Job Search Results for healthcare payer

Payer Manager

Insight Global Health is looking for a Payer Manager for one of our largest Healthcare systems. This individual will be overseeing a specific account and managing from 7-10 follow-up representatives... More to ensure claims are cleared out, escalations are resolved and to ensure payment. He/She will lead daily and weekly meetings and set expectations for their team, both onsite and remotely. Ideally, this resource will have experience with specific accounts while also encompassing managerial or supervisory-level experience in the back-end of Revenue Cycle. This resource should also have experience with payers and follow-up.Less

Lead Data Scientist (Remote)

An employer in the Healthcare Software industry is looking for a Senior/Lead Data Scientist to join their team remotely in the United States. This person will be joining the growing Data Science... More organization for an enterprise SaaS company in the Healthcare industry. This individual will be reporting directly to the Chief Data & AI Officer will be part of a newly developing Data Science and Machine Learning team dedicated to this company's Payer transaction benchmarking. The Data Scientist will be an individual contributor responsible for project execution utilizing predictive analytics. The Data Scientist will be responsible for mentoring other Data Scientists on the team as we grow this department.Less

REMOTE Denials Management Specialist

-Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all... More transactions, and account resolution-Maintains active communications with insurance carriers and third-party carriers until account is paid. -Negotiates payment of current and past due accounts by direct telephone and written correspondence.-Updates patient account information. -Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. -Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. -Manage all assigned worklist daily for assigned insurances.-Utilize collection techniques to resolve accounts according to company's policies and procedures. -Report any coding related denial to the Coding Specialist. -Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. -Conducts necessary research to ensure proper reimbursement of claims.Less

REMOTE Insurance Claims/Denials Specialist

Day to Day:-Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of... More all transactions, and account resolution-Maintains active communications with insurance carriers and third-party carriers until account is paid. -Negotiates payment of current and past due accounts by direct telephone and written correspondence.-Updates patient account information. -Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. -Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. -Manage all assigned worklist daily for assigned insurances.-Utilize collection techniques to resolve accounts according to company's policies and procedures. -Report any coding related denial to the Coding Specialist. -Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. -Conducts necessary research to ensure proper reimbursement of claims.Less