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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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Identifies process improvement opportunities that promote team concepts with co-workers while improving revenue cycle functions and the patient experience. Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification and billing.
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Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
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This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. Attaches verification to patient’s account and documents information in the system of record for reference of hospital administration and billing.
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Managed Care or Revenue Cycle certification by Healthcare Financial Management Association is preferred. This role demands comprehensive knowledge of facility and professional claims, a thorough understanding of claims billing requirements, an in-depth understanding of payer claims processing criteria, as well as the application of payer contract terms to commercial, Medicare Advantage, and Managed Medicaid claims.
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As requested, assist Revenue Cycle Management (RCM) as needed with insurance denial appeals, credentialing, coding, or other billing issues identified in the office. As requested, assist Revenue Cycle Management (RCM) as needed with insurance denial appeals, credentialing, coding, or other billing issues identified in the office.
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Job responsibilities listed above is a summary and does not include other tasks requested by Revenue Cycle Manager. The billing specialist follows proper insurance processes, timely follow-up, and resolution of accounts, and provides feedback to management when internal problems resulting in nonpayment of claims are detected.
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Responsibilities include all aspects of Revenue Cycle system support including performance improvement, development, documentation, testing, training and upgrades. 1 Year experience with medical billing software including Patient Accounting and Contract Management.
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Oversees all aspects of billing and financial management/Revenue Cycle in the medical practice to ensure compliance with all federal, state and local regulation along with Policies.
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The Vice President of Revenue Cycle (VPRC) is responsible for the oversight and direction of all revenue cycle services throughout One Brooklyn Health Acute and Ambulatory Care and Offsite billing.
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Epic Certification/Proficiency preferred in one of the following areas: Resolute Hospital Billing Administration, Resolute ProfessionalBilling Administration, HIM Hospital Coding, Home Health Revenue Cycle, Grand Central.
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Resolves issues that arise from information submitted and revenue cycle issues. Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate and to minimize misbillings.
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Ability to maintain a professional demeanor in a highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life or death situations. Assists patients to nursing units by providing directions, personal escort and medical mobility assistance (ex; wheelchairs), when applicable.
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Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location.
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