We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

The Contract Administrator reports to the Manager Payer Relations and Contracting. Under general direction and within Brown University Health policies and procedures oversees negotiation completion specific hospital physician healthcare contracts.Provides essential managed care e ...

The Denials Specialist maximizes reimbursement from contracted payers through analysis of denials. They support strategic initiatives and process re-design for denials management. Receives, assesses and resolves appeals with third-party payers. · Evaluates denied accounts sent to ...

Under general supervision of the Claims Administration Follow-up Supervisor, perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow-up steps to obtain timely reimbursement of each 3rd party claim and ensure the financial sta ...

Under general supervision of the Claims Administration Follow-up Supervisor, perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow-up steps to obtain timely reimbursement of each 3rd party claim and ensure the financial sta ...

The supervisor of PFS reports to the PFS manager in charge of denials, follow-up, credit balances and contract management. · Brown University Health employees are expected to successfully role model the organization's values of compassion, accountability,respect and excellence as ...

The Revenue Cycle Manager provides strategic support in managing third-party payer relationships. · Actively manages multiple areas of responsibility as assigned by Senior Leadership. · Overses insurance payors to ensure timely claims submission and reimbursement. · Reports and a ...

Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. · ...

Lead the application development/enhancement projects in areas of Integration of various Healthcare Payer applications Collaborate with internal teams and offshore and interact with customers to find solutions for projects and operational issues for existing systems. · ...

SUMMARY: The Contract Administrator reports to the Manager Payer Relations and Contracting. Under the general direction and within Brown University Health policies and procedures, oversees the negotiation and completion of specific hospital and/or physician healthcare contracts. ...

Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. · Identify and analyze denials enact corrective measures as needed to effectively ...

The Field Reimbursement Manager will support the day-to-day reimbursement and market access needs for both internal and external customers.The Field Reimbursement Manager will be responsible for implementing and managing Patient Access Programs that build the foundation of market ...

Under general supervision of the Claims Administration Follow-up Supervisor, perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow-up steps to obtain timely reimbursement of each 3rd party claim and ensure the financial sta ...

This position involves performing clerical duties to process patient bills and obtain timely reimbursement from third-party payers. The role requires strong communication skills, critical thinking, and problem-solving abilities. · Review claim forms for accuracy. · Contact insure ...

SUMMARY: · Under general supervision of the Claims Administration Follow-up Supervisor, perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow-up steps to obtain timely reimbursement of each 3rd party claim and ensure the fi ...

The Denials Specialist reports to the Manager of PFS Denials Management. This role maximizes reimbursement from contracted payers through analysis tracking and trending of denials using available metric denial reports. · Responsibilities include actively supporting strategic init ...

The Supervisor of PFS reports to the PFS Manager in charge of Denials, Follow-Up, Credit Balances and Contract Management. · Provides direction in day-to-day operations, · Ensures all procedures are in compliance with applicable Federal and State regulations, · Maintains issues l ...

The Claims Analyst reports to the Supervisor Claims Administration Follow-up. · Consistently applies the corporate values of respect, honesty and fairness and the constant pursuit of excellence in improving the health status of the people of the region through provision customer- ...

The Coding Specialist reports to the Manager of Physician Coding.Ensures that appropriate diagnostic and procedural codes are submitted for professional charges resulting in accurate claims processing, data retrieval, and analysis. · ...

SUMMARY: Under the general supervision of the Supervisor, but according to established policies and procedures, interviews, pre-register/registers and admits patients. Financially clears accounts for Admission and other Ambulatory Departments by obtaining demographic, third-party ...