systemic solutions to improve user experience, data capture, and prevent issue recurrence for ETR products (PTS, RAC... about strategy, adjustments, and progress. Make a considerable business impact through in-depth evaluation of complex business...
requested adjustments, complete daily reconciliation of bank deposits and payment posting. The Claims Analyst Specialist... and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime...
-to-end product development, including state launches and product adjustments, while maintaining P&L responsibility..., pricing models, and state-specific adjustments, with a focus on achieving P&L targets. Conduct market research, competitor...
experience Strong experience in Oracle 12c, 19c administration on Exadata RAC Experience in building new databases... experiencing working with Oracle RAC, Oracle Grid, and Oracle Multitenant technologies and ability to troubleshoot and configure...
appeals writing for RAC, Medicaid RAC, payer and other government denials. Provide process improvement initiatives through... the dollar total amounts for each discrepancy and submits necessary documents for adjustments 4. Negotiates...
of project deliverables. Monitor project progress and make adjustments as necessary to ensure successful project completion...: Bachelor's degree in Engineering, Life Science or related discipline preferred. Licenses/ Certifications: RAC preferred...
that audit adjustments are made and corrective actions are taken to address identified billing, charging, and documentation... and counterparts at payers as appropriate. Coordinates Recovery Audit Contractor (RAC) audits and direct appeal activity related...
and following up on all payer audit record requests, audit responses and appeals for the CMS Recovery (RAC) Program, CMS Medicaid.../statuses or abuses. Essential Functions Receives, logs and tracks all RAC, MAC, CERT, other Government payer audit...
that supports operational/state business partners in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC... the end to end preparation and development of the most complex pro forma adjustments that are relied upon to support base...
that supports operational/state business partners in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC... the end to end preparation and development of the most complex pro forma adjustments that are relied upon to support base...