- CenterWell (Topeka, KS)
- …a part of our caring community and help us put health first** As an ** RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you ... + High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures and… more
- CenterWell (Atlanta, GA)
- …the Atlanta, GA market or Kansas City, MO or Kansas City, KS markets.** As the ** RCM Healthcare Claims Denials (Accounts Receivable) Supervisor** , you ... and initiate correspondence to insurance companies for reconsideration of claims . + Supervise accounts receivable management functions and maintain assigned… more
- R1 RCM (Boise, ID)
- …+ Three (3) years of denials coding experience + Three (3) years of claims experience + Professional coding experience + Experience with Athena + Must be able to ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Denials ** **Coder III** you will be responsible for reviewing clinical… more
- R1 RCM (Southfield, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Operations Support Supervisor, based on-site in Michigan, you ... Operations Support Department, managing tasks such as printing, scanning, and mailing claims , billing, and medical records. Every day, you will oversee staff… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant, you will represent healthcare providers in their ... and federal laws, writing appeals and letters to insurance companies to resolve denials , and reviewing high-balance or complex accounts. To thrive in this role, you… more
- Growth Ortho (Nashville, TN)
- …the full revenue cycle, including scheduling, eligibility, coding, billing, claims , denials , and collections. Strong knowledge of RCM technologies (eg, PM ... This role offers a unique opportunity to play a key role in shaping the future of RCM operations for a fast- growing, mission-driven healthcare organization. more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Help at Home (Chicago, IL)
- …focused on serving people and the communities we are part of._ **Job Summary:** The RCM Specialist, AR reports to the RCM Supervisor or Manager. This position ... a high standard_ **Essential Duties and Responsibilities:** + Submits claims to payors in accordance with payor requirements and...agency policy. + Receives notices of claim rejections & denials . + Properly track and resolve issues to ensure… more
- R1 RCM (Salt Lake City, UT)
- …**Operations Associate - Resolution** , you will help --by working directly with healthcare insurance companies to recover underpaid hospital claims for our ... + Analyze and interpret denial data to develop evidence-based responses for claim/appeal denials to ensure contractual payment of submitted claims + Perform… more
- R1 RCM (Boise, ID)
- …will help our hospital clients by serving as an expert on appeals and denials management where claims were denied by either governmental contractors or ... patient care as well as conceptual knowledge of the denials landscape. Proficiency in basic computer skills is essential...annual bonus plan at a target of 10.00% The healthcare system is always evolving - and it's up… more
- R1 RCM (Salt Lake City, UT)
- …relevant questions and obtain appropriate information in pursuit of resolving unpaid claims . Appeals Specialist incumbents must be assessed as being resourceful and ... scope of this position. **Responsibilities** : + Investigates and examines source of denials utilizing knowledge of charge master, AS4, ICD-9 coding, CPT coding and… more
- Cardinal Health (Fresno, CA)
- …closely with billing, coding, clinical teams, and payers to ensure efficient claims resolution **_Responsibilities_** + Review payer denials and rejections ... **_What Revenue Cycle Management ( RCM ) contributes to Cardinal Health_** Practice Operations Management...on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient… more
- WestCare Foundation (Henderson, NV)
- …Category Management Description POSITION SUMMARY: The Director of Revenue Cycle Management ( RCM ) is responsible for overseeing all functions of the revenue cycle, ... operations, including patient registration, insurance verification, coding, charge capture, claims submission, payment posting, A/R management, and collections. +… more
- Open Mind Health (NC)
- …Open Mind Health and will coordinate with others to assure error-free and appropriate RCM submissions to enable timely cash flow for the company. The lead will also ... engage in timely follow-up to billing disputes, claim denials , and any other intervening issue that has the...that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also… more
- RWJBarnabas Health (Oceanport, NJ)
- …Place, Oceanport, NJ 07757 Job Title: Patient Accounts Rep - Billing, RCM Location: Hybrid, Oceanport, NJ Department Name: Patient Accounts Req #: 0000207375 ... . This includes billing insurance companies, following up on outstanding claims , collecting payments from patients, responding to patient inquiries, and maintaining… more
- Touro University (Albuquerque, NM)
- …on overdue balances. + Collaborate with billing staff to address insurance claim denials and discrepancies. + Generate and analyze AR aging reports to identify ... all AR activities and ensure compliance with clinic policies. + Administrative and RCM Support: + Work closely with clinic staff and external revenue cycle… more
- Modivcare (NY)
- …submissions, resubmissions or back billing, resolve denied or rejected claims , including researching accounts, analyzing EOBs, and interacting with insurance ... to ensure timely processing of electronic, portal and invoiced claims . + Follow revenue cycle from charge creation through...and invoices + Investigate and resolves claim rejections and denials via Clearinghouse or payer portals. + Utilize payer… more
- Cardinal Health (San Diego, CA)
- **_Revenue Cycle Management ( RCM ) Overview_** Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle ... a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The… more
- Affordable Care (Morrisville, NC)
- …+ Serve as the primary point of escalation for systemic issues related to claims , denials , authorizations, and billing. + Collaborate with internal teams to ... payor relationships, including negotiation of contracts, resolution of systemic claims and credentialing issues, and optimization of payor-related processes.… more
- TEKsystems (Avon, CT)
- …make informed financial decisions. Skills Contracts, Fee Schedules, Excel, contract maintenance , Revenue Cycle, RCM , Revenue Cycle Management, Analyst, data ... Description One of our healthcare clients is seeking a Revenue Cycle Analyst. HYBRID once fully trained. Shift: 40 hours per week between core business hours 7am -… more