Job Search Results for Revenue Cycle Management

One of Insight Global's healthcare clients in Camden, NJ is seeking a Revenue Integrity Analyst to join their team. This individual will be responsible for oversight of charge reconciliation process.... More They will report to the Manager of Revenue Integrity and work with the CDM Analysts for all aspects of revenue integrity for assigned institutes, cost centers, and/or departments. Duties include working charging related claim edits and Revenue Guardian checks in various work ques, overseeing EPIC Charge Review Work Ques, and working with PB and HB Denial teams to review and correct denials and edits. Additionally, they will assist with end user education for Craneware, monitoring Craneware requests, and obtaining any needed information. This role will be onsite 5x onsite/week for the first 90 days, then 3x onsite/week hybrid schedule.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

One of Insight Global's large healthcare clients in Camden, NJ is looking for a Director of Patient Financial Services to join their team. This individual will report to the AVP of Revenue Cycle... More Operations and have 65-70 direct reports, including a manager and supervisor. This role involves working directly with Corporate Finance to review/perform financial forecasting, trend/cost/revenue analysis, maintenance/administration of compensation plans, payroll management, and monthly grant reports. Day to day duties include preparing proposals on new business opportunities, coordinating and facilitating operational and financial efficiency, and using industry benchmark data reports and surveys for operational analyses. Additional duties include managing registration and charge entry processes for external locations with internal physicians and evaluating billing details/coding levels. They will also be responsible for monitoring contracts, and acting as a liaison for external institutions. Schedule: M-F onsite for first 3-6 months, then hybrid (3 days onsite)We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Insight Global is looking for a Credit/Balance Specialist to join one of our healthcare clients teams in Camden, NJ. The ideal candidate will have strong experience within hospital billing,... More specifically with credits/overpayments, refunds, submitting/disputing/appealing high dollar claims, authorizations, benefits, accounts receivable/follow up, and payment resolution. This individual will also upload patient medical records using revenue cycle management tools (NaviNet, Pear, and Availity.) They must feel confident working in a fast-paced environment while paying attention to detail (Working within 2-3 work ques, completing 50 claims/denials per day).We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

A client of Insight Global in the healthcare industry is seeking an Operations Manager for Insurance Accounts Receivable to oversee the end to tend AR process. This includes the collections,... More rejections, denial management, appeals and process improvements. This role will require oversight to both an onshore and offshore team and a high level of business acumen and professionalism. Key Responsibilities: Manage Billing Operations:Oversee daily billing operations, ensuring timely and accurate processing of insurance claims and payments. Team Leadership:Lead, mentor, and develop a team of internal and external AR analysts, providing training and performance evaluations. Process Improvement:Identify and implement process improvements to enhance billing efficiency and accuracy. Compliance:Ensure all billing activities comply with relevant regulations and company policies. Reporting:Generate and analyze billing reports to monitor performance trends and identify areas for improvement. Customer Service:Address and resolve billing inquiries and issues from clients and insurance companies. Collaboration:Work closely with other departments, such as finance and BI, to streamline billing processes. Key Performance Indicators (KPIs): Collections Rate:Collection of >98% of Expected Insurance revenue of monthly released charges; also meet or exceed monthly collections goals set by Director. AR Aging Metrics: By DOS: Maintain >90 days at less than 10% of total AR; >180+ less than 5% of AR Denial Rate:Percentage of claims denied by insurance companies. Less than 2% of all claims. Appeal Success Rate:Percentage of denied claims successfully appealed. 90% or greater Timely Filing Rate: Maintain a 0% on both initial filings and appealed claims responses. Process Improvement Metrics:Effectively incorporate billing system and clearinghouse features, AI, and other automation to workflows to drive down overhead expenses and increase revenue margins. Offshore Team Performance:Performance metrics for offshore teams, including productivity and quality of work. Cost Savings:Amount of cost savings achieved through FTE overhead reduction initiatives. Work closely with ESSENTIAL DUTIES AND RESPONSIBILITIES Operation Manager, Insurance Accounts Receivable 10/2024 Page 2 BI team to keep staffing at optimal levels. Clearinghouse Rejection Rate:Percentage of claims rejected by the clearinghouse. Front-end rejections reduced to 98%. Reporting Accuracy:Timeliness and accuracy of reporting metrics, ensuring data integrity and actionable insights.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

The Application Analyst position is responsible for expert level support and configuration of assigned applications. The position entails assisting, training and supporting customers and other... More analysts with the operation and administration of systems. The Application Analyst trains and mentors more junior analysts. The Application Analyst works with customers at all levels in the organization to enhance their understanding of available tools to enhance operational efficiencies. The Application Analyst proactively manages and troubleshoots issues within related IT teams and manages change. The Application Analyst provides high level administration of applications and ensures quality delivery of application availability. The Application Analyst ensures the services provided contribute to the successful accomplishment of the mission of the department. The Application Analyst makes recommendations regarding budget projections and project management.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less