- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** The ** Director of Payment Integrity Solutions** is responsible for overseeing Payment Integrity edit and program strategy and ... address operational gaps, support provider escalations, and guide ongoing improvements in payment integrity strategies and support systems. Key to the role… more
- Addiction Recovery Care (Lexington, KY)
- …on EOBs, reimbursement, and payer specific requirements. + Builds relationships with MCO . + Corrects identified billing errors and resubmits claims with necessary ... denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. + Recognizes when additional assistance is needed to… more
- WestCare Foundation (Milwaukee, WI)
- …client prior to discharge. + Maintain proper balance regarding source of payment (fee for service, Medicaid, public, private, and third-party payers) + Responsible ... coverage and escalates complicated issues to the billing manager and/or director . + Coordinate with the billing manager to assure all admissions/transfers/discharges… more