- Highmark Health (Pittsburgh, PA)
- …wide range of analytics and reporting associated with the organization's financial , operational, and/or clinical performance. This job partners with Decision ... depict and interpret cost trends. (5%) + Serves as an internal Analyst to the AHN Finance organization, by understanding business needs, evaluating alternatives,… more
- Corewell Health (Caledonia, MI)
- …coding, payer relations, compliance and revenue management operations of patient financial services and Corewell Health. Provides assistance to management ... Job Summary Acts as a liaison between physician practices, rehab services , professional billing office,… more
- Catholic Health Initiatives (Houston, TX)
- …and complex financial analyses in support of the Texas Division Physician Enterprise Revenue Cycle function and for the development/maintenance of advanced ad ... cash management, credits/refunds, charge/payment posting, coding and clinic customer service . An incumbent interprets/analyzes report content and develops presentations… more
- R1 RCM (Detroit, MI)
- …provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are ... and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes,… more
- Highmark Health (Harrisburg, PA)
- …clinical performance. This job partners with stakeholders within the hospital and physician organizations to provide general financial or analytical support on ... analysis of volume, revenue, cost, and/or profitability in order to explain financial results and enhance business understanding. (30%) + Conducts ad-hoc analyses on… more
- Baptist Memorial (Memphis, TN)
- …director. Assist the Revenue Integrity Coordinator to ensure consistency in delivering services efficiently, timely, and great quality to all hospitals and BMH ... in regards to charging and billing practices for healthcare services . Strives to reach and maintain department goals at...Serves a resource and liaison for clinical charging and financial areas as related to appropriate coding and charge… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: This position is the primary representative for Physician , Ancillary and Facility reimbursement analysis. The incumbent's analyses include ... of provider reimbursement. In monitoring provider reimbursement, the position analyzes financial deals to assess the implications of rate structures and payment… more
- Sutter Health (Sacramento, CA)
- …for various types of healthcare entities (eg, hospital, skilled nursing facilities, physician , ancillary and professional service providers). + Knowledge of ... practices, contract language, and regulatory and legal requirements, including financial reports. + Displays a customer service ...including financial reports. + Displays a customer service focus in all decisions and actions. + Ability… more
- Corewell Health (Grand Rapids, MI)
- …abuse. May include conversations with law enforcement and regulatory agencies. + Prepare financial analyses and reports to document finding and maintain up to date ... and recovery related to abusive and fraudulent practices related to hospital, physician , pharmacist pharmacy, employer group, agent or other fraudulent entity. + 2… more
- Molina Healthcare (Covington, KY)
- …+ Interact with various departments including; IT, Contracting, Corporate Services , Claims, Utilization Management. Configuration and Payment Integrity to understand ... + Communicate contract terms, payment structures, and reimbursement rates to physician ,hospitals and ancillary providers. + Implement and use software and systems… more