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Title: RCM Specialty Follow Up Specialist – Workers CompDepartment: Central Business OfficeLocation: Security Park – B27 | On-siteThe RCM Specialty Follow Up Specialist for Workers Comp ensures accurate and timely submission of insurance claims, obtaining missing information, researching denials and documentation, following up on claims, and maintaining compliance with department standards, HIPAA, and governing agency policies and procedures.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Appeals all denials ensuring accuracy of information and effective coordination of correspondence. Maintains accurate documentation and files as it relates to utilization management. Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization review information; Educates hospital staff about requirements and trends.
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Evaluate and recommend loan approvals, denials, counteroffers, loan modifications, and debt restructuring based upon individual circumstances and data. Consult with members and the public about asset purchase, credit management, budgeting, debt restructuring, and financial planning issues.
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The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre-access management, variance and customer service to our affiliated UHS facilities.
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Assists Patient Financial Services with denial management issues and will appeal denials based on medical necessity as needed. Communicates problems hindering workflow to management in a timely manner.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Minimum of one year revenue cycle management experience or related experience. Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections. Minimum of one year revenue cycle management experience or related experience.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Other: Understanding of Revenue Cycle functions including billing, payments, denials, authorizations, and benefit verifications. Experience: 1-2 years of experience in the healthcare industry, social work, or case management environment, interacting with patients regarding financial concerns, working with self-pay, underinsured, or a compromised population in a face-to-face customer service capacity proactively explaining complicated programs.
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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.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Submit completed refund request documentation to AR Manager within time designated by management. Work EOB/remittance advices on a daily basis to identify denials or short paid claims. Perform all other duties as assigned by AR Management team.
Full-timeRemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Duties may include but are not limited to core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, customer service, and billing records review.
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You will work closely with our Revenue Cycle Management and Billings teams in designing, auditing, and optimizing our billing frameworks, processes, and accounting [charge capture, contractual adjustments, third-party reimbursements, cash collections, denials, write-offs, bad debt, accounts receivable.
$107,500 - $192,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Actively participates in cash collection activities and denials management. Management-level experience in a variety of finance disciplines, including revenue cycle, general ledger, accounts receivable management, purchasing, fleet management, accounts payable, and payroll processing.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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In this role, the successful candidate as the Associate Revenue Cycle Analyst works with the management team of Revenue Cycle Operations to drive business value by supporting revenue cycle management in the analysis of revenue cycle data as well as proactive identification of process improvement opportunities and applying analytical and critical thinking to generate innovative and practical solutions to revenue cycle issues.
$48,343.36 - $63,640.72 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Director of RCM is accountable for ensuring the coordination of operations, procedures, and best practices for billing, collections and follow up, and denials management for the assigned practices and specialty service lines.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Knowledge, Skills, and Essential Functions Experience with revenue cycle management and billing for commercial and Medicaid plans with claim submission, payment posting, etc. Experience working with electronic medical record Experience working with clearinghouses and payor portals Knowledge of the denials, corrections, and appeals process Education and Experience Healthcare billing and insurance experience required.
$34,153 an hourFull-timeExpandApply NowActive JobUpdated 26 days ago
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