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This is a full time (0.8 - 1.0 Status), day shift Revenue Cycle Analyst position in the CPG Physician Billing Department. This position will assist with functions within the patient billing department for CPG revenue cycle 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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Revenue cycle management, medical insurance billing, hmo, ppo, healthcare administration management, athena idx. revenue cycle management,medical insurance billing,hmo,ppo,healthcare administration management.
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Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider.
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This Revenue Cycle Director will direct the performance, in conjunction and counsel with the CEO, of the revenue cycle activities of the in-house billing and collections team (including but not limited to insurance billing, collections, and contracting, as well as patient billing, collections and financial counseling.
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Performs patient registration responsibilities, including insurance verification, pre-certification and obtaining necessary signatures and authorizations for billing and release of medical information according to established procedure.
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Ensures optimal reimbursement through continued evaluation of fee schedules and coding practice and works with the Department Administrator and representatives from patient services to develop, implement and measure billing, collection, reimbursement, and revenue cycle processes.
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Pre-Billing Prior Authorization Specialist working from our Friendswood, TX office location, A DAY IN THE LIFE OF Pre-Billing Prior Authorization Specialist, Knowledge of prior authorization and its direct impact on the practice's revenue cycle.
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Serves as the primary liaison with CHRISTUS Health s Revenue Cycle Department in coordinating the response to audits and investigations conducted by regulatory agencies and contractors related to billing, coding, clinical documentation, medical necessity, appropriateness of care, and other issues involving Medicare, Medicaid, and other federal and state health care programs.
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Handles revenue cycle compliance, sanction screening, non monetary compensation, external billing and coding audits, and billing compliance concerns. Must possess a proficient understanding of the Inpatient and Outpatient prospective Payment Systems (IPPS/OPPS), Medical Severity Diagnosis Related Groups (MS DRG), and National Correct Coding Initiative Edits (NCCI Edits.
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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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Related experience in physician and hospital inpatient/outpatient medical billing, reimbursement, chart review, coding compliance, medical office or patient accounts, rehabilitation, clinical trials coding/documentation requirements, home health/hospice, practice management and physician revenue cycle and strategy consulting is a plus.
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Five (5) to seven (7) years of experience of ICD10, CPT/HCPCS and revenue codes, CMS billing regulations and healthcare reimbursement required. for charge capture and reimbursement improvement using contract and denials management tools/techniques, random reviews (including payment accuracy reviews), review of medical records and claims data.
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Grand Strand Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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Under the supervision of the Revenue Cycle Manager, this position is responsible for the timely and accurate billing of commercial/group insurance/Medicare/Medi-Cal/managed care and self-pay home health/hospice accounts, posting of payments/remittance advices, review of unpaid claims/patient accounts and use procedural guidelines to reduce the outstanding dollars on accounts receivable.
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revenue medical billing jobs in Phoenix, Oregon
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