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Senior Staff Accountant POSITION SUMMARY Under the supervision of the Contracts and Purchasing Manager, the Senior Staff Accountant (emphasis in Revenue Cycle Management) is responsible for post-award management and monitoring for a highly complex assigned group of grants and contracts funded by federal, state, and other funding agencies as well as behavioral health Medicaid and Managed Care Organization billing.
$47,548.8 - $71,323.2 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes) Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding, and billing.
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Work with Billing Supervisor and VP of Revenue Cycle Management to communicate issues with service collection including but not limited to lack of insurance authorization, inconsistent insurance verification, issues with claims processing and credentialing barriers.
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Experience in hospital revenue cycle, charge capture, managed care contracting or third-party billing and reimbursement. Communicate with clients, consisting of regional and national integrated health care systems, academic medical centers, community hospitals and large physician groups.
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Experience applying knowledge of medical insurance billing and collections, Medicare, Medicaid, managed care including ICD-10 codes and modifiers and terminology associated healthcare compliance standards.
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Work experience: Experience (1-3 years minimum) working in healthcare revenue cycleHealthcare (professional) billing, knowledge of CPT/ICD- coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codesUnderstanding of the revenue cycle and how the various components work together preferredExcellent organization skills, attention to detail, research, and problem-solving ability.
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High School diploma and at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience.
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Knowledge of ICD-10 coding, medical terminology, third party billing and collections, and managed care requirements required. As a key member of the Revenue Cycle Management Team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.
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Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations admissions) through Patient Financial Services (billing & collections), including procedures and policies.
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Experience applying knowledge of medical insurance billing and collections across Medicare, Medicaid, and managed care including ICD-10 and HCPC coding and terminology and associated healthcare compliance standards.
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The Chief Revenue Officer is responsible for monitoring the revenue cycle process and, along with other revenue cycle stakeholders, improving the revenue cycle process through rate setting, charge capture, supporting the managed care department in negotiation, and cash collections, including but not limited to: maintaining and enhancing the revenue cycle process, including patient accounting, billing, collections, registration, medical records, vendor management, etc.
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This includes: Customer Service, billing claims according to Federal/State and Managed Care rules, regulations, and compliance guidelines, patient account research and resolution, resolution of credits and issuance of refunds, identification of payment variances invoices, follow up and resolution of denied claims.
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Experience in revenue cycle management, medical billing operations, managed care contracting, budget development and management, cost reporting, expense management and managing cash flow.
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Technical knowledge of inpatient skilled nursing, managed care, and long-term care billing. Implement monitoring mechanisms to track key performance indicators (KPIs) related to revenue cycle management and financial outcomes.
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Skills/Abilities/Work ExperienceMust have Home infusion experienceMinimum of 5 years in infusion medical billing requiredStrong knowledge of government insurance plans, managed care plans, HMO/PPOs, and patient billingAccurate and detail-oriented including ability to work under pressure.
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revenue cycle medical billing managed care jobs in Phoenix, Oregon
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