, and accurate recording of Medicaid-related revenue streams, including Drug Rebate payments, SURS recoupments, and cost settlement... revenues, ensuring compliance with federal and state guidelines. Oversee Medicaid revenue activities such as the Provider Fee...
results-together, from anywhere. What the Role Is The Manager, Revenue Cycle Management (RCM) will build, lead, and scale... of insurance provider requirements, EDI file types, and compliance frameworks (HIPAA, CMS) You've implemented or optimized RCM...
execution of provider refund check processing for our Medicare Advantage business. Reporting to the Senior Manager of Provider... Disputes, Appeals & Recoupments, you will serve as the dedicated owner of the refund check lifecycle—ensuring that once...
, amount of insurance payment and balance owed by patient or responsible party including recoupments. ¨ Identifying correct... to insurances. ¨ Responds to all mail and phone calls concerning credit balances and refunds checks. ¨ Completes provider...
explanations of benefits (EOBs) and reconcile and apply payments, recoupments, and provider level adjustments (PLBs). Identifies... will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the...
and refunds checks. Completes provider applications for payers Follows-up accounts on assigned ATB and/or custom reports... and contacts insurance carrier for payment and/or recoupments. Enter appropriate mnemonic in the notes tab Utilizes tickler, when...