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We are recruiting for a Specialist, Revenue Cycle to join our team! Acts as liaison support between the Hospital and Physician Business Services departments and third-party payers and other Denver Health departments.
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Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.
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JOB SUMMARY: This position is responsible for managing post-payment audits including RAC, third-party denials, chargemaster creation and maintenance, and hold bills assigned as they relate to revenue integrity.
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Train others on proper charging, software tools, and revenue cycle processes as necessary. Keep manager, director, and administrators informed of any issues or problems identified within the scope of Revenue Integrity.
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Demonstrates knowledge of third party payer information, including Medicare, Medicaid, VA, Tricare/UHC and commercial payers, to ensure compliance with rules and regulations to ensure accurate reimbursement.
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Constant interaction with revenue generating hospital departments is required. Become proficient and efficient in the maintenance and use of all software tools, including GE Centricity, Microsoft Office Suite, Craneware (CMT, ORT, BA, ISM, PCL, SCL, Audit), Cerner (PowerChart, Surginet, PharmNet, PathNet, RadNet), Lawson, UMC Intranet and Sharepoint, etc.
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Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash managementPREFERRED QUALIFICATIONSActive certification as a RHIA, RHIT, or CCS, CCS-P from AHIMA or CPC, COC from AAPC.Previous Hospital Billing and Coding experience.
$74,300 - $97,000 a yearRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As the Revenue Cycle Specialist, your primarily responsible is for patient revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Cash Posting and Denials Management.
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POSITION SUMMARYThe Lead Reimbursement Specialist is responsible for all revenue cycle functions for assigned fee for service/third party facilities, including insurance verification, census, authorization management, billing, collections, cash posting, collections, denials, appeals and write offs/refunds.
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At Michigan Medicine, our Outpatient Coding Denials Specialist plays a vital role in the revenue cycle management of Rev Cycle Mid-Service by maintaining the financial integrity of the healthcare facility and ensuring adherence to regulatory requirements.
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Knowledge of healthcare revenue cycle functions, including documentation, coding, and billing guidelines. Performs various collection actions, including but not limited to, correcting and resubmitting claims to third party payers and tracking and reporting delinquent accounts to collection agency.
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The Certified Coding Specialist supports the organization by analyzing the accuracy of medical coding for services performed by Providers and preparing claims for third party payers.
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This role will assist us in building our sales, procurement, and third-party risk management functions. You will identify opportunities for improvement in our contracts management processes and help to create an even more efficient legal sales cycle for our revenue org and legal team.
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The Southcentral Foundation (SCF) Health Benefits Specialist is responsible for increasing the number of customer-owners enrolled with a third-party payer through screening and application assistance.
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Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. This role's responsibilities include hospital and payer privileging, credentialing and enrollment, to ensure compliant revenue cycle activities.
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third party revenue cycle jobs Title: specialist
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