Revenue Cycle Audit

5 months ago


Remote, United States CSI Pharmacy Full time

Description

Job Title: RCM Audit/Training SpecialistStatus: Full TimeReports to: VP, Revenue CycleWork Place: Remote with occasional travelJob Details:Under the general direction of the VP, Revenue Cycle, the RCM Audit Specialist facilitates the review of medical claim submission in accordance with state, federal, and payer guidelines to ensure best-in-class services to the patients of CSI Pharmacy.Responsibilities Effectively prioritize and complete all assigned tasks. Complete commercial and government payer audits in a timely manner. Perform a percentage of quality audits on a pre and post bill basis. Perform review on all government denials due to billing errors. Implement audit approaches including scope and statistical sampling methodologies. Develop and implement training and education for billing, collection and credit management teams. Ongoing employee training and assessment reviews collaborating with management to achieve set goals and objectives.  Effectively prioritize and complete all assigned tasks. Performs in accordance with system-wide competencies/behaviors. Other duties as assigned by Management. Qualifications Bachelor's Degree or 4 years of equivalent work experience in a home infusion or specialty infusion business environment required. Strong working knowledge about compliance and regulatory guidelines including but not limited to an awareness of trending federal audit targets based on claim errors. Ability to work effectively with colleagues as team members and to communicate effectively. Self-motivator and able to work independently. Competence in Microsoft Office products. Working knowledge of basic medical terminology is required. Excellent verbal and written communication skills. Strong customer service orientation. Competence in Microsoft Office required, including Excel, Access, and Word. Must possess strong interpersonal and organizational skills, with the ability to work on multiple tasks simultaneously. NOTICE : Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.By supplying your phone number, you agree to receive communication via phone or text. CSI Pharmacy is an Equal Opportunity Employer

  • Remote, United States Innovative Renal Care Full time

    Billing & Reimbursement Supervisor - Revenue Cycle   Location: Remote or hybrid with the ability to travel to and work from office located in Franklin, TN or Beverly, MA on occasion.   Overview: As the Supervisor of Billing & Reimbursement, you’ll lead our team of Billing & Reimbursement Specialists to ensure timely, accurate insurance billing,...

  • Sr. Revenue Accountant

    2 months ago


    Remote, United States AppFolio, Inc Full time

    Description Hi, We’re AppFolioWe’re innovators, changemakers, and collaborators. We’re more than just a software company – we’re pioneers in cloud and AI who deliver magical experiences that make our customers’ lives easier. We’re revolutionizing how people do business in the real estate industry, and we want your ideas, enthusiasm, and...

  • Revenue Specialist

    3 weeks ago


    Remote Colorado, United States Sonora Quest Full time

    Primary City/State:Colorado, ColoradoDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$17.10 - $25.66 / hour, based on education & experienceIn accordance with State Pay Transparency Rules.POSITION SUMMARYThis position coordinates and facilitates all insurance claim submissions, claim rejections,...

  • Revenue Specialist

    3 weeks ago


    Remote Colorado, United States Sonora Quest Full time

    Primary City/State:Colorado, ColoradoDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$17.10 - $25.66 / hour, based on education & experienceIn accordance with State Pay Transparency Rules.*Experience working with Colorado payors a plus.POSITION SUMMARYThis position coordinates and facilitates all...

  • Senior Medical Coder

    2 weeks ago


    Remote, United States GDKN Full time

    Job Title: *Senior Medical Coder (Remote)**Location: 100% Remote (United States)**Job Type: Long-term Contract (Open-ended)*Compensation: Up to $23.00 per hour (1099 Contractor)*About the Role:*We are seeking a highly experienced and detail-oriented Senior Medical Coder to join our team in a fully remote capacity. This role is perfect for a skilled medical...


  • Remote, Oregon, United States SquareDash Full time

    We are seeking a detail-oriented and organized Claims & Billing Specialist who has a passion for client satisfaction to join our Revenue Cycle Management team.This role will be cross-trained to handle property owner billing as well as claim funding procedures on behalf of our clients.The ideal candidate will play a crucial part in ensuring accurate invoicing...


  • Remote, Oregon, United States Granicus Full time

    About the RoleWe are seeking a highly motivated and experienced SLED Account Executive to join our team at Granicus. As a key member of our sales team, you will be responsible for driving new revenue growth in the government technology sector.Key ResponsibilitiesDevelop and execute a comprehensive sales strategy to drive revenue growth in the designated...


