- BLACKBURN'S PHYSICIANS PHARMACY (Tarentum, PA)
- …made us a key partner for both healthcare providers and the communities we serve. The Claims Manager leads the daily operations of the claims department, ... and timely submission and denial management across all payers. Manage daily Claims operations , ensuring productivity, efficiency, and compliance with industry… more
- The University of Kansas Health System (Lenexa, KS)
- Position Title Transplant Financial Manager Southlake Campus Position Summary / Career Interest: The Patient Financial Advisor Manager is responsible for the ... educated and trained in securing patient accounts. The Patient Financial Advising Manager assures staff productivity, quality and customer service are monitored and… more
- NYC Health Hospitals (New York, NY)
- …month-end closing, cash posting, and other billing-related activities. *Prepare and submit claims to Medicare , Medicaid, private insurers, and other third-party ... A/R days, write-offs, pending Medicaid cases, authorization denials, untimely filings, Medicare Secondary Payer (MSP) claims , and more. *Handle third-party… more
- Northwestern Memorial Healthcare (Chicago, IL)
- …our employees. Ready to join our quest for better? Job Description The Operations Coordinator Patient Accounting reflects the mission, vision, and values of NM, ... documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and… more
- Medix (Spokane, WA)
- …and coding feedback to team members Act as a go-to resource for claims troubleshooting and complex problem solving Must-Have Qualifications Several years of hands-on ... lead experience EMR experience: EPIC and Cerner Strong understanding of Medicare billing and compliance Nice-to-Have Qualifications Experience with Meditech Expanse… more
- American Health Partners (Twin Falls, ID)
- …TruHealth is a division of American Health Partners, a multifaceted company with operations in multiple states. We own nursing homes, health plans for Medicare ... clinicians do each and every day. The RN Case Manager is primarily responsible for the daily management and...a group of members who are associated with a Medicare Advantage plan. Visit (in person and/or telephonic) patients… more
- Healing Partners (Sparks Glencoe, MD)
- …insurance to encounters for billing. Reporting directly to the Revenue Cycle Manager , the Insurance Verification Specialist will assist with revenue and billing ... operations within their scope. Responsibilities Verify patient's insurance coverage...through multiple online tools/portals Attach insurance information to unbilled claims and rebill claims that may have… more
- Molina Healthcare (Layton, UT)
- …outcomes and benefit realization + Demonstrates deep understanding of Core Operations , Claims and Enrollment processes, deliverables, vendor partners and ... responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of… more
- Molina Healthcare (St. Petersburg, FL)
- …Enrollment, UM, Case Management, Claims , and other departments within Molina Medicare and Medicaid regarding A&G operations and dependencies. * Responsible ... review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare … more
- McLaren Health Care (Flint, MI)
- We are looking for a MIG Manager Claims , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier.... **Position Summary:** Provides overall management in providing superior claims operations for McLaren Integrated HMO Group's… more
- Good Samaritan (Kissimmee, FL)
- …Full time **Weekly Hours:** 40.00 **Department Details** **MUST HAVE 1year Medicare & Medicaid billing experience. **Job Summary** Manage the day-to-day business ... delivery, operational efficiency, the meeting of financial goals and that operations run smoothly. Supervise the implementation of policies and procedures within… more
- Elevance Health (Richmond, VA)
- …compliance with Medicare / Medicaid regulatory policies regarding FFS and zero-dollar claims . **How you will make an impact:** + Refine and build new ... coding/ claim integrity certifications strongly preferred. + Experience working with Medicare / Medicaid and associated claims return files strongly preferred.… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Ascendis Pharma is looking to hire a Senior Manager , Contract Operations to join our team. Responsibilities will include implementing ... demonstrating strong leadership, project management, and communication skills. As the Senior Manager , Contracting Operations , you will be responsible for working… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply ... MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL...quality and safety standards consistent with the Centers for Medicare and Medicaid Services requirements. Assisting in the management… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER III, FACILITIES OPERATIONS AND CRAFTS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4855820) Apply MANAGER III, FACILITIES ... programs. Essential Job Functions Plans, assigns, coordinates, and manages, through subordinate Manager , Facilities Operations and Crafts staff, a variety of… more
- Hunterdon Health Care System (Flemington, NJ)
- …for supervising, planning, organizing and coordinating the daily activities of the claims processing and accounts receivables for the Acute Care billings (hospital) ... within the Revenue Cycle + Preferred: + + Bachelor's Degree in business, operations , or healthcare preferred + Minimum Years of Experience (Amount, Type and… more
- Cambridge Health Alliance (Cambridge, MA)
- …our participants. This role is responsible for overseeing Medicaid and Medicare enrollment, claims , reporting, risk adjustment, compliance, contract management, ... Lead government relations as they pertain to Health Plan Operations . * Manage all aspects of Medicare ...reporting. * Maintain secure and organized HPO data systems. ** Claims and Revenue Reporting** * Oversee Third Party Administrator… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... key business functions. The ideal candidate will bring deep expertise in healthcare operations and a strong command of project management principles. You will lead… more
- Molina Healthcare (Everett, WA)
- … Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and Marketplace lines of business. This ... workflows, and escalation protocols to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. +… more
- KONE, Inc (Moline, IL)
- **Job Title** Worker's Compensation Manager **Company Overview** Founded in 1910 _,_ KONE (https://www.kone.com/en/) is a global leader that provides elevators, ... help make people's journeys safe, convenient and reliable. Our operations in over 60 countries around the world has...move to join our team as our Worker's Compensation Manager for KONE Americas in KONE Moline, IL? +… more
