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SUMMARY: Responsible for managing the Patient Accounts Department and for working with colleagues involved with the Revenue Cycle to maximize cash flow, optimize billing, follow up and collections, minimize denials and manage relationships with third party billing vendors for a medical group (“OHMG”), an ambulatory surgery center (“ASC”) and a hemophilia treatment center including the billing of blood factors (“Factors”) under the 340b program.
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Responsible for timely follow up on denied Federal Qualified Health Center (FQHC), Remittance Advice/Explanation of Benefits (RA/EOB) for Medi-Cal and Medicare claims, for all fee for service billings, and denied RA/EOB for private insurance and HMO commercial claims.
$55,984.5 - $58,383 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Third Party Liability Insurance Follow Up Representative will process claim files for payment from Health plans and/or Third Party Payors: Workmen’s Compensation, Automobile, Property and Casualty, and Health Insurers.
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Do you have the career opportunities as a Third Party Liability Insurance Follow Up Representative you want with your current employer? Do you want to work as a Third Party Liability Insurance Follow Up Representative where your passion for creating positive patient interactions are valued.
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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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Manage the life cycle of the Third Party Risk Management program. The Third Party Risk Manager will be responsiblefor implementation of third-party risk management framework for Emprise Bank including oversight of vendor relationships and contract governance , identification and implementation of due diligence requirements, identification and administration of MRM requirements and operational & infrastructure implementation to support strong third-party oversight.
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Maintain the Third Party Risk Management Program and Policy, recommending changes as needed. Identify, prioritize and pursue opportunities to enhance third party risk management processes and introduce innovative approaches and solutions to optimize efficiency and effectiveness.
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Include support from BSA, Compliance, Credit Risk, Tech Compliance and others as appropriate based on scope and risk of third-party relationship. Third-Party Risk Management and Oversight.
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Works with external vendors to facilitate access to key services, including but not limited to: transportation and lodging Works closely with affiliate and patient relations staff, including but not limited to Revenue Cycle team, health center managers, training team, and others to create efficiencies and improve workflows for increased abortion access and improved patient experience.
$28.57 - $32.97 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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A system-level position overseeing all back-end cycle functions of the Enterprise, the Director of Revenue Cycle, Back End leaders and processes for Billing, Payer Credentialing, AR/Follow Up, Denials Management, Underpayments, Cash Posting, Credits and Self Pay Collections/Customer Service for Stamford Health.
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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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Crowe invested in the idea, providing the resources and support necessary to launch the RCA product and organically grow the practice to its current state, now offering a broad suite of software and services that help healthcare CFOs solve challenges across financial reporting, revenue cycle, and risk and compliance.
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Crowe LLP does not accept unsolicited candidates, referrals or resumes from any staffing agency, recruiting service, sourcing entity or any other third-party paid service at any time. Recently, Crowe LLP reached a decision to divest its Crowe Healthcare Consulting practice, now Kodiak, in a sale to TPG, a global asset management firm that will be the perfect partner to take Kodiak to the next level.
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Stay up to date on DevOps technologies and identify opportunities to apply them within the Product Engineering teams. Experience leveraging Azure DevOps (ADO) or Jira for work item management and CI/CD automation, as well as Git for version control.
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Crowe.com) is one of the largest public accounting, consulting and technology firms in the United States. Crowe LLP provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Full-timeExpandApply NowActive JobUpdated 3 months ago
follow up third party revenue cycle jobs Company: Beacon Health System in Phenix-city, Alabama
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