- 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
- Spectraforce Technologies Inc (Atlanta, GA)
- … and coverage details. Conduct a benefit investigation to determine plan coverage, payer restrictions, and cost share information from insurance plans. Identify ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...Conduct follow up outreach to healthcare providers to collect information needed to evaluate for services. Evaluate patient records… more
- Spectraforce Technologies Inc (Atlanta, GA)
- … and coverage details. Conduct a benefit investigation to determine plan coverage, payer restrictions, and cost share information from insurance plans. Identify ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...Conduct follow up outreach to healthcare providers to collect information needed to evaluate for services. Evaluate patient records… more
- Prestige Staffing (Atlanta, GA)
- Job Description: Medical Biller/ Collector Specialist Location: Sandy Springs / Hybrid role (2-3 days/week in office once trained) Pay: 21-25 /hr depending on years ... workload accordingly. Follow-up on unpaid claims within standard billing cycle timelines using payer websites or by calling the payer . Research and appeal denied… more
- Nesco Resource (Nashville, TN)
- …dispute issues. Collaborating with Payer Analysis Director and Manager of Payer Analysis to obtain additional supporting information . Developing an ongoing ... Job Title: Support Specialist -WFH Schedule: Monday Friday, 40 hours per...Director of Payment Compliance Dispute Resolution and Manager of Payer Analysis Operation/Systems to prioritize work efficiently. Supervisor: Manager… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... services as well as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all denials and ensure… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …insurance guideline and protocols, the components of full verification, and payer information / requirements Essential Tasks and ResponsibilitiesResponsible for ... set forth by the organization and payers).Provides and interprets clinical information submitted from the Physician, emphasizing the medical justification for a… more
- Blanchard Valley Health System (Findlay, OH)
- …staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and ... for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1:… more
- Accounting Now (Tampa, FL)
- …insurance claims; includes but is not limited to remit review, calling payer (s) and clinics, rebilling, navigating payer portals, and taking adjustmentsUses ... and follow appropriate policy and procedure to remediateNavigate through various payer systems and multiple internal systems to ensure timely and accurate… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category: Information Technology Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health of ... our communities. About the Role:Job SummaryThe clinical informatics specialist (CIS) functions as a consultant, educator, and evaluator to maintain and improve… more
- Option Care Health (Springfield, IL)
- …From $18+Responsible for the timely, accurate submission of invoices to responsible payer , of any type, for all services and products provided. Evaluates payments ... appeals to payers.Job Description: Job Responsibilities:Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …the health of our communities. About the Role:Job SummaryThe Research Regulatory Specialist performs a wide range of tasks essential to the submission, approval, ... written/editorial, interpersonal, verbal communications and computer literacy skillsCommunicate technical information in a clear, concise mannerCompose letters/memorandums; coordinate meetings;… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …appointments and re-appointments and supplying all HP contracted payers with provider information deemed necessary to process and pay claims accurately and to ... an accurate provider roster. Works in partnership with the Quality Specialist , the Provider Relations Representative and the Central Verification Office (CVO)… more
- Nesco Resource (Nashville, TN)
- …client dispute issues. Work with Payer Analysis Director and Manager of Payer Analysis to obtain additional supporting information as needed from Payment ... legal actions for internal and external clients. The Support Specialist wi ll work closely with the Director of...Director of Payment Compliance Dispute Resolution and Manager of Payer Analysis Operation/Systems to prioritize work efforts in the… more
- Blanchard Valley Health System (Findlay, OH)
- …payers for all post-care matters related to account resolution. Provides information regarding hospital billing practices, policies, and patient billing statements. ... and transactions into the computer system. Duty 5. Understands different payer regulations and can communicate effectively with patients regarding their Explanation… more
- Blanchard Valley Health System (Findlay, OH)
- …other communication traffic promptly with a courteous manner. Relaying accurate information to the appropriate parties for A/R reduction and patient satisfaction. ... a thorough understanding and education of federal and state regulations and payer specific policies and requirements to promote compliant credit and collection… more
- Northeast Georgia Health System, Inc (GA)
- …meetings. Minimum Job QualificationsLicensure or other certifications: Certified Coding Specialist (CCS)Educational Requirements: High School Diploma or GED. Must ... physician, and procedure dates. Corrects discharge disposition based on payer requirements.In- depth knowledge of coding and charging requirements necessary… more
- Blanchard Valley Health System (Findlay, OH)
- …to clinical staff, corporate compliance, physicians and other personnel regarding payer changes and regulations. Promotes service oriented and team approach within ... Collections Managers & Supervisors, Patient Financial Services Educator & Compliance Specialist , Patient Financial Services Director and Revenue Cycle Director on… more
- United Health Services (Binghamton, NY)
- Payer Information Specialist , 33 Lewis Rd United Health Services is seeking a Payer Information Specialist to join our Managed Care Contracting ... Salary range: $18.56 - $26.92 per hour, depending on experience. Overview The Payer Information Specialist (PIS) is responsible for working with the health… 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
