Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Insurance Specialist is responsible for assuring all appointments and procedures are authorized. Insurance

Responsible for the accurate and timely processing of fee for service claims and account collections. Responsible for obtaining necessary information for the proper billing and/or collections of fee for service accounts. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed be

Looking to join a great team of healthcare professionals? Do you enjoy making an impact in your career? Palm Point is currently recruiting for a Director of Clinical Services. The Director of Clinical Services provides direct supervision to all Clinical Services staff. Oversees the development and implementation of the clinical programs across the continuum of care; devel

Directly report to and support the Program Manager by overseeing a team of claims processing automation analysts in the successful delivery of services across all assigned task areas including, but not limited to, automation review, claims processing, and quality assurance. Participate in scheduled calls with the customers, partners, and vendors. Continually assess operat

Directly report to and support the Program Manager by overseeing a team of claims processing automation analysts in the successful delivery of services across all assigned task areas including, but not limited to, automation review, claims processing, and quality assurance. Participate in scheduled calls with the customers, partners, and vendors. Continually assess operat

Administration of Pension Benefits Collection of data from pension participants to determine eligibility and vesting schedule. Answer questions via telephone and email to convey information regarding the provisions of the pension plans. Create various types of members or employer correspondence including letters and emails. Collection and data entry of participant hours w

Under the supervision of the Director of Compliance, the analyst will manage, develop, implement and monitor policies, procedures, processes, training, corrective action plans and overall operations to ensure compliance with federal and state laws and regulations affecting the Medical System and its Affiliates. Additionally, the Analyst will work collectively with Affilia

Job Announcement Serves as part of the Financial Section in the Criminal Division. Performs various financial duties with a primary focus on the calculation of court fines, fees, and interest, and the processing of payments received by mail, over the phone, and in person. In addition, this position is responsible for customer service, records management, and other adminis

Complex Asst. Director of Finance Requisition ID 2024 52322 Category Accounting/Finance Job Location US NV Las Vegas Property Renaissance Las Vegas Hotel Compensation Type Yearly Highgate Hotels Highgate is a leading real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in major U.S. ga

PRIOR AUTHORIZATION SPECIALIST Job Locations US CO ENGLEWOOD ID 2024 142388 Line of Business Amerita Position Type Full Time Pay Min USD $18.50/Hr. Pay Max USD $28.00/Hr. Our Company Amerita Overview Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. A

Data Analysis and Reporting Gather, organize, and analyze clinical data from various sources within GEHA. Develop comprehensive reports and presentations for senior leadership, providing insights into clinical operations, outcomes, and performance metrics. Clinical Performance Assessment Evaluate clinical performance indicators, identifying trends, patterns, and areas for