Top 21 utilization management Jobs in luck wi

Director of Revenue Cycle
Cumberland Healthcare —Cumberland, WI
- $109,137 - $168,376 a year
- Full-time
- Hospital
- 5 years
- Outpatient
- Health savings account
- Health insurance
Quick Apply
np or higher
Restorative Health Services —Siren, WI
- $50,000 - $75,000 a year
- Part-time
- Hybrid work
- Background check
- Vital signs
- Outpatient
- Employee discount
- Flexible schedule
Quick Apply
11d
Outpatient Therapist or Clinical Trainee
Canvas Health —North Branch, MN
- $69,005.07 - $91,552.79 a year
- Full-time
- LMFT
- Doctoral degree
- Adults
- Paid holidays
- Relocation assistance
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Physician Assistant/Nurse Practitioner (D), CVOR - Regional
Corewell Health —United States
- Weekends as needed
- Acute care
- Nursing
- Surgery
- Free parking
- Paid holidays
Advanced Practice Provider Lead (NP or PA) – NJ Palliative Care
NJ Palliative Care Solutions —United States
- $160,000 - $190,000 a year
- Full-time
- Bilingual
- 5 years
- Outpatient
Quick Apply
12d
Medicare Medical Review RN (Medical Reviewer III)
CoventBridge Group —United States
- $65,000 - $75,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Paid holidays
- Disability insurance
9d
Inpatient Hospital Auditor | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Anatomy knowledge
- Mid-level
- Training & development
- Health insurance
- Dental insurance
Quick Apply
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
Bilingual LPN Personal Care Coordinator I (Spanish)
Chartspan Medical Technologies Inc —United States
- $19.25 an hour
- Full-time
- Spanish
- Nursing
- LVN
Quick Apply
11d

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The information collected and used by medical information management staff is interconnected with the clinical and business systems of the health system and is…
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utilization management jobs near luck wi

Director of Revenue Cycle

Cumberland Healthcare
Cumberland, WI

Quick Apply

Job Details

Full-time
$109,137 - $168,376 a year

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Life insurance
Referral program
Retirement plan

Qualifications

Teamwork
Inpatient
Outpatient clinic experience
Outpatient facility experience
Bachelor's degree
Organizational skills
Business Administration
Process management
Patient collections management

Full Job Description

Company Overview
Cumberland Healthcare is an independent community based healthcare facility, inclusive of a Critical Access Hospital and Rural Health Clinic, serving northwest Wisconsin. With a comprehensive range of services including a clinic, a 25-bed critical access hospital, extensive rehabilitation and emergency services, Cumberland Healthcare has been dedicated to providing quality healthcare for over 50 years. The organization emphasizes compassionate, accessible, and integrated care for its diverse patient population.

Revenue Cycle Director

The Revenue Cycle Director works to improve the revenue cycle and process by maximizing revenue and reimbursement through the effective management and utilization of revenue processes and information flow through operations and billing systems.

This position oversees the following departments: Patient Financial Services/Business Office and Health Information

Key Responsibilities

Analyzing and implementing initiatives to increase revenue, working with areas of the facility to coordinate revenue procedures, credentialing payers with insurance and health plans to ensure proper set-up for reimbursement.
Driving process improvement initiatives related to revenue cycle functions in collaboration with department leaders and managers.
Responsible for the entire pipeline of charge capture activities from registration, coding, and billing for ensuring accurate reimbursement for services billed.
This position serves as a key resource for setting up new service lines and corresponding charges and for facilitating the credentialing process for physicians and contracts with third party payers.
Responsible for maintaining and overseeing the facility chargemaster.

Qualifications

Bachelor’s degree in business, accounting or other related field;
5+ years’ healthcare revenue cycle experience with billing; reimbursement; and collections for inpatient, outpatient and clinic environments (Critical Access Hospital and Rural Health Clinic experience preferred)
Knowledge and familiarity of cost reporting preferred
Insurance contract negotiation experience preferred
Medicare/Medicaid payor knowledge preferred
Possess management skills including ability to plan, organize, and direct staff using good communication and effective management techniques
Meditech experience preferred
Advanced knowledge of billing claim forms, UB-04, 1500, and EOB Interpretation
Possesses strategic interconnectivity of all elements of the Revenue Cycle and how to maximize efficiency and effectiveness, from billing and NPIs to Payors to Cost Reports, etc. for Critical Access Hospital and Rural Health Clinic

Pay: $109,137.00 - $168,376.00 per year

Benefits:

Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Referral program
Retirement plan
Vision insurance

Work Location: In person

Quick Apply

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utilization management jobs in luck wi

Director of Revenue Cycle

np or higher

Outpatient Therapist or Clinical Trainee

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

Physician Assistant/Nurse Practitioner (D), CVOR - Regional

Advanced Practice Provider Lead (NP or PA) – NJ Palliative Care

Medicare Medical Review RN (Medical Reviewer III)

Inpatient Hospital Auditor | Remote | Contract

Remote Psychologist - US Location

Bilingual LPN Personal Care Coordinator I (Spanish)

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