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Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials required. Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials required. The Revenue Cycle Lead , reporting to the Revenue Cycle Manager, acts as a subject matter expert for all revenue cycle functions and activities.
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Assists registry program managers in maintenance of analytics for certification programs such as CMS CJR and AETNA Institutes of Quality as well as ensuring the AAOS registry program IRB and QCDR requirements are met.
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Aetna (HMO | HSA Healthcare), Dental, Vision, Life Insurance, 401k + 50% Match on Employee Contribution, 2 Weeks’ Vacation / PTO, 9 Paid Holidays, etc. Bilingual Human Resources Generalist position in Elmwood Park, IL.
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Aetna Building Solutions is one of the largest wholesale distributors in the US. It specializes in a wide variety of building materials which include plywood, hardwood lumber, particle board, veneer, composites, solid surface, quartz, laminates (HPL and TFL), adhesives, hardware, laminated panels and fabricated parts.
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Bachelor's degree in health informatics, biostatistics, health data science, health economics and outcomes research, and/or another related area. Understanding of statistical programs such as SAS, SPSS, STATA Programming, or R.
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Strong preference for this position to be hybrid, within a commutable distance to a CVS/Aetna Hub Office (i.e. Hartford, CT, Lansing, MI, Scottsdale, AZ, Miami, FL, Woonsocket, RI, Chicago, IL, Dallas, TX, Boston, MA, etc.
$63,300 - $139,200 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Example: Availity, Navinet required. Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables) Performs RCA (Root Cause Analysis) to resolve problems affecting the revenue cycle and develop solutions to implement.
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Inspire is already credentialed with several insurance providers (BCBS, UnitedHealthCare, Optum, Aetna, Humana, Medicare ~ currently only a few clinicians), we just need someone to help keep our process running smoothly and as profitably as possible.
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