- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …blue. 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
- HCA Healthcare (Richmond, VA)
- …staff with claims in RI workflow tools for timely resolution resulting in appropriate reimbursement and data integrity . **What you will do in this role:** + ... Federal and Company regulations + Act as a resource to clinical Revenue Integrity Analysts for complicated cases, reimbursement and compliance information +… 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
- Endo International (New Haven, CT)
- …the US + Understanding of coverage, coding (diagnostic, procedural and product), payment and reimbursement requirements and policies. + Knowledge/expertise in ... as we work to bring the best treatments forward. Our shared values of Integrity & Quality, Innovation, Drive, Collaboration and Empathy guide our team and enable us… more
- Bristol Myers Squibb (Washington, DC)
- …prioritize and implement strategic business and advocacy strategies to address evolving policy and payment changes. + Remain informed and educate internal ... stakeholders on evolving Healthcare policy , reimbursement and channel requirements and updates,...shared values of passion, innovation, urgency, accountability, inclusion and integrity bring out the highest potential of each of… 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
- Commonwealth of Pennsylvania (PA)
- …received in order to resolve discrepancies with the liable party prior to processing payment . + B. I have experience negotiating reimbursement of medical and ... Ricki Paden Contact Email ###@pa.gov Bureau / Division Bureau of Program Integrity /Division of Third Party Liability/Trauma Code Tracking (TCT) Unit + Description +… more
- Walmart (Sunnyvale, CA)
- …pay for merchandise on the eCommerce platform, and to provide a bulletproof payment experience for customers in stores and online. Walmart is investing in ... 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
- State of Massachusetts (Quincy, MA)
- …payments. The Deputy Director position will assist on strategic initiatives involving policy development, implementation of new payment and eligibility systems, ... to billing and payments * Focus on strategic initiatives such as payment system implementation upgrades, eligibility policy development, regulation development,… more
- City of Boca Raton (Boca Raton, FL)
- …are eligible for tuition reimbursement as outlined in the City's Tuition Reimbursement Policy which is available in Human Resources and subject to the ... (Oracle HCM). The Benefits Analyst is responsible for ensuring data integrity , optimizing system functionality, and providing technical and administrative support… more
- Banc of California (Santa Ana, CA)
- …branches throughout California and Denver, Colorado, as well as full-stack payment processing solutions through its subsidiary, Deepstack Technologies. The bank is ... on small medium business (SMB) commercial clients and prospects to identify payment processing/acquiring opportunities and to sell those services to ensure that… 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
- 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
- Pfizer (Tallahassee, FL)
- …experience is highly preferred + Strong understanding of Specialty Drug Reimbursement , Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance ... payer policy processes, systems and requirements for coverage and reimbursement policies + Demonstrated understanding of the rules, regulations associated with… more
- Banner Health (OK)
- …for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides ... Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG)… more