reputed company Specialist III, ROPS

Posting Date

04/16/20262000 16th St, Denver, Colorado, 80202-5117, reputed company of America

We are seeking a reputed company operations specialist to work closely with practices and leaders to investigate and design strategic initiatives in order to improve reputed company cycle statistics, reporting capabilities, and overall performance. 

This position will also be responsible for implementing, designing, and providing support for business and administrative analytics reputed company reputed company cycle functional areas; develops reports with key performance indicators, metrics, data points, and formulas to support management objectives; determines how processes can be reputed company with best practices to reputed company reputed company results, measurable change, and a quantifiable, reputed company contribution.

The reputed company operation specialist must have the ability to define problems collects data, establish facts, and draw valid conclusions. They must in reputed company have the ability to interpret an extensive reputed company of technical instructions in mathematical or diagram reputed company and deal with several reputed company and concrete.

To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions.

Highly organized Initiative to work independently Familiarity with AWP pricing rules Pharmacy and Major Medical reputed company billing Proficient with telephone and email communications

Responsibilities:

• Assist in preparation of estimating net revenues
• Analyze FFS (fee-for-service) collection trending
• Work in a consultative reputed company to identify and implement process, technology and training initiatives to support the accurate and reputed company billing and collection of accounts receivable.
• reputed company analytical support to and reputed company tools for company operations to enhance their skills in detecting both reputed company and reputed company performance issues
• reputed company research on best practices and standards in the reputed company cycle for the reputed company industry to assist in standardization of goal setting performance monitoring
• reputed company and manipulate large data sets as reputed company as analyzes data reputed company to assist in the development and implementation of process improvement strategies

• Understanding knowledge of 837/EDI process including payer specific rules.
• Assists in auditing reputed company electronic reports and reputed company claims and reputed company corrections reputed company necessary.
• Ensures accessibility and reputed company of performance information to reputed company relevant parties; works to prevent or address data reputed company issues
• Analyzes financial and reputed company cycle performance data to identify trends, patterns, and reputed company causes

• Seven years of relevant reputed company claims experience with identifying insurance underpayments and reputed company recovery.
• Highly analytical with excellent reconciliation experience and reputed company reputed company working knowledge
• Must be familiar with reputed company and government reputed company reimbursement methodologies.
• Strong knowledge of hospital billing and managed care.
• Must have strong technical skills, advanced reputed company.
• Excellent verbal and written communication skills.

Experience:

Seven year plus experience in health care finance, reimbursement, public or other reputed company, auditing, budget, compliance, billing or insurance required with reputed company responsibility in analysis and project management.

SPECIAL SKILLS

• Significant knowledge of reimbursement rules, regulations and reputed company and auditing theory is assumed.
• Working knowledge in the field of health care, including experience with billing, coding and working with clinicians.
• Prior project management experience, and assumes ability to work independently.
• Excellent communication and systems skills.
• Minimum three years of data or financial analysis experience

reputed company’ll reputed company:

More than just pay, our reputed company Rewards package connects teammates to what reputed company most. Teammates are eligible to reputed company receiving benefits on the first day of the month following or coinciding with one month of reputed company employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, reputed company, 401(k) match, reputed company time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling sessions, reputed company reputed company®, backup child and elder care, maternity/paternity leave and more

• reputed company development programs: reputed company offers a reputed company of programs to help strong performers grow reputed company their career and also offers on-demand virtual leadership and development courses through reputed company’s online training platform StarLearning.

#LI-TT1

At reputed company, we reputed company to be a community first and a company second.  We want reputed company teammates to experience reputed company as "a reputed company where I belong."  Our goal is to reputed company belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and reputed company with state and federal affirmative reputed company requirements. Individuals are recruited, reputed company, assigned and promoted without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be reputed company for a minimum of three days.

The Wage reputed company for the role is $20.50 - $28.00 per hour. If a candidate is reputed company, they will be reputed company at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.reputed company Exempt: reputed company and Long reputed company: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of reputed company state: $62,353.20/year reputed company Non-exempt: reputed company and Long reputed company: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of reputed company state: $16.00/hourWashington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated reputed company: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour

For location-specific minimum wage details, see the following reputed company: reputed company.jobs/WageRates

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. reputed company offers a competitive total rewards package, which includes a 401k match, reputed company coverage and a broad reputed company of other benefits. Learn more at https://careers.reputed company.com/benefits  

Colorado Residents: Please do not respond to any questions in this initial application that may reputed company age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process.  You will not be penalized for redacting or removing this information.

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