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About the Medical Coding Auditor position We are looking for a skilled Medical Coding Auditor to join our revenue cycle department and will be responsible for conducting audits according to the Internal Audit Program standards and specifications.
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The billing coordinator will support the warehousing and logistics team by engaging in all aspects of the departments' full cycle billing process, including accurate and timely invoice allocation and reconciliation, gathering and archiving backup documentation, following up to resolve issues, ensuring timely payment to suppliers, and serving as main point of contact to update vendors' records in Oracle.
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We offer end-to-end specialty-specific solutions from practice management, through EMR to Revenue Cycle Management (RCM) that maximize office interactions, patient visits, collections and reimbursements.
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Timely create and exchange/transmit continuity of care document(s) with other practitioners and providers Responsible for the performance of HEDIS Part D measures (medication adherence), and SPC and CBP, CDC, MRP measures from Part CEnsures patient is managed based on risk level of EPIC Registry Predictable Risk ModelIdentify patients not meeting clinical goals, such as BP control or glucose control, and arranging for follow-up services by protocol or as appropriate.
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Thorough understanding of business processes including:Order to Cash; Procure to Pay; Fixed Assets; Record to ReportSuiteBilling; Revenue Management/ARMExperience with NetSuite SuiteFlow & Advanced Approvals preferredExperience supporting NetSuite integrated applications (Banking/ACH, Avalara, Concur, BILL, RF Smart, etc.
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1-3 years in case management, disease management, managed care or medical or behavioral health settings. 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Starting at $21.6 - $46.81 an hour depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Works closely with Patient Access, Case Management, HIM, CBO, Revenue Integrity, and other areas in a consultative capacity to support accurate and timely billing of patient account receivables.
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Partner with the National Medical Director of Behavioral Health Care Solutions to support the continued integration of evidence-based and high value interventions for our highest risk population living with primary or comorbid mental health conditions and/or substance use disorders-Enhance behavioral-related support for our care teams and patient population through the development and implementation of a behavioral health care manager team and the workflows to ensure seamless integration.
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Oversee the full Accounts Payable/Receivable cycle, ensuring timely payment runs are coordinated and billing to customers is accurate and timely. Qualified accountant (CPA, CMA or similar) with multi-unit experience desirable Previous experience with SAGE X3 and QuickBooks is preferred.
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This position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. Position is key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment for accurate capitation reimbursement from Medicaid and Medicare, generating accruals for Accounting.
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Managed care experience improving cost of care trend. Works to develop and deliver high impact interventions, supporting content development and practice transformation embedded capabilities to significantly improve provider performance that drive cost of care and improve HEDIS/Stars where applicable.
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The Senior Medical Science Liaison has the primary responsibility of building key opinion leader (KOL) partnerships by engaging in the exchange of scientific data and other medical and/or scientific information with external stakeholders (HCPs, researchers, professional organization leadership, patient advocacy groups, and formulary decision-makers) in the assigned Therapeutic Areas (TAs)-Respiratory (Asthma/COPD) across the aligned geography.
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The incumbent is responsible for the proper use of device produced radiation and radioactive materials applied to humans in all University of Miami and Jackson Memorial Health Care Systems (JMHCS) facilities and supervises the work and task assignment for Diagnostic Medical Physicists.
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Exciting opportunities to represent Cycle Gear at special eventsInternational Motorcycle Show, motocross races, etc. Comoto's brands, RevZilla, Cycle Gear, J&P Cycles, REVER, and Common Tread, deliver premium products, dedicated expertise, engaging media, and passionate customer support of the powersports community, through best-in-class e-commerce and retail experiences.
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Identifies system, practice and patient issues (including quality of care and quality of life outcomes) and collaborates in their resolution/improvement with appropriate internal (JHS-Risk Management, Medical Records, Patient Finance, Medical Services, and/or external services or agencies (managed care organizations, AHCA, DCF, CMS, JCAHO, CARF, HRSA, INS, US Armed Forces.
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revenue cycle medical billing managed care jobs Title: collections coordinator in Miami, FL
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