, NCD's. LCD's and payor concepts, along with revenue integrity concepts to make...remedies * Responsible for accounts within the assigned Epic Account , Charge Review, and Claim Edit Work queues while… more