- Elevance Health (Altamonte Springs, FL)
- …and personalized support throughout the consumer's treatment journey. **Title:** Account Service Manager - Payor Contracting **Location:** Onsite at 380 ... on in-person interaction, communication, and immediate support. The ** Account Service Manager - Payor Contracting** is responsible for providing advanced… more
- Houston Methodist (Houston, TX)
- …training, and provides support to other team members as advised by the manager and/or supervisor. ** SERVICE ESSENTIAL FUNCTIONS** + Completes special projects to ... communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in...This includes making outbound calls to payors and accessing payor websites. + Reviews and assesses entire account… 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
- 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
- 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
- Genesis Healthcare (Easton, PA)
- …centers and team members - they expect a well-evaluated, personalized quality of service that meets them where they are. They expect skilled practitioners and ... experts that push the boundaries of ordinary service to excellence in care. This is a new...create vitality for life. **THE ROLE** The **Business Office Manager (BOM)** serves as the center's lead financial operations… more
- AbbVie (Oklahoma City, OK)
- …CO + Kansas City, MO + Oklahoma City, OK The Parkinson's Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address HCP ... available to address access issues + Provide local expertise regarding national/regional payor policies to educate providers on payer issues, coding changes, and… more
- CODAMETRIX (Boston, MA)
- …sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for- service and value-based care models and supports improved patient care. We ... back to clinical care. Overview Reporting to the Sr. Manager , Medical Coding & Audit, the Coding Quality Program...Expert (SME) on medical coding and billing across assigned service lines, with a strong emphasis on Surgery and… more
- Takeda Pharmaceuticals (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
- Dignity Health (Bakersfield, CA)
- …is work from home** **within California** **.** **Position Summary:** The Manager Contracting reports to the Director of Network Operations/Contracting. Key areas ... effectively to senior leadership. - Support and partner with system level payor strategy relationships in health plan negotiations. - Coordinate the implementation… 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
- Diversicare Healthcare Services & Diversicare Ther (Alabaster, AL)
- …workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence, which we extend to all those we are privileged to serve. ... Integrity, Excellence, Compassion, Teamwork and Stewardship, as well as 12 Service Standards. We build on trust, respect, customer focus, compassion, diplomacy,… more
- Houston Methodist (Houston, TX)
- …relationships and ensuring timely payments. Exhibits professionalism and trustworthiness. ** SERVICE ESSENTIAL FUNCTIONS** + Reviews incoming correspondence and takes ... appropriate action. Responds promptly to payor 's request for additional information/documentation. Confers with Billers, as necessary, to obtain additional… more
- UPMC (Pittsburgh, PA)
- …for underpaid, unjustly recoded, or denied claims. 4. Submits requests for account adjustments/controllable losses to manager in accordance with departmental ... Requires evaluation and pre-collection of self-pay payments and outstanding REI account balances prior to services. Direct communication with patients is critical… more
- Maxim Healthcare (Orange, CA)
- The Client Relations Specialist completes tasks under the direction of the Account Manager for the Financial Management Services program in CA. The Client ... recipient's ability to manage their program, and provides customer service . Why Join Maxim: + Competitive pay & weekly...timely updates to Case Managers as directed by the Account Manager or Office Operations Leader +… more
- Maxim Healthcare (Modesto, 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 . To support this market's client population, proficiency in...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