- R1 RCM (Chicago, IL)
- …**It's** **a plus if you bring:** + Experience with healthcare operations/ RCM (FHIR/HL7, claims , denials ) and/orregulated industries with compliance ... Construct Foundry Ontology & Object Views for revenue-cycle entities (encounters, claims , denials , payments), designing abstractions that downstream applications… more
- Mount Sinai Health System (New York, NY)
- …relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred. + Minimum 7-10 years of progressive ... **Job Description** **Director of RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full-Time-Days (Hybrid)** The Director of EPIC… more
- National Vision (Duluth, GA)
- …+ Lead and develop high-performing teams overseeing plan setup, billing, coding, claims , payment posting, and denials . + Build cross-functional relationships ... and billing setup, application of insurance benefits in point-of-sale system, claims submission, payment posting, denial management, and payer operations. The ideal… more
- Waystar (Atlanta, GA)
- …the most critical challenges in healthcare revenue cycle management ( RCM )-from preventing denials and optimizing prior authorizations to delivering ... Proven track record of successfully applying data science to both clinical and financial/ RCM data (eg, EHR data, claims , remittances) to drive measurable… more
- Community Health Systems (Franklin, TN)
- …Revenue Cycle Modeling: Build predictive models to forecast cash flow, anticipate denials based on procurement/charging patterns, and prioritize RCM work queues ... Supply Chain Management (SCM), Oracle Procurement, Oracle Revenue Cycle Management ( RCM ), and Oracle Inventory into actionable business intelligence. The successful… more
- WestCare Foundation (Henderson, NV)
- …Category Management Description POSITION SUMMARY: The Director of Revenue Cycle Management ( RCM ) is responsible for overseeing all functions of the revenue cycle, ... operations, including patient registration, insurance verification, coding, charge capture, claims submission, payment posting, A/R management, and collections. +… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Open Mind Health (SD)
- …Open Mind Health and will coordinate with others to assure error-free and appropriate RCM submissions to enable timely cash flow for the company. The lead will also ... engage in timely follow-up to billing disputes, claim denials , and any other intervening issue that has the...that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also… more
- Cardinal Health (Columbia, SC)
- …their growth-while maintaining their independence. **_What Revenue Cycle Management ( RCM ) contributes to Navista_** Revenue Cycle Management oversees clinical and ... administrative processes that healthcare providers utilize to capture, bill, and collect patient...to ensure timely and accurate resolution of outstanding insurance claims . This role leads development, performance monitoring, and process… more
- Growth Ortho (Sioux Falls, SD)
- …accuracy. Why Join Growth Ortho? Be part of a collaborative and growing healthcare organization. Opportunity to expand your RCM expertise across multiple ... h1 data-start="108" data-end="187">Reimbursement Specialist - Payments, Denials , A/R (ASC Experience Required) Location: Flexible (Sioux Falls, SD preferred, but… more
- Cardinal Health (Augusta, ME)
- …Navista, our mission is to empower community oncology practices to deliver patient- centered cancer care. Navista, a Cardinal Health company, is an oncology practice ... including charge capture, coding, billing, and collections + Ensure all oncology-related claims are submitted accurately and within payer timelines to prevent … more
- BrightSpring Health Services (Nashville, TN)
- …The Sr Director's responsibilities include identifying reimbursement issues, ensuring that claims , denials , and appeals are efficiently processed, and resolving ... managing Professional Billing / Revenue Cycle Management and/or Collections in a large healthcare provider setting or a Medical Claims Processing organization. +… more