- CGI Technologies and Solutions, Inc. (Dallas, TX)
- ** Payment Integrity Edits Manager ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Texas, Dallas **Position ... ID:** J0324-1896 **Employment Type:** Full Time **Position Description:** The Payment Integrity Edits Manager is a member of the CGI Payment … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …paced, managed healthcare environment is required + 7-10+ years directly work in payment reimbursement policy, payment integrity and/or clinical editing + ... We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible for leading… more
- Rush University Medical Center (Chicago, IL)
- …**Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Revenue Integrity Analyst uses advanced knowledge of coding, CDM, charge capture, and auditing to ... accurate and timely capture of all chargeable procedures. The Revenue Integrity Analyst also provides high-level professional support in working advanced outpatient… more
- Bozeman Health (Bozeman, MT)
- …Carolina 12. North Dakota 13. Wisconsin 14. Tennessee Position Summary: The Revenue Integrity Supervisor assists the System Manager of Revenue Integrity ... by maintaining a compliant and defensible Charge Master (CDM), claim integrity , and charger reconciliation program. Assists with departmental and organizational… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …the Iowa Medicaid program, as it applies to payments to providers. As the payment integrity subject matter expert (SME), this position analyzes and understands ... Coding Initiative (CCI) vendors by evaluating the Agency's use of appropriate system edits to prevent improper payment of claims; monitoring coding quality and… more
- HealthEdge Software Inc (Columbus, OH)
- …_With Source_ ,we'rechanging the industry narrative, providing a moreholistic approachto payment integrity that focuses on comprehensive reimbursement, agile ... offers the ability for clients to unlock transformation at the reimbursement, payment integrity , and enterprise level. Our Reimbursement Transformation features… more
- Ascensus (Boston, MA)
- **Section 1: Position Summary** The Marketing Manager will provide marketing strategy and tactical execution to promote new account adoption and existing account ... our many distinct 529 college savings plans. The Marketing Manager will also support Ascensus specific promotional efforts and...system + Collaborate with internal teams to ensure all edits are properly incorporated and final approvals obtained +… more
- HCA Healthcare (Nashville, TN)
- …billing, revenue integrity and/or the Medicare Service Center to resolve alerts/ edits ** + **Communicates coding revisions to the applicable party (eg, CIS, lead, ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- WellSpan Health (York, PA)
- …submitting electronic and / or manual insurance claims, resolves claim edits , performs insurance account follow-up, researches claim denial for resolution and ... manner while interacting with patients and third-party payers to achieve payment on accounts in accordance with current government and payer regulations.… more
- HCA Healthcare (Nashville, TN)
- …in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/ edits + Communicates coding revisions to the applicable party (eg, CIS, lead, ... manager , international log) + Completes MOCK abstracts as necessary...services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- Trinity Health (Livonia, MI)
- …inquiries and responds accordingly. Processes employee time correction forms, and historical edits in timekeeping system. Assists with analysis and correction of tax ... withholding and payment issues. Processes child support, creditor garnishments, and tax... corrections to be loaded by Payroll Coordinator or Manager for payroll processing. Other duties as assigned. Maintains… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... At HCA Healthcare, we are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as a Payroll Specialist today.… more
- Tidelands Health (Murrells Inlet, SC)
- …in order to take correct actions to allow for payer processing for payment . + Collaborate with Clinical Documentation Integrity (CDI) team as part ... point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences… more
- University of Utah Health (South Jordan, UT)
- …committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity , quality and trust that are integral to our mission. EO/AA_ ... submissions, e-mail exception format, and Kronos approval and sign off. + Reconciles and edits daily schedule changes and time card data entry for the payroll of… more
- Covenant Health (Lubbock, TX)
- …the Central Business Office Director and the direct supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible ... collected on behalf of Covenant. This individual addresses claim edits , files all claims on either a UB-04 (RHC)...management guidelines and systems in order to maintain highest integrity of the Medical Group as well as to… more