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Partner with the managed care team, district and territory sales team, and other departments to facilitate territory sales growth. Access to career development through in-house learning programs and qualified tuition reimbursement.
$75,200 - $125,300 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge of CMS policies, commercial insurers, managed care, government and federal payer sectors, IDNs, and IHS required. Must have general payer policy knowledge including public & private payers, foundational knowledge of benefit verifications & prior authorization/pre-determination requirements (including appeals/exceptions), & knowledge of access & reimbursement processes within various sites of care.
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Review the Medicare, Managed Care, Medicare Advantage and Medicaid UB, CHAMPS, WebDenis. Tuition reimbursement and student loan forgiveness after one year of employment. Minimum 3 years experience in A/R capacity in the long term care setting is preferred.
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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client's product. The Field Reimbursement Manager will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, including acting as an extension of patient support program and in other collaboration with other partners.
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The CRS manages the overall resident assessment process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center.
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The HBPC Team Physician provides consultative services to interprofessional staff providing in-home longitudinal Interprofessional primary care to veterans (often older adults) with complex chronic diseases who cannot be effectively managed through routine clinic-based care.
Part-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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3+ years experience in public or private third-party reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape.
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Supervisory or operations management experience, a strong understanding of skilled nursing standards of care, and federal and state regulations including Medicare, Medicaid, and Managed Care reimbursement rules.
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Requires knowledge of all aspects of payer reimbursement, including Medicare, AHCCCS, commercial, managed care, worker's compensation, and self-pay. Must be familiar with health care billing and collection, general knowledge of medical records and coding compliance, Fair Debt Collection Practices Act, and legal compliance.
$86,444 - $127,504 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provide guidance for corporate structure, formalities and service reconfigurations for all subsidiaries, managed care contracting, licensure and accreditations; regulatory compliance, surveys, supply chain contracting; group purchasing organization management; physician contracting and relationships (employment, independent contractor, investment/ownership.
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Knowledge of Medicare/Medicaid/Managed care insurance. Maintains knowledge of current regulations governing Medicare, Medicaid and private insurance company reimbursement. Conducts admission screening of potential patients, determine level of care, services required, equipment needs and insurance coverage, as indicated.
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Reimbursement Environment: No managed care contracts, excellent fee for service reimbursement (well above Medicare) from all commercial and PPO insurance companies. Clinic managed hospitalist program with Hospital in 2008 to serve entire patient community.
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Collaborate with colleagues in Operations, Reimbursement, and Managed Care to develop and execute pull through initiatives for all referral sources within their defined territory.
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The health care team advises on a vast array of health care legal matters, including Medicaid and Medicare reimbursement issues, health care regulatory matters, health care operations, managed care, contracting, payer-provider disputes, health information privacy and security, mergers and acquisitions, finance and litigation.
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The Dallas office is seeking a lawyer with 3-4 years of managed care litigation experience at a large or specialized firm, including experience litigating reimbursement disputes between healthcare providers and payors arising from in-network contractual relationships.
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