- Conduent (Atlanta, GA)
- …and be part of a culture where individuality is noticed and valued every day. ** Payment Integrity /Client Advocacy** **About the Role** Payment Integrity ... and coordination of benefits is seeking a Client Advocacy Lead to serve as principal client contact. Ability to...needed. **Requirements** + Requires knowledge and experience in the Payment Integrity /Client Services (Advocacy) field + College… more
- Trinity Health (Farmington Hills, MI)
- … Remote Position (Pay Range: $20.6822-$31.0233) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ... denials (inclusive of clinical denials). Serves as part of a team of payment resolution colleagues at an assigned PBS location responsible for determining root… more
- Trinity Health (Farmington Hills, MI)
- … Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ... all post-billed denials (inclusive of clinical denials). Serves as part of the Payment Resolution team at an assigned PBS location responsible for ensuring payments… more
- AmeriHealth Caritas (Newtown Square, PA)
- …enterprise support in the areas of Robotic Processing Automation, Facets Configuration and Payment Integrity . The role will utilize leadership skills, as well as ... the leadership and strategic direction of Configuration, RPA and Payment Integrity . + Maintains a working knowledge...ability to develop internal enterprise relations. + Ability to lead teams and direct workflow across several departments and… more
- Bozeman Health (Bozeman, MT)
- Approved Remote States 1. Arizona 2. Florida 3. Georgia 4. Idaho 5. Indiana 6. Iowa 7. Maine 8. Michigan 9. South Dakota 10. Texas 11. South Carolina 12. North ... Dakota 13. Wisconsin 14. Tennessee Position Summary: The Revenue Integrity Supervisor assists the System Manager of Revenue Integrity (RI) with planning,… more
- Trinity Health (Livonia, MI)
- …decision support, operations &/or optimization leadership focus. **_** This position is remote based and allows for work from home/ remote opportunity._** ... a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Performance Integrity Innovation Analyst (PI Innovation Analyst) is responsible for a thorough understanding of software system configuration and ... and support improved utilization of the system. The PI Innovation Analyst will lead the development of requirements specific to changes and updates to system process… more
- Health Plans, Inc. (Westborough, MA)
- …so, Health Plans, Inc. is the place for you. Join a team that values integrity , flexibility, loyalty, compassion and dedication-we can't wait to meet you. What we do ... Reporting to the Director of Enrollment & Billing, the Payment Processing Specialist is responsible for the facilitation of...Communicate with outside vendors to insure the issuance and integrity of checks and EOBs created during the check… more
- The Cigna Group (Bloomfield, CT)
- Job Description Role is within Payment Integrity (Medicare and Commercial Coordination of Benefits Operations and Enhancements). This position reports directly ... contributor. **RESPONSIBILITIES:** The Medicare and Coordination of Benefits Operations Lead Analyst fulfills the following duties: Utilizes Medicare expertise in… more
- Trinity Health (Livonia, MI)
- …demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity , our organization will continue to provide better health, better care, ... RHM Medicaid Vendor and/or Financial Counselor as appropriate. Initiates payment plans and obtains payment . Informs and...Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as… more
- TE Connectivity (Middletown, PA)
- FINANCE ANALYST IV - COMMERCIAL ( Remote ) **At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, ... sales and standard margin review during month end close, lead gross to net sales analysis, closely follow up...DSO reduction and past due AR reduction. + Review/approve payment term requests, drive payment terms alignment… more
- CareFirst (Baltimore, MD)
- …Management along with business leaders within Pharmacy, Product / Benefit Design, and Payment Integrity and Special Investigations to develop new ideas that ... area, who is willing and able work in a remote model. The incumbent would be expected to work...close concert with the Finance division, this position will lead Cost of Care management process, including, but not… more
- Trinity Health (Farmington Hills, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $ 18.4663-$27.6994) Performs the day-to-day billing and ... Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence… more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote position (Pay Range: $16.4877-$24.7316) Performs day-to-day billing and follow-up ... proactive practices which include contacting the payer directly for payment due on accounts and reviewing and responding to...Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as… more
- Martin's Point Health Care (Portland, ME)
- …business units across the organization. This position has been approved for remote work. Apply today for immediate consideration! Job Description Position Summary: ... related Part C and Part D reporting requirements for Medicare. + Has lead responsibility for preparation and presentation of annual Healthplan LOB's revenue and… more
- CVS Health (Tallahassee, FL)
- …for a highly motivated candidate to join the rapidly growing Behavioral Health Payment Integrity and Customer Relations team that ensures Behavioral Health ... looking for a candidate who will serve as the lead for various claim and benefit reviews such as...schedule depending on business needs. This is a 100% remote position. Work from anywhere in the US Required… more
- ARAMARK (Philadelphia, PA)
- …of new ITSM tools and technologies, driving process automation and efficiency. + Lead the definition and adoption of appropriate ITSM, ITIL, and Six Sigma process ... and external stakeholders of varied backgrounds. + Acts with integrity and a sense of urgency. Sees the ?Big...management, and development methodologies. ? Leadership ? Ability to lead a team of IT leaders aligning business goals… more
- Trinity Health (Newtown, PA)
- …**Description:** Trinity Health Mid-Atlantic is looking for an experienced Revenue Integrity Nurse Auditor to join our team! Hybrid Schedule: Full-time, ... Monday-Friday (4 days remote , 1 day on-site) Location: 41 University Drive Newtown, PA 18940 This person will be responsible for coordinating denials with Patient… more
- WellSpan Health (Lititz, PA)
- Senior Revenue Integrity CDM Coordinator Location: WellSpan Health, Lititz, PA Schedule: Full Time Sign-On Bonus Eligible Remote /Hybrid Regular Apply Now See ... affect charge functions. + Facilitates the implementation of annual Outpatient Prospective Payment System final rule and annual AMA coding changes for all hospital… more
- ConnextCare (Pulaski, NY)
- Revenue Integrity Manager Pulaski, NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description Basic Function: To provide direction and ... oversight to the Lead Billing and Outreach Representatives within the organization to...Audit. + Work with insurance company representatives to ensure payment on claims + Ensure compliance of appropriate Joint… more