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We are looking for candidates that demonstrate superior knowledge of revenue cycle workflows and processes and possess a deep technical understanding of the following Epic applications and functions: HIM (Hospital Coding, Release of Information, Patient Identity, Chart Corrections); Resolute Hospital Billing; and Resolute Professional Billing.
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This position reports directly to the Director of Appeals and Revenue Integrity and provides support for Payor Management and implements the organization's regulatory reimbursement management plan in accordance with the mission and strategic goals of the organization, federal and state law and regulations, payer requirements and accreditation standards.
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Reviews with VP of Revenue Cycle and Senior VP of Finance and makes monthly recommendations for adjustments to the bad debt and contractual allowance reserves. Interacts with the VP of Revenue Cycle and Senior VP of Finance, identifying revenue cycle opportunities and developing and implementing process improvement.
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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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Escalates problems/trends/suggestions, and provides feedback to other PFS Management, Revenue Cycle Managers, and Third Party Payers. Ensures that established goals, including: Hospital A/R Days, Hospital Cash Collection, Hospital Bad Debt, Hospital Denial Recovery Percentages, Hospital Charity, and other metrics assigned by Senior Leadership, are met or exceeded in a positive manner, while adhering to Compliance Regulations.
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Responsible for a wide range of duties in support of departmental efficiencies which may include but not limited to performing registration, patient pre-admission and admission, reception and discharge functions, arranging support Hospital services requested by patients through referrals, performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, leads shift Patient Access Operations, and collaborates with Department leaders in process and operational excellence.
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It includes work aggregating information from across the organization (for example Revenue Cycle, Accounts Payable, and Payroll), reviewing inputs for relevance and accuracy and formulating questions that will lead to more accurate results.
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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. Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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Required - One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience.
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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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Proficiencies – Advanced knowledge of revenue cycle processes and hospital/professional billing to include CDM, UB04, Remittance Advices and 1500 claim form. This position acts as a liaison between clinical departments, service lines, and Revenue Cycle to ensure charging practices are compliant and achieve maximum reimbursement for hospital and professional services.
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Prefer one year of hospital or clinic revenue cycle experience; Ability to interact with customers in both hospital and clinic environments. Performs all tasks and duties in compliance with department and hospital policies.
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The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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In this critical leadership role, you will be responsible for overseeing the strategic planning, implementation, and optimization of information services related to access and revenue cycle management.
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Southern Hills Hospital and Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. We have an exciting opportunity for you to join Southern Hills Hospital and Medical Center, which is part of the nation's leading provider of healthcare services, HCA Healthcare.
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