- CVS Health (Monroeville, PA)
- …a mail service pharmacy in Monroeville area has an opportunity for a full-time Payer Contract and Website Coordinator . The Payer Contract and ... as problem resolution and maintenance of system interactive websites. The Payer Contract and Website Coordinator will also be responsible for Payer … more
- Highmark Health (Dover, DE)
- …Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates plans of action for ... management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational… more
- Humana (Homosassa, FL)
- …their care. + Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member's care ... as appropriate and required by our comprehensive contract . **Use your skills to make an impact** **Required...the information into your official application on Humana's secure website . **HireVue** As part of our hiring process for… more
- Humana (Sarasota, FL)
- …their care + Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member's care ... as appropriate and required by our comprehensive contract **Use your skills to make an impact** **Required...the information into your official application on Humana's secure website . **HireVue** As part of our hiring process for… more
- Sea Mar Community Health Centers (Des Moines, WA)
- …the target of 3%, timely and accurate submission of encounters and ledgers, contract compliance and maximizing in clinic collections. + Be responsible for the ... and evaluation, financial planning and budgeting including comprehensive analysis of payer mix, funding sources, AR, billing and reimbursement. + In collaboration… more