Responsible for verifying the accuracy of the daily revenue and payments. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Essential Job Responsibilities/Duties/Tasks include the following; other duties m

The Risk Management Coordinator proactively identifies areas of patient safety exposure and quality concerns, and coordinates the reporting of such data to appropriate entities for analysis and action to reduce the likelihood of loss and improve patient outcomes. The Risk Management Coordinator is part of the Risk Management Department and interfaces with multiple departm

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International Director Treaty and Trans Pric Ops The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are sele

Under leadership from department management, incumbent is responsible for the entire cash receipt cycle of Hometown Health's revenue for all commercial insurance and Medicare product lines of business including but not limited to Individual and family plans, Medicare Advantage, Medicare Supplement, small and large group clients. In addition, the Revenue Specialist perform

This position focuses on all CMS submission related operations in support of Prominence Health Plan's Medicare Advantage business. Activities include creating submission files related to chart retrievals per vendor proprietary format, perform data analysis in support of optimizing risk adjusted revenue, maintain compliance with all CMS standards related to health plan sub