- Fallon Health (Worcester, MA)
- …with the Enrollment & Billing Operations Supervisor or Enrollment & Billing Operations Manager to determine course of action. The Enrollment & ... and LinkedIn. **Brief summary of purpose:** Under the direction of the Supervisor or Manager , the Enrollment & Billing Operations Representative III supports… more
- Covenant Health Inc. (Knoxville, TN)
- … guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information can be distributed to proper departments/staff. ... sleep medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies....duties as assigned to the satisfaction of the CBO Operations Manager and/or Director of Revenue Cycle.… more
- All-Stat Portable (Skokie, IL)
- …and recommend necessary actions + Run weekly staff meetings + Supervise the billing operations + Insurance eligibility and authorization + Preparing claim for ... billing staff + Carry out audits of current procedures and processes, billing operations improvements and coordinate necessary actions + Ensure quality and… more
- Health First (Rockledge, FL)
- …resolution, collection activities, and accounts receivable management. Assists the Group Service Manager and Premium Billing Lead in training, development and ... issues that are or may impact the membership and/or billing and indicate training may be needed within the...reconciliations issues to Lead Premium Analyst or Director of Operations for resolution approval. * Assists Lead Premium Analyst… more
- MyFlorida (Largo, FL)
- …new billing procedures. + Perform other related duties as directed by the Health Operations Manager and Billing Department Manager in an effective, ... to maintain the billing . + Process monthly billing for all Medicare A&B, Medicaid, Medicaid...staff in assigned Homes. + Provide ongoing feedback to Billing Department Manager related to process improvement… more
- Guidehouse (Lewisville, TX)
- …& Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500 + Complete all business-related requests and correspondence ... from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Account Review… more
- Tufts Medicine (Lowell, MA)
- …Profile** **Summary** This role focuses on activities related to revenue cycle operations such as billing , collections, and payment processing. In addition, ... this role focuses on performing the following Billing related duties: Bills patients for administered care, handles...non-routine situations and may be responsible for leading daily operations , and trains, delegates and reviews the work of… more
- Baylor Scott & White Health (Dallas, TX)
- JOB SUMMARY Director Billing , Regulatory, and Provider Coding Compliance is responsible for planning, developing, and enforcing compliance programs for Baylor Scott ... and accreditation standards, such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), Health… more
- The Cigna Group (Nashville, TN)
- …testing + **Requirements Include:** + Bachelor's Degree required + Previous Medicare experience in Claims, Provider, Billing , Membership, and Fulfillment ... Description** The job profile for this position is Senior Manager , which is a Band 4 Management Career Track...Details** As an enabler of Enterprise Strategic Priority for Medicare Advantage Growth, the DMOM program will drive a… more
- Stanford Health Care (Palo Alto, CA)
- …strategies to drive optimal performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between PFS operations and other departments in ... and procedures; updates staff and outside departments on government (Medi-Cal/Medicaid/ Medicare /VA) regulations and non-government payor medical and billing … more
- Johns Hopkins University (Middle River, MD)
- …and reports to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS). Reviews provider income data with ... Provide assistance to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS) in the form of analysis,… more
- MyFlorida (Chattahoochee, FL)
- …Medical Services Unit, including but not limited to financial reports, billing information including Medicare /Medicaid programs, information pertaining to ... OPERATIONS ANALYST II - 60007037 Date: Nov 19,...fact finding research and reporting of various information, understanding Medicare /Medicaid practices and policy. Must be proficient in Excel… more
- Beth Israel Lahey Health (Charlestown, MA)
- …making a difference in people's lives.** Under oversight of the Director, the Manager , BILH Patient Financial Services Hospital Billing is responsible for ... & Abilities:** * Comprehensive understanding and knowledge of the Center for Medicare and Medicaid Services (CMS) coding, billing , and compliance requirements.… more
- TEKsystems (Odenton, MD)
- …and ensures appropriate interpretation of Medicare , state and federal billing regulations. The Senior Manager leads the recruitment, retention and ... Description: The Patient Financial Services Manager is responsible for the management and execution...functions. This position manages the day-to-day processes of department operations and ensures optimal workflow, appropriate training of staff,… more
- Access Dubuque (Dubuque, IA)
- …and implement policies and procedures to ensure efficient and effective revenue cycle operations . + Ensure accurate and timely billing and coding of client ... Revenue Cycle Manager **Hillcrest Family Services** 1 Positions ID: 167302...standards. In addiction: + Supervises and oversees all outgoing billing (CMS-1500 forms), invoices and statements for submission to… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …We are currently seeking an *Inpatient Coding and Clinical Documentation Improvement Manager *to join our Middle Revenue Administration team. This full-time role ... position:* Under the direction of the Middle Revenue Cycle Director the manager will lead the coordination and collaboration of health information, inpatient… more
- Fallon Health (Worcester, MA)
- …Provide training to SIU staff related to clinical topics as neededFWA Manager will oversees the day-to-day operations over investigations and allegations ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …charging and billing * Extensive knowledge of NCCI edits and Medicare LCDs/NCDs * Extensive understanding of reimbursement theories to include DRG, OPPS, HCC, ... *_SUMMARY:_* We are currently seeking a*Revenue Integrity Manager *to join our team. Thisfull-timerole will primarily workremote (SHIFT). *Purpose of this… more
- Commonwealth Care Alliance (Boston, MA)
- … operations , including claims, call center, enrollment, encounter management and billing , authorization operations , and other functions that span multiple ... organizational skills + Excellent problem-solving ability + Thorough understanding of managed care/ Medicare plan operations preferred + Excellent knowledge of MS… more
- Cedars-Sinai (CA)
- …revenue cycle operations . + Oversight of the team managing the Medicare and Medicaid RACs, government billed claims and inpatient stay reviews, and commercial ... one of America's Best Hospitals. **What you be doing in this role:** The Manager , Compliance and Revenue Integrity (CRI) manages one or more functions within the… more
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