8 insurance jobs found in Raleigh

Overview: Provides general daily management of the Claims and Billing Department. Duties may include, but are not limited to, the following: Develops processes and procedures that will monitor billing outcomes. Oversees the process of charges coming into the Patient Accounts Department. Responsible for analyzing rejections. Oversees the addition of into the Practice Management System. Assists with communications for internal meetings and provides team information as requested. Implements strategies to eliminate errors and reduce the rejection rate. Updates and develops policies and procedures based on billing needs and requirements as necessary. Works with other WAKEMED departments and staff on a daily basis to troubleshoot and resolve day to day operational issues relating to billing and the processing of claims. Responsible for serving as a connection between the Department and other departments within WAKEMED. Allows the access for WAKEMED departments to be able to work in the...

Company Overview Allbridge is the leading supplier of world class connected technology solutions, services, and support for high-density properties.  With more than 35 years of continuous growth and industry experience, Allbridge supports technology in over one million rooms, in 8,000 properties, across North America and the Caribbean, including hotels, resorts, senior-living communities, condominiums, multifamily developments, and mixed-use properties.  Job Summary The Accounting Manager responsibilities include general ledger and monthly close management, audit support and ownership of the cash/credit card accounting processes for Allbridge entities. A successful Accounting Manager combines excellent analytical skills with a thorough knowledge of accounting principles to ensure GAAP compliance, accuracy and timeliness of accounting tasks, as well as the ability to supervisor and train others in the department. This position will report to...

Overview: The Finance & Accounting Representative is responsible for accurate billing of claims according to payor guidelines, resolving claim edits, claims processing, claims follow up activity, resolving denied claims and special collections. Acts as a resource by providing support for Patient Account Representative positions within the department. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit   www.wakemed.org . EOE Licensure: Not Applicable Education: High School Diploma or Equivalent Required Associate's Degree Business Administration Preferred Experience: 2 Years Accounting/Finance - Collections Required 2 Years Accounting/Finance - Patient Accounting Required

Overview: The Team Leader, Claims & Billing is responsible for providing support to staff and management. Serves as a resources for the Hospital Claims & Billing office. This position will require a high level understanding of processes and systems as they relate to the functions of the business office, including basic medical diagnosis and procedure coding. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit   www.wakemed.org . EOE Licensure: Not Applicable Education: High School Diploma or Equivalent Required - And Associate's Degree Business Administration Or Accounting Or Finance Or Healthcare Preferred Experience: 4 Years Accounting/Finance - Finance Or Accounting/Finance - Billing Or Healthcare...

Overview: Serves as the primary Decision Support lead for clinical service line & patient financial data reporting & analysis. Analyzes clinical, financial, and operational data to optimize clinical service-line profitability, forecasting, and strategic planning. Leads teams to provide data-driven insights to improve margin performance and support executive decision-making within the health system.Responsibilities also include the development of our decision support tools to enhance and improve efficiencies in the clinical service line and month-end patient data reporting & analysis. Additional responsibilities include business case development and ad-hoc reporting. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information,...

Overview: Provides analytical and technical expertise for finance activities throughout the healthcare system. Supports the decision support and financial reporting systems. Participates in training co-workers and other users on these tools. Serves as a primary decision support and financial planning team member. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org . EOE Licensure: Not Applicable Education: Bachelor's Degree Business Administration Or Finance Required Master's Degree Preferred Experience: 4 Years Accounting/Finance - Accounting and Financial Analysis Required

Overview: The Managed Care Operations Lead serves as a resource and advisor, directs all aspects of managed care operations including system wide credentialing with managed care plans, contract performance monitoring and reporting, and contract payment modeling and analysis. Works in collaboration with Chief Financial Officer, consultants Vice President of Finance, Director and Managed Care Specialists to recommend contracting strategies, perform complex contract modeling, and to monitor health plan performance. Acts as a liaison between Managed Care Contracting, Reimbursement, Patient Financial Services, Patient Access and other departments in the hospital in an effort to create seamless operational performance and reimbursement maximization related to managed care contracting and performance monitoring. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve...

Overview: Oversees the data gathering, financial modeling and creation of ad hoc financial reports using multiple database systems for the Managed Care department. The financial models and reports are used for contract negotiations, auditing purposes, and validating claim payments to help assist senior level leadership in the decision-making process. The role is also responsible for maintaining and auditing the current financial models in the finance database system for accurate reporting, and investigating over and under payments for claims variances and participating in various department related special projects Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit  www.wakemed.org . EOE Licensure: Not Applicable...