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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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Serve as the organizational subject matter expert in billing/EHRS, DMH, Managed Care. Additionally, the Manager of Behavioral Health Revenue Management assists with the resolution of revenue generating issues and contract utilization related to both in-house systems, managed care, and Los Angeles County DMH system, with an emphasis on data interactions and data analysis as it relates to utilization management.
$80,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Completes all requested forms, documentation and other reporting requirements in a timely manner and in accordance with Department of Children and Family (DCF), managed care, probate court, JCAHO and other standards with which program must comply, as evidenced by chart reviews and supervisor observation.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) Medicare/Medicaid participation; (5) Billing and collection of professional fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance.
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Understand managed care/Prospective Payment System (PPS) billing and treatment guidelines. Enhancing clinical expertise, professional and management skills through interaction with managers, therapists and other professional staff, self-study, and other continuing education activities; maintaining valid state license (where appropriate); obtain membership and participate in professional organizations; maintain awareness of issues related to the profession of physical therapy and the health care environment.
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The Patient Accounts Specialist/ Collections is responsible for the follow up and resolution of Commercial, Managed Care and third-party insurance accounts receivable balances. 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.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Must have one-year experience in long-term care billing with a working knowledge of Medicare, Medicaid, PPS, Managed Care Organizations, and private insurance. O'Brien Memorial Health Care Center - Masury, OH.
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Three years of experience in a healthcare setting, with well-developed knowledge of managed care, insurance regulations, and contracts. Reviews and monitors various reports, monthly revenue cycle reports, professional billing reports, and data, to identify deficiencies and works with appropriate staff to continually improve outcomes.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Identifies, organizes and presents issues created by Managed Care contracts, complex billing regulations and other specific payment requirements and works directly with the Patient Account Specialist, the Senior Patient Account Specialist, Manager, Patient Account Analysis and the Third Party Payers as necessary to determine possible solutions.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Transmit billing files to the Medicaid Managed Care Organizations (MMCOs) and eMedNY for Medicaid Fee for Service (FFS) for bi-weekly basis billing. We are looking for a proactive employee to complete Medicaid billing, audits, and reconciliations for our Consumer Directed Personal Services (CDPS) program utilizing personal expertise and knowledge.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Support Managed Care Contracting for contract modeling and revenue impact analysis in support of negotiations, helping to identify underpayments, and tracking profitability within our managed care contracts.
$40.27 - $42.57ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Working knowledge of billing, follow up and denial management of commercial claims, workers compensation, managed care and all other third party payers. Working knowledge of billing commercial claims, workers compensation, managed care and all other third party payers.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Understanding of drug reimbursement, Managed Care Medical Specialty, and PBM drug benefits. Preferred: 2 years of retail or specialty pharmacy technician experience, familiarity with pharmacy terminology, billing, drug names, and IV dosage calculations.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Works closely with clinical departments, hospital and Physician billing, corporate compliance, health information management/coding, managed care contracting and information technology.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Advise district finance and program personnel regarding Medicaid fiscal requirements and policies or process that impact district Medicaid reimbursements (i.e., third party liability, Rehabilitative Behavioral Health Services (RBHS) cost reporting, timely claims submissions, managed care, rate setting, and contractual budget monitoring) and provide training (i.e., Finance Boot Camp, RBHS, Cost Reporting, Medicaid Principles, & etc.
ExpandApply NowActive JobUpdated 2 days ago
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