- Novo Nordisk Inc. (Phoenix, AZ)
- …basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer ... gain commitment to utilize NNI products for appropriate patient types utilizing payer opportunities, brand/sales strategies and objectives in order to meet territory… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Quality Data Payer Specialist - Rensselaer - FT/DAY** Under the direction of the Director ... purposes; develops and analyzes systems and support tools needed to obtain information or statistics vital to quality improvement efforts. + Investigates data… more
- Logan Health (Kalispell, MT)
- …including, but not limited to; entry of documents and all relevant information into the designated database, interacts with appropriate personnel for document review ... of submitted documents for completeness, execution and retrieves additional information to ensure completeness. Provides assistance with lease, contract and/or… more
- BrightSpring Health Services (Englewood, CO)
- Our Company Amerita Overview The Refund/Dispute Specialist is responsible for processing incoming payer refund requests by researching to determine whether the ... Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. The employee must have the… more
- AbbVie (Chicago, IL)
- …- and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on Twitter, ... Facebook, Instagram, YouTube and LinkedIn. Job Description The Migraine Field Access Specialist (FAS) acts as a non-clinical, in-office resource that is available to… more
- Albany Medical Center (Albany, NY)
- …Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre-Authorization Specialist will assist the Patient Engagement Center Liaison, Representatives and other ... Authorization Specialists with patient clinical questions, payer escalation and triaging patient calls accordingly. Will work collaboratively with Clinic Nursing… more
- AbbVie (Springfield, MA)
- …- and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on Twitter, ... a level commensurate with experience. The Oncology Field Access Specialist (FAS) acts as the key contact to address...tools available from Abbvie and educating HCP offices on payer processes and procedures. The FAS will compliantly coordinate… more
- RWJBarnabas Health (Hamilton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... for the clinical services rendered and minimizing financial risk. The Patient Access Specialist has extensive knowledge of payer requirements and is able to… more
- Carle (Urbana, IL)
- Rev Cycle Billing Specialist + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment Type: Full - ... Save Apply Now Position Summary: Proficient in Revenue Cycle Account Billing Specialist 1 responsibilities. Additionally, acts as a billing and reimbursement expert… more
- Highmark Health (Harrisburg, PA)
- …data for accuracy based on licensing requirements and various insurer payer requirements. Obtains information from professional providers and other ... it relates to enrollment and operations. (5%) + Communicates updated payer enrollment information including payer provider numbers to practice operations in… more
- BrightSpring Health Services (Aurora, CO)
- …Inc. is a leading provider in home Infusion therapy. We are looking for a Billing Specialist to join our Revenue Cycle Management team as we grow to be one of the ... top home infusion providers in the country. The Billing Specialist will report to the Billing Manager and work...new claims and generic invoices; ensure submitted claims meet payer guidelines. + Process confirmed tickets in "unworked" status… more
- AbbVie (Mobile, AL)
- …- and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on Twitter, ... be hired at a level commensurate with experience. The Immunology Field Access Specialist (FAS) acts as an alternative in-office resource that is available to address… more
- Johns Hopkins University (Middle River, MD)
- …guidelines. + Follows limiting coverage guidelines for diagnosis coding by using LCD/NCD/ payer policy information and assigns appropriate modifiers based on ... & Responsibilities** _Procedural Knowledge_ + Gathers and verifies all information required to produce a clean claim including special...special billing procedures that may be defined by a payer or contract. + Bundle appropriately based on CPT… more
- Johns Hopkins University (Middle River, MD)
- …with Medicare regulations. + Epic experience and understanding of third-party payer issues. Classified Title: Coding Specialist II Role/Level/Range: ATO ... The Department of Orthopaedic Surgery is seeking a **_Coding Specialist II_** who will be responsible for understanding all aspects of coding, quality assurance and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to payers and refers accounts to Case Management for timely submission of Clinical Information to payer . + Verifies eligibility and benefits to ensure patient's ... and serve as a leader of positive change. The **Patient Access Specialist ** is responsible for all Inpatient and Outpatient Patient Access functions within… more
- Guthrie (Towanda, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...proficiency in analyzing complex billing problems, prepares appeals, challenges payer policies and pursues appeal turnover when necessary. 4.… more
- Beth Israel Lahey Health (Cambridge, MA)
- …registration desk and patient waiting area, securing all confidential patient information . + Identifies payer medical necessity determination before services ... payer specific protocols. Requests and coordinates any additional information from departments when needed. (essential) + Identifies and escalates issues… more
- University of Utah (Salt Lake City, UT)
- …Coder ( CPC ), Certified Professional Coder-Hospital ( CPC -H), Certified Professional Coder- Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified ... Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt **Patient Sensitive Job… more
- University of Michigan (Ann Arbor, MI)
- Pre-Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... for services based on our level of care decisions, preliminary coding and payer requirements. The Precertification staff work closely with a variety of internal and… more
- Randstad US (East Hanover, NJ)
- …Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed medicines. They will ... tools and collaborating with payers and providers. The Reimbursement Specialist may also share appropriate information with...to: Develop and maintain knowledge of PSS programs and payer coverage; broaden program knowledge over time. Learn and… more
