• Detroit Medical Center (Detroit, MI)
    Detroit Medical Center is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Detroit, Michigan.Job Description & RequirementsSpecialty: ... Ongoing36 hours per weekShift: 12 hours, daysEmployment Type: Staff The Detroit Medical Center (DMC) is a nationally recognized health care system that serves… more
    JobGet (06/23/24)
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  • Team Lead - Managed Care Coordinator

    Beth Israel Lahey Health (Wakefield, MA)
    …and strategies to better coordinate patient care, pilot new initiatives, train Managed Care Coordinators, initiate and process managed care insurance referral ... coach, role model/mentor, providing support, training and sharing knowledge with other Managed Care Coordinators. Makes recommendations on how resources can be used… more
    Beth Israel Lahey Health (05/21/24)
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  • Billing and Follow-up Representative-I…

    Trinity Health (Farmington Hills, MI)
    …100% Work Onsite - Livonia, Michigan (Pay Range: $16.4877-$24.7316 Performs day-to-day billing and follow-up activities within the revenue operations of an assigned ... Services (PBS) location. Serves as a member of the billing and follow-up team at a PBS location responsible...- Monday thru Friday** + **Experience with the Epic medical system desirable** High School diploma and successful completion… more
    Trinity Health (06/21/24)
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  • Medicare Billing and Collections Specialist

    PruittHealth (Norcross, GA)
    …patient accounting applications, as typically acquired in1-3 years of patient accounting / medical billing positions * Experience in month end close activities ... settled in the timeliest manner. 7. Applies knowledge of specific payer billing /payment rules, managed care contracts, reimbursement schedules, eligible provider… more
    PruittHealth (06/08/24)
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  • Managed Services Support Desk Manager

    Randstad US (Clive, IA)
    …+ reference1051650 job details job summary: We are seeking a dynamic and experienced Managed Services Support Desk Manager to lead our team of dedicated support ... + Work closely with the finance team on monthly billing . + Perform other tasks as needed and/or requested....Job Summary: We are seeking a dynamic and experienced Managed Services Support Desk Manager to lead more
    Randstad US (06/05/24)
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  • Billing and Follow Up Representative-II…

    Trinity Health (Farmington Hills, MI)
    …PURPOSE** Work Remote Position (Pay Range: $18. 4663-$27.6994) Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned ... Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location...a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service… more
    Trinity Health (06/23/24)
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  • Correspondence Representative-I ( Medical

    Trinity Health (Walker, MI)
    …willing to work day shift hours - Monday thru Friday** **Experience with the Epic medical billing system desirable** High school diploma and a minimum of one (1) ... $14.7212-$22.0818) Performs the day-to-day correspondence activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business… more
    Trinity Health (06/18/24)
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  • Managed Care Contract Manager

    Baystate Health (Springfield, MA)
    **Summary:** Under the direction of the Director of Managed Care, the Managed Care Contract Manager is responsible for the key components of the payer ... higher quality or less costly care. Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing payer strategy,… more
    Baystate Health (05/25/24)
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  • Billing and Insurance Representative…

    Tidelands Health (Georgetown, SC)
    …**:** Under the general supervisor of the Revenue Cycle Manager, the Billing and Follow Up Representative applies professional administrative knowledge and skill ... the Accounts Receivable assets of Tidelands Health facilities by Billing & Collecting Insurance Claim Balance(s) and will be...payor issues and trends and escalate those issues to Lead and/or Management. + Ensure compliance with State and… more
    Tidelands Health (05/04/24)
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  • Medical Billing Audit Coordinator

    Superior Ambulance Service (Elmhurst, IL)
    …Medicaid and Managed Care + Strong knowledge of Medicare, Medicaid and Managed Care guidelines + Background of medical terminology including various coding ... areas as needed with emphasis on customer compliance requests, general billing error inquiry, and process improvement opportunities. Candidate will work redundant… more
    Superior Ambulance Service (06/13/24)
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  • Managed Investments Product Manager

