- CareFirst (Baltimore, MD)
- …and work activities/deliverables that week. **PURPOSE:** Under leadership of the Executive Vice President , Health Services, this position leads and oversees Case ... Grievances operational functions for all lines of business. The Vice President of Clinical Operations is accountable...function as well as Clinical Medical Review for both pre- payment and post- payment stages. + Directs and… more
- Lyric (Hartford, CT)
- …overall customer satisfaction and A+ likelihood to recommend in their October 2023 Payment Integrity and Accuracy Report. Discover more at Lyric.ai . **About this ... area . 10+ Years experience in healthcare with **specific focus on payer claims ** systems and products 10+ years of product development experience in agile… more
- Billings Clinic (Billings, MT)
- …any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be ... every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time/Billings) PATIENT FINANCIAL SERVICES (ROCKY MOUNTAIN… more
- Covenant Health Inc. (Knoxville, TN)
- …in a timely and accurate manner.Reviewing billed claims for timely and accurate payment . Timely research and follow up of claim denials. Serve as a liaison ... for the department and the facilities, adhering to desired behaviors. + Assists Vice President , Director, Managers and Supervisors on activities and projects, as… more
- Covenant Health Inc. (Knoxville, TN)
- …resulting in the correct outcome. Reviews billed claims for timely and accurate payment . Timely research and follow up of claim denials. Serve as a liaison ... peers; approachable and successful at training and development of others + Assists Vice President , Director, Managers and Supervisors on activities and projects,… more
- University of Washington (Seattle, WA)
- …senior directors in PFS and the Administrator of Enterprise Revenue Cycle/Assistant Vice President of Medical Affairs **DEPARTMENT DESCRIPTION** The Enterprise ... in Aged Insurance and Patient ARover 90, Clean Paid Claims , Claim Error Days, DNFB days, and...and compliance + Possesses a working knowledge of various payment and coding systems, particularly the Outpatient Prospective … more
- Molina Healthcare (Escondido, CA)
- …outreach and resolving provider inquiries. * In conjunction with the Associate Vice President , Network Strategy & Services, develops health plan-specific ... development and the education of contracted network providers regarding plan procedures and claim payment policies. * Develops and implements tracking tools to… more
- Washington Metropolitan Area Transit Authority (Washington, DC)
- …procurement of materials, equipment and services in programmatic areas designated by the Vice President & Chief Procurement Officer (VP CPO). The incumbent has ... with regard to the contractor's proposal for contract closeouts, modifications, and claims , based on time and cost analyses, conferences, financial statements, audit… more
- Covenant Health Inc. (Knoxville, TN)
- …meets other requests of the CMG Director of Revenue Cycle and Vice - President of Financial Services. Recruiter: Sarah Grey ||###@covhlth.com|| ### ... to the satisfaction of the CBO Operations Manager, Director of Revenue Cycle, and/or Vice - President of Financial Services. + Supports, models and adheres to the… more
- Health Plans, Inc. (Westborough, MA)
- …mission. What you'll do The Account Coordinator is responsible for assisting the Vice President of Client Services, Account Manager and Client Service ... with internal staff to communicate service issues and resolve claim payment issues, and serves as the...and brokers. + Produce educational materials and help resolve claims /service issues. + Provide administrative support to the Client… more
- Billings Clinic (Billings, MT)
- …any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be ... with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims , performing point of sale functions, proper utilization of… more
- Aligned Modern Health (IL)
- …and ensure efficient and accurate billing processes. This position will report to the Vice President of Finance. The Medical Billing Manager will be responsible ... Oversee and manage the performance of the outsourced billing teams, inclusive of claims processing, denials management, AR, payment posting, and ensuring timely… more
- HCA Healthcare (Dallas, TX)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... will do in this role:** . You will transmit claims to billing vendors, process/ correct insurance rejects, process...Must be familiar with third party billing requirements and payment policies **Physician Services Group** is skilled in physician… more
- Veterans Inc. (Shrewsbury, MA)
- …to join our behavioral health programming. Under the general direction of the Vice President of Finance, Development and Administration, the Business Manager ... to processing charges for services. Will respond to any claim denials and correct the error for resubmission for...as required + Point of contact for questions about payment transactions. WHAT YOU MUST HAVE: + Minimum of… more
- HCA Healthcare (Lees Summit, MO)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... and insurance information to ensure accurate coding, billing and claims submission. What you will do: + You will...Collect and document all collection actions for your patient's co- payment and deductibles at the time of service and… more
- Zelis (GA)
- …Impact Analysis results and value propositions . The new leader will report to the Sr. Vice President of Analytics & Insights, oversee a team of ~6, and may be ... technology industry + Specific experience with larges sets of healthcare claims data preferred + Strong project, program implementation and management skills;… more
- Billings Clinic (Billings, MT)
- …any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be ... of our facility as it relates to the patient self-pay balance and payment arrangements. Responsible for callbacks to patient/guarantor within one business day with… more
- Zelis (Boston, MA)
- …Parthenon Capital.The leader in this newly defined role will report to the Senior Vice President , Business Marketing and will work in close alignment with the ... that address the entire financial journey, helping to price and pay healthcare claims and empower consumers to make care decisions. Through its three business units,… more
- Burrell Behavioral Health (Hannibal, MO)
- …etc. + Other duties as assigned by the Clinical Supervisor, Program Director, Vice President , and/or Executive Team members. Knowledge, Skills, and Abilities: + ... all Vendor invoices, approves and sends to AP for payment . + Perform management responsibilities to include but are...frame. + Works closely with billing to ensure clean claims prior to initial submission and/or any front-end errors/processes… more
- Billings Clinic (Billings, MT)
- …any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be ... credits for the adjudication/reconciliation of patient accounts and insurance claims billing. * Participates in quality improvement activities utilizing performance… more