Find Your Perfect Job

Job Search Results for Revenue Cycle Management

Sort and Filter  | 4 Results for Revenue Cycle Management  | Save This Search

Feb 08, 2023

Fountain Valley, CA

|

Managerial / Professional

|

Perm

|

$91k - $136k (estimate)

{"JobID":262160,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-117.934909090909,"Longitude":33.7189090909091,"Distance":null},"State":"California","Zip":"92708","ReferenceID":"HSW-601769","PostedDate":"\/Date(1675854846000)\/","Description":"Insight Global is looking for a medical billing manager to work for a large healthcare client based out of Orange County, CA. This person can work full remote but must resign in California. In this role you will be overseeing the daily operations of the quality, performance and production of the entire hospital billing team. This team consists of 25 total employee\u0027s and will oversee around 60,000 claims per month. This person will be responsible for conducting performance reviews of team members every 6 and 12 months. The person will be collaborating with the entire revenue cycle team, the Utilization Management team, and claims/billing team. This position is 85% management and 10-15% of hands on billing work.","Title":"Medical Billing Manager","City":"Fountain Valley","ExpirationDate":null,"PriorityOrder":0,"Requirements":"- 5 years of Medical billing and collections experience (strictly hospital billing/collections)- 2 years of Billing Management/Supervisor experience- Acute Hospital billing experience- all commercial billing: HMO, PPO, medicare advantage: 2 years -Bachelors Degree","Skills":"Epic","Industry":"Managerial / Professional","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":135928.0000,"SalaryLow":90625.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is looking for a medical billing manager to work for a large healthcare client based out of Orange County, CA. This person can work full remote but must resign in California. In this... More role you will be overseeing the daily operations of the quality, performance and production of the entire hospital billing team. This team consists of 25 total employee's and will oversee around 60,000 claims per month. This person will be responsible for conducting performance reviews of team members every 6 and 12 months. The person will be collaborating with the entire revenue cycle team, the Utilization Management team, and claims/billing team. This position is 85% management and 10-15% of hands on billing work.Less

Jan 24, 2023

Toronto, ON

|

Contract

{"JobID":258395,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-79.38813,"Longitude":43.669179,"Distance":null},"State":"Ontario","Zip":"M4W 3N5","ReferenceID":"VMS-BMO-48136-1","PostedDate":"\/Date(1674518400000)\/","Description":"MAX BILL 95 Candidate Name: Leo Feng Candidate Phone: 647-886-8824 Candidate Email Address: chen_feng0729hotmail.com Candidate Resume: Attached Vendor: Insight Global Position Title: Product Designer Est. Start Date: Feb 6 2023 End Date: Oct 31 2023 Length of Contract: 9 months Possibility of Extension?: Yes Possibility of FTE?: Yes Physical Working Location required: BMTT 55 Bloor/BMO Place Dundas Square Is this role remote?: No Hybrid Hours of Operation:9-5 Hiring Manager: Akash Jatania Summary: The main function of a product owner is to maximize sales revenue market share and profit margins by leading a team to deliver an end product. The typical product manager guides the delivery of a product through its life cycle. Job Responsibilities: bull Responsible for the product planning and execution throughout the product lifecycle including: gathering and prioritizing product and customer requirements defining the product vision and working closely with other company departments to ensure revenue and customer satisfaction goals are met bull Ensuring that the product supports the companys overall strategy and goals. bull Managing the entire product line life cycle from strategic planning to tactical activities. bull Author user stories acceptance criteria and execute a portion of the testing on projects. bull Developing and implementing a company-wide go-to-market plan working with all departments to execute. bull Ensure product quality expectations are defined and known across the team. Skills: bull Verbal and written communication skills problem solving skills attention to detail and interpersonal skills. bull Ability to work independently and manage ones time. bull Knowledge of production processes quality control costs and other techniques for maximizing the effective manufacture and distribution of goods. bull Knowledge of business and management principles involved in strategic planning resource allocation and production methods. Education/Experience: bull Bachelor\u0027s degree in a related field required. MBA or other related advanced degree preferred. bull 2-4 years experience required.","Title":"Product Owner - Int","City":"Toronto","ExpirationDate":null,"PriorityOrder":0,"Requirements":null,"Skills":null,"Industry":null,"Country":"Canada","Division":null,"Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":80.6600,"SalaryLow":66.4200,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

