- 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
- Johns Hopkins University (Baltimore, MD)
- …with Medicare regulations. + Epic experience and understanding of third-party payer issues Classified Title: Coding Specialist II Role/Level/Range: ATO ... We are seeking a **_Coding Specialist II_** who will be responsible for all...aspects of coding, quality assurance, and compliance with federal payer documentation guidelines. Works closely with department management and… more
- Fairview Health Services (St. Paul, MN)
- …pricing across all service lines in collaboration with Payer Relations , Finance, and operational leaders. The Specialist proactively identifies pricing ... Summary** : The Revenue Integrity CDM and Pricing Program Specialist serves as a key technical and analytical expert...payer requirements, and regulatory mandates. + Partners with Payer Relations to shape enterprise pricing strategies… 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 Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Locations: 300 Ocean Avenue - Revere Position Summary: The Provider Enrollment Specialist is responsible for supporting the provider enrollment processes of the ... actions are performed at the time of provider departure. The Provider Enrollment Specialist verifies that data obtained from the provider and internal and external… more
- Robert Half Accountemps (Indianapolis, IN)
- Description Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is ... accounts receivable. + Maintain current knowledge of federal/state regulations and payer -specific requirements; act in compliance with all applicable rules. +… more
- Hartford HealthCare (Torrington, CT)
- …of Connecticut's most comprehensive healthcare network as a Region Clinical Intake Specialist . The Region Clinical Intake Specialist is responsible for managing ... multiple providers, case managers and other clinical needs within established payer and financial guidelines. Strengthens and monitors community and customer… more
- Trinity Health (Ypsilanti, MI)
- …& professional behavior & safe work practices. Functional Role + Supports customer relations , physician relations , patient care & hospital business services by ... performing administrative & scheduling for multiple areas. Specialist I Responsible for pre-registration, scheduling, electronically verifying insurance eligibility… more
- Intermountain Health (Denver, 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 Referral Specialist I processes insurance pre-authorization for primary and specialty service office visits and testing. Receives and… more
- Charles B. Wang Community Health Center (Queens, NY)
- …in electronic health records + Establish linkage to external social services programs, specialist services and payer 's care management services + Participate in ... and ability to utilize the care plans + Communicate and establish effective working relations with care team + Advocate and work with patient and patients' family to… more
- Emory Healthcare/Emory University (Peachtree City, GA)
- …level of interaction with facilities and clients. Enhance and expand client relations with facilities and their staff. + Evaluate and develop patients' plans ... accurate documents of each patient's evaluation and progress letters to physicians and payer sources, case managers, etc. as indicated appropriately and in a timely… more
- Nuvance Health (Danbury, CT)
- …organizational and record keeping skills. Company: Nuvance Health Org Unit: 1784 Department: Payer Relations Exempt: No Salary Range: $20.86 - $38.73 Hourly We ... that provider rosters and locations are current. Responsible for reporting payer credentialing status to WCHN management. Makes suggestions for enhancements/changes… more
- HCA Healthcare (Nashville, TN)
- …support to various teams, including payer contracting and analytical teams, payer relations , managed care, legal support, and service line leaders. Your ... best practices when collaborating with customers and peers. + Assist the Payor Relations Managed Care teams and Managed Care Legal teams in proactively preparing for… more
- Catholic Health Services (Melville, NY)
- …other patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, and that ... required clinical criteria is complete and accurate according to payer requirements. The role will work closely with Utilization Management, Patient Accounts, and… more
- Ventura County (Ventura, CA)
- …strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification combined with extensive supervisory experience overseeing other ... Coders (Inpatient & Outpatient), coding productivity and collaborate with Clinical Documentation Specialist team; + Provides coding guidance to staff on the most… more
- Banner Health (AZ)
- …Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find many options for contributing to our award-winning patient ... its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized… more
- Covenant Health Inc. (Crossville, TN)
- Overview Patient Registration Specialist , Breast Center Full Time, 72 Hours Per Pay Period, Day Shift Covenant Health is the region's top performing healthcare ... co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Registration Specialist , Admitting & Registration PRN/OCC, Variable hours, Day shifts Parkwest Overview: Headquartered in Knoxville, Covenant Health ... co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Registration Specialist Full Time, 80 Hours Per Pay Period, Day Shift Mon-Fri - Main Registration Must be willing to work any shift between the ... co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper… more