  • Remote, United States Element RCM Full time

    *Job Mission*A Credentialing Specialist’s primary job is to ensure that the personnel of a facility, mainlyhealthcare, are properly trained, licensed and certified as mandated by state and federalregulations. In addition, they ensure that all services offered by these industries meetstandards set by state and federal government agencies. A Credentialing...


  • Remote, Oregon, United States HireVue Full time

    Job DescriptionHireVue is a leading provider of end-to-end hiring solutions, and we are seeking a highly skilled Regional Sales Manager to join our team.The successful candidate will be responsible for generating revenue with enterprise and strategic level companies, building and managing relationships with potential clients throughout a territory in the...


  • Remote, Oregon, United States Constructor Full time

    Constructor is the only search and product discovery platform tailor-made for enterprise ecommerce where conversions matter.As a seasoned executive, you will be tasked with driving growth globally by building and executing a strategic vision from the ground up across select GSIs, Agencies, RSIs, and cloud and technology partners in adjacent ecommerce spaces...


  • Remote, Oregon, United States Zendesk Full time

    Job OverviewZendesk is seeking a highly motivated and experienced Account Executive to join our team. As a key member of our sales organization, you will be responsible for driving growth and innovation in our commercial accounts.Key Responsibilities:Develop and execute sales strategies to acquire new commercial customers and expand existing...


  • Remote, Oregon, United States Adroit Advanced Technologies, Inc. Full time

    Job Summary: We are seeking a highly skilled Business Development Manager to join our team at Adroit Advanced Technologies, Inc. The ideal candidate will have a proven track record of success in sales and business development, with a strong understanding of the transportation industry. Responsibilities:Create strategic plans for assigned territories,...


  • Remote, United States Adroit Advanced Technologies, Inc. Full time

    Adroit Advanced Technologies, Inc. Responsibility Profile: Create strategic plan for assigned territory identifying key targets while leveraging current client success Accurately forecast and communicate new business opportunities Work collaboratively with Sales Development Rep to map out targets and set discovery meetings  Ability to navigate a...


  • Remote, Oregon, United States HHM Hotels Full time

    Job Title: Digital Marketing DirectorJob Summary:The Digital Marketing Director will lead the development and execution of digital marketing strategies across the portfolio of brands at HHM Hotels. This includes managing the creative process, developing marketing programs, and overseeing relationships with marketing agencies and software partners.Key...

  • Accounting Manager

    4 weeks ago


    Remote, Oregon, United States TetraScience Full time

    About the RoleTetraScience is seeking an experienced Accounting Manager to join our team. As an Accounting Manager, you will be responsible for managing day-to-day accounting operations, including general ledger, and assisting the team in resolving accounting issues. You will also be responsible for completing month-end close entries, including journal...


  • Remote, Oregon, United States Unreal Gigs Full time

    Job Summary:We are seeking a highly skilled and experienced Staffing Branch Manager to lead our branch operations and drive business growth. As a key member of our team, you will be responsible for overseeing the day-to-day operations of the branch, managing a team of recruiters, and delivering exceptional staffing solutions that align with business...


  • Remote, Oregon, United States LabCorp Full time

    Job Title: Healthcare Billing SpecialistJob Summary:LabCorp is seeking a skilled Healthcare Billing Specialist to join our team. As a key member of our Revenue Cycle Management Division, you will play a critical role in ensuring the accurate and timely processing of healthcare claims.Responsibilities:Billing Data Entry: Enter accurate and complete billing...


  • Remote, Oregon, United States HireVue Full time

    HireVue is a leading provider of end-to-end hiring solutions, connecting companies and candidates anytime, anywhere. Our platform features video interviewing, assessments, and conversational AI, backed by science and powered by ethical AI.The Regional Sales Manager is responsible for generating revenue with enterprise and strategic level companies in the...


  • Remote, Oregon, United States Medical Guardian Full time

    At Medical Guardian, we are seeking a highly skilled and motivated Medical Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing past due accounts, placing accounts on and off hold as needed, and contacting customers to resolve payment issues.The ideal candidate will possess excellent...


  • Remote, United States Workday, Inc. Full time

    About the Role Here at Workday, our Account Executives are key players in our Field Sales organization. With a net new revenue focus, they are the fuel for Workday’s new customer growth. This fantastic team of hardworking professionals play a key role in guiding new customers on a journey that can see them leave the limitations of legacy platforms behind...