- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) ... database, interacting with stakeholders and producing reports for the programs. The Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst… more
- Bath & Body Works (Columbus, OH)
- …is a manager-level role responsible for leading the strategy, execution, and optimization of Payment , Tax, and Fraud platforms. This PO will play a critical role in ... across the Point of Sale, Order Management System, and website, establishing consistent payment , tax, and fraud compliance across all channels. As the voice of the… more
- Citizens (New York, NY)
- Description As a Card Payment Consultant, you will be responsible for identifying and developing payables opportunities with new and existing customers in an ... programs (key drivers of profitability or savings) to clients. + Analyze clients' payment processes and financial needs to offer tailored solutions. + High level of… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Works with contract management personnel in the review of contracts and other reimbursement or payment arrangements in relation to charging, coding and billing ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay...areas and provides auditing procedures related to documentation and reimbursement . Also provides corporate oversight of any current departmental… more
- Covenant Health Inc. (Knoxville, TN)
- …Works with contract management personnel in the review of contracts and other reimbursement or payment arrangements in relation to charging, coding, and billing ... Overview Supervisor Revenue Integrity -Operations Full time, 80 Hours Per Pay Period,...areas and provides auditing services related to documentation and reimbursement . + Reviews ADR log, denial reports, and Payer… more
- Hartford HealthCare (Farmington, CT)
- …common practices across the system. *_Position Summary:_* Reporting to the Revenue Integrity Director, this role is a subject matter expert focused on improving ... and leadership for a team responsible for capturing appropriate revenue and reimbursement , and denial prevention. Manages and monitors the results, data analysis and… more
- Fairview Health Services (St. Paul, MN)
- …conventions, and coding clinics. + Demonstrates thorough understanding of various payment structures, fee schedules, and reimbursement methodologies in the ... **Job Overview** **Fairview is looking for an Outpatient Clinical Documentation Integrity Specialist to join our team.** **Bring Your Possibilities to Fairview** At… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …serve as the operational and policy subject matter expert (SME) on payment integrity . This key position will analyze, report, and monitor the overpayment ... Financial Integrity Oversight Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4955894) Apply Financial Integrity Oversight Officer… more
- Northwell Health (Westbury, NY)
- …business areas + Acts as an advisor to leadership on the development of overall policy and mid to long-term goals of function units + Direct reports must be at ... of the job under the Americans with Disabilities Act. Revenue Integrity Operations Responsibilities + Maintains the hospital's charge description master (CDM)… more
- Central Maine Medical Center (Lewiston, ME)
- …community and for each other every day. Central Maine Healthcare is seeking a Revenue Integrity Analyst to join our team! This is a full time on site, benefits ... eligible position. The role the Revenue Integrity Analyst is to assist Central Maine Healthcare (CMH)...role to improve the overall effectiveness of revenue cycle policy , practices and technology platforms for all CMH organizations.… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- …actionable data to support patients and providers. + Safeguard the accuracy and integrity of patient experience and reimbursement data. + Lead the development ... The Director of Market Access Patient Experience and Reimbursement Analytics is an individual contributor role focused on analyzing and optimizing patient experience… more
- AbbVie (Raleigh, NC)
- …with appropriate providers within territory + Remain current on key managed care, reimbursement , and policy activities Qualifications + At least 3 years of ... Access and Reimbursement + Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding and payment for… more
- AbbVie (North Chicago, IL)
- …in advanced access knowledge and skills, partnering closely with Field Reimbursement Managers (FRMs) and Health Care Providers (HCPs) within assigned territories ... access barriers for patients. Responsible to educate on the access and reimbursement support tools available at AbbVie, advising HCPs on patient program eligibility,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …. **Position Overview:** **;** The Vice President of Corporate Network Policy and Planning is responsible for developing, managing, and executing enterprise-wide ... network strategy and planning, provider setup in Facets, accurate provider payment , and integration activities within and outside the organization. This role… more
- Walmart (Sunnyvale, CA)
- …for merchandise on the e Commerce platform, and to provide a bulletproof payment experience for customers in stores and online. Walmart is investing in transforming ... as they work with our customers to deliver world-class software solutions. The Unified Payment team has been chartered to provide a singular payment solution for… more
- Walmart (Columbus, IN)
- …refunds and exchanges using appropriate procedures for different membership and payment typesProvides Pharmacy products and services to Members in accordance with ... with company policies procedures and standards of ethics and integrity by implementing related action plans using the Open...by implementing related action plans using the Open Door Policy : and applying these in executing business processes and… more
- Walmart (Columbus, IN)
- …cash registers and related hardware and using appropriate procedures for different payment types and items soldMaintains merchandise presentation in the pharmacy by ... with company policies procedures and standards of ethics and integrity by implementing related action plans using the Open...by implementing related action plans using the Open Door Policy : and applying these in executing business processes and… more
- Nebraska Public Power District (Norfolk, NE)
- … integrity of the billing system and various other systems. Ensure the integrity of financial transactions by following daily payment handling processes and ... but is not limited to, service order requests, new services, billing/ payment /rate inquiries, maintaining/updating customer account information and a variety of… more
- Walmart (Bentonville, AR)
- …of significant reserve increases; monitoring reserves for all open claims; authorizing payment for approval or facilitating denial of the claim; and reserving file ... may have on case law and precedent prior to making claim payment ; and structuring complex settlements. Manages moderately complex cases involving alleged bodily… more
- Trinity Health (Howell, MI)
- …Inform patients on cost of treatment, insurance benefits, resources for payment and financial assistance. Secures and documents payment arrangements. ... forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to be invoked. Utilizing key reports and tools to facilitate… more