- Swedish Health Services (Seattle, WA)
- **Description** **Manager Revenue Cycle (Remote) at Swedish Physicians Billing ** **Schedule:** 1.0 FTE, Day Shift (M - F flexible hours) **Location:** Redmond, ... is responsible for the timely, accurate, and comprehensive review of provider claims to optimize reimbursement and ensure compliance with all regulatory statutes.… more
- Mount Sinai Health System (New York, NY)
- …preferred). + EPIC certification(s) in relevant RCM modules (eg, Resolute Professional Billing , Hospital Billing , Claims , Contract Management) strongly ... to maximize the effectiveness of Mount Sinai Health System's EPIC electronic medical record (EMR) platform for Revenue Cycle Management. This leader will focus… more
- Cardinal Health (San Juan, PR)
- …attorney with expertise in healthcare regulatory compliance, including third party billing and reimbursement. The Assistant General Counsel - At-Home Solutions will ... At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious...to, laws and regulations relating to third party payor billing and reimbursement as well as other laws and… more
- Highmark Health (Helena, MT)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor… more
- Trinity Health (Boise, ID)
- …preferred. + Knowledge of insurance and governmental programs, regulations, and billing processes and/or managed care contracts and coordination of benefits ... with questions regarding financial liability to appropriate resource(s). + Accepts medical authorization or referral forms, if appropriate. + Processes key documents… more
- The Hertz Corporation (Oklahoma City, OK)
- **A Day in the Life:** The Recovery Specialist is responsible for managing claims including billing , collections, and adjustments. This role partners with ... and works with customers and insurance carriers to resolve claims over the phone and through email. We expect...any standard Hertz rental + Paid Time Off + Medical , Dental & Vision plan options + Retirement programs,… more
- Molina Healthcare (Reno, NV)
- … Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing , or similar. + Claims processing background including coordination of ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Robert Half Accountemps (New Orleans, LA)
- …submitted documentation to ensure compliance with program regulations and process expense claims or reimbursements accordingly. * Notify companies of claims that ... on required corrections. * Maintain accurate records of reimbursements and claims to ensure compliance with government funding requirements. * Utilize… more
- Evolent (Helena, MT)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex… more
- Sedgwick (Sacramento, CA)
- …safeguard quality assurance. + Prepares deposits, posts receipts, and reconciles billing . + Prepares bank and investment account reconciliations. + Researches, ... the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more