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The Senior Manager of Business Transformation within our Revenue Cycle organization will report into our Executive Director of Business Process Transformation. Proactively, and in partnership with Executive Director of Business Process Transformation, identify problem areas, and craft and lead initiatives to drive improvement across key revenue cycle metrics.
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The Director of Contract Revenue Operations ensures the company's goals of effective revenue cycle management, collections against billed amounts, payment postings and targeted days of open (uncollected) accounts receivable and the aging of those receivables are met.
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Must be able to understand the overall healthcare insurance business including Clinical/Inpatient Quality, Revenue Cycle, Population Health Management, Finance and Operations to support system wide performance improvement initiatives and handle related performance analytics projects.
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Job DescriptionJob DescriptionLead Coding Reimbursement Specialist III Job Summary:Under the direction of the Revenue Cycle Director, provides day to day operational support to Coding staff, which includes Coder I & II positions.
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Meets regularly with the practice manager and medical director to review in-clinic revenue cycle performance and to identify appropriate solutions for advancing an efficient, effective, and compliant revenue cycle program.
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In conjunction with the Revenue Cycle Director and Supports Complete Health's growth efforts, clinical initiatives, and development of new markets by assuring provider and system setups and tablespace expectations are delivered timely.
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Director, Revenue Cycle Management for BJC HealthCare. Directing day to day operations for multiple hospitals, governing the structure within revenue cycle management and producing collaborative teams to implement systems that strive for continuous improvement.
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Working knowledge of revenue cycle analytics, value-based care and payer contracts. Experience with revenue cycle and value-based care analytics. Experience in preparing organizational and departmental financial statements based on a solid understanding of payer mix, government reimbursement, third party billing, and revenue cycle management.
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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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Key partners to this role will also include - Sr. Manager, Health Centers, Revenue Cycle Director and other HCM's. Revenue and Profitability Management: Demonstrates basic knowledge and ability and, with guidance, can apply the competency in common situations that present limited difficulties.
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The Revenue Cycle Director is responsible for overseeing revenue cycle management including billing, collections, denial management, and registration as well as financial reporting within the organization for the hospital and provider medical group.
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Supports, contributes to, and executes the Senior Director of Revenue Cycle Management’s vision for the team. Facilitates revenue cycle team meetings in concert with the reporting manager and Authorization and Referral Manager to communicate, identify, and address departmental issues.
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POSITION SUMMARYThe Director of Revenue Cycle Management works with the Vice President of Revenue Cycle to proactively achieve company financial goals and strategic priorities.
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Under the supervision of the Revenue Cycle and Patient Account Director, the Revenue Cycle Associateis responsible to ensure and reconcile billing encounters - claim and statement processing, corrective coding, payment posting, accounts receivable/denial follow- up.
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Requires managerial experience and demonstrated understanding and experience with hospital financial reporting, revenue cycle management, accounting, budgeting, accounts payable, treasury, audit, tax, payroll, information technology and materials management.
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