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340B Revenue Management: Analyze complex financial and non-financial 340B revenue data from external pharmacies and suppliers, identifying trends, variances, and improvement opportunities.
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The Payment Integrity Edits Manager is a Registered Nurse (RN) with active, unrestricted licensure through the Board or Agency charged with providing such licensure in the Auditor's state of residence or RHIA/RHIT/CCS certified through the American Health Information Management Association.
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Health plan payer or health system experience (5 years minimum) in a payment integrity or revenue integrity related role required. The Payment Integrity Edits Manager is a member of the CGI Payment Integrity Department, with responsibility over the edits life cycle, including development and maintenance of an edits management process.
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Groundworks is the nation's leading provider of Foundation Repair and Water Management Services. The CBDR at Groundworks plays a crucial role in generating revenue for the company by selling foam foundation repair services and providing estimates to potential commercial clients.
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Dedicated to airlines flights handling, it uses the most recent revenue and schedule management tec hnology. group, Amadeus Altéa Inventory is THE inventory management solution used by over 150 airlines of all sizes in all markets (Qatar Airways, Singapore Airlines, Lufthansa, Air France, Cathay Pacific Airways, Southwest Airlines.
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This candidate will trend denials for root cause analysis reporting, follow and create value added processes related to denials management, account reviews, and appeals management, and insurance follow up to maximize revenue recovery and denial prevention.
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Reviews and analyzes Revenue Agent, Appeals Officer, and Counsel Attorney instructions, reports, case files and support statements, and interprets tax law court decisions, and legal opinions to determine and prepare accurate computations for the most demanding and complex Appeals cases.
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Experience running CMS and eCommerce platforms (Magento, Sitecore, WordPress preferred) including pricing, promotions, and product management for both physical and digital products. Experience running CMS and eCommerce platforms (Adobe Commerce, Sitecore preferred) including pricing, promotions, and product management for both physical and digital products.
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Recently, Crowe LLP reached a decision to divest its Crowe Healthcare Consulting practice, now Kodiak, in a sale to TPG, a global asset management firm that will be the perfect partner to take Kodiak to the next level.
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Facilitate the development and implementation of Departmental Emergency Operations Plans (DEOPS) & Business Continuity Plans (BCPs), minimizing infrastructure and revenue loss while ensuring prompt resumption of operations.
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Minimum of 5-7 years of experience in financial planning, analysis, and accounting, including experience with revenue, margin, and cost analyses. Xanitos, Inc. Is a management company that provides hospital housekeeping, patient transport, central laundries services, and patient observation services.
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How you will do itSupports and coaches back-office Operations Management Discipline Standards (OMD) consistent with BSNA objectives for sustainable, profitable growth through efficient execution of the work sold.
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Requires knowledge of CPT and ICD-10 coverage policies, internal revenue cycle coding processes and the billing practices of the specialty service line. Knowledge of denial management, billing/coding guidelines•Experience in Cardiothoracic, Gastrointestinal, Neurology, OB, Anesthesiology, and/or Allergy Specialties.
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Mandatory usage of our Customer Relationship Management (CRM) tool - Salesforce.com (SFDC) and adherence to prescribed actions under the MSC Sales Management Standards. Accurate, current management of content in funnel, win/loss, launch status, SFDC and other platforms for communicating business resource needs to the organization.
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The Coding Integrity Specialist will work collaboratively with various CHRISTUS Health teams, including but not limited to, Health Information Management, Coding Operations, Coding Managers, Coding Leads, Coders, Education, Clinical Documentation, Clinical Appeals, PFS, Corporate Compliance, Legal, Regional Leadership, and Revenue Integrity with a focus on Coding Integrity.
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revenue management jobs in Irving, TX
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