- Saint Francis Health System (Tulsa, OK)
- …all aspects of patient financial services including professional and hospital claims billing, cash posting, and management of patient receivables. This role ... to maximize cash flow, reduce accounts receivable days, and ensure effective claims adjudication. This position plays a key role in monitoring pertinent revenue… more
- Baylor Scott & White Health (Dallas, TX)
- …individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core ... professionals, post-acute and ancillary providers - as well as administrators, healthcare delivery system leaders, and other stakeholders to strengthen and grow… more
- Covenant Health Inc. (Knoxville, TN)
- …applied. + Works closely with the Corporate centralized coding group and the Corporate audit group to ensure that any claims are reprocessed and any refunds ... Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and… more
- Zelis (St. Petersburg, FL)
- …+ 3 - 5 years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred + Solid understanding of audit techniques, identification of revenue ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare...plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official… more
- Zelis (St. Petersburg, FL)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across… more
- Trinity Health (Ypsilanti, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- ManpowerGroup (Houston, TX)
- …Health Plan in developing an auditing and monitoring program. Develop comprehensive audit tools to objectively measure internal performance and performance of third ... Health Plan metrics, policies, regulations, and industry standards. Internal and external audit tools with measurable metrics will be created with feedback from… more
- Beth Israel Lahey Health (Burlington, MA)
- …expected by Revenue Cycle Leadership. 4. Responsible for appealing and defending claims denials, adverse audit results, and sanctions. 5. Analysis, tracking ... between hospital departments. Throughout the revenue cycle and across the BILH healthcare organization, the RCA will be responsible for coordinating revenue cycle… more
- Trinity Health (Ann Arbor, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- UPMC (Pittsburgh, PA)
- …in claims processing, data collection, and quality reporting. + **Post- Audit Training:** Conduct post- audit compliance training sessions for physicians and ... Are you detail-oriented and passionate about ensuring compliance in healthcare ? **UPMC Corporate Finance** is looking for a dedicated...non-physician practitioners based on audit results. These sessions will provide education specific to… more