- Cleveland Clinic (Independence, OH)
- …Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare . Cleveland Clinic is recognized as one of the top hospitals in ... and build a rewarding career with one of the most respected healthcare organizations in the world. As a Corporate Compliance Coding/Billing Specialist, you… more
- Cedars-Sinai (CA)
- …rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine auditing ... contracted and employed physician practices. + Aggregates, analyze, and report audit results, identify error trends and root causes, and make recommendations… more
- Omaha Children's Hospital (Omaha, NE)
- …with respect to such administrative provisions as timely filing deadlines, clean claims payment windows, account audit timeframes, billing peculiarities and ... FT, Mon - Fri, days** At Children's, the region's only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate… more
- Carle Health (Normal, IL)
- …and decrease turnover within the team. Qualifications **Certifications:** + Certified Healthcare Access Manager (CHAM) within 2 years **Education:** + Bachelor's ... Degree: Healthcare or + Bachelor's Degree: Related Field or +...Systems experience (preferably EPIC) with registration, eligibility, collections, and billing/ claims . + Ability to successfully manage department with multiple… more
- Walgreens (Houston, TX)
- …usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper ... Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient consultation, medication management, drug therapy reviews,… more
- NTT DATA North America (Cumberland, RI)
- …enrollment applications submitted for Medicare and Medicaid programs. * Resolve claims issues for individual payers in corporate billing system. * Researching, ... compliance with individual Government payers through credentialing, re-credentialing and audit processes and procedures. * Contact Providers when Revalidation… more
- LA Care Health Plan (Los Angeles, CA)
- …Education Preferred Master's Degree Experience Required: At least 3 years in a healthcare setting in Grievances and Appeals, Compliance, Claims or Call Center. ... Development, maintenance and implementation of P&Ps, workflow and training. Audit preparation and providing recommendations for Corrective Action Plans from… more
- Jet Health (Englewood, CO)
- …This position coordinates systems and procedures with medical records, data entry, claims review, and personnel functions to ensure efficient operations. The BOM ... Oversees, evaluates and analyzes medical records, data entry and claims review by reviewing patient charts for compliance and...and updates to maintain compliance. + Participate in mock audit activities. + And all duties as assigned. Requirements:… more
- Houston Methodist (Houston, TX)
- …Compliance and other committees as required. Works collaboratively with the Internal Audit and Business Practices to respond to deficiencies and to strengthen ... Clinical Research Billing Compliance. + Provides oversight and performs detailed claims analysis and medical record review as necessary, including the following:… more
- Nestle (New York, NY)
- …necessary related to the Safety Management program. + Ensure sites maintain continuous " audit ready" state of compliance with company SH&E policies and procedures as ... as all applicable external regulatory requirements. + Initiates WC Claims to insurance provider. + Ensure all locations have...rewards package, which includes a 401k with company match, healthcare coverage and a broad range of other benefits.… more