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Derek Bang, the practice founder and inventor of the group’s flagship software product for net revenue reporting, Revenue Cycle Analytics (RCA) came to Crowe nearly 20 years ago with an idea for a strategic pursuit in the Healthcare Industry through his previous experience as a Healthcare Auditor at a Big 4 firm.
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Understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of California and Federal payer regulations. Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of California and Federal payer regulations.
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The Revenue Cycle Manager will have the responsibility of administering EHR Billing Software and ensuring the proper billing and invoicing within standard policies of funder requirements.
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Deep knowledge and understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid, and third party payers. Supervise the billing department operations; perform duties such as charge entry, payment posting, reimbursement management, insurance verification, claim submissions, and accounts receivable follow-up.
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Reviews reports on billing, reimbursement, revenue cycle and 340B eligibility that clearly. Education: Assist in development and dissemination of billing, reimbursement and revenue cycle and.
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Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
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Accountable for engagement with non-prescribers, for example pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc. Collaborate with aligned cross-functional associates within NPC (see above) to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement; Interface with Patient Support Center (hub) and Access & Reimbursement Managers on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education.
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Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail) Proclinical Staffing is seeking an Associate Director, Access & Reimbursement - Oncology to join a global pharmaceutical organization.
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Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote. Expertise in therapeutic area practice dynamics and common reimbursement and product program support-related needs.
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The Associate Director, Access & Reimbursement (ADAR) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs (see below) in support of aligned product(s) strategy.
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Assess and understand site and/or other appropriate organizations' level of readiness for procurement of nuclear medicines and billing to facilitate orders for products and so that they can engage and educate on procurement systems and processes, access, and reimbursement.
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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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Maintain expertise in regional and local access landscape, anticipating changes in the healthcare landscape, and act as their aligned therapeutic area product(s) reimbursement expert (as needed.
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Analyze reimbursement issues & opportunities, anticipating changes in the healthcare landscape, and act as the designated reimbursement expert for offices and field teams. Understand specifics and support questions associated with patient reimbursement and coordinate on reimbursement issues with third party payers at the provider-level.
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Analyze account reimbursement issues & opportunities (as needed). Strong ability to work cross functionally with such functions as Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and applicable third-party affiliates.
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revenue cycle reimbursement jobs
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