- CareFirst (Baltimore, MD)
- …requirements. + Solid understanding of CPT-4, HCPCS, revenue and ICD coding, medical terminology, claims payment , contract negotiations and problem resolution. ... with company policies and procedures, and coordinating with the Payment Transformation team to transition fee-for-service arrangements to value-based care.… more
- CVS Health (Austin, TX)
- …quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise to provide ... CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the... Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction… more
- Insight Global (South Jordan, UT)
- …with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical… more
- Dickinson Financial Corporation (Kansas City, MO)
- **Summary** The Manager of Payment Products will be a leader within the Payments organization, responsible for driving innovation, product development, and ... operational excellence across traditional and next-generation payment platforms. This role will execute strategic direction by...Full‐time associates are eligible for our benefits package: + Medical + Dental + Vision + 401(k) plan +… more
- Martin's Point Health Care (Portland, ME)
- …"Great Place to Work" since 2015. Position Summary The Manager of Payment Integrity is responsible for developing, implementing, and managing programs and processes ... partners closely with internal teams and external PI vendors to optimize payment integrity outcomes, compliance, regulatory impact, and cost savings. Job Description… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to blue. Reporting to the Director of Professional Reimbursement Strategy, the Payment Integrity Consultant uses industry knowledge, research skills, payment ... prioritizing development needs and requirements + Participate in professional reimbursement payment integrity activities that include developing new payment … more
- Realtor (Scottsdale, AZ)
- …making the right connections, and building confidence through expert guidance. Manager, Payment Operations and Compliance Manager at Realtor.com (R) At Avail by ... Realtor.com(R), we're seeking a skilled Payment Operations and Compliance Manager to join our team....but are not limited to: + Inclusive and Competitive medical , Rx, dental, and vision coverage + Family forming… more
- Tomo Credit (San Francisco, CA)
- …financial future. Job Summary: We are seeking a highly motivated and detail-oriented Payment Optimization Manager to join our growing team. This role is critical to ... managing TomoCredit's payment ecosystem-including card issuers, payment gateways and...our employees through ownership stakes. + Insurance : Comprehensive medical , dental, and vision benefits. + Flexible Vacation Policy… more
- Aston Carter (Deerfield Beach, FL)
- Job Title: Payment Claims AnalystJob Description The Claims Payment Analyst is responsible for reviewing, analyzing, and processing claims payment requests ... for automotive repairs. This individual determines the appropriate payment amount by validating billing information against authorization details while adhering to… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in data to ... the investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to complex issues… more