responsibilities include: System Configuration & Build: Configure and maintain Epic PB Claims functionality, including claim edit... rules, charge review workqueues, and payer-specific logic. Build and optimize workflows to meet unique Behavioral Health...
Workbench or Clarity is a plus. Education: Bachelor’s degree in Healthcare Administration, Business, Information Technology..., billing, and registration teams to optimize clean claim rates. Analyze trends in denials and rejections, implementing system...
office third party cost reports, third party appeals, third party payer contract negotiations, analysis of financial impact..., and utilizing reporting tools to extract data, generate reports, perform data analysis, and draft system/process improvement...
Job Description: Responsibilities Western Region CBO The Western Region Consolidated Business Office provides... business office services including billing, collections, cash posting, pre-access management, variance and customer service...
Job Description: Responsibilities Western Region CBO The Western Region Consolidated Business Office provides... business office services including billing, collections, cash posting, pre-access management, variance and customer service...
). *Assists staff with claim issues in order to move claims through the systems and determine if it is a payer, billing system... in Business or Healthcare Administration, Accounting or a closely related field is Preferred. Experience 5 yrs of experience...
). *Assists staff with claim issues in order to move claims through the systems and determine if it is a payer, billing system... in Business or Healthcare Administration, Accounting or a closely related field is Preferred. Experience 5 yrs of experience...
Job Description: Responsibilities Western Region CBO The Western Region Consolidated Business Office provides... business office services including billing, collections, cash posting, pre-access management, variance and customer service...
Job Description: Responsibilities Western Region CBO The Western Region Consolidated Business Office provides... business office services including billing, collections, cash posting, pre-access management, variance and customer service...
Inspire health. Serve with compassion. Be the difference. Job Summary Coordinate system-wide hospital and physician... the implementation, presentation and servicing of all contracts for the entire system. Provides system wide managed care...
healthcare delivery system and it's joint owned or joint ventured entities for fee for service and value based arrangements..., healthcare reform, payer strategies, emerging market demands and legislative considerations and changes to the managed care...
with non-contracted payors in a timely manner.6.Respond to insurance industry activities, healthcare reform, payer strategies...) of the fully integrated healthcare delivery system and it's joint-owned or joint-ventured entities for fee-for-service...
340B Business Manager, this role is responsible for identifying, analyzing, and resolving revenue cycle issues... while ensuring accurate, compliant billing practices and optimizing reimbursement outcomes. The Analyst partners with pharmacy...
, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance... assigning correction to the coder who completed the original coding. Track and trend patterns by payer, coder, MS-DRG...
payer issues to applicable business units, clients and leadership. Attends regular meetings with Client Managed Care... Terms and Conditions supervisor is responsible for healthcare insurance reimbursement analysis; validating pre-load and post...
. Knowledge of healthcare processes and application system coordination. Knowledge of database structure and reporting techniques... contributions and experiences of each person. Together, we empower patients to achieve their best health. Our health system...
business and technical stakeholders to manage and enhance EDI transaction processes and healthcare-specific data...). · Proven experience as an EDI Business Analyst, facilitating coordination between business and development teams...
Coding System (HCPCS) codes. Requires at least 3 years of experience in Health Care (managed care, academic, or gov't payer... of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends...
Coding System (HCPCS) codes. Requires at least 3 years of experience in Health Care (managed care, academic, or gov't payer... of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends...
Terminology) codes, Diagnostic Related Group (APR-DRG/MS-DRG) codes or Healthcare Common Procedure Coding System (HCPCS) codes... of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends...