Overview: Position Overview: We are seeking a Senior Payment Integrity Specialist to play a key role in building... of a payer’s organization together for improved accuracy and insights. The Source platform offers the ability for clients...
), or Certified Coding Specialist – Physician-based (CCS-P) Knowledge, Skills, and Abilities Strong knowledge base in complete..., working alongside CHOA Internal Coding Audit and Coding Operations to ensure the accuracy and completeness of coding reviews...
Overview Position Overview: We are seeking a Senior Payment Integrity Specialist to play a key role in building... of a payer’s organization together for improved accuracy and insights. The Source platform offers the ability for clients...
Contracts & Credentialing Paralegal to oversee payer contracting, enrollment, and credentialing operations. In this role..., you will manage all payer relationships including managed care, Medicaid, Medicare, commercial insurance carriers, school districts...
& Credentialing Paralegal to oversee payer contracting, enrollment, and credentialing operations. In this role, you will manage... all payer relationships including managed care, Medicaid, Medicare, commercial insurance carriers, school districts, and private...
for assigned locations by driving referrals from specialist physician offices prescribing infusion therapy Develop, maintain... and build relationships with key stakeholders in your territory including specialist physician office staff, primary care...
operations for home infusion services, including medications, supplies, and nursing care. This role ensures accurate and timely... services. Oversee the preparation and submission of insurance claims, verify patient benefits and payer contracts...
, collaborating with National Accounts, Payer Marketing, Commercial Analytics, and Operations to develop, implement, and continuously... strategic direction on access issues related to coverage, reimbursement, distribution channels, payer policies, and financial...
for assigned locations by driving referrals from specialist physician offices prescribing infusion therapy Develop, maintain... and build relationships with key stakeholders in your territory including specialist physician office staff, primary care...
for assigned locations by driving referrals from specialist physician offices prescribing infusion therapy Develop, maintain... and build relationships with key stakeholders in your territory including specialist physician office staff, primary care...
for assigned locations by driving referrals from specialist physician offices prescribing infusion therapy Develop, maintain... and build relationships with key stakeholders in your territory including specialist physician office staff, primary care...
Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo... individual for the position of Sales Account Manager, Oncology. In this field-based role, the Prostate Cancer Sales Specialist...
contract management. The specialist will be responsible for Interpretation of Insurance contract verbiage, govt payer... years’ experience in healthcare industry relative to payer reimbursement to include: Hospital or Physician Insurance...
management with a minimum of 2 years Epic certification and experience. The specialist II will be responsible for support... functions such as contract loading, contract validation, trouble shooting and training. The specialist II will actively...
Our client is seeking a Supervisor to oversee the daily operations of the Insurance Follow‑Up team within a physician...‑party payer workflows. Onsite | No Visa Sponsorship | No Relocation Assistance Responsibilities: Leadership & Team...
reimbursement. Key Responsibilities Provide strategic leadership for CDI, Coding, and HIM operations across inpatient... and hospital coding operations, ensuring consistent application of CPT, HCPCS, and ICD-10 coding standards. Drive cross-continuum...
environment? As an experienced Epic Solution Architect - Project Delivery Specialist you will have the ability to share new ideas... As a Project Delivery Specialist II (PDS II) at Deloitte, you will work within an engagement team and be responsible for supporting...
and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the... and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status...
, marketing, finance, and operations to build pipeline, accelerate deal velocity, and ensure disciplined execution from lead... generation through close. The leader will both personally drive new business opportunities and serve as a trusted specialist...
& Specialist - assists care teams in scheduling referral appointments, when applicable, improving the patients experience.... Obtains complete and accurate payer information and over the phone and enters the information into computer. (ID, Health...