- Select Medical (Peoria, AZ)
- …A joint venture with Select Medical & Banner Health Phoenix, Arionza **Prior Authorization Specialist / Payor Relations Specialist ** **Remote position - Must ... **Responsibilities** **Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior… more
- Henry Ford Health System (Troy, MI)
- …departments and practices focusing on revenue cycle integrity. The RI Senior Specialist understands hospital payor contracts and reimbursement methodologies. ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Senior Specialist has an important role in a high-profile group tasked with improving… more
- Aspen Dental (Springfield, IL)
- …to join our team as a Contract Specialist . The Contract Specialist plays a vital role within our Payor Strategy Team. The successful candidate will ... report to the Director, Payor Strategy. They are responsible for supporting department leadership...are responsible for supporting department leadership in managing the contract portfolio for Aspen Dental. **Essential Functions** + Develops… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost Center:** ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager -… more
- Houston Methodist (Houston, TX)
- …if there is a legitimate case for overturning the denial, in accordance with the payor 's medical policy or the contract . Drafts and submits appeals using a sound ... experience** At Houston Methodist, the Accounts Receivable (AR) Appeals Denials Specialist position is responsible for reviewing accounts which have been denied… more
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Specialist to support the division in facilitating the enrollment (submitting of ... with Enrollment Coordinators. + Prepares applications for new providers for multiple contracts sites, payors, and states requiring an acute attention to detail,… more
- Priority Health Care (Marrero, LA)
- JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of Ethical Conduct and foster positive relationships within the company, across departments, and ... letters, engaging in extensive telephone contact with insurance companies, using contract summaries to verify balances due on disputed claims, and coordinating… more
- Josselyn (Northbrook, IL)
- Job Summary The Credentialing and Billing Specialist is responsible for maintaining active status for all clinicians and physicians by successfully completing the ... staff have the necessary qualifications for their position and that the payor enrollment process is complete for participation. The Credentialing and Billing … more
- Cedars-Sinai (Los Angeles, CA)
- …revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies governing billing and collections ... of speed and accuracy. + Demonstrates expert knowledge of payor practices, policies and procedures as well as the...**Req ID** : 1466 **Working Title** : Revenue Cycle Specialist IV **Department** : CSRC PB - Group **Business… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …the Reimbursement Specialist I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all payments ... SUMMARY: Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of...Specialist I is required to identify and report payor issues to their leadership. It is a requirement… more
- Cedars-Sinai (Los Angeles, CA)
- …Service, analytic and problem-solving skills, and can understand, interpret, and explain payor contracts and CSMC Billing and Collections Policy and Practices ... dialog with payors, patients and departments. + Understanding of payor contracts . + Successful completion of PRMPT...**Req ID** : HRC1346975 **Working Title** : Revenue Cycle Specialist III **Department** : CSRC PB - Group **Business… more
- Select Medical (Camp Hill, PA)
- …refund requests. + Notify database operations of changes or additions to specific payor , plan, contract , address, or other pertinent information as necessary. + ... **Overview** **Claims Resolution Specialist ** **Starting at $17.50 per hour** **ON-SITE** **BONUS...staff and department management on any accounts receivable issues/problematic payor trends. + Identify and resolve issues impacting the… more
- Spectrum Billing Solutions (Skokie, IL)
- …in the most efficient and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding position where ... 100% fully remote. Your Responsibilities: + Complete provider credentialing and contract applications with third-party carriers and government health plans. + Review… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Pharmacy Specialist is a pharmacist who, by virtue of knowledge gained through special training and/or substantial experience, has become the ... expert in a major area of pharmacy practice. The Pharmacy Specialist assumes overall leadership responsibility in directing the pharmacy-related activities in… more
- Johns Hopkins University (Middle River, MD)
- …**_Reimbursement Specialist_** who will serve as an information resource on payor medical policies, reimbursement policies and billing requirements, maintaining a ... PBS billing applications and policies. + Knowledge of managed care contracts , reimbursement policies and JHU variance monitoring systems as applicable **Professional… more
- Cedars-Sinai (Torrance, CA)
- …revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies governing billing and collections ... other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist III: + Independently responds timely and accurately to all requests.… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …regulations, adjudication guidelines and policies and the ability to understand Managed Care Payor contracts is required. + Excellent phone etiquette and strong ... Professional Medical Staff Management (CPMSM) or Certified Professional Credentials Specialist (CPCS) by National Association of Medical Staff Services **or… more
- Cedars-Sinai (Los Angeles, CA)
- …revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies governing billing and collections ... care the most. **Req ID** : HRC1464479 **Working Title** : Revenue Cycle Specialist III **Department** : CSRC PB - Group **Business Entity** : Cedars-Sinai Medical… more
- Cedars-Sinai (Los Angeles, CA)
- …revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies governing billing and collections ... the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : Cedars-Sinai… more
- Cedars-Sinai (CA)
- …and problem solving skills, and are able to understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. Incumbents ... operate equipment. **Req ID** : 1056 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC HB Billing **Business Entity** : Cedars-Sinai Medical… more