Positions in this function are responsible for the reimbursement analysis, development and installation of provider fee schedules and testing of prospective payment system (PPS) pricing structures, including, but not limited to: downloading schedules from CMS, creating valid PPS (i.e., DRG, APC, ESRD, ASC, etc.) test case scenarios, researching & resolving structural issues, manipulation of large data sets, database loading, and preparation of pricing materials such as administrative documents and customer education materials. Positions are responsible for overall contract loading using various databases and/or source documents. May research installation issues & develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Anticipates customer needs and proactively...

RCM Analyst Level I Job Description New Season Employee Name: Reports to: Director of Payer Relations Department: Revenue Cycle FLSA: Non-Exempt Direct Reports: 0 Job Summary: Under limited supervision, this position will support the data needs of the Payer Relations and Revenue Cycle. This position will establish Methasoft payer rate groups, billable services, fee schedules, CPT/HCPCS/ICD10 configurations, and claim formatting; working in collaboration with the core IT Business Applications department. The position will maintain claims data in a HIPAA-compliant format with all content being cross-referenced against other databases to ensure accuracy and consistency. Essential Functions: Facilitates, advises, and provides support to the revenue cycle team in regard to configuration requests. Strong data management and computer skills including creating reports, development of spreadsheets, analyzing data, and manipulation of data from...

Client Service Licensed Professional As a Licensed professional in our service organization, you will be an integral part of a fast-paced, team-oriented environment that is focused on enhancing relationships, handling complex service and investment needs, while working to increase customer loyalty and drive business development opportunities. Providing expertise for all service items, emphasizing point of service resolution. You will own the outcome for the customer and provide a personalized, frictionless experience to effectively resolve the customer need. In this role, you will have the opportunity to help our customers feel more confident, make clearer decisions, and achieve their own financial dreams. The Team While every Fidelity location has distinctive regional characteristics, each one embodies the core values that have been instrumental in building our proud past. Putting the customer first, respect, integrity, honesty, innovation and improvement as well as competitiveness...

As a key Content Creator, you are ready to make use of your previous experience to make an immediate impact on the strategy & content contributions of Market My Market's content production. You have at least 1-2 years of experience in creative writing and editing. You also have a high attention to detail, and enjoy collaborating. Your Tasks Present you passion for content in the form of blogs, articles, webpages, case studies, video scripts, microcontent for social media, and whatever compelling mediums for content are required Execute your content duties using compelling language and formatting, strong Call-to-Actions, and other digital assets to keep visitors reading. Content should be informative, meaningful, and able to convert to customers when appropriate Completing periodic audits of client websites to ensure existing content meets Google's page quality standards apart from SEO (Expertise, Authority, Trust) Identifying and reoptimizing the existing copy of...

ACCOUNT RECEIVABLE COORDINATOR Job Description New Season Employee Name: Reports to: Account Receivable Supervisor Department: Revenue Cycle FLSA: Non- Exempt Direct Reports: 0 Job Summary: This position reviews known denial activity, whether electronically-generated or via paper, and reviews those denials, identifying the core issue involved (claims, account, secondary, enrollment, etc.). This position then takes action to correct the known denial activity as well as take steps to prevent similar denials from occurring. Due to the complexity of denial prevention, this position will often identify cases and refer those to senior leadership to partner on solutions to denied claims Essential Functions: Identifies accounts that are denied from health plans. Responsible for creating correct invoices and updated statements on a proper schedule. Edits failed payments in the clearinghouse system(s) and make the appropriate system updates...

Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities: Oversight of the provider configuration processes including provider pends, provider contracts, fee schedules and rate changes Research provider contract issues & escalations and respond to internal business partners with resolution Ensure adherence to quality measures and timeliness Provide direct supervision of all work performed to ensure timeliness and accuracy of assignments Coordinate, supervise, and be accountable for the daily activities of the provider configuration team Communicate performance metrics to the team and leaders across...

