Professional Billing & Follow-Up/Denials Supervisor Cape Cod Healthcare IncProfessional Billing & Follow-Up/Denials SupervisorMAPurpose of Position: The supervisor is responsible for leading professional billing, accounts receivable follow-up and denial management operations to optimize reimbursement, improve cash flow, reduce revenue leakage and ensure regulatory compliance. Maintain positive relationships with; attends monthly meetings with key payers to discuss reimbursement issues and payor publication notices affecting claims processing and account follow-up.
NewOutpatient Health Information Coding and Reimbursement Specialist Cape Cod Healthcare IncOutpatient Health Information Coding and Reimbursement SpecialistMA$25.45–$41.80 / hourDemonstrates complete understanding of Official Coding Guidelines, CCI edits, anatomy, physiology, and medical terminology to appropriately code complex outpatient encounters; including but not limited to clinics such as oncology/infusion clinics, outpatient surgery, observation encounters including infusion and injection procedures. Active CCS (AHIMA Certified Coding Specialist), CPC (AAPC Certified Professional Coder), RHIT (AHIMA Registered Health Information Management Technician), or COC (AAPC Certified Outpatient Coder).
Business Office Manager Business Office Manager Life Care Centers of America IncBusiness Office Manager Business Office ManagerPlymouth, MAIn this role, you will lead end-to-end revenue cycle management-with specialized oversight of MassHealth (Massachusetts Medicaid), Medicare Part A/B, Accountable Care Organizations (ACOs), Senior Care Options (SCO/One Care), Managed Care, and Private Pay. Direct the MassHealth Application & Pending pipeline: track long-term care applications through local MassHealth Enrollment Centers (MEC), submit required verification documentation, and monitor eligibility determinations.
Business Office Manager Business Office Manager Life Care Center of PlymouthBusiness Office Manager Business Office ManagerPlymouth, MassachusettsIn this role, you will lead end-to-end revenue cycle management—with specialized oversight of MassHealth (Massachusetts Medicaid) , Medicare Part A/B, Accountable Care Organizations (ACOs), Senior Care Options (SCO/One Care), Managed Care, and Private Pay. Direct the MassHealth Application & Pending pipeline: track long-term care applications through local MassHealth Enrollment Centers (MEC), submit required verification documentation, and monitor eligibility determinations.