to goals set by senior management. Works with third party insurance and payer contracting department to obtain maximum level... understanding of financial references, including guidelines for reimbursement, state and federal regulations, payor-specific...
and other internal and external entities to create seamless operational managed care performance along with maximizing payor contracting...Job Category: Finance Job Description: This position works in collaboration with the Vice President of Contracting...
to goals set by senior management. Works with third party insurance and payer contracting department to obtain maximum level... understanding of financial references, including guidelines for reimbursement, state and federal regulations, payor-specific...
to goals set by senior management. Works with third party insurance and payer contracting department to obtain maximum level... understanding of financial references, including guidelines for reimbursement, state and federal regulations, payor-specific...
in a managed care environment, including contracting and/or reimbursement experience. Knowledge of the provider community... and managed care. Clear and concise interpersonal, verbal and written communication skills. Knowledge of provider contracting...
and/or Professional providers and EmblemHealth. Develop provider contracting efforts, including but not limited to process oversight... innovative contracting strategies to maximize cost containment, access and quality through provider arrangements. Negotiate...
and underpayments to identify root causes; works with payer contracting and other areas of the revenue cycle if necessary to resolve... issues. Identifies trends or patterns of denials and initiates/communicates the resolution of issues, such as payor...
be eligible. Provides information to the appropriate billing specialist to ensure accurate billing for current and future..., payors, and other outside agencies. Communicates financial information and payor requirements to the transplant team...