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The Hospital Manager Revenue Cycle will report directly to the Revenue Cycle Director and will be responsible for overseeing all aspects of the complete revenue cycle.
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Compliance and Regulatory Management Stay updated on federal, state, and payer-specific regulations related to ophthalmology billing and coding (e.g., Medicare, Medicaid) Ensure all revenue cycle operations comply with HIPAA, CMS Guidelines, and other regulatory standards.
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Prepares all correspondence and reports for the CFO, Controller, Sr. Director of Revenue Cycle Services, Director of Budget & Reimbursement and for division as requested. Maintains & manages schedules for the CFO, Controller, Sr. Director of Revenue Cycle Services, Director of Budget & Reimbursement, and other Directors in the Finance Division as needed.
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As the Revenue Cycle Manager, you'll be the driving force behind the billing department, overseeing a range of critical functions, including medical coding, charge entry, claims submission, payment posting, accounts receivable follow-up, and reimbursement management.
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Droidal is a revenue cycle management automation company, making healthcare operations simple through robotic process automation (RPA) and artificial intelligence (AI). Our ideal candidate is a sales leader with a proven track record of new business development within the Healthcare automation and/or RCM (Revenue Cycle Management) services industry, and a demonstrated history of establishing and developing partnerships with hospitals and healthcare providers across the country.
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All clinical pre-authorization activities associated with patients financially cleared through the Patient Access Support Unit (PASU) and/or the Center for Patient Access Services (CPAS).
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Experience with Kodiak (previously known as CROWE) Revenue Cycle Analytics (“RCA”) tool. Provide analysis of net revenue through the use of Revenue Cycle Analytics (RCA), in accordance with generally accepted accounting principles and an understanding of the revenue cycle process and regulatory reporting.
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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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Nature and Scope Under the general direction of the Director of Revenue Integrity, or designated Training Supervisor, the Revenue Cycle Trainer is responsible for overseeing the establishment of written policies and procedures for all education and training, orientation, competency and QA functions for revenue collections services in order to ensure efficient billing, third-party follow-up, self-pay follow-up and agency placements.
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Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including ICD-10, CPT, HCPCS coding, Risk Adjustment/HCC and query identification, writing, and monitoring.
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Supports Managed Care Contracting and Revenue Cycle by gathering, analyzing, and sharing data on managed care payors' compliance with payment provisions of their contracts with CHST providers and developing and implementing strategies for improving payer contract compliance, resulting in increased net revenue.
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The Sr. IT Analyst will develop and disseminate operational and financial reporting to support revenue cycle operations. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle.
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The Revenue Cycle Applications Analyst, Senior will work with external vendors, system owners, community partners, contractors, and client leadership to design, develop, implement and make operational revenue cycle information systems including but not limited to Soarian, PBAR, Siemens MedSeries 4, Cerner, Change Healthcare, nThrive (MedAssets) Suite, Relay Assurance Plus, Visiquate, GE Centricity, PatientKeeper and others.
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This position will demonstrate an understanding of billing and coding practices as appropriate for professional outpatient services and its revenue cycle. Certification Details PREFERRED Certification/License/Registry: Certified Clinical Specialist (SCS, OCS) Certified Strength and Conditioning Specialist (CSCS) Certified Athletic Trainer (ATC) Dry Needling Certification Tool Augmented Soft Tissue Mobilization Certification Kinesiology or Specialty Taping Certification Job Details This position provides outpatient orthopedic & sports physical therapy services primarily to a pediatric population from school age through adolescence/young adulthood.
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What you’ll be doing:The Revenue Cycle Systems (RCS) Systems Manager will manage and direct the development athenaIDX (AthenaIDX Business/Flowcast/IDX) application for the Revenue Cycle Services entity of SCP Health.
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woodlands revenue cycle jobs Company: Houston Methodist
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