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- ...practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere Ability to work well individually and in a team environment Strong organizational and task prioritization...SuggestedWork at officeLocal area
$197.13k - $246.41k
...Access Hub with a focus on appeals support. Payer Relationships: Engage evidence review intermediaries (e.g., ECRI, Hayes, Carelon, EviCore) and payers to communicate Axogen's case for coverage and payment. Training & Education: Develop and deliver reimbursement-...SuggestedFull time- ...requirements from Admitting Department; coordinates with Admitting Department any required letters of non-coverage as required. Sends Evicore Healthcare Form (if appropriate) to ordering Radiation Oncologist or his designee on the day of CT; uses information from Evicore...SuggestedWork at officeMonday to Friday
- ...other policies, such as BCBS Association Medical Policy Reference Manual, MCG care guidelines and/or Change Healthcare InterQual, and eviCore criteria. From the direction of management, Medical Director staff or Medical Policy Panel, facilitate external consultant reviews...SuggestedFull timeWork experience placementRemote work1 day per week
- ...related activities and inspections for various accrediting and regulatory bodies including but not limited to NJDOH, MQSA, ACR, and Evicore. Consistently apply office policies and procedures, updating and maintaining knowledge base as needed. Participates in all...SuggestedFull timeWork at officeMonday to FridayFlexible hours
ATLANTIC MEDICAL IMAGING GROUP
Brick, NJ4 days ago - ...processes ✔️ Experience with CPT, ICD-10 codes, and medical necessity criteria ✔️ Familiarity with portals such as Availity, Navinet, Evicore, AIM, and payer-specific portals ✔️ Ability to manage high-volume authorization workloads ✔️ Strong attention to detail and...SuggestedFull timeRemote work
