- Elevance Health (Altamonte Springs, FL)
- …personalized support throughout the consumer's treatment journey. **Title:** Account Service Manager - Payor Contracting **Location:** Onsite ... **Build the Possibilities. Make an extraordinary impact.** The Account Service Manager - Payor Contracting is responsible for providing advanced customer… more
- Houston Methodist (Houston, TX)
- …training, and provides support to other team members as advised by the manager and/or supervisor. ** SERVICE ESSENTIAL FUNCTIONS** + Completes special projects to ... communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in...This includes making outbound calls to payors and accessing payor websites. + Reviews and assesses entire account… more
- GE HealthCare (TX)
- …or Molecular Imaging agents provided or produced by GE Healthcare. As a Neurology Zone Manager , you will be responsible to shape the Go To Market Strategy for our ... will be responsible to ensure high levels of collaboration with your Alzheimers Zone Manager counterpart to ensure our Sales Strategies are aligned as we look to… more
- Zelis (NJ)
- …. + Risk identification and mitigation strategies such as volume decreases, service gaps, changes in client relationships and key advocates. Escalates to key ... to achieve value from the Zelis platform + Ensures high quality service delivery and client satisfaction; measurements will include timely escalation and resolution… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative, Proton Therapy Services Full Time, 80 Hours Per Pay Period, Day Shift Thompson Proton Center offers patients one of the ... located off Dowell Springs Blvd. in West Knoxville. Position Summary: The Patient Account Rep II is responsible for inbound inquiries from patients, family members,… more
- Sharp HealthCare (San Diego, CA)
- …customer service skills. + Strong knowledge of San Diego payor and medical laboratory outreach marketplace, including customers, competition and market trends. ... for the position, and employer business practices. **What You Will Do** The Account Executive-Laboratory's (LAE) primary function is to grow the laboratory outreach … more
- Houston Methodist (Houston, TX)
- …a sound argument for denials that have a reasonable chance of being overturned. + Informs manager of payor trends or any problems or changes in payor ... able to articulate an argument or justification for additional reimbursement to the payor for services provided. This position works both independently and as a part… more
- Houston Methodist (Houston, TX)
- …limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial ... communicating claim issues to departmental management for further discussion with payor representatives and other key stakeholders as needed and as applicable.… more
- University of Rochester (Rochester, NY)
- …**Position Summary:** **This position oversees outpatient Medicare, Medicaid and third-party payor audits, and directs all responses to assure audits are responded ... for monitoring own performance on assigned tasks against procedure standards.** **Assists Manager in preparing compliance reports. Assumes functions of manager … more
- Tidelands Health (Pawleys Island, SC)
- …supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable ... claims are processed daily and within the timely filing guidelines where account balances are researched and resolved within the payer timely appeal guidelines.… more
- Houston Methodist (Katy, TX)
- …insurance billing, collections, patient account resolution, appeals/denials, customer service , cash applications, revenue integrity, etc. The manager ... At Houston Methodist, the Manager Revenue Cycle position is responsible for the...exceed performance standards related to departmental goals and objectives. ** SERVICE ESSENTIAL FUNCTIONS** + Plans and organizes day-to-day department… more
- AristaCare (Cranford, NJ)
- …should have at least a few years of experience as a SNF Business Office Manager with thorough knowledge of the Medicaid process. Purpose of Your Job Position The ... Business Office Manager must be familiar with company policies and procedures...on a daily basis with doctor's office/vendors on residents' payor + Plan, organize, and implement, the facility's Business… more
- Houston Methodist (Houston, TX)
- …role is also responsible servicing as the subject matter expert in account follow-up. Also is responsible for providing information regarding complex denial trends ... and procedures, including complying with The Houston Methodist Experience Service Standards. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …success. We are currently in search of a dynamic, passionate, and skilled Communications Manager to join the {Market] as part of the broader {Region} team. This role ... marketing and communication strategies within the market. The Communications Manager provides leadership and support for marketing and communications efforts… more
- Sutter Health (Berkeley, CA)
- …**Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... team, external case managers, referring therapists, outpatient clinic, and payor . Preferred experience includes: experience working with severely mentally ill… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Specialist I is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. ... The Reimbursement Specialist I is required to identify and report payor issues to their leadership. It is a requirement for the Reimbursement Specialist I to read,… more
- MD Anderson Cancer Center (Houston, TX)
- …third party payors and in a timely manner 5. Responds timely to patient account inquires received from customer service 6. Identifies denial trends and notifies ... claim work queues for follow-up and denials by engaging payor websites and initiating calls in order to ensure...Supervisor and/or Manager to prevent future denials and further delay in… more
- HealthEdge Software Inc (Columbus, OH)
- …company focused onprovidingnext-generation, business-transforming technology products to the healthcare payor market. We enable our customers to radically innovate, ... and the member experience. **What you will do** **:** + Intake customer service requests, product inquiries and system errors; resolve when possible or escalate to… more
- UPMC (Pittsburgh, PA)
- …for underpaid, unjustly recoded, or denied claims. + Submit requests for account adjustments/controllable losses to manager in accordance with departmental ... related activities including pre-authorizations, notifications, edits, and denials across service areas or business units. The Authorization Specialist Senior shall… more
- Houston Methodist (Houston, TX)
- …required** At Houston Methodist, the Senior Single Billing Office (SBO) Customer Service Representative position is responsible for acting as a liaison between ... Methodist, patients, providers, and payers for all post-care matters related to account resolution. This position interacts with all SBO sub-units and other hospital… more