- Datavant (Providence, RI)
- …our bold vision for healthcare. **What We're Looking For:** We are seeking a Contract Manager to join our Commercial Operations team. This role will oversee ... the management of our Salesforce contract repository, ensure accuracy and completeness of contract records, and partner with Sales Operations to streamline … more
- Beth Israel Lahey Health (Plymouth, MA)
- …resolution, monitoring & reporting of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care determination ... Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth...knowledge of InterQual Level of Care Criteria. + Understands payer contractual guidelines for all third party and government… more
- CenterWell (Providence, RI)
- …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
- Robert Half Accountemps (Taunton, MA)
- …high balance accounts and report any account activity concerns to the Billing Manager . * Stay informed about payer specifications and independently research ... Billing Clerk to join our team on a long-term contract basis in Taunton, Massachusetts. In this role, you...claims reconciliations and resolve issues independently. * Knowledge of payer specifications and timely filing requirements for claims. *… more