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YEAR

For over three decades, Oracle has been the center of innovation for business software birthplace of the first commercially available relational database, the first suite of internet-based applications, and the next-generation enterprise-computing platform, Oracle Fusion. Today, Oracle provides the world's most complete, open, and integrated business software and hardware systems, with more than 370,000 customers including - 100 of the Fortune 100 - representing a variety of sizes and industries in more than 145 countries around the globe. And Oracle's 110,000 global employees - including 30,000 developers working full-time on Oracle products -are critical to that success.
Oracle Supports Workforce Diversity

Oracle

Business Planning Manager-Ops

Cincinnati Bell

FEED

The IT Asset Management Lead will also work with Vendor Management to monitor vendor contracts and evaluate termination dates, renewal dates, termination clauses etc., to ensure that all contacts are renewed timely and accurately, as well as to help determine the next course of action for each related contract. Evaluate, design, implement, and maintain processes relating to software and hardware asset management based on research of industry best practices and benchmark data, to include tracking and analysis of technical and financial data of software and hardware throughout asset lifecycle.

Charleston Area Medical Center Health System Inc

IT Team Lead

Review assigned work items daily to resolve "at risk, past due, and technical denial" claim issues Work with coding to resolve coding related denials Work with Utilization Review to resolve authorization related denials and appeals Use various payer web portals and DDE systems to obtain claim information that will help in resolution Contact payers by phone to resolve claim issues Contact Physician offices to obtain necessary information needed to resolve claims Manually and accurately resolve claims in Suspense (Medicare only) Ensure that medical records and itemized statement are submitted and received when requested by payers (work with contracted agencies as applicable) Follow proper workflow assigned by management Ensure accurate rebilling of claims to avoid denials Communicate billing errors that can be prevented to Department Manager, Supervisor, or Team Lead Communicate identified system related issue to Department Manager, Supervisor, or Team Lead Accurately, Professionally, and thoroughly document necessary information necessary to resolve outstanding balances in encounter timeline Ensure that result driven follow up is be accomplished and documented. Other duties as assigned Skills: Healthcare billing and collection knowledge Ability to interpret a payer explanation of benefit (EOB) Ability to identify and resolve claim issues Excellent communication and customers service skills Computer and keyboarding skills Knowledge of Microsoft software applications (Excel and Word) a plus Cerner knowledge a plus.

Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital

The Staff Cost Consultant leads quality control reviews and maintains relationships with project personnel, particularly with individual discipline group leaders and engineers and provides technical direction to assigned personnel, when delegated. Knowledge of financial reporting systems and controller account codes, and understanding of Controller instructions, which impact Project Controls (including Project Financial Status Reports and Earned Revenue Determination Data).

Acuity International

Staff Cost Consultant

ea_via_bold

FULL_TIME

OTHER

Develop, review, and maintain technical and project documentation such as technical requirements, interface specifications, data mapping documents, technical design inputs, work plans, status reports, governance materials, issue logs, risk logs, meeting notes, decision logs, and other project deliverables. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Technical Analyst

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Desired: related experience in pharmacy industrySkills/Knowledge• Required: Ability to present to all levels of management; excellent time-management skills; basic computer skills; advanced Microsoft Office proficiency; outstanding problem solving skills; experience in root cause analysis; able to collaborate cross-functionally; experience working within a team• Desired: Previous experience in a project management and client-facing customer service role; strong background in administrative management with the ability to manage multiple priorities and deadlines at once; strong experience in business writing. Engages with the C-Suite, Regional or Facility leadership to discuss Monthly/Quarterly Business Reviews and Pharmacy Optimization Services.• Oversees client issue escalation process and collaborates with key internal partners, elevating high level issues through the organization for complete resolution.

BrightSpring Health Services

Director of Client Services / Skilled Nursing / Long Term Care Pharmacy Services

Bachelors DegreeExperience: 2 years related financial/accounting experience Substitution: 10 years related experience working in a Patient Accounting related position and 2 years' experience working in an analytical role may substitute for Bachelors Degree and 2 years financial/accounting experience. Reviews claims and payment data to ensure accurate billing to and payments from all Commercial, Managed Care and Governmental Payers to ensure compliance with all payer contracts and fee schedules.

Contract Manager Jobs in Charleston, WV

Business Planning Manager-Ops Oracle

IT Team Lead Charleston Area Medical Center Health System Inc

Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital Charleston Area Medical Center Health System Inc

Staff Cost Consultant Acuity International

Technical Analyst Maximus

Director of Client Services / Skilled Nursing / Long Term Care Pharmacy Services BrightSpring Health Services

Financial Analyst -- Revenue Integrity -- General Hospital Charleston Area Medical Center Health System Inc

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