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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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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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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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Works with team members in billing, revenue integrity, and/or the Medicare Service Center to resolve alerts/edits. "Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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At HCA Healthcare, we are committed to caring for patients with purpose and integrity. HCA Healthcare Co-Founder. Referral services for child, elder and pet care, home and auto repair, event planning and more.
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Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines Responsible for distributing monthly denial reports to departments.
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Ongoing review of accounts receivable, revenue, and related general ledger entries for appropriateness and discuss issues impacting integrity of financial data with AR Manager & Controller including the recordation of adjustments or uncollectible receivables.
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Terros Health is pleased to share an exciting and rewarding opportunity for an Accounts Receivable Specialist I working at our Central Avenue location in Phoenix, AZ. Reporting to the Revenue Cycle Manager, the ideal individual is flexible, compassionate, and professional.
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Responsible for maintaining current knowledge in changes related to scope of practice, coding/billing practices, compliant documentation and any other knowledge related to the compliant practice in a revenue cycle environment.
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Refresh monthly metrics revenue cycle reporting tool and/or charge integrity reports for Steering Committees and workgroups. Maintain a thorough understanding of the financial and operational reporting tools utilized to support revenue cycle operations.
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Prepare organizational and departmental financial statements based on solid understanding of payer mix, government reimbursement, third party billing, and revenue cycle management Communicate with stakeholders to support shared goals Identify, develop, and implement new reporting needs.
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Basic or advanced understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims. This role provides a major contribution to enhancing Zelis’ overall capacity to meet the information technology needs of an ever-changing payment integrity market.
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Revenue cycle Management: EPIC datamining for revenue reporting, lookback analysis, service cost analysis and other initiatives. Through these activities, demonstrate an understanding of and commitment to PPIL core values of access, activism, care, confidentiality, diversity, excellence, integrity, respect, self-determination, and stewardship: practice these values in relations with internal and external customers.
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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
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Verify all insurance and obtain pre-certification/authorization. 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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