- Trinity Health (Farmington Hills, MI)
- …part of this position. This position reports to the Director Payment Resolution . **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates ... and decisions. Manages and oversees day-to-day activities and responsibilities of the payment resolution /denials team handling the receipt, analysis, and appeals… more
- Universal Health Services (Richmond, VA)
- …of the Payment Analysis Team Lead - Millennium is the resolution of over and underpayment discrepancies on paid accounts and collection balances on ... training to staff to ensure policies and procedures are followed. + Meet with Payment Analysis Manager - East regularly to effectively communicate and resolve… more
- Central Maine Medical Center (Lewiston, ME)
- …Claims Edit Management (DNFB)3. Payer Analytics4. Accounts Receivable Management5. Payment Variance Resolution , including Patient and Payer Credits6. ... for our community and for each other every day. Position Summary: The Manager Patient Financial Services is responsible for strategic and operational leadership of… more
- BrightSpring Health Services (Concord, NH)
- …discuss Quarterly Business Reviews and Pharmacy Optimization Services* The Corporate Account Manager owns client issue escalation and resolution process. Working ... services company, you will be vital in the company's success! TheAccount Manager of Client Servicescultivates and maintains an on-going strategic relationship with… more
- WMCHealth (Warwick, NY)
- …underpayment reports, provides feedback on root causes of denials, and formulates denials resolution strategies. + Works with the Follow-up Manager to establish ... Manager , System Patient Accounting Company: Good Samaritan Hospital...will also oversee the follow-up process by reviewing payer payment status for all governmental and third party claims… more
- BrightSpring Health Services (Chicago, IL)
- …discuss Quarterly Business Reviews and Pharmacy Optimization Services* The Corporate Account Manager owns client issue escalation and resolution process. Working ... and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your… more
- BrightSpring Health Services (Kent, WA)
- …services company, you will be vital in the company's success! TheAccount Manager of Client Servicescultivates and maintains an on-going strategic relationship with ... responsible for the ensuring customer satisfaction with pharmacy services, issue resolution and overall retention of their clients. This position requires entails… more
- Ellis Medicine (Schenectady, NY)
- …2. Efficiently and effectively ensures the anticipation, identification, and resolution of issues through pre-admission, admission, concurrent and post discharge ... and resolves barriers to discharge, as feasible and/or identifies and verifies payment source for services and equipment prior to implementation of discharge plan).… more
- Universal Health Services (Reno, NV)
- …patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Sr. Manager of Provider Network leads and manages provider contracting and network ... initial and ongoing education and support for all network products. The Sr. Manager of Provider Network analyzes specific issues pertaining to providers and oversees… more
- St. Luke's University Health Network (Quakertown, PA)
- …to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle Payment Care Initiative (BPCI) notification. + Monitors risk assessment using… more
- HCA Healthcare (Nashville, TN)
- …diagnostic)predominately postinitial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be ... be resolved or must be rerouted to another responsible party for research/ resolution ** + **Escalates alert/edit resolution issues as appropriate to minimize… more
- Central Maine Medical Center (Lewiston, ME)
- …Claims Edit Management (DNFB) + Payer Analytics + Accounts Receivable Management + Payment Variance Resolution , including Patient and Payer Credits + Patient ... accuracy of Patient Financial Services processes (such as claims processing, payment variances, payment posting, accounts receivable management, financial… more
- HCA Healthcare (Nashville, TN)
- …predominately post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked ... or must be rerouted to another responsible party for research/ resolution + Escalates alert/edit resolution issues as...coding revisions to the applicable party (eg, CIS, lead, manager , international log) + Completes MOCK abstracts as necessary… more
- BrightSpring Health Services (Longmont, CO)
- …and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your ... days Responsibilities * Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance tracking and… more
- Trinity Health (Livonia, MI)
- …Escalates accounts appropriately in accordance with department Defer/Delay policy to manager . + Screens outpatient visits for medical necessity and issues Advanced ... RHM Medicaid Vendor and/or Financial Counselor as appropriate. Initiates payment plans and obtains payment . Informs and...of Trinity Health. + Other duties as assigned by manager . **MINIMUM QUALIFICATIONS** + High School diploma or equivalent… more
- BrightSpring Health Services (Taunton, MA)
- …today! Responsibilities * Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance tracking ... work queues on a daily and/or weekly basis. Including resolution , billing, and appropriate distribution of work.* Monitors quality...are on track to meet their goals.* Report to Manager any trends occurring with payers and/or processes* Updates… more
- Universal Health Services (Harahan, LA)
- …than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United ... Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based… more
- BrightSpring Health Services (Longmont, CO)
- …Overview TheSr Collections Analystis responsible for the research, collection and/or resolution of an assigned account portfolio in accordance with PharMerica's ... and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your… more
- BrightSpring Health Services (Longmont, CO)
- …and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your ... census updates provided by facilities. Responsible for the research and/or resolution of assigned account portfolios in accordance with PharMerica's Client Service… more
- BrightSpring Health Services (Charlotte, NC)
- …value proposition to its clients. They lead a team of Sr. Account Manager 's, Account Manager 's and Managers. The Director cultivates and maintains on-going ... and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your… more