- University of Michigan (Ann Arbor, MI)
- …designated work queues within 72 hours, (eg point of service, zero charge, hospital charge dropped outside of effective date, etc.) + Utilize in-depth knowledge of ... guidelines. + Partner with Clinical Documentation Specialist, Revenue Quality Liaison and Contracting to help troubleshoot billing issues. + Serve as a subject… more
- Highmark Health (Pittsburgh, PA)
- …RESPONSIBILITIES** + Analyze and evaluate claim processes specific to professional, hospital , ambulatory surgical center, home health and durable medical equipment ... complexity **Preferred** + 5 years in Financial Analysis in an acute care hospital or health insurance setting + 5 years in professional billing, facility Patient… more
- HCA Healthcare (Dallas, TX)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... life. Each year about five percent of all US hospital services happen at an HCA Healthcare facility. Be...Physician Partnership meetings. + Provides input for managed care contracting to ensure market initiatives are met. + Assist… more
- Somatus (Mclean, VA)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... integrated networks including Nephrologists, PCPs, Specialists, SNFs, Dialysis Centers, Hospital Systems, and ASCs, to support Somatus' quality and financial… more
- Community Health Systems (Bullhead City, AZ)
- …across all managed practices. The Director collaborates with physicians, hospital leadership, and administrative teams to enhance practice operations, patient ... billing, coding, and patient privacy. + Collaborates with physicians, hospital administrators, and department leaders to enhance patient access, streamline… more
- City of New York (New York, NY)
- …develops, implements, and evaluates interventions and prevention strategies through contracting of treatment, recovery and support services; policy analysis and ... an initiative that provides 24/7 support to individuals transported to hospital emergency departments (EDs) following a non-fatal overdose. Wellness Advocates visit… more
- Centene Corporation (Montgomery, AL)
- …fresh perspective on workplace flexibility. **Position Purpose:** Recruit physician, hospital and ancillary service providers to sign network participation ... a region and set of providers + Lead assigned recruitments (ie, physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts… more
- AdventHealth (Orlando, FL)
- …AdventHealth Orlando + AdventHealth Orlando is a lush tropical campus and our flagship hospital . + This 1,414-bed hospital serves as the major tertiary facility ... multiple projects as assigned, with or without consultants, interfacing with hospital clinical and engineering staff, management of code compliance, and… more
- Trinity Health (Columbus, OH)
- …Ann's and Mount Carmel New Albany - an inpatient rehabilitation hospital , free-standing emergency centers, outpatient facilities, surgery centers, urgent care ... models. Collaborates with MCHS and Trintiy Health managed care teams on APM contracting . Attends Board meetings and reports regularly on Clinical quality and safety… more
- Ventura County (Ventura, CA)
- …healthcare system that encompasses the Ventura County Medical Center (VCMC), Santa Paula Hospital , an Ambulatory Care Department with 24 primary care clinics and 11 ... County Level II Trauma Center and is the only hospital in the county with an inpatient pediatrics unit....Understanding of CalAIM and FQHC payment models + Value-based contracting + Management of public health emergencies Supplemental Information:… more