5 operating room jobs found

Job Description The Financial Operations Manager is responsible for understanding the financial operations of the TPA including collections, cash application, and finance business systems and support including workflow, processes, related systems, and procedures. Responsible for overall disbursements function including financial and operational reconciliation, provider payment releases and inquiries Relationship owner and subject matter expert for provider check and EFT payment platforms, inclusive of inventory reporting and oversight of file transmission. Ensure the proper transfer of cash/payables data to the general ledger. Ownership of Accounts Receivable reconciliation, maintenance, support, and reporting to internal business partners. Must be able to identify customer focused process improvement opportunities, system inconsistencies, assess root cause issues, apply business solutions and facilitate training opportunities. Acts as a business...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

FEP Senior Claims Specialist Responsible for accurate and timely handling of claim issues for FEP. Applies and maintains comprehensive knowledge of claims processing and support systems. Provides expertise and shares knowledge to support other team members. Responsibilities Research and adjust complex and/or high dollar adjustment requests received from all areas, inclusive of internal and external sources (e.g. other plans, providers, FEP Directors Office); Handle FEP reconsiderations accurately and timely per the FEP benefit manuals and guidelines Meet departmental quality and production requirements. Respond professionally to external/internal inquiries, as appropriate, while maintaining corporate and departmental standards. Research and analyze complex claims that are paid incorrectly; recover overpaid and underpaid claim dollars and ensure all necessary transactional steps are taken to accurately process claim adjustments. Follow departmental standard for...

JOB DESCRIPTION The AVP, Data Management will provide business leadership, strategic direction, and project management oversight for process improvement, technical design, implementation, migration, and change management related to inbound and outbound data files for carriers, customers, and trading partners. Working closely with ESIS business groups, operations, technology teams, strategic partners, customers, and Chubb colleagues, this leader will drive project execution, documentation, requirements gathering, solution design, product roadmap development, integration, and delivery of data solutions that support customer and carrier partner needs. Essential Functions: Set the strategic direction for ESIS data management processes and technology, including the development and delivery of new capabilities. Establish and manage a structured process for requirements definition and prioritization to meet carrier partner and client data file needs. Maximize the use of the...

Finance Analyst - Trade Spend and Pricing Analyst Who We Are Essity is a global leader in health and hygiene headquartered in Stockholm, Sweden, with a North American headquarters located in Philadelphia, PA. We are a multi-billion-dollar company with a purpose to break barriers to well-being for the benefit of consumers, patients, care givers, and customers across the globe. We do this through innovations in our Professional Hygiene, Personal Care, and Health & Medical business units that provide hygiene and health solutions to over a billion people every day worldwide. Working at Essity is more than a career, it is where you will play your part in a better future, to improve well-being for people and have opportunities to drive positive change for society and the environment.  As an employee at Essity, you will belong to a team where you feel valued, are safe, supported to grow and challenged to generate business results in a friendly and open atmosphere....