Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.
Perform outbound calls to obtain appropriate information and document accurately.
Answer in-bound calls and assist customers with pharmacy related services.
Contact insurance companies for benefit investigation and coverage eligibility.
IQVIA is a global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. They create connections that accelerate the development and commercialization of innovative medical treatments to improve healthcare and patient outcomes.
Codes complex inpatient acute care discharges using ICD-10-CM and ICD-10-PCS codes.
Reviews provider notes and clinical documentation to assign accurate codes.
Collaborates with CDI on discharges, regulatory guidelines, and coding conventions.
Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. They deliver modern, patient-first care supported by innovation with state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first.
Serves as a primary interface between clinical services and other departments to ensure multi- and inter-disciplinary vendor project coordination.
Assists clinical department directors and others in the interpretation and use of data for decision-making.
Improves and innovates the use of technology within clinical practice and workflows.
Capital Blue Cross promises to go the extra mile for their team and community. They are an independent licensee of the Blue Cross Blue Shield Association that values professional and personal growth by investing heavily in training and continuing education.
Overseeing coding services across domestic and global teams.
Ensuring high-quality service delivery for health plans and provider clients.
Managing relationships, ensuring adherence to SLAs, and improving operational outcomes.
Virtix Health partners with health plans across the country to drive clinical, financial, and operational results. They offer virtual wellness visits, in-home health risk assessments, retrospective chart review, HCC Coding, medical record repository, retrieval workflow technology, health risk assessments, and member engagement services.
Oversee day-to-day operations of the facility to meet State and Federal regulations.
Supervise all department managers to ensure the facility is in compliance.
Ensure customer service while facilitating the resolution of resident care issues.
Tutera Senior Living & Health Care aims to live the YOUNITE philosophy in every decision, every day, emphasizing respect and personalized care for residents and team members. Founded in 1985, it is a family-owned company which offers stability, competitive wages, and benefits, while also growing and developing its employees.
Educate and train new hospitals and practices on coding, coverage, payment and patient authorization rules, regulations, and processes.
Organize and lead reimbursement education meetings for existing customers.
Serve as primary ongoing reimbursement resource for hospital and practice customers.
PROCEPT BioRobotics is committed to revolutionizing treatment for benign prostatic hyperplasia (BPH) through innovation in surgical robotics. They improve the quality of life of patients, provide more effective treatment options for surgeons, and uphold the trust of their shareholders.
Lead and nurture a dynamic team of clinical pharmacists and technicians.
Create and uphold robust policies and procedures for utilization management review.
Generate and deliver comprehensive reports on prior authorization metrics.
Judi Health is an enterprise health technology company providing solutions for employers and health plans, including pharmacy benefit management and health benefit management. Judi Health values diversity and provides equal employment opportunities to all employees and applicants.
Guide healthcare providers through the reimbursement process, including prior authorizations and appeals.
Work with insurance companies and third-party administrators to address coverage issues.
Provide education regarding insurance benefits and financial assistance programs.
Amplity is a full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. Amplity transforms how breakthrough treatments reach the people who need them with expert-led teams delivering contract medical, commercial + communications excellence for 40+ years.