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Proficiencies: Extensive knowledge of revenue cycle processes and hospital/ medical billing to include CDM, UB, RAs and 1500. This position is responsible for assisting Revenue Cycle Services, Coding, Clinical Documentation Improvement (CDI), and other departments with resolution of billing issues and/or denials requiring clinical expertise, participating in external audit requests, and special projects as needed.
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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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The Director of Revenue Cycle serves all Sarah Cannon Research Institute lines of business. This role is responsible for developing strategy and delivering programs focused on compliance and optimization of the research revenue cycle.
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Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes) Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial.
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Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding, and billing. Partner with managed care colleagues to understand current policies and potential future changes.
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We are seeking a qualified medical billing and coding specialist. Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures.
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Partner closely with the Coding and Billing Supervisor, Benefits and Authorization Lead and Training Specialist, and Revenue Cycle Manager to resolve issues and ensure seamless patient care.
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Extensive knowledge of medication access channels (i.e., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB) across multiple sites of care. Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
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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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Referral services for child, elder and pet care, home and auto repair, event planning and more. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance.
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Three years Revenue Cycle experience to include working knowledge of all Registration and Scheduling Processes as well as billing requirements. A 547-bed, Not-for-profit Health System, UH Delivers The Highest-quality Medical Care For Our Patients, With Compassion, Empathy, And Unparalleled Dedication To Service.
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Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle.
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Proficiency across a wide range of revenue cycle services, including coding, multispecialty operative reports, billing, payment posting, appeals, denial management, patient collections and third party reimbursement mechanisms.
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The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Immunology therapies.
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revenue cycle medical billing managed care jobs Title: physician in Phoenix, Oregon
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