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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.
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Is actively involved in ensuring Front End Revenue Cycle processes are in place including ensuring the insurance verification is completed on 100% of patients, working with the Financial Counselor to ensure proper determination of patient portions and approval of any discounts or charity and proper logging of upfront collections.
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The Vice President of Revenue Cycle provides leadership oversight for the strategic planning, leadership, and ongoing continuous quality improvement for the company’s revenue cycle operations—including provider credentialing, prior authorization, time-of-service patient collections, coding, charge entry, billing, collections, and denials management—to ensure the company receives all payment it is entitled to for the services it provides.
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Supports the VP of CM with completion of financial analyses including cost of care to reimbursement, denials management, and non-reimbursed services, promoting effective resource utilization, clinical documentation/queries quality care and patient safety; oversees the Inpatient recovery process; works closely with Revenue Cycle and AHS Physician Advisors; regularly communicates with payors and/or their contracted vendors.
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Our Revenue Cycle Management (RCM) department processes claims for our Urgent Care clinics by ensuring accurate and timely reimbursement for the services they provide to patients. Review and resolve EDI rejections and payer denials.
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BilliMD is a leading medical billing company based in Miami, FL. We provide end-to-end revenue cycle management and back-office solutions that integrate with EHR/EMR systems. Our expert team of certified coders, healthcare professionals, and revenue cycle management specialists are committed to operational excellence and maximizing financial performance.
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Summary The Senior Clinical Compliance Auditor is responsible for developing, auditing plans, and collaborating with Operations and Revenue Cycle in auditing/monitoring compliance requirements across all Company business units and service lines.
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Assists Revenue Cycle Director in maintaining accounts receivables at appropriate levels. CRCR (Certified Revenue Cycle Representative) certification from HFMA within one year of hire.
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The System Director of Care and Utilization Management works closely with CHS leadership - in particular Nursing, Patient Access/Accounting, Revenue Cycle, Information Systems, and Performance Optimization - to support patient progression and optimize outcomes affecting clinical, operational, and financial performance.
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Coordinate with peers and applicable stakeholders across the revenue cycle organization on the management of coding-related billing edits and third-party denials by working with Denial Management to identify trends and implement denials prevention and/or recovery program.
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We are also the largest Remote Patient Monitoring company in the US, with a fast-growing SaaS Revenue Cycle Management business as well. In addition to our established Remote Patient Monitoring business, we introduced a rapidly expanding SaaS Revenue Cycle Management solution in 2022 that provides revenue intelligence for hundreds of healthcare businesses from small clinics to large health systems.
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Overview Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims.
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Innovative, that’s MDS Medical Data Systems, Inc (MDS) is a proven, trusted and innovative leader in revenue cycle management. INNOVATIVE We are a proven, trusted and innovative leader in revenue cycle management.
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Patient Access Representative I communicates/coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services.
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Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization.
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