2 patient financial access specialist jobs found in Raleigh

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: Provides strategic leadership and technical oversight for the Revenue Integrity Department. Ensures accurate, complete, and timely charge capture and reconciliation, optimizes reimbursement, and safeguards compliance with all regulatory standards. Leads key operational initiatives across nurse auditing, coding, Charge Description Master (CDM) maintenance, and denials management, while fostering collaboration with clinical, financial, and operational teams. Through innovative strategies and continuous process improvement, this position enhances revenue cycle performance and supports organizational financial health. Leadership and Oversight: Supervise and mentor the Revenue Integrity teams, including nurse auditors, coders, analysts and specialists. Monitor performance metrics and implement continuous improvement strategies. Conduct performance evaluations and support professional development for direct reports. Charge Capture and Systems Management: Oversee the development...