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Demonstrates skills of high efficiency and accuracy to identify and reduce DRG downgrades/denial risks by assuring that clinical support is beyond dispute for DRG integrity, coding and billing needs.
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This position is responsible for the daily management and direction of the Revenue Integrity function under the oversight of the CFO and VP, Revenue Cycle at SRC. Ensure revenue integrity functions, including charge capture, denials management, unbilled claims, and maintenance of chargemaster.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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Working in a SBO (Single Billing Office), environment the Revenue Integrity Billing Specialist will need to have knowledge in Hospital and Professional Billing in order to assist with questions and accurate routing of charges.
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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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Perform insurance verification and pre-certification follow up for prior day’s walk in admissions/registrations and account status changes by assigned facility. Follow scripted benefits verification pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information.
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Is liaison between the OR and Revenue Integrity to ensure that all billing is accurate, complete and submitted in a timely manner. Makes necessary corrections, if possible, or locates the appropriate department to correct the problem i.e. OR, GI, SDU, Sedation, Anesthesia, PACU, Revenue Integrity, IS, Finance, Admissions.
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Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
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Certified Tumor Registrar (CTR) designation OR Oncology Data Specialist designation (ODS) REQUIRED. HCA Healthcare Co-Founder. 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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Methodist Hospital Stone Oak, offers a total rewards package that supports the health, life, career and retirement of our colleagues. As a Financial Counselor with Methodist Hospital Stone Oak you can be a part of an organization that is devoted to giving back.
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You will oversee facility operations of Patient Access functions (e.g. pre-registration, benefit verification, pre-authorization, admission/registration, service pre-payment, etc.) Referral services for child, elder and pet care, home and auto repair, event planning and more.
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Oversee facility operations of Patient Access functions (e.g. pre-registration, benefit verification, pre-authorization, admission/registration, service pre-payment, etc.) The Patient Access Director is responsible for the daily operations of all functions of patient access and serves as the liaison between the Shared Services Center (SSC) and the facility.
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Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Duty 9: Establishes, in conjunction with the PFS Director, Revenue Cycle Director, HIS Director and Revenue Integrity Coordinator, adequate internal control procedures to assure the proper recording and billing of all patient charges.
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Submit your application for our Patient Financial Services Director opening with LifePoint - St. Francis today and find out what it truly means to be a part of the HCA Healthcare team. LifePoint - St. Francis offers a total rewards package that supports the health, life, career and retirement of our colleagues.
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