- Capco, a Wipro Company (Orlando, FL)
- …improvement and value beyond cost efficiency.? **About the Job:** The Senior Consultant - Mortgage Quality Control is responsible for evaluating and reanalyzing ... + Confirm sound underwriting decisions regarding loan approval, conditions, or denials based on comprehensive risk analysis. + Provide guidance, training, and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This Senior Consultant , Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for ... active involvement in scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and… more
- Huron Consulting Group (Van Buren, AR)
- …Services Group (HTSG) works with healthcare organizations to solve their most complex EHR challenges, so we are constantly searching for skilled technical ... patient outcomes and profitability. As an Epic Hospital Billing Consultant , you will: + Partner with healthcare consultants, IT...workflow design and Work Queues (follow-up, billing claim edit, denials , etc.) + Experience with Billing Edits - DNB,… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …department chairs as necessary * Provide consultation to Care Coordination staff regarding complex clinical issues and advises on next steps * Documents patient care ... and champion successful relationships with Care Coordination (Utilization Management, Denials Management, and Progression/Transition of Care) * Establish partnership… more
- Nuvance Health (Danbury, CT)
- …approach to physician advisor roles in utilization management, , documentation and denials /downgrades. * Serves as physician expert and provides support to care team ... denial management issues, and potentially quality issues. * Functions as a consultant and resource to other Physician Advisors and primary (attending) physicians. *… more
- Houston Methodist (Houston, TX)
- …alternative levels of care. Provide consultation to case management staff regarding complex clinical issues and advises on next steps. Provide feedback to attending ... in department meetings. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Act as consultant and resource to attending/responsible physicians regarding their decisions… more
- HCA Healthcare (Bradenton, FL)
- …the medical staff and medical staff affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization, and quality ... technologies and programs to HCA hospitals. + Serves as a resource and consultant to the Vice President Physician Services Group and/or Vice President Business… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …fast-paced, detail-oriented, and highly collaborative. The analyst begins by navigating complex data requests-balancing urgent consultant inquiries with ongoing ... with coworkers and internal business partners to clarify requirements, analyze complex data, and produce and present meaningful and defensible results, including… more
- Henry Ford Health System (Troy, MI)
- …and facilitation of multi-disciplinary, team-based root cause analysis of edits and denials . TF Consultant should utilize knowledge of Epic optimization to ... GENERAL SUMMARY: The Transaction Flow (TF) Consultant is responsible for leading and supporting teams...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
