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- ...Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior... ...the roadmap: Manage a well-defined backlog of issues in Linear relating to analytics and data needs. Who you are You have...SuggestedRemote job
- ...Gallagher's future and unlocking unparalleled opportunities for both clients and yourself. Overview: The North America Employee Relations Partner, reporting to the North America Employee Relations Leader, is a key member of the newly developed Employee Relations Center...SuggestedFull timeWork at officeRemote workWorldwideFlexible hours
- ...Ohio Education Association UniServ Labor Relations Consultant Based in Zanesville, OH The Ohio Education Association represents 118,000 teachers, faculty members, and support professionals in Ohio's public schools, colleges, and universities. The Ohio Education...SuggestedContract workCasual workWork at officeLocal areaImmediate startRelocationWeekend workAfternoon shift
$84.41k - $122.79k
...California School Employees Association Labor Relations Representatives Locations in: Chico, Concord, El Monte, Fresno, Modesto/Turlock, Orange, Petaluma, Rancho Cucamonga, Sacramento/Citrus Heights, San Diego, Santa Clara, Santa Maria, Stockton, and Yuba City...SuggestedWork experience placementNight shiftAfternoon shift$113.12k - $170.49k
...Connecticut Education Association an affiliate of the National Education Association Union Representative / Labor-Relations Specialist (UniServ Representative) Based in Connecticut About Us: The Connecticut Education Association (CEA) is a dedicated educators...SuggestedContract workWork at officeLocal areaFlexible hoursAfternoon shift$162k
...SEIU UHW West United Healthcare Workers West Assistant Director Government Relations Based in Sacramento, CA Position: Assistant Director, Government Relations Classification: Full-time, Exempt Position Summary: Leads SEIU-UHW’s governmental...SuggestedFull timeFor contractorsWork at officeLocal areaLong distanceNight shift- Warehouse Services Inc. is looking for a Carrier Representative in Mount Vernon, IN to coordinate goods shipped from origin to destination. The role demands excellent communication, attention to detail, and multitasking abilities. You will develop solutions for customer...Suggested
- ...Executive Director, Payer Relations About the Company Large cancer research & treatment center Industry Hospital & Health Care Type Non Profit Founded 1898 Employees 1001-5000 Categories Clinical Trials Health Care Hospital Medicine...SuggestedContract work
$21.85 - $32.8 per hour
...necessary, applying acquired knowledge of government and third-party payer requirements. Completes all essential forms, obtains necessary... ...a call center, healthcare or other applicable customer service-related area Knowledge, Skills & Abilities Required: Knowledge of...SuggestedDaily paidFull timeTemporary workPart timeWork at officeImmediate startRemote workMonday to FridayFlexible hoursShift work$80.9k - $92.4k
...Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed... ...contracting, enrollment, credentialing, and any other activity as it relates to payer interaction. Payer Relations Manager is responsible...SuggestedContract workTemporary workWork experience placementLocal areaFlexible hours$127.3k - $236.1k
...required and applicable to the role Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable Leads and presents process improvements for the long-term care management team to achieve cost...SuggestedFull timeContract workPart timeWork at officeRemote workRelocationFlexible hours$103.55k - $124.57k
...United States’ market-driven health care industry into a single-payer-style health care system. To nurses, reforming our health... ...Qualifications/Skills: Five years’ experience in journalism, past media relations work with unions, political, and/or social advocacy...SuggestedLocal area$140k - $160k
...standalone audits for IPA's annually Review IBNR and perform related analysis Review, maintain and reconcile the general ledger on... ...position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to...SuggestedFull time- ...support for operational, product, system, and any other account related issues to Retail staff daily via telephone and email. They will... ...to: ATM/Debit/Credit cards, Online/Mobile Banking, IRA's, Bill Payer, Wires, Checks, and ACH. Maintain an in-depth knowledge of all...SuggestedFull timeWork at officeMonday to Friday
- ...cases ~ Requesting, reviewing, sorting, and preparing data related to complaints and grievances ~ Working with relevant departments... ...nationwide network of vetted transportation providers to give payers and health systems a more intelligent way to deliver cost-...SuggestedFull time
