You will be a great fit for this role if You are highly engaged in innovative clinical practice and prioritize excellent patient care You are motivated and excited to lead a high performing team of clinically focused pharmacists You are flexible and work well in a fast paced environment You enjoy and can demonstrate independent decision making and problem solving skills Y

The Provider Relations Coordinator CIN is accountable for the overall client/member services, communications, and engagement of the provider/physician practices in the region and is the direct interface between the Clinically Integrated Network (\u201CCIN\u201D) and assigned provider/physician practices. This individual acts as a liaison between network leadership and the

Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third party payer reimbursement programs. Reporting to the System Vice President of Contracting

Identifies and coordinates all aspects of financial obligations for private pay patients. Including, but not limited to, patient relations, physician liaison regarding financial liabilities, deposit estimates and collection. Assures that customer needs and/or complaints related to financial services are responded to and documented in a timely and professional manner and i

The Claims Supervisor will play a crucial role in ensuring the efficient and accurate processing of healthcare claims within our organization. You will lead a team of claims analysts, oversee claim submission, review, and adjudication processes, and collaborate with various stakeholders to maintain high quality claims management practices. This role demands strong leaders

Provider Relations Representative is responsible for assisting in the full range of provider relations and service interactions for all lines of business within Prominence Health Plan. Will assist in the design and implementation of programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice

The Claims Examiner is detail oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, including but limited to Medicare, Self Funded, Fully Insured, ensuring accuracy compliance with policies and regulations and timely settlements. This role involves assessing claims, verifying information, and co

This position requires the ability to work independently researching and reviewing inquiries from members and providers. Also requires knowledge of benefit interpretation, claims reviews, CPT and ICD coding. Responsible for analyzing, researching, and managing appeal/grievance inventories from members and providers. Respond to inquiries using verbal and written forms of c

Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili

The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Pro

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. Total Compensation In addition to the salary range lis

The Performance Improvement Specialist is responsible for supporting the management of multiple Performance Improvement projects from original concept through design and implementation, which are strategically focused and drive performance and financial results. This position has a significant impact on the division's ability to meet business expectations of those we serv

The primary purpose of this role is to investigate, evaluate and resolve moderately complex property damage and personal injury claims against Lowe's and/or its subsidiaries in a manner consistent with the Lowe's objectives and values. This position is responsible for gathering appropriate information, evaluating alleged damages, determining liability and compensability,

The Receptionist serves as the liaison between the physician and patient. The incumbent is responsible for answering the telephone, determining the nature of patient calls and incoming calls, scheduling appointments, routing calls, taking appropriate messages, pulling charts for messages, greeting patients and family members, obtaining registration and insurance data and

Performs registration and all insurance benefit and verification duties. Serves as a resource for identifying underinsured and uninsured patients. Gathers financial information, creates estimates, and informs patients of alternatives for financial obligation for services. Assists impecunious parties in obtaining free or financial assistance. Communicates new insurance ben