MAX BILL 95 Candidate Name: Leo Feng Candidate Phone: 647-886-8824 Candidate Email Address: chen_feng0729hotmail.com Candidate Resume: Attached Vendor: Insight Global Position Title: Product... More Designer Est. Start Date: Feb 6 2023 End Date: Oct 31 2023 Length of Contract: 9 months Possibility of Extension?: Yes Possibility of FTE?: Yes Physical Working Location required: BMTT 55 Bloor/BMO Place Dundas Square Is this role remote?: No Hybrid Hours of Operation:9-5 Hiring Manager: Akash Jatania Summary: The main function of a product owner is to maximize sales revenue market share and profit margins by leading a team to deliver an end product. The typical product manager guides the delivery of a product through its life cycle. Job Responsibilities: bull Responsible for the product planning and execution throughout the product lifecycle including: gathering and prioritizing product and customer requirements defining the product vision and working closely with other company departments to ensure revenue and customer satisfaction goals are met bull Ensuring that the product supports the companys overall strategy and goals. bull Managing the entire product line life cycle from strategic planning to tactical activities. bull Author user stories acceptance criteria and execute a portion of the testing on projects. bull Developing and implementing a company-wide go-to-market plan working with all departments to execute. bull Ensure product quality expectations are defined and known across the team. Skills: bull Verbal and written communication skills problem solving skills attention to detail and interpersonal skills. bull Ability to work independently and manage ones time. bull Knowledge of production processes quality control costs and other techniques for maximizing the effective manufacture and distribution of goods. bull Knowledge of business and management principles involved in strategic planning resource allocation and production methods. Education/Experience: bull Bachelor's degree in a related field required. MBA or other related advanced degree preferred. bull 2-4 years experience required.Less

Jan 11, 2023

Irvine, CA

|

Claims/Denials

|

Contract-to-perm

|

$23 - $35 (hourly estimate)

{"JobID":255311,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-117.840363636364,"Longitude":33.6939090909091,"Distance":null},"State":"California","Zip":"92614","ReferenceID":"HSW-595221","PostedDate":"\/Date(1673439241000)\/","Description":"Insight Global is looking for a Claims Examiner to work for a Non Profit in Orange County, CA. This position would be onsite for training for 1 month and then has the potential to go FULLY remote, or hybrid. In this position, you will be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and post-billing activity. The Examiner will audit, conduct root cause analysis, identify issues and propose solutions to correct and prevent recurrence; he/she will assist management with implementation of measures to ensure claim processing and payment accuracy, and adherence to all applicable policies, standards, and regulations internal and external to the organization. Monitors and reviews appealsprocessing of assigned account(s). 1. Supports the quality assurance process by routinely auditing claims and claim processing activity. Reviewsclaims for irregularities, accuracy, completeness and/or other criteria; and related processes to ensure proper guidelines, procedures and techniques have been followed.2. Prior to submitting claim data to vendor for processing, the Examiner performs quality assurance review of designated claims following established auditing procedures; such reviews include but are not limited toverification of authorization for services provided, values entered in the system such as coding, data discrepancies, duplicate records. Documents and communicatesfindings, and escalates issues when necessary.3. Coordinates with billing vendor for oversight, investigation, and resolution activities; while working closely with internal team and supervisor. Routinely monitors provider contracted services from a quality assurance point of view to ensure vendor is adhering to contractual obligations, agreed upon procedures, and adequate performance. Analyzes reports and metrics of billing activity, identifies issues, gaps and inconsistencies; documents and reports findings and recommends solutions to immediate supervisor and management. 4. Reviews department and overall revenue cycle processes to identify technical, operational, and cost reduction improvement opportunities on an ongoing basis and as assigned; including but not limited to: coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Makes recommendations to management and assists in the implementation of approved solutions.5. Assist supervisor with EHR system related tasks such as testing of new features, contract configuration validation, and other related duties.6. Assists with developing training materials (related to claim quality, workflow processes, policies and procedures) and participates in effective training, guidance and coaching of new hires, entry level examiners, and external parties such as provider network.7. Corresponds with vendors, network providers, insurance carriers, and team members, as necessary, soliciting and coordinating required information to complete or resolve specific actions related to billing processing, payments, appeals, resolution of issues, and operational improvement activities.8. Monitors and reviews claim denials, no response, and underpayments for assigned insurance carrier or accounts. Reviews, investigates, and corresponds with vendor to identify and resolve issues to ensure payment from insurance companies; creates solutions to reduce appeals9. Creates and maintains records, specialized reports, and metrics of audits. Maintains detailed documentation, including methods and techniques selected for reviewing, analyzing and evaluating claims and claim processing; additionally, keeps record of identified issues, recommended solutions, and status of issue resolution.10. Supports the analysis of revenue and monetary discrepancies, and other ad-hoc analysis as required.11. Assists in internal and external audits and other ad hoc projects as required.12. Maintains positive and strong working relationships with insurance carriers, network providers, vendors, and internal teams to ensure collaborative relationships, quality assurance activities, and issue resolution.13. Maintains a strong knowledge of revenue cycle concepts and processes, latest developments, advancements and trends, as it relates to claim management and EHR systems, to allow her/him to easily identify, research, and resolve claim processing issues, and expedite payment from carriers.","Title":"Claims Processor","City":"Irvine","ExpirationDate":null,"PriorityOrder":0,"Requirements":"2 + years of hospital claims experience (Examiner, Auditor, Processor)2-3 years of healthcare experienceMicrosoft Excel experienceHigh School Diploma","Skills":"","Industry":"Claims/Denials","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":35.1000,"SalaryLow":23.4000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is looking for a Claims Examiner to work for a Non Profit in Orange County, CA. This position would be onsite for training for 1 month and then has the potential to go FULLY remote, or... More hybrid. In this position, you will be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and post-billing activity. The Examiner will audit, conduct root cause analysis, identify issues and propose solutions to correct and prevent recurrence; he/she will assist management with implementation of measures to ensure claim processing and payment accuracy, and adherence to all applicable policies, standards, and regulations internal and external to the organization. Monitors and reviews appealsprocessing of assigned account(s). 1. Supports the quality assurance process by routinely auditing claims and claim processing activity. Reviewsclaims for irregularities, accuracy, completeness and/or other criteria; and related processes to ensure proper guidelines, procedures and techniques have been followed.2. Prior to submitting claim data to vendor for processing, the Examiner performs quality assurance review of designated claims following established auditing procedures; such reviews include but are not limited toverification of authorization for services provided, values entered in the system such as coding, data discrepancies, duplicate records. Documents and communicatesfindings, and escalates issues when necessary.3. Coordinates with billing vendor for oversight, investigation, and resolution activities; while working closely with internal team and supervisor. Routinely monitors provider contracted services from a quality assurance point of view to ensure vendor is adhering to contractual obligations, agreed upon procedures, and adequate performance. Analyzes reports and metrics of billing activity, identifies issues, gaps and inconsistencies; documents and reports findings and recommends solutions to immediate supervisor and management. 4. Reviews department and overall revenue cycle processes to identify technical, operational, and cost reduction improvement opportunities on an ongoing basis and as assigned; including but not limited to: coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Makes recommendations to management and assists in the implementation of approved solutions.5. Assist supervisor with EHR system related tasks such as testing of new features, contract configuration validation, and other related duties.6. Assists with developing training materials (related to claim quality, workflow processes, policies and procedures) and participates in effective training, guidance and coaching of new hires, entry level examiners, and external parties such as provider network.7. Corresponds with vendors, network providers, insurance carriers, and team members, as necessary, soliciting and coordinating required information to complete or resolve specific actions related to billing processing, payments, appeals, resolution of issues, and operational improvement activities.8. Monitors and reviews claim denials, no response, and underpayments for assigned insurance carrier or accounts. Reviews, investigates, and corresponds with vendor to identify and resolve issues to ensure payment from insurance companies; creates solutions to reduce appeals9. Creates and maintains records, specialized reports, and metrics of audits. Maintains detailed documentation, including methods and techniques selected for reviewing, analyzing and evaluating claims and claim processing; additionally, keeps record of identified issues, recommended solutions, and status of issue resolution.10. Supports the analysis of revenue and monetary discrepancies, and other ad-hoc analysis as required.11. Assists in internal and external audits and other ad hoc projects as required.12. Maintains positive and strong working relationships with insurance carriers, network providers, vendors, and internal teams to ensure collaborative relationships, quality assurance activities, and issue resolution.13. Maintains a strong knowledge of revenue cycle concepts and processes, latest developments, advancements and trends, as it relates to claim management and EHR systems, to allow her/him to easily identify, research, and resolve claim processing issues, and expedite payment from carriers.Less

