- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 14008 **Working Title** : Revenue Cycle Specialist I - Commercial Collections **Department** : CSRC HB ... knowledge of assigned area, and general understanding of department functions and the revenue cycle . Incumbents are expected to organize, prioritize and perform… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle ... Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible...Medicaid and commercial payers, and applicable department's revenue cycle operations. Provides coaching and support… more
- Gentiva (Mooresville, NC)
- …Accuracy. Support Quality Care.** We are seeking a detail-oriented and highly organized Revenue Cycle Specialist to support our billing operations through ... timely processing of Government and Commercial claims. This role plays a vital part in...and ensuring billing compliance across all areas of the revenue cycle . The ideal candidate will have… more
- Kaniksu Community Health (Sandpoint, ID)
- …you passionate about supporting accessible, quality healthcare in your community? We're seeking a Revenue Cycle Specialist to join our finance team. In this ... mission-driven role, you'll manage and optimize all phases of the revenue cycle -including billing, claims submission, denial management, and patient account… more
- Cedars-Sinai (Los Angeles, CA)
- …in other revenue cycle functions and provide back-up coverage. This Revenue Cycle Specialist II is responsible for Medicare Claim Edits and ... inclusive environment that fuels innovation. **Req ID** : 14066 **Working Title** : Revenue Cycle Specialist II (Cash Management) **Department** : CSRC… more
- Cedars-Sinai (Los Angeles, CA)
- …or Medi-Cal Professional and courteous demeanor. **Req ID** : 13573 **Working Title** : Revenue Cycle Specialist II (Physician Billing) **Department** : MNS ... skill and proficiency in specialized functions and multiple areas of the revenue cycle . Incumbents have expert knowledge and understanding of regulatory… more
- Hospice of the Valley (Phoenix, AZ)
- …Paid Time Off. + Flexible schedules for work/life balance **_Position Profile_** Th Revenue Cycle Specialist ensures accuracy and completeness of claims ... and professional conduct. **_Minimum Qualifications_** + Minimum of 3 years of healthcare revenue cycle experience. + Knowledge of Medicare, Medicare Advantage, … more
- Trinity Health (Fort Wayne, IN)
- **Employment Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate ... warranted. 8. Experience with billing Medicare B and other major medical commercial insurance billing using HCPCS J-codes preferred. 9. Knowledge of posting denials… more
- Philips (Malvern, PA)
- …the right fit if:** + You've acquired 2+ years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services. + Your ... **Your role:** + Working with various commercial insurnace payers to resolve claims and denials....payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans. You have the ability to navigate through… more
- Southeast Health (Dothan, AL)
- …office, registration or clinical setting Minimum Experience Preferred + One (1) year of revenue cycle experience + Working knowledge of CPT and ICD 10 coding ... use of and navigation of Medicare's DDE system and other governmental and commercial payer websites for claim status and corrections; + Accurately determines Part A… more
- Omaha Children's Hospital (Omaha, NE)
- …Qualifications** + Equivalent of 2 years of experience working with commercial , government billing or reimbursement processes may be substituted for education. ... reimbursement requirements, and standard practice. + Knowledge of CPT, HCPCS and revenue codes and their effect on reimbursement. + Ability to communicate… more
- Scripps Health (San Diego, CA)
- …Jolla and requires residence in San Diego County. * The*Senior Director, Revenue Cycle - Clinical Documentation Integrity*provides strategic leadership and ... and innovative process improvement, the Senior Director drives excellence in revenue cycle performance, supports clinical and operational goals, and… more
- Guidehouse (Minneapolis, MN)
- … Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely resolution ... include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …medicines, solutions and services in more than 110 countries and regions. **Summary:** The Commercial Contract and Rebate Specialist II reports to the Manager, ... a key contributor to the monthly and quarterly payment cycle and will hold a significant portion of the...consensus on issues. The estimated pay scale for the Commercial Contract & Rebate Specialist II role… more
- PeaceHealth (Vancouver, WA)
- …Handles submission of issues to coding for review to ensure organizational and revenue cycle processes are followed. + Communicates appropriately with insurance ... **Description** PeaceHealth is seeking a Billing/Follow-up Specialist - Commercial Billing for a...+ Preferred: Medical Billing Certificate or + Preferred: Certified Revenue Cycle Representative or + Preferred: HealthStream… more
- Northwell Health (New Hyde Park, NY)
- …meet user needs and requirements. + Ensures development of entire dashboard life cycle including coding, unit testing, bug fixes and report design. + Operates under ... Job Preferences: + Healthcare experience, specifically in health insurance ( commercial ) preferred + Claims experience, understanding claims reimbursement/payment methodologies… more
- PruittHealth (Norcross, GA)
- …as appropriate. 13. Contributes ideas and actions towards the continuous improvement of Revenue Cycle processes. 14. Adapts to learning new processes, concepts, ... Knowledge of insurance and governmental programs, regulations and billing processes, commercial third-party payers, and/or managed care contracts and coordination of… more
- Spectrum Billing Solutions (Skokie, IL)
- …and detail-oriented with strong communication and problem-solving skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist ... of experience in credentialing and contracting. + Knowledge of Commercial Insurance and Government Payor guidelines. + Ability to... | Revenue Cycle Contracting Specialist | Medical Billing Specialist | … more
- University of Michigan (Ann Arbor, MI)
- …TIN, taxonomy, specialty, and group affiliations). + Collaborate with billing and other Revenue Cycle staff to resolve claim denials or delayed payments due ... Provider Enrollment Specialist Apply Now **Job Summary** Coordinates employed and...audit-ready documentation, supporting enrollment verification for credentialing, compliance, and revenue cycle audits. + Identify discrepancies or… more
- Fairview Health Services (St. Paul, MN)
- …and mid-level providers. + Monitors for coding trends, works collaboratively with the revenue cycle teams to prevent avoidable denials and reduce revenue ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...access and utilizes said portal to assist in reviewing commercial medical policies + Maintains working knowledge of regulatory… more