Carle Health

Accounts Receivable Insurance Specialist 1- Must have Hospital Billing, Denial, Follow up and Billing experience

Carle Health · Full Time · an hour ago

Carle Health

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

Manage accounts receivable by validating insurance coverage, resolving claim edits, and collecting outstanding receivables through payer portals. Perform follow-ups on denied claims, complete appeals, and collaborate with billing and coding departments to ensure accurate payment.

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Pre-Authorization Spec - Must have Experience submitting Pre Auth/direct portal

Carle Health · Full Time · a day ago

Carle Health

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The specialist identifies and processes prior authorization requirements for scheduled and add-on services across various insurance payers. They document results in Epic and communicate approvals or denials to providers to minimize claim denials.

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Pharmacist Clin - Medical Recon

Carle Health · Full Time · 2 days ago

Carle Health

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Staff Pharmacist provides direct patient care by monitoring medication prescribing and administration and conducting medication reconciliations. They also collaborate with physician groups to develop clinical guidelines and supervise pharmacy technicians in dispensing medications.

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HIM Cert Coder Pro Fee - CFH

Carle Health · Full Time · 6 days ago

Carle Health

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Responsible for the accurate and timely coding of inpatient, outpatient, and professional fee encounters using ICD-10, CPT, and HCPCS systems. The role involves resolving billing edits, performing audits, and ensuring compliance with regulatory guidelines to optimize revenue.

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Accountant Analyst/Specialist Sr

Carle Health · Full Time · 8 days ago

Carle Health

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

Responsible for managing specialty accounting areas, including annual operating budgets, monthly financial statements, and tax return preparation. The role also involves administering accounting systems and enhancing internal controls to minimize financial risk.

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HR Director, Health & Dental Benefits

Carle Health · Full Time · 14 days ago

Carle Health

🌎 United States ⭐ 10+ yrs exp 💼 Healthcare

The Director provides oversight for health, pharmacy, and dental benefit programs, ensuring compliance and operational efficiency. They analyze trends and recommend improvements to enhance team member well-being and satisfaction.

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Revenue Cycle Systems Analyst- Must have Epic HB Claims experience

Carle Health · Full Time · 14 days ago

Carle Health

🌎 United States ⭐ 2-5 yrs exp 💼 Sales

The Revenue Cycle Systems Analyst is responsible for implementing, modifying, testing, and administering revenue cycle system applications. They serve as a liaison between various stakeholders to resolve system functionality questions and recommend modifications.

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HIM Cert Coder OP/Out Patient- Must have ED accounts experience

Carle Health · Full Time · 15 days ago

Carle Health

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Responsible for the accurate and timely coding of inpatient, outpatient, and professional fee encounters to ensure compliant billing. The role involves resolving billing edits, performing audits, and serving as an expert resource for coding guidelines.

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Revenue Cycle Systems Analyst - Must have EPIC PB, build and configuration experience

Carle Health · Full Time · 19 days ago

Carle Health

🌎 United States ⭐ 2-5 yrs exp 💼 Sales

The analyst is responsible for implementing, testing, and maintaining Epic modules and other systems related to the revenue cycle and billing. They serve as a liaison between vendors and end-users to resolve functionality issues and develop customized application reports.

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Sr Acccountant

Carle Health · Full Time · 22 days ago

Carle Health

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Senior Accountant manages specialty accounting areas, including the annual operating budget process and monthly financial statement preparation for Strategic Business Units. They are also responsible for coordinating tax returns, managing accounting systems, and enhancing internal controls to minimize financial risk.

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Vice President, Pharmacy Services

Carle Health · Full Time · a month ago

Carle Health

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The Vice President of Pharmacy coordinates pharmaceutical care across all inpatient and outpatient facilities, establishing the scope of services and strategic plans. They oversee pharmacy budgets, supply chain strategies, and ensure compliance with accreditation standards and 340B regulations.

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HIM Cert Coder/Quality Review Analyst OP Team A

Carle Health · Full Time · a month ago

Carle Health

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

This role performs quality reviews of internal and vendor coding teams to ensure compliance and accuracy in medical billing. The analyst also manages coding-based denials, provides staff education, and assists with the onboarding of new coders.

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Executive Director, Enterprise Business Systems & Operations

Carle Health · Full Time · 2 months ago

Carle Health

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Executive Director provides strategic leadership and oversight for enterprise business systems, specifically Workday and Symplr. They are responsible for system governance, vendor management, and driving continuous improvement through automation and integration.

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Vice President, Finance - Central & South Region

Carle Health · Full Time · 2 months ago

Carle Health

🌎 United States ⭐ 10+ yrs exp 💼 Finance

The Vice President of Finance oversees all financial operations, budgeting, and strategic planning for the Central and South regions of Carle Health. They collaborate with regional leadership to drive revenue growth, improve operating margins, and ensure compliance with healthcare regulations.

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