- Assist with monitoring team key performance indicators such as productivity, schedules, volume, and accuracy/ timeliness of deliverables.
- Assist with developing training materials, tools, and guidelines for team members, potential customers, and providers on review.
- Assist Payment Integrity Director (Director) as needed to maintain budget targets.
- Provide excellent customer service and assist with identifying and implementing innovative customer solutions; research and resolve provider inquiries, and/or complaints related to services provided.
- Assist in the development of program operations manuals and reports and in the design, preparation, and submission of weekly and monthly reports.
- Collaborate and assist as requested by Director with Information Technology (IT) development and workflow implementation for data collection, tracking, notification, and reporting as required.
- Coordinate with Program Integrity managers to conduct independent research to assist with capture, reporting, and prepare to manage incoming clients as new work is awarded and operational needs arise.
- Assist with business development activities as requested.
- Bachelors degree required with licensure in criminal justice, human services or business related field; Masters Degree preferred.
- Minimum of two (2) years experience in Program Integrity or FWA contract or program work; supervisory experience preferred.
- Certified Professional Coder or Certified Fraud Examiner preferred.
- Proficiency in Microsoft Suite (Word, Excel, PowerPoint, Outlook etc.), web platforms, and SharePoint.
- Experience in Quality Management/Improvement and implementation of Corrective Action Plans preferred.
- Excellent communication skills, both written and oral.
- Experience writing professional reports and presenting to diverse audiences.
- Basic understanding of data management and statistics preferred.
-
Customer Success Specialist
3 weeks ago
Levitate Raleigh, United StatesLevitate's employees share a very important mission and goal: helping small businesses grow and thrive. We all contribute to this goal in unique ways, and that's why we prioritize helping our staff identify their strengths and find genuine fulfillment in their roles. · Across ev ...
-
Customer Success Specialist
1 week ago
Relay Raleigh, United StatesRelay is quickly growing as a product solution for enterprise customers. We have ambitious goals to rapidly develop our product, expand our customer base, and be a market leader as a software based communication solution for the active workforce. We are currently seeking a Custom ...
-
Client Success Specialist, Raleigh
2 weeks ago
Uber Raleigh, United StatesAbout the Role · The Client Success Specialist role is a great opportunity to demonstrate your relationship management and sales skills. This role focuses on post-sales of Small-to-Medium Sized restaurants in Raleigh, to work efficiently and optimally with SMB merchants by deepen ...
-
Customer Success Administration Specialist
2 weeks ago
Integrity Support, Inc. Raleigh, United StatesJob Description · Job DescriptionAt Integrity Support, Inc. ) we are passionate about "serving those who serve others". Most companies define success by the number of dollars but we define our success by the number of lives changed daily by our team using their service-hearted ta ...
-
Customer Success Operations Specialist
3 weeks ago
Relay Raleigh, United States Full timeRelay, a Raleigh-based tech startup, is poised to revolutionize communication by empowering frontline workers. Our mission is both meaningful and ambitious. We recognize that frontline workers are the backbone of our economy, and we are committed to creating a device and cloud pl ...
-
Client Success Specialist-CoalMarch
1 week ago
WorkWave Raleigh, United States Full timeLove building relationships? Coalmarch by WorkWave is seeking an Account Executive to join our small but mighty team based in Raleigh, NC. · Here at Coalmarch by WorkWave, you will work with a passionate, energetic, creative, supportive, hard-working team that's always willing t ...
-
Payment Integrity Client Success Specialist
1 week ago
The Carolinas Center for Medical Excellence Raleigh, United StatesJob Description · Job DescriptionPayment Integrity Client Success Specialist · Remote · Who We Are: · Constellation Quality Health, formerly CCME, is a non-profit health care quality organization and QIO-like Entity certified by the Centers for Medicare & Medicaid Services (CMS) ...
-
Customer Success Specialist
6 days ago
Inn-Flow Cary, United StatesCUSTOMER SUCCESS SPECIALIST · Location · Raleigh, NC area, requiring the candidate to be in or willing to relocate to this area. · About the Job · As a Customer Success Specialist, your primary responsibility is to ensure the satisfaction and success of our customers. You will se ...
-
Customer Success Specialist
3 weeks ago
Adwerx Durham, United StatesDurham, NC (hybrid) · Adwerx is currently looking for a Full-Time Customer Success Specialist to join our team · Are you... · Experienced in customer service? · A smart, confident, and focused self-starter? · Energetic and goal-oriented? · An excellent communicator with str ...
-
Medical Assistant
2 weeks ago
Oak Street Health Raleigh, United States**Company**:Oak Street Health · **Title**:Medical Assistant · **Compensation**:Based on regional bands · **Role Description** · The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have t ...
