- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider ... all prospective and retrospective overpayment results; communicating findings to the Payment Integrity Workgroup and Management. The incumbent will be responsible… more
- Omaha Children's Hospital (Omaha, NE)
- …make a difference where it matters most. **A Brief Overview** The Supervisor, Payment Posting & Credit Resolution, plays a key leadership role managing payment ... This role ensures optimal revenue cycle performance through accurate payment processing, regulatory compliance, and strong operational oversight. The supervisor… more
- Tomo Credit (San Francisco, CA)
- …financial future. Job Summary: We are seeking a highly motivated and detail-oriented Payment Optimization Manager to join our growing team. This role is critical to ... managing TomoCredit's payment ecosystem-including card issuers, payment gateways and banks. As part of the product team, you will play a key role in optimizing… more
- Martin's Point Health Care (Portland, ME)
- …"Great Place to Work" since 2015. Position Summary The Manager of Payment Integrity is responsible for developing, implementing, and managing programs and processes ... partners closely with internal teams and external PI vendors to optimize payment integrity outcomes, compliance, regulatory impact, and cost savings. Job Description… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** The **Director of Payment Integrity Solutions** is responsible for overseeing Payment Integrity edit and program strategy and performance ... address operational gaps, support provider escalations, and guide ongoing improvements in payment integrity strategies and support systems. Key to the role is… more
- CommonSpirit Health (San Francisco, CA)
- **Job Summary and Responsibilities** *This is a Remote Opportunity Payment Card Coordinator/Sr Payment Card Operations Analyst Treasury department manages a $2 ... Point of Service (POS) applications, devices, and merchant card services. The Treasury Payment Card Team plays a critical role in ensuring secure, compliant, and… more
- Highmark Health (Little Rock, AR)
- …complete the retrospective claim review with the goal of proper and timely payment to provider and member satisfaction. The incumbent is responsible for the ... implementation of effective Payment Integrity strategies on a pre- payment and retrospective claims review basis. Review process includes a review of medical… more
- City of New York (New York, NY)
- …Chief Contracting Office ACCO is responsible for managing all agency procurement and payment activity in accordance with all applicable city and state laws and ... ACCO processes hundreds of both large and small contracts and thousands of payment transactions procuring about $2 billion in contracts annually. The ACCO consists… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. Reporting to the Payment Integrity Program Manager, the Payment Integrity Consultant uses industry ... prioritizing development needs and requirements + Participate in facility reimbursement payment integrity activities that include developing new payment … more
- Realtor (Austin, TX)
- …the right connections, and building confidence through expert guidance. ** Payment Operations Manager** at **Realtor.com** **(R)** **Location:** Scottsdale, AZ ... week) At Avail by Realtor.com(R), we're seeking a skilled Payment Operations Manager to join our team. In this...our product. You'll lead a team dedicated to optimizing payment processing and implementing fraud prevention measures. Your expertise… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and… more
- Walmart (Bentonville, AR)
- …of the Payments and Financial Strategy group, responsible for driving global payment strategies, strengthening financial risk management through advanced payment ... **What you'll do ** + Drive the design and optimization of advanced payment controls (eg, Pay on Delivery, Reserve Advancements, Rolling Payout Schedules) to manage… more
- City of New York (New York, NY)
- …of the Bureau of Accounts Payable (BAP). As the Agency's primary payment office, BAP issues authorized payments to service providers for services delivered ... PAA III position to function as the Human Services Payment Analyst in the DHS Human Services Unit who...register to ensure the accuracy of reimbursement. - Provide payment data to the Accounting Unit regarding payment… more
- North Carolina State University (Raleigh, NC)
- …UHR UTS/UNC Partnership Location: Chapel Hill, NC Essential Job Duties: The Payment Posting Specialist is responsible for accurately posting incoming payments from ... (EOBs, ERAs, checks, credit card transactions). Resolve discrepancies in payment applications, including denials, short pays, and overpayments. Maintain accurate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate… more
- Caris Life Sciences (Irving, TX)
- …is where your impact begins.** **Position Summary** The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments ... information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment… more
- Emerson (St. Louis, MO)
- …be responsible for the performance of Emerson's Global Freight Audit and Payment programs. This includes the development of internal and external processes ... supporting freight payment , management of third-party freight audit providers, responsibility for...with internal and external stakeholders to ensure the timely payment of Emerson's freight invoices in accordance with Emerson… more
- City of New York (New York, NY)
- …(BAP) is requesting to fill a Clerical Associate III position to function as a Payment Support Associate within the Vendor Payment Unit, who will: : - Receive ... vendor name, invoice amount, service period) into the Vendor Payment Unit's database. - Ensure invoices are complete, accurate,...CARES, to perform timely data entry and create vendor payment vouchers. - Scan, index, and upload payment… more
- Realtor (Austin, TX)
- …the right connections, and building confidence through expert guidance. ** Payment Specialist** at **Realtor.com** **(R)** **Location:** Scottsdale, AZ (Hybrid - ... of complex challenges while shaping the future of our payment ecosystem? If you want to pursue your professional...work is for you. Join us as our newest ** Payment Specialist** and help change the world of real… more
- University of Washington (Seattle, WA)
- …Description** **Faculty Practice Plan Services** has an outstanding opportunity for a **Lead Payment Poster.** **Work Schedule** + 100% Full Time + Remote + Monday - ... Friday **POSITION HIGHLIGHTS** The Lead Payment Posting Coordinator is responsible for... Posting Coordinator is responsible for backing up the payment posters. S/he will retrieve, prepare, and distribute the… more
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