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Job Summary: The CHS Clinical Appeals Specialist works as an integral part of the Revenue Cycle team. In lieu of a Bachelor's degree, an Associate's degree with 5 years of revenue cycle and or clinical experience required.
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May initiate and perform revenue cycle activities required for pre-registration. Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process.
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Assists the Patient Financial Services Director & Revenue Cycle Director in the strategic initiatives of BVHS. Duty 7: Acts as a liaison between all departments and provides education to clinical staff, corporate compliance, physicians and other personnel regarding payer changes and regulations.
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The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
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Preferred: 6 months to 1 year of medical laboratory technologist, clinical laboratory scientist experience in acute care facility. Preferred: 6 months to 1 year of medical laboratory technologist, clinical laboratory scientist experience in acute care facility.
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Responsible for understanding departmental charging processes, including electronic health record charge capture interfaces, claims denial analysis and claims processing compliance to support revenue cycle goals.
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This position serves as an expert within the revenue cycle for Revenue Integrity and provides a bridge between clinical and revenue cycle areas to support quality patient care and revenue cycle objectives.
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Maintains active membership on the BHN IT Steering Committee, bringing expert knowledge of behavioral health services, revenue cycle processes, and clinical practice management to the group.
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Interface development to include but not be limited to ADT, SIU, ORM, DFT, MDM, and ORU interfaces in Clinical, Revenue Cycle and Administrative applications. Work with end users to help communicate improvements needed for business processes and contribute directly to the success of the mission from a technological, clinical, administrative, and financial perspective.
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What you’ll do: ·Provide direct oversight and leadership for CMC's patient access/registration, facility and professional coding, revenue cycle nurse auditors, clinical documentation improvement, denials management, utilization management, and charge master analysis.
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Provides coding feedback to providers, clinical department leadership and revenue cycle team. The Revenue Cycle Associate is responsible for initiating automated claims processing activities using claims editing software for all CCHC claims in an efficient, accurate and time conscious manner while maintaining daily and weekly productivity standards established within the department for this position.
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Has additional advanced clinical and operational responsibilities in the department. If you're ready to go above and beyond, to embrace the energy and camaraderie that Abrazo Health offers, then join us on this incredible adventure.
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Certificate program in coding or associate degree in HIM or a certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle) Coder 2’s also resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging.
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REMOTE - Solutions Analyst - Revenue Cycle Systems. Four (4) years of experience designing, building, training or implementing business solutions or leading teams or projects to optimize revenue cycle performance using information technology.
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This is a full time (0.8 - 1.0 Status), day shift Revenue Cycle Analyst position in the CPG Physician Billing Department. This position will assist with functions within the patient billing department for CPG revenue cycle as needed.
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revenue cycle clinical jobs
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