Requisition # 625171 Location Johns Hopkins Health Plans, Hanover, MD 21076 Category Non Clinical Professional Schedule Day Shift Who you are As the Vendor Auditor for Johns Hopkins Health Plans ("JHHP"), your in depth knowledge of auditing, claims, and medical policy helps ensure that our vendors are performing to policy and regulations. Not only will you lead audits, yo

Responsible for internal audit planning in assigned areas including performing effective risk assessments and meeting with management to support the development of the annual audit plan. Oversees a portion of the Departmental annual audit plan, working with Executive Director Operational Audits and/or Associate Directors in collaboration with other managers to plan and st

Collaborate in the planning of internal audits by gathering specific relevant background information (such as financial results, and policies and procedures) from the Institutions information systems, web based and other information sources. Will conduct a complete analysis of assigned tasks and be able to make action recommendations. Contribute to the design of internal

Uses A/R follow up systems and reports to identify unpaid claims for collection/appeal. Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract. Review and update patient registration information (demographic and insurance) as needed. Resolves claim edits as needed. Applies appr

We are seeking a Compliance Monitoring Specialist who will work under the supervision of the Sidney Kimmel Comprehensive Cancer Center (SKCCC) Clinical Research Compliance Manager. This role is responsible for conducting compliance monitoring reviews of clinical research trials in keeping with established policies and procedures of the Cancer Center. Specific Duties & Res

Under the supervision of the Senior Director of Budget, in the University Planning and Budget Office, we are seeking a Budget Officer who will provide support for the University's operating and capital budgeting processes, the Trustee Quarterly Reporting process, as well as participate in other University budget, planning and financial analysis tasks and initiatives. Gene

Conducts independent reviews/audits on the adequacy of medical record documentation to support the codes selected by providers or by billing office coders. Verifies and corrects as necessary, the audit work completed by the Compliance Auditors or other Sr. Auditors/Trainers. Analyzes documentation or coding patterns by a provider, division or department that poses a compl

Sort Lockboxes and flag EFT monies. Post payments and rejections (manual & electronic) in Epic. Posts Time of Service, credit card deposits and journal vouchers to the Epic system. Interacts with clinic and billing office staff. Post auto self pay file. Obtains documentation, organizes, prepares and posts negative remittances from third party payers continuing to track un

Provide comprehensive business and financial support to Project Managers (PMs) Responsible for performing a range of tasks to ensure the effective formulation, execution, and tracking of program finances. Key responsibilities include Program Financial Formulation Assist in strategic planning and preparation of technical, financial, and programmatic materials Provide budge

The Lead Major Account Manager (MAM) is responsible for new and existing business across the specific territory supporting the Intelligence Community. The MAM will be responsible for constructing and executing short and medium term sales strategies in the account. The MAM will work with other team members in forecasting, building pipeline, and customer engagement. Teamwor

Lead Major Account Manager, FSI The Lead Major Account Manager is responsible for sales activity and customer support within the Federal Systems Integrators (FSI). The FSI Lead MAM will be responsible for achieving or exceeding annual revenue quotas and ensuring that all Juniper sales and delivery activity is run efficiently and effectively. The Lead MAM will also be resp

Federal Civilian Agencies Sr Major Account Manager The Sr Major Account Manager (SMAM) is responsible for sales activity and customer support in the U.S. Federal Civilian region. The SMAM will be responsible for achieving or exceeding annual revenue quotas and ensuring that all Juniper sales and delivery activity is run efficiently and effectively. The SMAM will also be r

Accounting Specialist Job Locations US MD Sparks ID 2024 5362 Category Administrative Support Type Full Time Regular 40 hours Posted Date 26 minutes ago (4/29/2024 11 41 AM) Overview Join us as we Rise to the Challenge At KCI, we're building an enduring community that provides unparalleled value to our employee owners. We make our mark designing and delivering our world c

Kearney & Company is seeking a Senior Analyst to join our Washington, D.C. team supporting one of the Federal government's largest agencies! Duties include but are not limited to Supporting the Department of the Navy (DON) General Fund and Working Capital Fund audit response, audit remediation, internal controls, financial processes, and/or accounting in accordance with G

Kearney is seeking an Audit Manager to join our team! The Audit Manager will oversee the quality control review function of audit requests for a financial statements audit at a Federal Government Agency. This position requires great attention to detail, mastery of process documentation, risk assessment, data analysis, communication and writing skills. Additional duties in