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Under the direction of the Associate Director/Revenue Manager, the Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating.
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Keywords: revenue cycle manager, director of revenue cycle, field reimbursement manager, regional finance director, regional business office manager. Govig Healthcare Group, the premier executive search firm in post-acute care, is seeking a Revenue Cycle Director in St. Louis, MO for a progressive skilled nursing organization.
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In addition to the management of the company-owned pharmacies, the position oversees the management of the 340B program, contract pharmacies, pharmacy supply chain management, revenue integrity, and billing & charge master management.
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This entails working closely with the BCM TPRM lead, Third Party Management Operations, the Third Party Oversight second line of defense function and Business and Technology representatives to ensure the Firm's Third Party Risk Management program is effectively identifying and managing the BCM risks facing the organization through its extensive use of third-party service providers.
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Identifies possible coding deficiencies through charge/medical record review and coordinates coding review to ensure accurate charge capture, maximizing third-party reimbursement and minimizing audit liability.
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Minimum 7 years of knowledge of Third-Party Risk Management methodologies and regulatory guidance and or risk management at a fintech organization. Technology Skills:Certified in third party risk or other risk domains (CRVPM, CTPRA, CERP, CRISC)Project Management Professional (PMP), Certified Information Systems Auditor (CISA) or Certified Information Systems Security Professional (CISSP) or relevant IT certifications and credentials a plus.
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Design and implement IT solutions that optimize the Revenue Cycle management for DME including order processing, document management, claims, reimbursement, and billing. A strong understanding of DME Revenue Cycle systems, Brightree System, EMR platforms, and integration knowledge is highly desirable.
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Provides direction and oversight of revenue cycle operations, including but not limited to charge capture, billing, claim follow-up and collections, payment application, and denials management.
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This person will also play a key role in assembling & reviewing data that will be used to ensure that Citi is in compliance with the two Tier 1 regulations pertaining to third party risk management.
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The Regional Fund Development Manager will work with team members to generate revenue via a variety of non-profit revenue streams, including major gifts, recurring gifts, planned gifts, individual giving, corporate and foundation giving, memorials, third party fundraising events andsponsorship procurement.
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Serving as the Project Manager on assigned third-party tax software implementations (Vertex, Thomson Reuters OneSource, Avalara, Sovos). Managing assigned system integration projects that involve major ERP and billing systems, such as SAP, Oracle, PeopleSoft, JD Edwards, Microsoft Dynamics, NetSuite, Coupa, Ariba, etc.
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Understanding of provider contracting, billing and revenue cycle processes and systems for primary care, hospice and palliative care programs. Oversees all revenue cycle and finance compliance functions and ensures the organization is following all regulatory guidelines in coding, billing, and collections.
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Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Specialist to support the division in facilitating the enrollment (submitting of applications) of both the Provider Groups and individual providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities that require provider enrollment.
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Cerner, Epic) is updated with appropriate billing/charge codes in the CDM and front-end clinical applications/order entry systems as required to capture charges. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines.
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Assist with process improvement and discussions related to third-party risk management solutions. Build communication and escalation plans related to third-party risk management activities across National IT.
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revenue cycle medical billing customer service charge entry third party jobs Company: Bain Company in AK, Oregon
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