- Option Care Health (Phoenix, AZ)
- …culture that attracts, hires and retains the best and brightest talent in healthcare . Job Description Summary: Applicants must currently reside in the Mountain OR ... ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends...and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. Ensures compliance with… more
- R1 RCM (Boise, ID)
- …**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
- Growth Ortho (Nashville, TN)
- …the full revenue cycle, including scheduling, eligibility, coding, billing, claims , denials , and collections. Strong knowledge of RCM technologies (eg, PM ... This role offers a unique opportunity to play a key role in shaping the future of RCM operations for a fast- growing, mission-driven healthcare organization. more
- Thrive Proactive Health (Virginia Beach, VA)
- …+ Claims Management : Submit and follow up on claims , corrected claims , and appeals. + Denials & A/R Management : Investigate, appeal, and resolve denied ... is a vital part of our Revenue Cycle Management ( RCM ) team, supporting patients, providers, and our business by...1 - Medical Billing Specialist (Entry): Learn systems, submit claims , post payments, follow up on denials .… 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
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …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
- 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
- Omaha Children's Hospital (Omaha, NE)
- …with the analysis of accounts receivable financial performance based on analysis of claims processing, payer remittances, payment variances and denials . * Uses ... - Fri** At Children's, the region's only full-service pediatric healthcare center, our people make us the very best...interpretation; prepares analysis of data and presents findings to RCM leadership team and Finance with analyses of revenue… 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
- 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