Feb 02, 2023

Schaumburg, IL

|

Software Engineering

|

Contract-to-perm

{"JobID":261259,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-88.0779090909091,"Longitude":42.0520909090909,"Distance":null},"State":"Illinois","Zip":"60173","ReferenceID":"OCC-600608","PostedDate":"\/Date(1675368977000)\/","Description":"A large healthcare company is looking for a Application Support Engineer to join their team. This role will be working on their newly implemented Microsoft Dynamics 365 RCM Product and providing application support. This will include resolving tickets and working with teams to resolve issues, managing system provisioning, administration, data refresh and maintenance, inclusive for all Dynamics 365 environments. In this role, you will be working fully remote. From time to time, you may be expected to get on an early or late meeting to interface with the offshore team supporting the application.","Title":"REMOTE Application Support Engineer (Dynamics 365)","City":"Schaumburg","ExpirationDate":null,"PriorityOrder":0,"Requirements":"3+ years of experience working in the healthcare industry with knowledge of the relationship between the Patient, Physician, and PharmacistBasic knowledge of SQL with the ability to troubleshoot and triage any errorsExperience with cloud applications and cloud deploymentAbility to work in CST with flexibility to work with offshore teams Basic understanding of the Revenue Cycle Management processVery strong written and verbal communication skills","Skills":"Experience with Microsoft Dynamics 365 RCM Product Experience with the Service now support tool","Industry":"Software Engineering","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":78.0000,"SalaryLow":52.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

A large healthcare company is looking for a Application Support Engineer to join their team. This role will be working on their newly implemented Microsoft Dynamics 365 RCM Product and providing... More application support. This will include resolving tickets and working with teams to resolve issues, managing system provisioning, administration, data refresh and maintenance, inclusive for all Dynamics 365 environments. In this role, you will be working fully remote. From time to time, you may be expected to get on an early or late meeting to interface with the offshore team supporting the application.Less

1 - 4 of 4