- Elevance Health (Columbus, OH)
- …other locations as necessary. **Preferred Skills, Capabilities and Experiences** + Strong Payment Integrity experience. + Ethical and hardworking, decisive, and ... information technology and business operations services for health plans. **Staff VP Payments Integrity ** **Operations** **Location** Within 50 miles, and… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Vice President , Quality & Controls Assurance reports to compliance leadership, and strategically and operationally ... leads various quality reviews of claims , Hierarchical Condition Categories (HCC) and clinical coding, call monitoring, system technology upgrades, and other critical… more
- Covenant Health Inc. (Knoxville, TN)
- …needed, and meets other requests of the CMG Director of Revenue Cycle and Vice - President of Financial Services. Recruiter: Sarah Grey || ###@covhlth.com || ### ... Responsibilities Integrity + Demonstrates the ability to handle varying tasks,...the CBO Operations Manager, Director of Revenue Cycle, and/or Vice - President of Financial Services. + Supports, models… more
- Health First (Melbourne, FL)
- …insure complete and compliant charge capture. * Assist in projects as directed by Vice President of Revenue Operations. * Ensure that patient account services ... operations within Heath First Inc./HF Medical Management. Ensures the financial integrity of Heath First Inc./HF Medical Management by performing established back… more
- Henry Ford Health System (Troy, MI)
- …be responsible for supporting provider contracting for designated accounts as assigned by the Vice President , PNM and under the direction of a Director, PNM ... Through its provider contracting function, HAP is looking to secure Alternative Payment Model (APM) agreements with POs, PHOs, IPAs and clinically integrated network… more
- Covenant Health Inc. (Knoxville, TN)
- …for the department and the facilities, adhering to desired behaviors. + Assists Vice President , Director, Managers and Supervisors on activities and projects, as ... the department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment . Employees use phones,… more
- HCA Healthcare (Largo, FL)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- HCA Healthcare (Largo, FL)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- Colorado State University (Fort Collins, CO)
- …misconduct prohibited by the University's Policy on Discrimination and Harassment is the Vice President for Equity, Equal Opportunity and Title IX, 101 Student ... and improve daily tasks/work for themselves and others + Integrity - they are honest, and others trust them...information to ensure successful and timely billing of insurance claims + Verifies the health insurance is active and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …reviews of medical records during the course of fraud investigations, special investigations, claims reviews and / or other program integrity initiatives such as ... testimony as required + Complies with the CMS Program Integrity Manual and Statement of Work guidelines + Maintain...terminology and experience in the analysis and processing of claims , utilization review, quality assurance procedures, payment … more
- Tidelands Health (Pawleys Island, SC)
- …ensure appropriate payment for services provided. In collaboration with the VP of Revenue Cycle, SBU/CSC Leaders, Revenue Cycle Informaticists and data analytic ... Revenue Cycle works independently and in support of the VP Revenue Cycle to facilitate a robust back-end revenue...to payers and then appropriately and timely followed-up for payment . + Through the Cash Management department leadership, ensures… more
- LittleStar ABA Therapy (Carmel, IN)
- …insurance carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability, ... worked to maximize reimbursement. . Research and re-bill unpaid claims . Prepare paperwork to submit to insurance for...LS and model a high standard of reliability, accuracy, integrity , and professionalism. . Work to positively impact team… more
- Heritage Financial Credit Union (Middletown, NY)
- …succeed.Our values are at the heart of everything we do. We believe in: + Integrity :We are honest and trustworthy in all of our dealings with our members, employees, ... $76,180 annually depending on experience REPORTING RELATIONSHIPS Position reportsto: VP of Risk Management Positions Supervised: Loan Servicing Specialists POSITION… more