- Waystar (Atlanta, GA)
- …technology platforms. + Knowledge of coding and billing practices. + Experience with revenue cycle management including payer relationships. + Strong Excel, ... **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for...healthcare payments and yield powerful results throughout the complete revenue cycle . Waystar's healthcare payments platform combines… more
- Walmart (Bentonville, AR)
- …**About the team:** The Payer Programs team is part of the broader Payer Relations team that supports the Health and Wellness business unit. Payer ... concrete experiences and positive outcomes. Well-developed understanding of healthcare financing, revenue cycle processes and care delivery. Previous supervisory… more
- Arkansas Children's (Little Rock, AR)
- …The Payer Contract Specialist collaborates closely with and supports Revenue Cycle , Physicians, Compliance, Coding, and Finance departments to identify ... study. **Required Work Experience:** Related Field - 3 years managed care, payer relations , payer contract, or physician or hospital billing **Recommended… more
- University of Rochester (Rochester, NY)
- …reports when needed, price claims to establish the expected reimbursement in the revenue cycle system. - Initiate payer -related accounts receivable report ... the process conforms to federal and state regulations. The Revenue Cycle Coordinator IV will represent the...$10,000 report - - Claim Edits - - 10% Payer Relations and Escalation Process - Identify… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- Join a Leader in Eye Care: Director of Revenue Cycle & Billing at Ophthalmic Consultants of Boston Are you a strategic, hands-on leader ready to take charge of ... is looking for a dynamic and experienced Director of Revenue Cycle & Billing to lead our...in a director-level role + Expertise in billing operations, payer relations , call center leadership, and staff… more
- Affordable Care (Morrisville, NC)
- …seeking an experienced and results-driven Senior Manager to lead and optimize our revenue cycle operations across multiple specialty dental practices or groups. ... maximizing collections through effective claims management, patient billing and payer relations . The ideal candidate brings deep...+ Develop and implement strategies to optimize the end-to-end revenue cycle . + Monitor KPIs to measure… more
- Robert Half Finance & Accounting (Hilo, HI)
- …Responsibilities: * Lead and manage all aspects of the revenue cycle , including patient registration, coding, claims submission, payer relations , ... Revenue Billing Cycle Manager to oversee and optimize the revenue cycle processes for our healthcare organization in Hilo, Hawaii. This role requires a… more
- Children's Mercy Kansas City (Kansas City, MO)
- …beyond the walls of our hospital. Overview Reporting to the VP of Revenue Cycle , this leadership role provides oversight, management, and is accountability ... direct and indirect coding teams, coding vendor teams, physicians and providers, Revenue Cycle , other stake-holder leadership and teams to maximize professional… more
- Johns Hopkins University (Middle River, MD)
- We are seeking an **_AR Revenue Cycle Specialist III_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using ... special billing procedures that may be defined by a payer or contract. + Review and update patient registration...using Epic Resolute for A/R functions and resolution of revenue cycle issues in an academic medicine… more
- Walmart (Bentonville, AR)
- …and collaboration to deliver results. Our work directly supports the Billing and Revenue Cycle Management, and Enrollment Services teams within Health & Wellness ... Payer Relations . What You'll Bring: + Ability to manage projects and influence cross-functional teams + Experience in contract review, business strategy, and/ or… more
- Johns Hopkins University (Middle River, MD)
- We are seeking an **_AR Revenue Cycle Specialist_** to be responsible for the basic collection of unpaid third-party claims and standard appeals, using various ... special billing procedures that may be defined by a payer or contract. + Review and update patient registration...permitted by the JHU equivalency formula. Classified Title: AR Revenue Cycle Specialist Role/Level/Range: ATO 40/E/02/OC Starting… more
- Alameda Health System (Oakland, CA)
- …The analyst will assist in upholding AHS administrative and fiscal excellence within Revenue Cycle by providing expertise to assist and educate appropriate staff ... (CCS, CCS P) or through AAPC (CPC, COC, CIC) and/or certification as a Revenue Cycle Integrity Professional (CRIP). Certification needed within 1 year of date… more
- Community Health Systems (Franklin, TN)
- …management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. **Essential Functions** + Performs admission and continued stay… more
- AdventHealth (Altamonte Springs, FL)
- …Division. This position carries responsibilities which have direct impact on the revenue cycle of AdventHealth. Precision of the contract build ensures ... payer accountability and compliance to the negotiated contract rates...relationship. * Responsible for engaging in communication with hospital revenue and clinical departments * to keep them informed… more
- Community Health Systems (Franklin, TN)
- …departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue cycle processes and optimize payer relationships. As a ... data on payment trends, making recommendations for improvements in revenue cycle processes. + Reviews payer...operational teams to address contract compliance issues and enhance payer relations . + Maintains knowledge of medical… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …closely with staff and Planned Parenthood stakeholders to establish and maintain positive relations to accomplish strategic Revenue Cycle objectives across ... Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared...completeness of encounters, claims and transactions in compliance with payer rules and regulations + Maintains and ensures a… more
- Covenant Health Inc. (Knoxville, TN)
- …required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and other payer billing guidelines/policies. ... interprets Medicare and other carrier billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information can be… more
- Stanford Health Care (Palo Alto, CA)
- …(United States of America) **This is a Stanford Health Care job.** Are you a seasoned revenue cycle leader ready to make a significant impact at one of the ... PBO is responsible for enhancing and maintaining cash flow, revenue cycle performance, regulatory and HIPAA compliance,...and third- party payers. + Maintains and fosters excellent payer relations with key fiscal intermediaries and… more
- Methodist Health System (Dallas, TX)
- …Stay updated on industry trends, payer requirements, and best practices in revenue cycle management. Maintain assigned WQ metrics. Fill in as manager back ... billing processes. The ideal candidate will bring a robust background in healthcare revenue cycle management, with a particular emphasis on addressing and… more
- Rochester Regional Health (Rochester, NY)
- …non-preregistered + Contacts physician offices to obtain and confirm patient information 25% Revenue Cycle + Views insurance card(s) and scans into computer ... coverage, data entry, and point-of-service collections, while maintaining patient relations , customer satisfaction, and Canton-Potsdam Hospital financial solvency. RESPONSIBILITIES:… more