A minimum of two years healthcare experience in revenue cycle billing and collections A minimum of one year experience... Manager and Department Lead, this position is responsible for patient insurance carrier referrals, insurance authorizations...
of providers Job Description Under the direction of the Director or Manager of Revenue Cycle Management, the Accounts... with practice consultants or physicians to ensure optimal revenue cycle functionality Drive toward achievement of department...
to meet the needs of markets and ministries. Create alignment between and build relationships with revenue cycle, denial...Details Department: Utilization Management Schedule: Full-time, Day shift. Monday - Friday Location: Remote Salary...
) Job Description: JOB SUMMARY The Revenue Cycle Clinician for the Appellate Solution is responsible for: a) Recovering revenue associated..., credits, debits, balance due, patient liability, denials management, etc. Additional responsibilities: Serves as a resource...
and understand payer contractual language. Knowledge of healthcare accounts receivable and revenue cycle processes. Knowledge... and/or Manager, the Infusion Coordinator facilitates, maintains, and manages the infusion AR across the Catholic Health System...
and a team approach for key care management functions and meeting patient needs. Will notify Care Managers of potential denials... with Patient Accounts and Revenue Cycle areas to address payer issues and reconciliations of accounts as needed. UR DOCUMENTATION...
and AVP on improving financial outcomes Management and oversight of revenue cycle for assigned region/division of clinics...(s) Project management: Partner with internal and external stakeholders to accomplish goals and distribute work appropriately...
guidelines and requirements. - Resolves payer denials and responds to inquiries from revenue cycle teams, and processing... and responds to inquiries from revenue cycle teams, and processing of charge corrections as appropriate. - Comply...
as a leader of positive change. The Account Representative is responsible for billing and Revenue Cycle follow up. Ensures the... and reviews revenue cycle reports as necessary. Communicates effectively and professionally with co-workers, insurance companies...
and commercial insurance payers. Prior work experience in healthcare revenue cycle (prior authorization, coding, claims, denials...! Sr. Payer Policy Analyst The Senior Payer Policy Analyst is responsible for assisting the Manager of Payer Policy...
insurance payers Prior work experience in healthcare revenue cycle (prior authorization, coding, claims, denials, appeals...! Sr. Payer Policy Analyst The Senior Payer Policy Analyst is responsible for assisting the Manager of Payer Policy...
. Prepares weekly and monthly reports of Medicaid billing for the Manager of Revenue Cycle Management and Medical Records... companies for services if patient has not done so. Consistent follow up with all insurance companies to work claim denials...
between clinical areas, finance, and revenue cycle departments. Works pro-actively with administration, finance, revenue cycle, nursing... and risks to the appropriate stakeholders (e.g. Clinical Liaison Manager and Revenue Integrity Director). Supports clinical...
and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external... departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns...
. When applicable Billing Clerk may participate in individual or group meeting/trainings related to billing or revenue cycle... practice management system in accordance with established procedures. Ensures that all matters related to patient account...
. Qualifications Education High School Diploma or GED, (Required) Experience 1 year Revenue Cycle experience... information from provider practices, providing timely notification of issues, denials, and/or need for peer to peer. Monitors...
to resolve preventing costly denials. Works with Revenue Cycle team on root causes of denials/resolve. Initiates appeals... in RAC activity/adjustments to processes to ensure compliance w/federal regulations Participates in other Revenue Cycle...
, payer requirements, HIPAA privacy and security requirements, and general revenue cycle procedures required, Epic... options. Identify clinical and financial criteria that require involvement of Case Management team or Financial Counseling...
of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics... Manager) for their specified functions of central business office requests, denials and DNFB activities Monitoring the task...
. Collaborate with internal and external stakeholders to achieve best outcome for patients and the health systems revenue cycle. 5... and resolve problems and situations quickly and effectively Strong knowledge of overall Revenue Cycle operations related...