Description Remote Licensed Practical Nurse OBGYN FT Days - AdventHealth Medical Group Location: Working from home performing OB intakes and virtual appointments Top Reasons to work at AdventHealth Medical Group Faith based & mission driven organization Central Florida's premier multi-specialty medical group Comprehensive Employee Benefits such as Educational Reimbursement CREATION Health employee wellness and lifestyle programs Positive working climate to support a work life balance Work Hours/Shift: Fulltime Days You Will Be Responsible For: Rooming patients including vital signs, reason for visit, patient history, allergies, and completes appropriate documentation following nursing protocols. Regularly auditing ordered tests to ensure results are received and followed up on in a timely manner to ensure quality health care. Monitoring appropriate level of nursing supplies and proper functioning and maintenance of...

For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in class care for individuals living with Opioid Use Disorder ("OUD").​ Operating in over 70 treatment centers in multiple states, our team members are engaged in medication-assisted treatment, counseling, support, and care management of individuals living with OUD. We treat the whole person and, in so doing, address the underlying causes of OUD in an effort to provide a continuum of care that not only addresses treatment needs but supports the patient on their journey to recovery. New Season operates a number of nationally recognized and accredited methadone treatment centers dedicated to helping individuals with prescription drug abuse and/or opiate addiction regain control of their lives. We take great pride in treating our patients with dignity and respect in each phase of their...

For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in class care for individuals living with Opioid Use Disorder ("OUD"). Operating in over 70 treatment centers in multiple states, our team members are engaged in medication-assisted treatment, counseling, support, and care management of individuals living with OUD. We treat the whole person and, in so doing, address the underlying causes of OUD in an effort to provide a continuum of care that not only addresses treatment needs but supports the patient on their journey to recovery. New Season operates a number of nationally recognized and accredited methadone treatment centers dedicated to helping individuals with prescription drug abuse and/or opiate addiction regain control of their lives. We take great pride in treating our patients with dignity and respect in each phase of their...

Company DescriptionDigital Risk's mission to Make Mortgages Safe relies on the perfect blending of human experience and state-of-the-art technology to serve its workforce and clients.Digital Risk's 1,500+ team members make us one of the largest mortgage outsource providers in the U.S., supplying appraisal and mortgage processing, underwriting and closing to the largest banks and loan originators.Job DescriptionPosition Overview:This individual will be responsible for reporting directly to the Unit Manager, and supporting day-to-day oversight to ensure critical service level milestones are achieved. Responsible for pulling daily reporting and directly teams on non-negociables. Integral part in maintaining employee tables, pipeline and production analytics, loan assignment/re-assignment, and ad-hoc reporting. Essential Job Functions Performs data analysis by using existing reporting and Microsoft excel to filter and compile data to enable the production managers to effectively manage...

For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in class care for individuals living with Opioid Use Disorder ("OUD").​ Operating in over 70 treatment centers in multiple states, our team members are engaged in medication-assisted treatment, counseling, support, and care management of individuals living with OUD. We treat the whole person and, in so doing, address the underlying causes of OUD in an effort to provide a continuum of care that not only addresses treatment needs but supports the patient on their journey to recovery. New Season operates a number of nationally recognized and accredited methadone treatment centers dedicated to helping individuals with prescription drug abuse and/or opiate addiction regain control of their lives. We take great pride in treating our patients with dignity and respect in each phase of their...

Positions in this function are responsible for the reimbursement analysis, development and installation of provider fee schedules and testing of prospective payment system (PPS) pricing structures, including, but not limited to: downloading schedules from CMS, creating valid PPS (i.e., DRG, APC, ESRD, ASC, etc.) test case scenarios, researching & resolving structural issues, manipulation of large data sets, database loading, and preparation of pricing materials such as administrative documents and customer education materials. Positions are responsible for overall contract loading using various databases and/or source documents. May research installation issues & develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Anticipates customer needs and...