- ...operational and system issues • Perform a variety of tasks related to the resolution of production support issues based on client configurations... ...must have Over all 5+ years’ experience in US healthcare Claims Payer. • 6 + year(s) experience in Configuring client System for...Contract workImmediate startMonday to FridayShift workWeekend work
$20.03 - $30.04 per hour
...Coordinator. Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause... ..., e-mails, faxes, portal mail, etc.). Support the operations related to optimum third party accounts receivables (i.e. Managed Care,...Hourly payFull timePart timeWork experience placementWork at officeLocal areaRemote workRelocation packageFlexible hours$15 - $15.5 per hour
...responsible for processing secondary claims to private and government payers using the billing system. RESPONSIBILITIES ~ Research... ..., national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil...Hourly payMinimum wageFull timePart timeWork experience placementCasual workReliefWork at officeRemote workFlexible hoursShift work- ...reporting, operational and system issues Perform a variety of tasks related to the resolution of production support issues based on client... ...must have Over all 5+ years’ experience in US healthcare Claims Payer. ~8 + year(s) experience in Configuring client System for...Contract workImmediate startMonday to FridayShift workWeekend work
$22.5 - $38.02 per hour
...ensure compliance with current state, federal, and third-party payer regulators May perform on-site visits to assess member's needs... ...Education/Experience: Requires a Bachelor's degree and 1 year of related experience. Physically Disabled/Elderly Candidate must meet one...Hourly payFull timeWork at officeRemote workFlexible hours$32 - $38 per hour
...code outpatient medical records, ensure compliance with federal, payer, and facility coding guidelines, and support coding quality and... ..., physiology & disease processes. Ability to research coding related issues Competence in coder training Skills Required...Hourly payFull timeContract workTemporary workShift workWeekend work- ...operational and system issues • Perform a variety of tasks related to the resolution of production support issues based on client configurations... ...must have Over all 5+ years’ experience in US healthcare Claims Payer. • 5 + year(s) experience in Configuring client System for...Contract workWork at officeImmediate startRemote workMonday to FridayFlexible hoursShift workWeekend work
- ...Job Description Job Description The Vice President of Payer Relations is the senior executive accountable for payer strategy, contracting, and payer‑driven risk across Hopebridge’s Applied Behavior Analysis (ABA), Speech Therapy, Occupational Therapy (OT), and related...Contract work
$151k - $206k
...process; access support services, processes and forms; education on payer specific coverage issues and Company patient financial support... ...will continuously monitor processes, propose new strategies related to workflow and share best practices with trade leadership on specialty...Full timeWork at officeLocal areaHome officeNight shift- ...Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior... ...to track adoption and identify areas of investment. Own metrics related to product adoption/engagement. Support and provide...Remote job
- ...Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior... ...experience in SDR/BDR/AE, growth, marketing, sales operations, or related roles. You know the best tools, systems, and strategies to...Remote job
- ...like Functional specifications and creating source to target mappings 50% Advanced SQL skills for data analysis and profiling Validate payer data, including claims, membership, provider, and clinical datasets. Work with data governance and business teams to resolve data...2 days per week
- ...Key Responsibilities Lead and manage large-scale FACETS-related initiatives , including migrations, consolidations,... ...new project initiatives involving FACETS and related healthcare payer systems Coordinate across business, operations, IT, vendor,...Contract workRemote work
$155k - $410k
...Level Director Job Description & Summary The Opportunity As a Payer Quality Consultant, Director, you will lead strategic initiatives... ...multiple projects while maintaining executive-level client relations. Your role is crucial in driving business growth, shaping the direction...Full timeH1b$210.8k - $266.2k
...consistent sales performance that exceeds forecast and expectations relating to product goals and driving accountability for all results... ...objectives. • Demonstrate strong understanding of Payer environment, reimbursement and challenges within payer markets...Remote jobLocal area
