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Knowledge of general concepts and practices, regulatory/reporting in the revenue cycle function, clinic operations, medical insurance, payer contract, CPT and ICD codes. Associate degree in business administration, medical billing, coding or related fie ld.
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Knowledge of policies, standards, procedures, processes, workflow, KPIs and regulatory/reporting requirements applicable to the assigned revenue cycle function. Establishes and maintains professional and effective relationships with peers, payers, patients and other stakeholders; serves as liaison with various internal departments/staff/providers in coordinating and troubleshooting various revenue cycle-related issues.
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The Director of Finance Analytics, Physician Enterprise, MultiState Division (MSD) serves as the primary contact division-wide between the AdventHealth Medical Group’s (AHMG) Revenue Integrity, Coding, Software Vendor(s) and the Central Billing Office (CBO) for all aspects of the billing and collection of professional services.
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Performance supervision, mentoring staff development, and overall supervision of Medical Records, Patient Admissions/Intake, Utilization Review, Billing, and Coding functions. Work with other leaders in the organization to develop best practice revenue cycle processes from intake, documentation, charge capture, billing, and collection.
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We are seeking a qualified medical billing and coding specialist. Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures.
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Understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of California and Federal payer regulations.
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Position Summary:The Revenue Cycle Audit Manager will be responsible for building and maintaining collaborative and productive personnel audits within the organization and with the outsourced billing providers related to Revenue Cycle Management.
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Seeking an accomplished AR Specialist with expertise in Medical Billing, renowned for reducing claim denials and enhancing revenue cycle efficiency. Ideal Candidate Will Possess: Required Certificates: Medical Billing and Coding Certification: Required for proficiency in accurate coding and billing practices.
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3+ years of related physician billing medical/RCM experience with experience developing and presenting revenue cycle management KPIs and month-end reports required, preferably to executive leaders.
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Billing and Revenue Cycle Management (RCM): Software that manages coding, billing and payer contracts for clinics so they don't have to. Responsible for notifying management of any trends with issues for clients, timey review of charges on hold, review and coding of patient medical records and insurance demographics.
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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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Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payor regulations. Additionally, all Medical Coders will participate in regularly scheduled cross-functional workgroups to coordinate and improve revenue cycle activities within all EMG practices and across Ellis Medicine.
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Responsible for defining, managing to, and optimizing key performance metrics, including but not limited to DSO, Cash Conversion Cycle, Bad Debt, % of Billing/Revenue Collected, Employee productivity and capacity utilization, Denial Rates, Credit Balances, Contract effectiveness, Payer Performance, etc.
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Knowledge of Revenue Cycle, Utilization Review, and Billing process desired. Previous coding, health information management, physician medical office, registration, or billing experience preferred.
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Revenue Cycle Manager. Medical Billing Certificate a bonus. This full-time entry-level position processes/posts a variety of billing transactions such as charge entry, denial management, payment posting, daily cash management and patient inquiries in accordance with department procedures.
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