Revenue Integrity Payor Change & Reverification Specialist
Humana Inc
Humana Inc is looking for a Healthcare Payor Change/Reverification Representative in Washington, DC. This full-time role involves daily auditing of documentation, verifying patient eligibility, and coordinating billing processes. Candidates should have at least one year of experience in accounts receivable insurance claims and proficiency in Microsoft Office. A hybrid work model is available with occasional travel for training. Competitive benefits including medical, dental, and retirement plans are offered. #J-18808-Ljbffr Humana Inc
$37.31 - $58.75 per hour
...Intermountain's policies and procedures. Revenue Integrity Analyst II Service Areas: Emergency/... ...on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment... ...to be flexible and adaptable to change. Demonstrates ability to work in a clinical...SuggestedHourly payMonday to FridayFlexible hours$49k - $81k
...A leading consulting firm is seeking a Revenue Integrity Coding and Billing Specialist to join their remote team. The role involves reviewing and resolving Medicare claims, ensuring compliance with billing guidelines, and applying appropriate medical codes. The ideal candidate...SuggestedRemote work$27 per hour
RCM Payer Reimbursement Integrity Specialist Job Category: Finance Requisition Number: RCMPA0017... ...underpayments, and opportunities for revenue optimization. Primary Responsibilities... ...reimbursements. Maintains updated knowledge of changes in healthcare regulations, payer...SuggestedHourly payFull timeContract workWork at officeShift work- Intermountain Health is looking for a Revenue Integrity Analyst II to analyze data and improve billing processes. This position requires expertise in healthcare regulations, data analysis, and proficiency in Epic applications. Candidates should have a strong attention to...Suggested
- ...SHR Consulting Group: SHR is a premier technology integrator solving our nation's most complex modernization and readiness... ...rapidly growing organization seeking an experienced Change and Configuration Management Specialist to lead and execute the configuration and change...SuggestedWork at officeLocal area
- ...Database Integration Specialist | Excel Spreadsheet Modernization ProSidian is seeking a Database Integration Specialist for Excel Spreadsheet... ...mandatory training requirements. These requirements will change for individuals based on their job duties or position assignment...Full timeContract workFor contractorsH1bWork at office
$95k - $125k
...committed to delivering solutions that change lives for the better. The firm is a member... ...We are seeking a Data Conversion Specialist who will lead the migration of legacy data... ...using appropriate tools Validate data integrity and accuracy post-migration Secure handling...For contractorsH1bWork at officeLocal areaRemote work- ...Job Summary The Lead Data Analyst - Revenue Management Systems is an individual contributor... ...to ensure system reliability, data integrity and quality across integrations between... ...and enhancements. Communicate system changes, risks, and operational impacts to the...Hourly payPermanent employmentTemporary workWork experience placementInterim roleLocal areaRelocationFlexible hours
$80k - $100k
...than 362 million workers and their families globally. Senior Specialist, Integrated Content Production Overview This role is the maestro of... ...content campaigns and projects that drive awareness, engagement, revenue, and business results. In this role, the Senior Producer...Work at officeRemote workVisa sponsorshipWork visaMonday to FridayFlexible hours$80k - $100k
Senior Specialist, Integrated Content Production Job Description Senior Specialist, Integrated Content Production Overview This role is the... ...content campaigns and projects that drive awareness, engagement, revenue, and business results. In this role, the Senior Producer...FreelanceWork at officeImmediate startRemote workVisa sponsorshipWork visaMonday to FridayFlexible hours- ...sustainable results. We value collaboration, integrity, and innovation, and are committed to... .... Job Details Join Our Revenue Cycle Service Area With continued pressure... ...Your Opportunity with ECG: Healthcare Specialist As a healthcare specialist at ECG, you...Permanent employmentFull timeWork at officeRemote workShift work
$70.6k - $83k
...: $70,600.00 to $83,000.00 Purpose The Revenue Optimization Analyst is responsible for... ...improvements, collaborating in systems integration projects, and effectively translating data... ...analyses, identifying factors contributing to changes in prices, sales mix, and related KPIs;...Local areaFlexible hours- ...OCM Analyst in Arlington, Virginia. The ideal candidate will have a Bachelor's degree and 3-7 years of experience in organizational change management, excellent communication skills, and the ability to develop captivating content. Responsibilities include supporting OCM...
