- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 10 **Position:** Supervisor Claims PFS **Union Code:** 00 - Non ... Union **Bi-Weekly Hours:** 75 **Weekend/ Holiday Requirement:** No Weekends or Holidays Required Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences.… more
- Guidehouse (Birmingham, AL)
- …Up to 10% **Clearance Required** **:** None **What You Will Do** **:** **The** ** PFS Supervisor - Clinical Trials** an extension of a client's business office ... closely with other areas to ensure timely submissions of claims to the payers. Ensure all claims ...required. + Complete annual evaluation of staff. + Take " supervisor " calls when a team member needs assistance with… more
- Trinity Health (Farmington Hills, MI)
- …posting processes are followed. This position reports to the Supervisor Payment Posting. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates ... appropriate system(s). Tracks data on payment activity and related findings for supervisor . Adheres to proactive practices, including cash posting of all incoming… more
- Tidelands Health (Pawleys Island, SC)
- …better lives through better health!** **Position Summary** **:** Under the general supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager ... and achieve high collections and low accounts receivable days outstanding. + Ensure claims are processed daily and within the timely filing guidelines where account… more
- Trinity Health (Farmington Hills, MI)
- …problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Banner Health (AZ)
- …Microsoft Office programs, edge, Banner Systems (MS4, CERNER, Finthrive collections(web based), nthrive claims **Monday - Friday 8am - 4:30pm AZ Time** **This can be ... activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …which is subject to renewal.** JOB SUMMARY: Under the direction of the Supervisor of Professional Billing & Coding, the Billing and Collections Rep receives charge ... Responsible for daily processing of claim edits for rejected claims processed through electronic claim vendors. Provides professional customer service… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the general direction of the Supervisor , Professional Billing & Coding and Director, Professional Billing & Coding, this position operates from ... Revenue Cycle Center to address coding issues related to professional billing claims . The incumbent is responsible for reviewing provider charges to ensure accuracy,… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** **Accounting Clerk (Commercial Claims Follow-up) Full-Time M-F 9AM to 5PM East 42nd Street** Under the supervision of the Patient Financial ... Supervisor /Manager, performs a variety of patient accounting functions, including...from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House and other direct payers.… more
- Bozeman Health (Bozeman, MT)
- …Needs Position Summary: The Hospital / Professional Insurance Billing Supervisor is responsible for assisting with planning, directing, organizing, monitoring ... the hospital executive team in collaboration with the Patient Financial Services ( PFS ) manager. Oversees and coordinates the insurance billing function for Bozeman… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** PFS Billing **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Medical Biller** is expected to ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...denials for trends and issues and reports finding to supervisor . + Bills or re-bills as necessary. + Ensures… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** PFS General **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** Guidehouse is a leading global provider ... goals are met. + Audits patient accounts as requested. + Works closely with supervisor to create applicable work lists. + Assists in the implementation of standards… more
- University of Rochester (Rochester, NY)
- …contractual obligations on both primary and secondary levels. Trains new and existing PFS staff on new procedures and acts as point person for complex accounts. ... activities of peers and lesser-grade staff, as directed by the Supervisor . Independent judgment is necessary in escalating collection activities and determining… more
- UNC Health Care (Durham, NC)
- …focus groups for quality improvements and improved throughput of accounts. 3. Assists PFS manager in the he design, coordination, and implementation of policies and ... daily and weekly meetings to review issues and keep staff involved with PFS and Healthcare's goals. Coordinates team time off requests to ensure adequate staffing… more
- Hackensack Meridian Health (Hackensack, NJ)
- …for the Northern Region. **Responsibilities** A day in the life of a Supervisor of Revenue Cycle & Reconciliation with Hackensack Meridian Health includes: + Develop ... Minimum of 4 years experience in Healthcare billing, or health insurance claims environment. Familiar with medical billing practices, concepts, and procedures. +… more
- University of Rochester (Rochester, NY)
- …+ Review and advise supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor /manager on communication to payer ... independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Maintain a detailed knowledge of billing… more
- The Mount Sinai Health System (New York, NY)
- …fee schedule linkage, and facilitation of the resolution of escalated operational and claims issues. The Director, Hospital Contract Support is a key member of the ... Develop and maintain excellent relationships with key stake holders eg Finance, PFS , Appeals Management, Clinical Operations, UM/CM, Legal etc., functioning as a… more
- WellSpan Health (York, PA)
- …Cycle functions including, submitting electronic and / or manual insurance claims , resolves claim edits, performs insurance account follow-up, researches claim ... via electronic or manual processes and facilitates special billing for split claims , ancillary charges, interim bills, etc.- Resolves Claim edits to facilitate… more
- Trinity Health (West Des Moines, IA)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, ... recommendations for resolutions of the issues and findings for the supervisor . Resolves independently or escalates issues affecting customer complaints and issues… more
- University of Rochester (Rochester, NY)
- …coordinate activities of peers and lower-level staff as directed by the Operations Supervisor and Assistant Director, PFS . **Typical Duties** : Under general ... correct dollar amount charged) to create compliant and billable claims for service. For professional billing: + Verify that...correct dollar amount charged) to create compliant and billable claims for service. + Work with hospital PBB manager,… more