- Takeda Pharmaceuticals (Boston, MA)
- …processing experience in the pharmaceutical industry required. + ModelN/Flex Revenue Manager experience in contract implementation and maintenance preferred. + ... management and administration of assigned accounts. Ensures all pertinent contract attributes are properly translated into the correct ...bring all issues to a satisfactory resolution. + Gather Payer claim level data files, reconcile Payer … more
- J&J Family of Companies (Louisville, KY)
- …within the assigned institutions. Hold hospital stakeholders accountable to the institutional contract . * Develop and apply knowledge of payer access and ... United States, Louisville, Kentucky, United States **Job Description:** Pharmaceutical Associate Sales Specialist (Military Pathway) - Western Kentucky (Louisville/Evansville)… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... - Taylor Building Position Summary: The 340B Program, Licensing and Credentialing Manager is charged with oversight of NeighborHealth's 340B pharmacy program. This… 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
- Zelis (GA)
- …gained, and the personal interests that shape who you are. Position Overview The Associate Strategic Client Executive ( Associate SCE) role will serve as the ... primary point of contact for Zelis for their assigned book of business. The Associate SCE will manage an assigned book of business comprised of vertically aligned… more
- Bon Secours Mercy Health (Toledo, OH)
- …with previous management or leadership experience with Population Health or Value-Based Contract work including but not limited to: direct patient care, managing ... payer relationships or health systems outcomes (required) + Working...or Tableau) (preferred) As a Bon Secours Mercy Health associate , you're part of a Mission that matters. We… more
- CenterWell (Topeka, KS)
- …responsible for supporting the organization's billing operations with a focus on contract interpretation, validation, and payer setup. This role works ... needs. **Key Responsibilities:** + ** Payer Setup:** Create and manage payer configurations, ensuring accuracy and timeliness. + ** Contract Interpretation:**… more
- Surgery Care Affiliates (Boise, ID)
- …cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are ... can explain the Explanation of Benefits received from any payer . + Works closely with payer provider...corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts.… more
- Fallon Health (Worcester, MA)
- …in a managed care payer preferred. * One year experience as a case manager in a payer or facility setting highly preferred. * Relevant experience may include ... **Overview** **This is 3 months temporary contract position for a Prior Authorization RN.** **About...Keeps records and submits reports as assigned by the Manager * Refers high-risk cases to the appropriate FH… more
- University of Michigan (Ann Arbor, MI)
- …coding procedures and workflows. + Assist the Director of Coding and/or Manager of Coding Quality and Education in the development, implementation and assessment ... implement new policies and procedures and practices. + Oversee contract coding agency staff. + Oversee the capture and...of coding quality goals and outcomes. + Collaborate with Manager of Coding Quality and Education to develop operational… 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
- Tidelands Health (Myrtle Beach, SC)
- …Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment of ... other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. **What you will do** +… more
- Beth Israel Lahey Health (Exeter, NH)
- …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 (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
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