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Responsible for insurance payment posting, denials management, and A/R follow-up for assigned accounts. Minimum 2 to 3 years experience in insurance payment posting and denials management preferred.
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Knowledge of revenue cycle processes, payor billing, denials management and reporting. The Revenue Cycle Analyst position will partner with the billing manager, billing team and other stakeholders across the revenue cycle path to identify and analyze the root causes of user and system issues regarding eligibility verification, provider enrollment, customer service, and billing denials, develop efficient workflows, and implement technology solutions within the revenue cycle's operating systems.
$25 - $29 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Prepare reports on post-discharge denials management activity including overturn success rate of appeals for corporate compliance. Ability to foresee projects from start to finish as well as identify trends in denials management data.
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PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service.
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Provide thorough data analysis of all A/R behavior, with particular attention to billing, collections/follow/up, denials management, credit balance reconciliation to identify payer trends & patterns.
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Duties may include, but are not limited to, reviews of insurance and denials management processes, claim and account detail, assuring quality, accuracy, timeliness and appropriateness standards are maintained and quality standards measured and achieved.
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Revenue Cycle to include Charge Capture, Collections, A/P, Denials Management. Surgical service lines include General Surgery, Vascular, Orthopedics, Spine, Podiatry, Urology, ENT, Pain Management, Plastics, Gynecology, and GI. The hospital also has 2 Catheterization Labs in which 600 coronary and peripheral intervention cases are performed annually.
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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client's product. Support patient access assistance from prescriber decision through to fulfillment, supporting the entire Reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
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Demonstrated level of proficiency with support technology (e.g., PC, tablet, & Customer Relationship Management (CRM) tools) The Field Reimbursement Manager will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, including acting as an extension of patient support program and in other collaboration with other partners.
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The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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Knowledge of CMS policies, commercial insurers, managed care, government and federal payer sectors, IDNs, and IHS required. In addition, some positions may include a company car or car allowance and eligibility to earn commissions/bonus based on company and / or individual performance.
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Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.
$16 - $24 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Obtains appropriate levels of support and responsiveness from Advantia's RCM vendors, including R1 (coding and denials management), Athena (EMR and billing), Phreesia (online visit check-in and patient responsibility collections), collections agencies, and others.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Specialty pharmacy and buy and bill and hub partnership experience required. Must have general payer policy knowledge including public & private payers, foundational knowledge of benefit verifications & prior authorization/pre-determination requirements (including appeals/exceptions), & knowledge of access & reimbursement processes within various sites of care.
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The daily functions of the RCM Manager include monitoring denials, working with an outsourced billing company, updating insurance information, KPI management, and managing the patient intake processes.
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denials management jobs
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