- R1 RCM (Murray, UT)
- …assistance program applications and determine eligibility and coverage. + Notify manager , physician and servicing department of possible delay of service for ... of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare… more
- Mount Sinai Health System (New York, NY)
- …are effective and compliant with all state and federal regulations, third party payer requirements and the policies and procedures of the enterprise. + Works with ... cycle expertise. + Manages and develops a results oriented team, including manager , supervisor, and team lead levels. Continuously assesses and develops an… more
- Maxim Healthcare (Oxon Hill, MD)
- …(BCBA). The Behavior Specialist provides midlevel supervision when allowed by the payer source. The Behavior Specialist is accountable to all federal, state and ... and participates in hiring decisions in collaboration with Clinical + Manager -Behavioral or other office clinical leader + Facilitates the orientation process,… more
- Catholic Health Services (Melville, NY)
- …care knowledge, competence, and sophistication + Keeps current on legislative, payer , market, competitive and industry changes that may impact various corporate ... Healthcare consulting experience preferred. Skills: Microsoft Office Suite including Project Manager and other related programs as required. Strong verbal and… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** The **Revenue Cycle Analyst** reports directly to the Senior Manager , Reimbursements Concepts, Inc ( _RCI_ ). This is a client-facing position, ... in this role, this person will utilize home infusion software, Microsoft Excel, payer portals, and other systems, as well as their critical thinking skills, to… more
- WellSpan Health (York, PA)
- …corrective actions. - Provides regular QA and productivity reports to the Director and Manager . - Supports internal and external audits (NCQA, CMS, payer , or ... internal compliance). + Collaboration and Continuous Improvement - Works closely with management to identify system, process and training opportunities. - Participates in strategic discussions to improve departmental efficiency, data integrity and customer… more
- Omaha Children's Hospital (Omaha, NE)
- …practices, policies, regulatory, and legal requirements. * Assisting the department manager in the implementation of the strategic direction within the department ... federal regulations and medical terminology. This includes all aspects of payer relations, claims adjudication, contractual claims process and general reimbursement… more
- Trinity Health (Westchester, IL)
- …+ Maintain regular collection follow-up based on the specific issue with the payer and required actions. + Recommend accounts for agency referral according to ... established protocols. + Perform other tasks as assigned by the Manager or Director. **Qualifications:** + Experience in collections, billing, or patient financial… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …posted to clearing accounts. Identifies issues with ERAs/contractual calculations/ payer compliance and escalates appropriately. Uses system generated reports, ... equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …performing follow-up on unpaid claims, billing or re billing claims to appropriate payer source, and appealing denied claims. + Assist business office co-workers and ... pay eligibility GERDS. + Other duties as assigned by Supervisor and/or Manager . + Remains current with all licensure, certifications and mandatory compliances and… more
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