- R1 RCM (Chicago, IL)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
- St Croix Hospice (Green Bay, WI)
- …Maintains comprehensive working knowledge of markets including government agencies, major payer groups, key referral sources, and competitor's market positioning + ... Enhances flow of communication between patient, family, caregiver, facility, physician team, and any other hospice support vendors + Provides patient, family, and caregiver with education on hospice and encourages informed decision making + Assists the… more
- Alliant Energy (Cedar Rapids, IA)
- …implementation and property unit catalog (PUC) citations will impact the rate payer versus the shareholder, including providing input to PUC modifications as ... appropriate. + Supports Generation facility outages. + Engages in other duties as needed that support Alliant Energy's Values and helps deliver on our Purpose to serve customers and build stronger communities. **Education Requirements** + Bachelor's Degree… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …control (Git). Domain Knowledge: Deep understanding of healthcare revenue cycles, payer operations, or clinical informatics. Preferred Skills Experience with Natural ... Language Processing (NLP) for unstructured clinical notes. Familiarity with Visualization tools like Tableau or PowerBI. Knowledge of Medical Claims lifecycle and Quality Measures (HEDIS/STARS). Pay Transparency & Benefits Anticipated Salary Range (Colorado &… more
- Lilly (Richmond, VA)
- …and business risks. Your responsibilities include the relationship with public payer customers, and you function as a principal government affairs representative ... on behalf of Lilly with Governors, their cabinet and executive staff, state Legislatures, state regulatory agencies, and local elected officials. + Responsible for Lilly's state and local lobbying and regulatory work; support Lilly's Federal office (in… more
- OhioHealth (Columbus, OH)
- …30% Maintain the AR Model: Calculate Contractual/Admin/Charity/Bad Debt Reserves, Monitor Payer Trends and Reimbursement Changes, Produce Reports and Analytics 30% ... Month End Close/Journal Entries, Balance Sheet Reconciliations, Audit Requests 20% Develop Relationships with Care Site Finance, provide education and present Net Revenue Insights 10% Knowledge sharing of Portfolio Net Revenue findings with System Net Revenue… more
- Highmark Health (Pittsburgh, PA)
- …control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of relevant regulatory ... guidelines, vendor management, sourcing and procurement, and completing assessments of vendors + Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a… more
- Omnicell (Fort Worth, TX)
- …assistance with completion of required documentation to establish third-party payer data transmittal. . Communicate necessary customer actions, including deposit ... verifications, write-off approvals, and completion of necessary forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner with Onboarding team to… more
- Good Samaritan (NE)
- …revenues and submit MDS timely, as applicable to State reimbursement and payer . Partners with and assists Compliance with developing and presenting training ... materials for MDS training sessions. Assures that facilities follow Medicare/Medicaid regulatory guidelines related to reimbursement and MDS submission requirements. Participates in hiring of MDS Coordinators at location level in partnership with facility… more
- Insight Global (Maitland, FL)
- …evaluating financial and economic data related to healthcare costs, managed care payer rates, and reimbursement. It focuses on identifying financial trends, applying ... reimbursement methodologies, leveraging data tools, and developing financial models to manage revenue effectively. The position involves conducting complex analyses of managed care contracts and proposals, reviewing fee schedules for compliance, and… more