    Bank of America (Jersey City, NJ)
    Managed Investments Product Manager Pennington, New Jersey;Jersey City, New Jersey **Job Description:** At Bank of America, we are guided by a common purpose to help ... the client experience, such as client exception requests and billing concerns, Manage and address adhoc requests and issues...Bank and Consumer Investments. As a member of the Managed Investments team, this role will provide support for… more
    Bank of America (03/26/24)
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  • Software Development Engineer II, EC2 Edge…

    Amazon (Seattle, WA)
    …business, with new technologies, from the ground-up. AWS Outposts are fully managed and configurable compute and storage racks built with AWS-designed hardware that ... tasks in the future 10017 Key job responsibilities - Lead feature development work on a team - Participate...the team Our team is focused on the ordering, billing , and installation lifecycle of the Outposts family of… more
    Amazon (06/01/24)
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  • VP, Managed Long-Term Services and Supports

    UPMC (Pittsburgh, PA)
    The Vice President has overall product ownership of the Managed Long-Term Services and Supports (MLTSS) program line of business, Community HealthChoices (CHC). In ... statutory requirements. The Vice President will serve as internal and external product lead , also overseeing the service coordination function for CHC. The VP will… more
    UPMC (06/14/24)
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  • Managed Care Data Platform Manager

    CommonSpirit Health (Englewood, CO)
    …+ Experience with healthcare claims and remit data preferred + Experience in medical and billing data preferred + Working knowledge of Python, JavaScript, ... a remote position. Seeking a strong manager of technical healthcare teams for Managed Care.** **Job Summary / Purpose** The System Manager, Data Engineering is… more
    CommonSpirit Health (05/13/24)
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  • RCM Ancillary Services Team Lead

    BrightSpring Health Services (Englewood, CO)
    …growing network of branches and healthcare professionals. The RCM Ancillary Services Team Lead will be capable of performing all activities related to the tracking ... and resolving of Amerita's credit balances, processing incoming/outgoing correspondence, medical records , payer/patient refunds, payer audits, appeals, and… more
    BrightSpring Health Services (06/19/24)
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  • Lead Healthcare Accounts/Receivable…

    Universal Health Services (Wayne, PA)
    …3 - 5 years' experience in healthcare revenue cycle. + Healthcare (professional) billing , knowledge of CPT/ICD-10 coding, government, managed care and commercial ... Services - Independence Physician Management - UHS (https://uhs.com/about-uhs/physician-services/?redirect=www.uhsinc.com) The Lead Accounts Receivable Specialist is responsible for handling complex,… more
    Universal Health Services (05/08/24)
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  • Revenue Cycle Support - Team Lead

    Guidehouse (Birmingham, AL)
    …level management experience a plus. + General knowledge of payer specific or medical specialty billing . + Organizational and analytical skills. + Knowledge of ... None **What You Will Do** **:** As a Team Lead , under general supervision and according to established policies...duties to the third party recovery function of the Managed Services Organization. Such duties may include, but not… more
    Guidehouse (06/22/24)
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  • Lead Collections Specialist CBO

    HCA Healthcare (Miramar, FL)
    …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... join an organization that invests in you as a Lead Collections Specialist -CBO? At Surgery Ventures powered by...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (05/24/24)
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  • Monday-Friday Lead Registered Nurse…

    Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
    Monday- Friday Daylight Lead Registered Nurse Assessment Coordinator (RNAC) Benefits of the Lead Registered Nurse Assessment Coordinator (RNAC): + Daily Pay! ... Creek Rehab and Nursing Center is currently looking for a Full Time Lead Registered Nurse Assessment Coordinator (RNAC) to assist with leading our nursing team!… more
    Spring Creek Rehabilitation and Nursing Center (06/23/24)
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  • Access Lead (UPMC Mercy Hospital)

    UPMC (Pittsburgh, PA)
    …patient access and customer service? UPMC is looking to hire a full-time Access Lead to support the Patient Arrival department at UPMC Mercy. This position would ... weekends and holidays, from 5:00pm until 1:30am. The Access Lead will coordinate and lead the daily...time frames. Takes action accordingly to ensure a successful billing process. + Ensure precertification requirements have been met… more
    UPMC (06/19/24)
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