- R1 RCM (Chicago, IL)
- …cash flows while reducing operating costs and enhancing the patient experience. As a Medicare Advantage Associate on our Revenue Recovery team, you will leverage ... your experience and expertise in complex Medicare Advantage payor methodology, payment screenings and experience maneuvering through various Patient Accounting… more
- Elevance Health (Chicago, IL)
- …health plan medical policy and Medicare Coverage Determinations. The ** Associate Medical Director, Clinical Operations ** is responsible for supporting the ... cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, sleep… more
- R1 RCM (Chicago, IL)
- As Operations Associate I in our Revenue Recovery Practice, you will leverage your experience and expertise in complex Medicare Advantage payor methodology, ... systems to deliver quality work products to R1' s clients. The Medicare Advantage Analyst is primarily responsible for researching underpayments as they relate… more
- Prime Healthcare (Joliet, IL)
- …(TJC), DNV-GL, Hospital Facilities Accreditation Program (HFAP), and Center for Medicare & Medicaid Services (CMS), College of American Pathologists (CAP) and ... on time, customer needs are met, and the day-to-day operations impacting revenue are communicated as needed and appropriate...related discipline with 5 years of experience or alternatively Associate 's degree with 7 years of experience required. 2.… more
- Molina Healthcare (Chicago, IL)
- …DESCRIPTION** **Job Summary** Molina Healthcare's HIPAA Compliance team supports privacy compliance operations for all Molina product lines enterprise wide. It is a ... Analyst-HIPAA position is primarily responsibility for supporting the day to day operations and initiatives of the HIPAA Department. + Provides technical expertise… more
- Trinity Health (Maywood, IL)
- …Medicine** **Position Overview:** The Financial Clearance Supervisor oversees the daily operations of the Financial Clearance team, ensuring all patients are ... and implement departmental goals and performance standards **Financial Clearance Operations ** : Oversee pre-service, point-of-service, and post-service financial clearance… more