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Operations Specialist
1 week ago
Corps Team Atlanta, United StatesOur client is a fast-growing, health tech e-commerce startup delivering premium pediatric health and wellness products to parents to help care for their children. They are in an exciting phase of rapid growth and seeking an Operations Specialist to s Operations Specialist, Operat ...
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Operations Specialist
1 week ago
W. R. Berkley Corporation Atlanta, United StatesUnder moderate supervision, this position is responsible for partnering with several functional areas including Human Resources, Sales & Marketing, and Admin. Project Management - manage various projects and assignments. Conduct 90-day, 6 month, and Operations Specialist, Operati ...
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Operations Specialist
2 days ago
Radancy Atlanta, United StatesRadancy is transforming how companies connect with candidates through our Saas talent acquisition platform. As an Operations Specialist at Radancy, you'll work collaboratively to ensure the satisfaction and retention of our customers by efficiently a Operations Specialist, Operat ...
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Operations Specialist
1 week ago
Digital Additive Atlanta, United StatesDigital Additive is redefining the digital marketing space in Atlanta - and we're growing Our team is currently seeking an Operations Specialist (Quality Assurance).Our Operations (Quality Assurance) teamstrives to exemplify Digital Additive's commitment to one-to-one communicati ...
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Operations Specialist
1 week ago
Oak Ridge Associated Universities Forrest Park, United StatesOverview · Appointment Type: Full-Time Regular A (FTR-A) · Location: Ft. Gillem, GA (& OCONUS) · * Salary Range: $69, $90,833.60/year · ELIGIBLE FOR SIGN-ON BONUS · PURPOSE: Responsible for tracking and managing of evidence through the different forensic disciplines while maintai ...
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Operations Specialist
1 week ago
W.R. Berkley Corporation Atlanta, United StatesCompany Details · W. R. Berkley Corporation, founded in 1967, is one of the nation's premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers ...
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Operations Specialist
6 days ago
Incubation Systems Private Limited Atlanta, United StatesResponsible for executing advertising insertion contracts from the time the order is delivered by Client Media Sales to the time the order has expired, and the client is invoiced. Responsible for accurate processing of all orders; including order acceptance, execution, validation ...
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Operations Specialist
1 week ago
Silverton Mortgage Atlanta, United StatesWhy Silverton Mortgage: · •We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry · •We believe in giving back and we do so through The Silverton Foundation · •Our strong communication s ...
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Operations Specialist
1 week ago
Emory University Atlanta, United StatesDiscover Your Career at Emory University: · Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the diversity and excellence of ...
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Operations Specialist
5 days ago
Incubation Systems Private Limited Atlanta, United StatesResponsible for executing advertising insertion contracts from the time the order is delivered by Client Media Sales to the time the order has expired, and the client is invoiced. Responsible for accurate processing of all orders; including order acceptance, execution, validation ...
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Operations Specialist
1 week ago
Berkley Atlanta, United StatesCompany Details: · W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers ...
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Operations Specialist
3 weeks ago
Phoenix Industries Woolsey, GA, United States Freelance**Operations Specialist (m/w/d) in Woolsey, GA** · **Your Responsibilities** · - **Master of Processes** - You are the go-to person for all organizational processes at Valyria, and an expert in designing, implementing, and documenting them sustainably using digital CRM and collab ...
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FusionTech Sandy, United StatesWe are the largest municipal pool operator in Europe: In 67 pools at 62 locations, we make swimming lessons and club sports possible and offer attractive leisure and health options to the public. The diversity of the city is reflected in our employees: We are as colorful and dyna ...
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Operations Support Specialist
1 week ago
State of Delaware Smyrna, United States**Introduction**: · **Make a Difference with DHSS** · Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. W ...
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Operations Specialist II
6 days ago
Randstad North America, Inc. Atlanta, United StatesRandstad is hiring for a Field Operations Specialist to process payroll for the worlds #1 HR services provider. We are investing in top-notch, detail-oriented, accuracy maniacs to help us deliver on our Human Forward promise. They are responsible fo Operations Specialist, Operati ...
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Fiscal Operations Specialist
2 days ago
State of Georiga Atlanta, United StatesObjective: Under direct supervision, performs paraprofessional accounting and fiscal control functions, such as accounts payable, payroll preparation, budget monitoring or related general accounting processes. Essential Functions: Reasonable accommod Operations Specialist, Fiscal ...
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Legal Operations Specialist
1 week ago
Care Atlanta, United StatesJOB SUMMARY: · This position serves in the Legal Department of one of the largest international mission-driven charitable organizations. The position provides leadership and independent management and advice to relevant CARE business units in various legal and compliance tasks in ...
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Operations Training Specialist
1 week ago
White Cap Supply Holdings, Inc. Atlanta, United StatesResponsible for the delivery of training courses, job aids, and reference manuals to meet the developmental objectives of targeted audiences. Expected to deliver training and troubleshooting for systems and processes in areas of fabrication, rebar op Training Specialist, Operatio ...
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Operations Processing Specialist
6 days ago
MagMutual LLC Atlanta, United StatesThe Operations Processing Specialist will support the designated department(s) by providing exceptional customer service, accurate document production and reporting as well as timely, effective communication to key parties. This role is a key aspect of daily processing for all Op ...
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Operations Support Specialist
1 day ago
MultiPlan Atlanta, United StatesImagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that h ...
Vendor Operations Specialist - Atlanta, United States - Piedmont Healthcare
Description
:JOB PURPOSE:
This position provides oversight and support for Revenue Cycle integrity and workflow processes using data analytics.
This role assures all established billing, systems, and process requirements have been met in order to ensure timely and optimal reimbursement.
Through the analysis of key performance indicator data, this position works to improve Revenue Cycle production and efficiency.Recommends changes that will positively impact the Revenue Cycle and help Piedmont Healthcare (PHC) operate according to industry benchmarks and meet A/R performance goals and productivity.
Qualifications:Vendor Operations Specialist - Revenue Cycle
Description:
JOB PURPOSE:
This position provides oversight and support for Revenue Cycle integrity and workflow processes using data analytics.
This role assures all established billing, systems, and process requirements have been met in order to ensure timely and optimal reimbursement.
Through the analysis of key performance indicator data, this position works to improve Revenue Cycle production and efficiency.Recommends changes that will positively impact the Revenue Cycle and help Piedmont Healthcare (PHC) operate according to industry benchmarks and meet A/R performance goals and productivity.
Qualifications:MINIMUM EDUCATION REQUIRED:
Bachelors degree in Computer Science, Information Systems, Mathematics, Finance or closely related field.
In lieu of degree, six (6) years of relevant work experience will be accepted in addition to the experience requirement.
MINIMUM EXPERIENCE REQUIRED:
One (1) year of experience exhibiting advanced performance in physician and/or hospital billing revenue cycle required.
(If no degree, a total of seven (7) years of experience required).
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW :
None.
ADDITIONAL QUALIFICATIONS:
Advanced knowledge of third-party insurance, and familiarity with insurance plan types; HMO, PPO, POS, and Indemnity.
Excellent knowledge of Government Programs, including Medicare (CPT, ICD coding/reimbursement, and Medicare Fraud & Abuse regulations), Medicaid and Tricare Programs.
Possesses thorough knowledge of HIPAA regulations.Possesses advanced knowledge of Revenue Cycle Systems.
Healthcare experience in data analytics, systems performance, and/or accounting.
Experience with root-cause analysis and lean processes.
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