- AmeriHealth Caritas (Newtown Square, PA)
- ** Vice President Claim Payment Administration** Location: Newtown Square, PA Primary Job Function: Management ID**: 31453 Your career starts now. We are ... Vice President , Enterprise Operations, the Vice President , Claim Payment...of payment integrity requirements, state and federal claim payment regulations, claims … more
- Centene Corporation (Tampa, FL)
- …and departments' objectives + Ensure compliance with all state and federal claims payment laws and guidelines **Education/Experience:** Bachelor's degree in ... accountable for the accurate, timely and efficient processing of Claims . Set the strategic vision and objectives of the.... Set the strategic vision and objectives of the claims operations to drive innovation, higher operational performance and… more
- MTA (New York, NY)
- …/dispute resolution, compliance, payment , closings , and close-outs. The Vice President , Deputy Project Executive (Commercial), is responsible for managing ... Vice President Deputy Project Executive (Commercial)...to their full potential. Validate the merit of all claims and disputes against the contract documents and negotiate… more
- MTA (New York, NY)
- Assistant Vice President Commercial Job ID: 6265 Business Unit: MTA Construction & Development Location: New York, NY, United States Regular/Temporary: Regular ... 30 days after their effective date of hire. JOB TITLE: Assistant Vice President Commercial (Interborough Express) AGENCY: Construction & Development DEPT/DIV:… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as an Assistant Vice President of Payer Engagement? At HCA Healthcare, you come first. HCA Healthcare ... a difference. We are looking for a dedicated Assistant Vice President of Payer Engagement like you...to oversee the strategic resolution and prevention of denials, payment discrepancies and other claims adjudication issues… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Vice President , Revenue Management is responsible for optimizing revenue from our payor ... Manage end to end process from Risk Adjustment to claim submission. + Will be accountable stakeholder for the...bill patients and insurers, file Medicare cost reports and claims , and pursue denied claims and delinquent… more
- Billings Clinic (Billings, MT)
- …any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I - CBO (Full-time/Billings) CENTRAL BILLING OFFICE… more
- Zelis (St. Petersburg, FL)
- …the Senior Director of Payment Operations, you'll report directly to the Senior Vice President of Growth & Operations. In this role, you'll be responsible ... there is a better way to determine the cost of a healthcare claim , manage payment -related data, and make the payment because more affordable and transparent… more
- HCA Healthcare (Brentwood, TN)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... within Payer organization as appropriate. + Overcome objections that prevent payment of the claim and gain commitment for payment through concise and… more
- Covenant Health Inc. (Knoxville, TN)
- …in a timely and accurate manner.Reviewing billed claims for timely and accurate payment . Timely research and follow up of claim denials. Serve as a liaison ... for the department and the facilities, adhering to desired behaviors. + Assists Vice President , Director, Managers and Supervisors on activities and projects, as… more
- Covenant Health Inc. (Knoxville, TN)
- …resulting in the correct outcome. Reviews billed claims for timely and accurate payment . Timely research and follow up of claim denials. Serve as a liaison ... peers; approachable and successful at training and development of others + Assists Vice President , Director, Managers and Supervisors on activities and projects,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …data used to calculate budget estimates. Responsible for providing Pharmacy Department Vice President with comprehensive budget planning analysis. + Manages PBM ... and Lead Software Engineer to design system specifications that support pharmacy program claim payment and criteria for databases that support analysis for… 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 || ### ... to the satisfaction of the CBO Operations Manager, Director of Revenue Cycle, and/or Vice - President of Financial Services. + Supports, models and adheres to the… 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 ... Work insurance pools and contact insurance companies to resolve claims that are not paid in a timely manner...the appropriate area for review and response to expedite claim resolution + Identify problem accounts and escalate as… more
- Henry Ford Health System (Grand Rapids, 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
- Billings Clinic (Billings, MT)
- …any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be ... with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims , performing point of sale functions, proper utilization of… more
- HCA Healthcare (San Antonio, TX)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- HCA Healthcare (San Antonio, TX)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... of the CBO Director or Business Office Manager, you will be responsible for payment collection and reimbursement. **What you will do in this role:** + You will… more
- Fortive Corporation (Everett, WA)
- …risk management judgment. This position will report to Fortive Corporation's Vice President , Associate General Counsel & Corporate Secretary. RESPONSIBILITIES ... placements, captive insurance strategies, loss mitigation, contractual risk transfer and claims management processes. You will need to possess a strong intellect,… more
- Mass Markets (Dallas, TX)
- …of employment. If reasonable accommodation is needed, please contact Kate Murph, Vice President of Human Resources, ###@mci.world. EQUAL OPPORTUNITY EMPLOYER At ... used for reconciliations for four different agencies. + Reconcile daily and monthly payment trackers to ensure all payments have posted. + Process daily payment… more