- Healthcare Legal Solutions, LLC is seeking a detail-oriented Revenue Cycle/Follow Up Specialist to manage unpaid claims and appeals in a remote setting. Ideal candidates should be organized, assertive, and interested in healthcare law, ensuring prompt payments and maintaining...Remote jobFull timeWork at office
- ...Systems Integration Specialist Incorporated in 2006; Headquartered in Chantilly, VA. Viedtech has established itself globally with its services and solution excellence. Viedtech offers fast, reliable, cost effective and value added IT and Staffing Services. We constantly...
- ...Object-Based Intelligence (OBI) Integration Specialist At Celestar, a B&A, we foster and embrace a distinct set of values that we live by and instill in all aspects of our organization: dedication, commitment, partnership, trust, and recognition. We have incorporated...Full timeWork at officeLocal area
- ...BT-288 - Portfolio Analysis & Integration Specialist Skill Level: Subject Matter Expert Location: Bethesda, MD (fully on-site, no remote option) **MUST HAVE A POLY CLEARANCE TO APPLY. Those without a Poly clearance will not be considered.** Job Description...Remote work
$50k - $75k
...Corp. has helped organizations change the world through technology.... ...Job Summary The Deal Desk Specialist supports the day-to-day... ...cycles while maintaining data integrity and compliance. Role Description... ...with vendor licensing terms, revenue recognition requirements, and...Work experience placementWorldwideFlexible hours- Enterprise Systems Integrator / Program Integration Specialist Location: Bethesda, MD Job Type: Full Time | On Site Join Synertex LLC and bring your expertise... ...configuration control and transparency of baseline changes using tools Requirements Active TS/SCI with Poly is...Full timeFor contractors
- ...access to and utilization of integrated, quality, respectful and responsive... ...levels. Mentor and coach specialists in country programs to work... ...pre-positioning for any revenue growth opportunities. Support... ...and may be subject to change as per the organization's needs...Work at officeLocal area
- ...delivering advanced analytic, data engineering, and technology integration solutions in support of the Department of Defense (DoD),... ...Praescient Analytics is seeking a highly skilled Systems Integration Specialist to support U.S. Army missions requiring secure, reliable,...Full time
$18 - $25 per hour
...administrative team, specifically our Revenue Cycle Manager, Benefits... ...-accountability. We value integrity, teamwork, flexibility, problem... ...working relationships with payor representatives Stay current... ...regulations and coding changes; share what you learn with the...Full timeTemporary workPart timeWork at officeRemote work- ...Support Integration Officer (Deployed Support Officer) (SIO) For CIA As a Support Integration Officer (Deployed Support Officer) (SIO... ...alliances between mission partners to address increasingly rapid changes in organization priorities, resources, or work processes. A...Full timeContract workWorldwideOverseas
- ...Position Title Biomedical Technology Integration Specialist Job Description Purpose & Scope: This role ensures that medical devices, clinical systems, and supporting technologies are securely integrated, implemented, and maintained in alignment...
- .... From day one, you'll be an integral part of a focused team where... ...Role The Customs and Trade Specialist serves as a primary point of... ...and communicate relevant changes to internal stakeholders Maintain... ...generated $3.80 billion in revenues during fiscal year 2025. More...Full timeWork at officeRemote workFlexible hoursAfternoon shift
$105k - $115k
...their families globally. Summary The Lead, Revenue Enablement role serves as a strategic... ...the Performance Marketing strategy by integrating marketing, sales, and analytics insights... ...them into strategic actions. Adept at change management and stakeholder alignment, ensuring...Work at officeLocal areaRemote workVisa sponsorshipWork visaMonday to FridayFlexible hours$36.31 - $45.38 per hour
...engineering expertise and smart systems integration. Why Join Us? Our people are passionate... ...improves lives and drives impactful change. Guided by our core values-agility, expertise... ...the transition from commissioning to revenue service operations. Assist in the...Contract workFor contractorsImmediate startRemote workRelocationShift workNight shiftRotating shift- We are seeking a skilled Integration Specialist with hands-on experience in Boomi Integration, SQL, Data Integration, and Salesforce. The ideal candidate will be responsible for designing, developing, and maintaining seamless integration solutions across various platforms...
$18.88 - $20.02 per hour
...Summary:This position reports directly to the Program Specialist. The Community Integration Specialist will provide the support necessary for the persons... ...: MLKWhat You'll Be Doing Day-to-Day:Preparation for Change : Involves planning for change, listening to individuals...- ECG Management Consultants is seeking a Healthcare Specialist to join their team in Arlington, VA. In this role, you'll support revenue cycle consulting projects, work with top professionals, and deliver client-focused solutions in the healthcare industry. Ideal candidates...
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