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Proactively monitors revenue cycle reporting and provides relevant feedback to Billing Solutions, Health Information Management, and other Breg Departments on an ongoing basis. Establishes and maintains revenue cycle duties across the organization that include prioritization of work (e.g., ensure there is a system of prioritization for claims processing and accounts receivables management depending on the volume, revenue, payer mix, etc.
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The VP, Revenue Cycle Management, reporting to the CFO, is initially responsible for interfacing and managing the current outsourced revenue cycle company including, a small existing internal company staff, and monitoring, interfacing and managing the current outsourced company to optimize their effectiveness.
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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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Represents ColumbiaDoctors as the liaison between NYP, Departments, and CRO. People (15%) Collaborates with the Executive Revenue Cycle Optimization Director with execution of HR strategy: Performance Management, Talent Management, Recruitment & Retention, Succession Planning, Professional Development, and Employee Engagement.
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Initiates the appeal process, at the direction of Revenue Cycle management, until the case is overturned, appeal options are exhausted, or decision is made to discontinue process. Stays abreast of payer updates for authorizations, eligibility, etc and communicates to Revenue Cycle leadership.
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At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial management and appeals process in a collaborative environment with revenue cycle management and clinical partners at various Houston Methodist facilities.
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Additionally, this position will collaborate with key stakeholders and assist in developing appeal strategies to include reference material for staff, letter templates, and regular feedback for revenue cycle coding staff; and functions as clinical subject matter expert related to coding denials and appeals.
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Indeed Monster LinkedINJob SummaryThe Accounts Receivable Specialist is accountable for daily operational tasks associated with revenue cycle accounts receivable. Position Summary:The Accounts Receivable Specialist is accountable for daily operational tasks associated with revenue cycle accounts receivable.
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Responsibilities include all aspects of Revenue Cycle system support including performance improvement, development, documentation, testing, training and upgrades. Develops and maintains tracking reports related to charge edits and denials.
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Requires a working knowledge of the principles, fundamentals and systems specific to the department impacting the revenue cycle workflow and the principles and fundamentals related to budgeting, accounting, record keeping and business writing.
$86,444 - $127,504 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Functions as an educational liaison to clinical staff and revenue cycle staff as needed on payer denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations.
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When potential denials for payment or level of care arise, the UMCM collaborates with the floor ICM staff, Revenue Cycle, involved physicians and/or the Physician Advisors (PA) as needed to attain second level review/approval to effectively overturn the denial or help determine appropriate transition for the patient.
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This position will collaborate with physicians, revenue cycle personnel, and payers to successfully clear front end claim edits, appeal clinical denials, and address customer service inquiries.
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2+ years of ASC revenue cycle OR orthopedic collections experience is preferred. Strong understanding of medical billing and insurance reimbursement processes, including experience with denials and appeals.
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Assists in the resolution of revenue cycle issues, such as patient access, billing or denials, and develops systems to proactively address trends. Coordinates required updating of CPT / HCPCS codes, bill edits, third party payer changes or other revenue cycle regulatory requirements.
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