- AbbVie (Mettawa, IL)
- …analysis deal/ no-deal analysis inclusive of gross-to-net assessment of any proposed payer contract , ensuring accuracy of analysis, & communicating results & ... address contracting analysis questions. + Conduct retrospective analysis of payer contract to ensure Actuals align with forecasted financials & adjust… more
- Datavant (St. Paul, MN)
- …and life experiences to realize our bold vision for healthcare. **Position Summary** The ** Payer Billing Manager ** leads the end-to-end billing cycle for the ... Responsibilities** + Manage and execute all aspects of monthly client billing for payer -related accounts + Research and apply contract and legal pricing terms,… more
- Walworth County (Elkhorn, WI)
- HS/LHCC Manager - Administrative Services (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5028505) Apply HS/LHCC Manager - ... accounting transactions for all billing activities. Establish and monitor payer mix levels and revenues to meet the budget...five county consortium policies and practices. Act as the Manager of the Day while providing management coverage to… more
- J&J Family of Companies (Fargo, ND)
- …within the assigned institutions. Hold hospital stakeholders accountable to the institutional contract . * Develop and apply knowledge of payer access and ... **Job Description:** We are searching for the best talent for Pharmaceutical Associate Sales Specialist (Military Pathway), Oncology Urology to support the North… more
- Nestle (Bridgewater, NJ)
- …health and nutrition for patients and consumers. **POSITION SUMMARY:** The Senior Manager is responsible for executing and refining national and regional distributor ... OG and COP1 initiatives, this role leads a team of two Associate Strategic Specialty Executives (ASSEs) and two Managers of National Account Sales-Distribution… more
- Guthrie (Sayre, PA)
- …(AR), analyzes work queues and other system reports for trends and/or contract noncompliance. Reports to Billing Supervisor/ Manager /Director. 7. Performs testing ... appropriate coding and initiate corrected claims and appeals. Interprets payer guidelines, regulatory guidelines, contractual obligations and works with Department… more
- Takeda Pharmaceuticals (Boston, MA)
- …evidence generation sub teams, and/or other cross-functional teams/ sub-teams with manager supervision) + Effectively manages external research partners to ensure ... and regulations for quality and disclosure + Accountable for project(s) contract /budget management. + Reviews and develops scientific reports reflecting ongoing or… more
- NTT DATA North America (Albany, NY)
- …organization, apply now. We are currently seeking a MES Quality Assurance Project Manager to join our team in Albany, New York (US-NY), United States (US). ... The Medicaid Enterprise System (MES) Quality Assurance (QA) Project Manager will work with client management and have overall...function overseeing MES projects over the life of the contract or the system, whichever comes first. The MES… more
- MedKoder (Mandeville, LA)
- …the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This ... staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering… more
- Centene Corporation (Trenton, NJ)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required + For NJ...in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required… more
- Bozeman Health (Bozeman, MT)
- …of the Revenue Cycle as well escalating identified concerns to the PFS manager . Minimum Qualifications: Required + Associate 's degree in Business or Accounting; ... Reviews denial and underpayment trends in collaboration with PFS Manager , Contract Specialist, and Compliance as appropriate...to resolve issues and foster working relationships + Identifies payer trends and communicates with PFS Manager … more
- McLaren Health Care (Shelby Township, MI)
- …under adjudicated accounts by the payer ,and reconcile to the appropriate payer contract and corresponding explanation of benefits. Coordinates and reports ... that will allow payers to adjudicate claims per their associated contract . Underpayment Specialists will work with minimal direct supervision, reporting directly… more
- Catholic Health Initiatives (Chattanooga, TN)
- …practices, regulatory/reporting in the revenue cycle function, clinic operations, medical insurance, payer contract , CPT and ICD codes + Oversee daily ... operations/services to identify performance/process improvement opportunities. Provides recommendations to Manager for performance/process improvements initiatives; implements approved changes and… more
- University of Rochester (Rochester, NY)
- …be billed consistently with Federal and State regulations as well as specific payer agreements. Ensures that all billing and payments are processed per proper coding ... maintains billing for these claims daily. Assists the PFS Revenue Cycle Manager and multiple department administrators with planning and problem solving, goals, and… more
- Beth Israel Lahey Health (Burlington, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration: 16. Efficiently registers patients, capturing and verifying all… more
- Beth Israel Lahey Health (Milton, MA)
- …patients with Kiosk check-in as needed.** **3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.** ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration:** **16. Efficiently registers patients, capturing and verifying all… more
- AdventHealth (Hinsdale, IL)
- …medical staff members and lower cost. Direct reports include + Med Staff Manager PRINCIPAL DUTIES AND JOB RESPONSIBILITIES: + Leads in the continuing adoption of ... to ensure appropriate payment for services rendered are received and third-party payer denials are minimized. + Facilitates, coordinates, and oversees the expansion… more
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