9 jobs found in Raleigh, NC

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: 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

What You'll Do: The New Business Consultant is instrumental to the success of regional sales offices by building partnerships with our financial professionals, accurately onboarding new client accounts, managing account openings and asset movement requests with broker-dealer, and serving as a point of contact between financial professionals, product partners, and custodians.   Here are a few examples of the kinds of things you’ll do: Provide training to financial professionals for new business protocols and technology fundamentals. Assist in the onboarding of new clients by accurately preparing and processing insurance, annuity, and investment account applications. Manage account openings and asset movement requests with broker dealer. Utilize industry technology, such as Salesforce CRM and proprietary product platforms to create, track, manage, and complete tasks related to new business operations. Implement and manage systems to track multiple time sensitive...

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: The Team Leader, Financial Counseling is responsible for supporting the daily operations of the Financial Counseling team on the Medicaid application process, screening patients (inpatient/outpatient) for eligibility for North Carolina Medicaid programs and conducting home visits, as needed. Collaborates with the Medicaid staff in all counties and the Triangle Disability Advocates and North Carolina Hearing & Appeals Office. Assists the supervisor and manager with productivity tracking and analysis, quality reviews, training staff, special projects, and other duties as needed. 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...

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: Responsible for preparing and analyzing profitability information and serving in a support role as needed for various process improvement groups throughout the organization. Formulates meaningful information with executive summaries that provide insight into serve line and system-wide financial performance. Understands general operational functions and financial functions, including charges, revenue, reimbursement, payment, productivity, expense, cost and process functionality. Maintains expertise in financial reporting systems to ensure accurate and comparative information is available in reports and dashboards. Maintains knowledge of subsystems that interface to the decision support and financial reporting systems to ensure information is timely and accurate. Performs special projects for the CFO, vice-president of finance, executive team and financial planning department as directed. Department Description: Serving the community since 1961, WakeMed Health &...

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...