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This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. The leader will direct, manage and implement programs to ensure efficient operations of the organization’s Revenue Cycle program in order to generate sufficient cash flow to support operations and strategic initiatives.
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The Coding & Payment Compliance Specialist serves as a liaison to clinical departments, Health Information Services (HIM), Physician Revenue Cycle and Pt Financial Services (PFS) to resolve claim edits and line item denials.
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Manage finance transformation projects focusing primarily on the Lead to Cash cycle, encompassing Lead/Opportunity, Contract Management, Quoting/CPQ, Order Management, Revenue Recognition, Billing, Credit, Collections/Disputes, and Cash Application processes.
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We are looking for a leader with strong Lead to Cash (LTC) expertise, exceptional collaboration and influencing skills, adaptability, and a willingness to challenge the status quo while driving with a sense of urgency.
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A Medical Revenue Cycle Biller enhances the reputation of AHF by displaying proper and timely knowledge and submission, being flexable and adaptive. A Medical Revenue Cycle Biller contributes to AHF by reviewing and processing claims daily, making necessary updates based on specific payer requirements.
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Under the direction of the Revenue Cycle Director, the PFS Manager provides direction and support for staff, promotes staff development and collaboration, and assists staff with customer service when needed.
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Work directly with the Director of Clinical Operations, Practice Managers, Clinic Managers, Clinical Trainer, Director of Finance, Revenue Cycle Manager and Clinical Support Trainers to serve the operational needs of the Kinwell Clinics.
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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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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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Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Revenue cycle leadership includes responsibility for Coding Services, coding related revenue integrity functions, collaboration with CDI, and leading coding quality initiatives, along with education and participation on standing and ad hoc revenue cycle meetings/committees.
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In addition, the Controller will work closely with the Company’s Revenue Cycle Management and Information Technology teams to ensure our clinical operations, billing and accounting functions have the appropriate internal controls over cash, patient accounting, and billing systems.
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Thorough knowledge of the 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 management.
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Works collaboratively with Corporate Revenue Cycle, Medical Center Inpatient Coding, Quality and Analytics, Case Management, Medical Center physicians and mid-level providers to ensure that the clinical information within the medical record is accurate, complete and compliant.
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Minimum of 3-5 years as a pre-authorization or utilization review nurse in a payer or acute care setting; preferably medical-surgical or critical care/ED. Succinctly abstracts fact based clinical information to support pre-authorization utilizing applicable nationally recognized and payer-specific criteria; communicates timely the clinical information supporting the medical necessity of an ordered test/treatment/procedure/surgery as applicable to the patient’s health plan and documents the outcome of the task.
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The Director of Revenue Cycle Management (RCM) will be responsible for managing RCM operations across a multi-state/multi-location organization which includes clinical and Ambulatory Surgery Center (ASC) billing.
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revenue cycle medical billing cash application jobs Company: Teksystems in KS, Canada
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