-
Part-time HR Student Employee
2 days ago
Velocity Enterprises Raleigh, United States Part timeAbout medavis GmbH: · Since 1997, the company has been a premium provider of innovative radiology software solutions. It is well known in the German-speaking healthcare IT market for its market relevance. With over 700 installations worldwide and long-standing and trusted custom ...
-
Control States Sales Specialist
4 days ago
Republic National Distributing Company Raleigh, United StatesRepublic National Distributing Company (RNDC) is a family-owned business with roots extending before Prohibition that has evolved into one of the nation's largest wine and spirits wholesalers. Our success is grounded in our core values of Family, Service, Accountability, Honesty, ...
-
Project Manager
3 weeks ago
Skyline Solutions Garner, United StatesBalda at the Bad Oeynhausen location is a specialist for plastic components in the pharmaceutical, diagnostics, and medical technology fields. Since 2016, Balda has been part of the Italian Stevanato Group with over 5,000 employees worldwide. · Passion – Spirit – Enthusiasm · Wit ...
-
Junior Consultant
3 weeks ago
Omega Dynamics Garner, United StatesAbout Us · Our customers are increasingly facing challenges related to sustainability, CO2 footprint, circular economy, and the associated requirements for product documentation - from the initial idea to recycling and disposal of products. We support these use cases with innovat ...
-
Pc Support Specialist
1 week ago
Coilcraft Cary, United StatesCoilcraft is a successful, privately-held company in Cary, IL with a worldwide reputation for high-quality passive electronic components. Coilcraft operates in a wide range of industries, including telecommunication, computers, automotive, broadband communications, and consumer e ...
-
Clerk for commercial inventory management
3 weeks ago
Horizon Ventures Cary, United StatesThe Dinkelacker AG is a successful and publicly listed real estate company based in the heart of Stuttgart, known for its outstanding expertise in the office, retail, gastronomy, and residential asset classes. We manage our own properties in these areas with the utmost dedication ...
-
Deputy Head of Financial Accounting
3 weeks ago
Stellar Innovations Knightdale, United StatesHAPEKO is the leading address for specialists and executives in Germany. The focus of our work is to connect professionals and executives who are looking for a career change with suitable companies. HAPEKO has a nationwide presence with more than 20 locations. · Our client is a ...
-
Bilingual Retail Sales Associate
4 hours ago
Spectrum Raleigh, United States Part timeAT A GLANCE: · Our specialists earn an hourly base pay of $18.00, along with lucrative commission and incentives for targeted hourly earnings of $22.95/hour. · We offer part-time work with full-time benefits. Our part-time employees who work at least 20 hours per week are eligib ...
-
Claims Specialist
1 week ago
Alera Group Raleigh, United States Full timeTriSure, an Alera Group Company is seeking an Commercial Lines, Account Manager to join their commercial lines, P&C team. · Are you looking to be part of a company where you have exciting opportunities to learn, grow and make a positive impact? · Join a team where each employee ...
-
Nurse Practitioner
1 week ago
Milan Laser Company Careers Raleigh, United States Full timeAbout Milan Laser Hair Removal · Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. That's because we only use top of the line lasers, and all our treatments are performed by licensed medical professionals. Additionally, we guarantee our clients ...
Payment Integrity Client Success Specialist - Raleigh, United States - The Carolinas Center for Medical Excellence
Description
Payment Integrity Client Success SpecialistRemote
Who We Are:
Constellation Quality Health, formerly CCME, is a non-profit health care quality organization and QIO-like Entity certified by the Centers for Medicare & Medicaid Services (CMS) founded by physicians in 1983.
Headquartered in North Carolinas Research Triangle, we offer an array of quality improvement, clinical review, audit, technical, and consulting services and solutions to improve care delivery, system performance, and patient outcomes.
What Youll Do:
We are seeking a Payment Integrity (PI) Client Success Specialist to ensure required contract deliverables are timely and accurate for delivery to the Director and determine staff needs and requirements.
The Specialist is responsible for assisting with the development of new client relationships through outreach, conference attendance, networking, and business associations and assisting with development and execution of plans to increase company, program visibility, and relationship building.
We expect you to:
Who You are:
The PI Client Success Specialist is an excellent customer service representative and has the ability to support the Director and the PI team.
Our requirements for this role:
We offer a competitive salary and benefits package and a flexible work environment.
Equal opportunity employer of protected veterans
Equal opportunity employer of individuals with disabilities
We do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, gender identity, national origin, medical condition, disability, veteran status, or any other basis protected by law.
Applicants and employees are protected from discrimination based on inquiring about, disclosing, or discussing compensation or the compensation of other applicants or employees.
Payment Integrity Client Success Specialist professionals in Raleigh
-
Miguel Obscura
Compelling relationship builder