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Manages oversight of all business-related functions of the Contract Revenue Team, including tracking the flow of contract documents, utilization against contracts, unit- and cost contract billing, recording of invoices, payment identification and posting, accounts receivable follow-up and information systems maintenance, and the internal controls related to these functions.
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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.
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The Patient Billing and Collection Supervisor 1 provides immediate supervision to Patient Biller/Follow-Up employees in the Medicare Billing/Follow-Up unit. Knowledge of revenue cycle and hospital billing systems with solid knowledge of medical and insurance terminology, medical billing, coding, health insurance coverage and reimbursement principles.
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Reporting to the Chief Operating Officer of PDI, the Director of Revenue Cycle Management (RCM) will provide integrated oversight and management of revenue cycle activities for assigned LifeBridge Health Partners (Partners) companies to achieve Service Level Agreements (SLAs.
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The Revenue Cycle Manager is responsible for the implementation, execution, and completion of all day-to-day Revenue Cycle functions, while ensuring workflows remain aligned with strategy, commitments, and goals of PPMW. The Revenue Cycle Manager will lead or direct the work of Reimbursement Specialists and Insurance Benefit Verification specialists to improve billing processes, minimize denials, and ensure timely and correct posting and follow up.
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Provides direction and oversight of the Revenue Cycle Operations, including but not limited to charge capture, billing, claim follow-up and collections, payment application, denials management and accounts receivable balances of all Medicaid/Medicare and managed care billing.
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Responsibilities include: provider enrollment application preparation, finalization, submission, follow up and resolution; communication between Practice Managers and Billing Managers on approvals and status of applications; Coordination of onboarding of new providers; administrative file maintenance and official recordkeeping; Proactive monitoring of renewal period.
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Responsible for insurance payment posting, denials management, and A/R follow-up for assigned accounts. The Revenue Cycle Reimbursement Specialist provides Revenue Cycle Management/Medical Billing services for Azalea clients and operates under the direct supervision of the Revenue Cycle Reimbursement Team Lead.
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Oversees the operations of insurance billing, insurance follow-up and maintenance, billing compliance, auditing departmental charging processes and results, denials management both inventory management and denial avoidance, integrity of patient accounts and actively involved with accounts receivable management.
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The Vendor Collections Management Analyst is responsible for performing account reviews, follow-up and resolution of bad debt accounts. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle.
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Oversee the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
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Minimum two years of related experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and cash application.
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The Patient Financial Services (PFS) Senior Billing and Follow Up Representative is responsible for performing hospital billing and follow up functions and related activities in support of the revenue cycle and in accordance with applicable Federal, State and local standards, guidelines and regulations.
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Responsibilities include; stewardship of Patient Billing and Collection, A/R Management, Application Systems Support, Claims Management, Coding, Charge Capture, Data Entry, Account Follow-Up, Customer Service, Denial Management, Edit Management, Payment Variance Analysis, Contract Analysis, Credit Analysis, Refund Management, Payment Posting, Auditing, Training, and Productivity and Performance Reports.
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