- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct ... a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's clients by unlocking new… more
- Arkansas Children's (Little Rock, AR)
- …field of study. **Required Work Experience:** Related Field - 3 years managed care, payer relations , payer contract, or physician or hospital billing ... **Summary:** Monday - Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to ensure alignment with… more
- CommonSpirit Health (Rancho Cordova, CA)
- … Payer Strategy & Relationships (PSR) works closely with Divisional Payers the Payer Relations Manager Divisional Directors National PSR team and the PSR ... the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary...is to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines… more
- Billings Clinic (Billings, MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Provider Enrollment Specialist (Full-time) PAYER ... closely with the Physician Recruiter, the Medical Staff Office, Human Resources, Payer Relations , Patient Financial Services, Billings Clinic providers and… more
- HonorHealth (AZ)
- …pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and ... inventory reporting, clinical management). Reaffirms with all specialty pharmacy department personnel, on a regular basis, their obligations regarding the dispensing of prescriptions only in good faith. Participates in network quality improvement initiatives… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_Coding Specialist II_** who will be responsible for all aspects of coding, quality assurance, compliance with Federal payer documentation ... to ensure a smoothly functioning billing operation and good patient relations . This includes coordination of the patients' financial billing responsibilities for… more
- Community Health Systems (Franklin, TN)
- …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
- Johns Hopkins University (White Marsh, MD)
- …formula. **Preferred Qualifications** + Epic experience. + Understanding of third-party payer issues. Classified Title: Coding Specialist II Role/Level/Range: ... We are seeking a **_Coding Specialist II_** who will be responsible for understanding...aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Works closely with departmental management and… more
- Johns Hopkins University (Middle River, MD)
- We are seeking an **_AR Revenue Cycle Specialist III_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using ... registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors ... resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up...special billing procedures that may be defined by a payer or contract. + Review and update patient registration… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors ... processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** _Procedural Knowledge_ + Uses A/R follow-up… more
- Billings Clinic (Billings, MT)
- …needs for program expansion to Manager. * Works closely with Medical Staff, Payer Relations and Patient Financial Services to coordinate needed pre-certification ... to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Pre-Certification Specialist (Full-time) PRE-ACCESS (ROCKY MOUNTAIN PROFESSIONAL BUILDING) req9332 Shift:… more
- Philips (Plymouth, MN)
- …escalated claims from cross-functional teams, which includes Cash Application Specialists, Payer Relations , Patient Collections, and Reimbursement. + Reviewing ... As a Reimbursement Escalation Specialist you will analyze, problem solve and reconcile...carriers to clarify issues related to claims and managing payer prepayment audits. + Addressing inquiries or requests for… more
- Select Medical (Peoria, AZ)
- …**Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization ... **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations Specialist_ **Street Address**… more
- Trinity Health (Boise, ID)
- …Alphonsus Health Alliance is seeking a full-time Healthcare Operations Support Specialist to provide administrative support to leaders and associated initiatives. ... tasks including calendar management for 4 Director-level leaders, provider relations , patient navigation, performance improvement reporting, and more. **Position… more
- Intermountain Health (Wheat Ridge, CO)
- …for effective pre-registration and pre-visit preparation as needed. Also collaborates with Payer Relations to provide the required documentation relating to any ... **Job Description:** The Contact Center Referral Specialist processes insurance pre-authorization for primary and specialty service office visits and testing.… more
- Banner Health (Tucson, AZ)
- …criminal and education) are required. This position as a **Patient Financial Specialist ** in Bone Marrow Pediatrics will be responsible for assisting with front ... patient and family. 5. Acts as a liaison between patient/PFS department/ payer to enhance account receivables performance, resolve outstanding issues and/or patient… more
- Omaha Children's Hospital (Omaha, NE)
- …and appropriate reimbursement in accordance with federal, state, and private health payer policies. **Essential Functions** + 1. Review complex surgical reports for ... a timely and accurate professional manner. * Demonstrate and support good relations between Children's Hospital, the contracted providers, and the community. * Make… more
- University of Rochester (Rochester, NY)
- …balance report - - Over $10,000 report - - Claim Edits - - 10% Payer Relations and Escalation Process - Identify and clarify issues that requirement management ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Schedule 7:30 AM-4 PM Responsibilities… more
- WellSpan Health (York, PA)
- …Commission. Serves as a key liaison among hospitals, ambulatory practices, payer relations and executive leadership. **Duties and Responsibilities** **Essential ... payer enrollment required. **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred or + Certified Professional Medical Services… more