- Texas Health Resources (Arlington, TX)
- Manager Payment Integrity Professional _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... the PBO Revenue Integrity Director, the PBO Payment Integrity Manager is responsible...professional claims to insurance. - Manages all essential payment integrity team functions. Effectively leads and… more
- Molina Healthcare (Carson City, NV)
- …expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (Sterling Heights, MI)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Elevance Health (Atlanta, GA)
- **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception ... an accommodation is granted as required by law. **Carelon Payment Integrity ** is a proud member of...care fraud audit/investigation experience preferred + Certification as a Professional Coder preferred Please be advised that Elevance Health… more
- Elevance Health (Atlanta, GA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... an accommodation is granted as required by law._ **Carelon Payment Integrity ** is a proud member of...Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Payment Variance and Resolution, the RI Analyst, Payment Variance and Resolution is responsible for maintenance of ... field, or seven (7) or more years of experience in Hospital or Professional Billing, Contracting, Payment Variances, or other Healthcare Revenue Cycle experience… more
- Fox Rothschild LLP (Greenville, SC)
- **Description** We are seeking a detail-oriented and experienced Payment Application Manager to oversee the accurate and timely application of client payments. ... professional services environment. **ESSENTIAL FUNCTIONS:** + Lead the Payment Application team, ensuring daily operations are executed efficiently and… more
- GE HealthCare (Waukesha, WI)
- **Job Description Summary** The Manager of Logistics Freight Audit & Payment Operations will lead a high-performing team responsible for ensuring accurate, ... operations. This role will oversee carrier onboarding and management, resolve payment discrepancies, and maintain invoice integrity across freight audit… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. Reporting to the Payment Integrity Program Manager , the Payment Integrity ... and prioritizing development needs and requirements + Participate in facility reimbursement payment integrity activities that include developing new payment … more
- State of Minnesota (Vadnais Heights, MN)
- **Working Title: Revenue Integrity Manager ** **Job Class: State Program Administrator, Manager Senior** **Agency: Direct Care and Treatment** + **Job ID** : ... for an exciting and rewarding opportunity as a Revenue Integrity Manager ! This position is part of...Revenue Cycle Professional (CPCR), Certified Healthcare Financial Professional (CHFP), or Certified Payment and Reimbursement… more