- Trinity Health (Farmington Hills, MI)
- …and non-government accounts. The position reports directly to the Supervisor Billing and 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
- Albany Medical Center (Albany, NY)
- Department/Unit: Clinical Chemistry Work Shift: Day (United States of America) Salary Range: Min. $34.40/hr - Max $56.76/hr The Laboratory Assistant Supervisor ... on patient care needs, and regulatory and quality standards. The Assistant Supervisor has expertise and leadership in laboratory medicine in the specialty assigned.… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Supervisor , Office Administration Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2992786&source=2992786-CJB-0) Job Title: Supervisor , Office Administration Job Status: Full-time Functional areas employee… more
- J&J Family of Companies (Irvine, CA)
- …conducting strategic assessments (eg, gap analysis) via literature review and providing clinical /scientific support to developing claims , pre- and post-market ... Senior Director, Clinical Science & External Research - 2406171899W **Description**...tackle the leading causes of mortality and the most complex diseases around the world. Johnson & Johnson is… more
- Intermountain Health (Broomfield, CO)
- …Details: 1. Oversees the day to day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- Brookdale Senior Living (Raleigh, NC)
- Overview RN Required Brookdale Travel Health and Wellness Director ( Clinical Services Specialist) for senior living communities throughout Mid North Carolina and ... a structured orientation and many resources to support our clinical leaders. * Annual incentive bonus potential up to...Care Associates. May also supervise Resident Care Coordinators and Supervisor , Resident Care. + Assigns and directs work of… more
- BrightSpring Health Services (Dallas, TX)
- …Receivable Coordinators related to the billing, collections and first stage claims denial processing + Accomplishes department objectives by supervising staff; ... and expectations + Updates receivables by coordinating and monitoring daily billings, claims processing and denials and unapplied cash clearing. processing and bank… more
- UCLA Health (Los Angeles, CA)
- …and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel employees, and take ... and key performance indicators. You will hire and train non- clinical coordinator staff as well as manage and monitor...We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of… more
- University of Rochester (Rochester, NY)
- …accounts in order to bring about prompt account resolution and revenue collection from complex claims , high dollar claims and specialized services (global ... Service Representatives. **15% Designated Support** + Researches and responds to SMH clinical department inquiries on complex , high dollar and specialized… more
- Trinity Health (Farmington Hills, MI)
- …location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials). Serves as part of a team of payment resolution colleagues at ... received on denied accounts, and resolving or escalating issues to the Supervisor Payment Resolution Supervisor for resolution. Provides training and guidance… more
- Apex Health Solutions (Houston, TX)
- …as the National Correct Coding Initiative (NCCI) edits and their relation to clinical logic in claims adjudication. Expert knowledge with standard claim formats ... Job Title: Benefits & Policy Configuration Specialist Supervisor : Manager, Provider & System Configuration Required License(s)/ Certification(s): Coder Certification… more
- Johns Hopkins University (Middle River, MD)
- …Revenue Cycle Specialist II_** responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and ... Communicates with payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts for which… more
- Trinity Health (Farmington Hills, MI)
- …and non-government accounts. The position reports directly to the Supervisor Billing and 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
- Houston Methodist (Houston, TX)
- …Service Standards. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal ... responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
- Cleveland Clinic (Cleveland, OH)
- …II, you will monitor, review, and apply correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research, ... you can advance into Coder III, Senior Coder or Supervisor positions. At Cleveland Clinic, we know what matters...continuity of care. + Responsible for working professional held claims in CCF claims processing system. Work… more
- Intermountain Health (Panguitch, UT)
- …health care team to improve the health of patients with chronic conditions or complex needs. This position educates patients and families to help them manage their ... addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. Employee Health Oversee the Employee Health… more
- CVS Health (Springfield, IL)
- …Call insurance plans to follow-up on submitted prior authorizations. * Communicate to the Supervisor staff and then escalate to the Claims Manager any changes in ... been an Omnicare specialty, we also serve other targeted populations. The CIC, Claims associate is responsible for the timely and accurate distribution of phone… more
- Trinity Health (Farmington Hills, MI)
- …of coding best practices. This position reports directly to the Supervisor Clinical /Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, ... based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution. Interprets data, draws conclusions,… more
- Crawford & Company (Houston, TX)
- …Compensation, Group Health, Liability and Disability. Responsibilities + May assist supervisor /manager in review of reports, staff development. + Reviews case ... goals to include RTW. + May review files for claims adjusters and supervisors. + May perform job site...employers to review active files. + Reviews cases with supervisor monthly to evaluate file and obtain direction. +… more
- Tufts Medicine (Lawrence, MA)
- …and financial-clearance duties necessary to facilitate the procurement of clinical services by patients. Collects patient's necessary demographic and financial ... or a role that focuses on support of daily business activities (eg, technical, clinical , non- clinical ) operating in a "hands on" environment. The majority of… more