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Manage revenue cycle activities to attain performance benchmarks related to credentialing, charge capture optimization, claim rejection & denial rates, DSO (Days Sales Outstanding), and overall collections.
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Additionally, you will work with Health Information Management (HIM) procedures, including document and record management, clinical documentation, coding, and charge capture, as well as Patient Financial Services (PFS) procedures, which involve billing, accounts receivable, remittance, and the management of bad debt.
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Assists with reconciling monthly supply expenses to ensure accurate billing and charge capture. Documents poor vendor performance and interfaces with the DI Procurement Coordinator and Interventional Radiology DI Manager.
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Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E&M coding guidelines.
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Ensures accurate charge capture or professional billing as required by unit. Assists with charge entry or charge entry audits. Shift: Part time Weekend position will be Night shift , Sat & Sun 7p-7a.
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General understanding of revenue cycle with an emphasis on billing, coding, charge capture and reimbursement, preferred. Two years of experience related to healthcare insurance verification and/or billing required.
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Knowledge of the Revenue Cycle and the links between departments: Charge Capture, Patient Access, HIM, Coding, and Patient Financial Services. Works closely with HIM, Coding, Revenue Integrity, Patient Access, and Patient Financial Services departments to resolve outstanding claim errors by obtaining necessary information for accurate billing.
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Charge capture/billingPerforms billing and/or enters credits for tests and services when applicable. Recognizes billing problems and escalates accordingly. Assists patients and other contacts whenever need occursQualificationsRequired:Bachelor’s Degree in Medical Technology, Medical Laboratory Science, Clinical Laboratory Science, Biology, Chemistry, or Allied Health qualifying the applicant to take the American Society for Clinical Pathology (ASCP) certification examination.
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Knowledge of medical office operations, including scheduling, registration, electronic medical records, patient flow, billing, coding, charge capture, referrals, authorizations, payer guidelines, compliance, credentials, privileges, regulatory agencies, and the DNV standards.
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Required: One to Three years of hands on billing/Charge Capture coding or related services. Communicates with, certified coders department management and clinic staff to obtain needed documentation to ensure correct billing.
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Orders and picks-up/delivers medical supplies, non-medical supplies, laboratory requisitions, and other items, while adhering to established standards to respond to, and expedite routine requests. Coordinates special procedures by processing legal paperwork, X-rays and test data to appropriate sources to ensure the timely delivery of essential materials.
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Responsible for accurate and timely charge capture for clinic and hospital based services. Minimum years of medical billing and account follow up experience. Maintains up-to-date knowledge of third-party billing and reimbursement, clinic's financial policies and industry knowledge.
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Implement actions to improve billing/collections processes, charge capture and optimize reimbursement. Understands and remains updated with current coding and billing regulations and compliance requirements.
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Responsible for the provider end-of-day claim closure reconciliation procedures including screening of the charge capture system (ICD-10) diagnosis code and provider charge entry), claim creation, encounter closure and registration and front end claim edits for provider billing.
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Provides other registration, clerical and billing support as required such as scheduling, benefits and authorization capture, charge entry, etc. Enters data into system for registration, billing, and patient tracking.
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