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Compliance and Regulatory Management Stay updated on federal, state, and payer-specific regulations related to ophthalmology billing and coding (e.g., Medicare, Medicaid) Ensure all revenue cycle operations comply with HIPAA, CMS Guidelines, and other regulatory standards.
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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. 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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Supports Managed Care Contracting and Revenue Cycle by gathering, analyzing, and sharing data on managed care payors' compliance with payment provisions of their contracts with CHST providers and developing and implementing strategies for improving payer contract compliance, resulting in increased net revenue.
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Assist Revenue Cycle Director and Epic Director with tickets placed with Epic Community Connect host site. Assist Revenue Cycle Director with Epic and clearinghouse functionality improvement.
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Assist Revenue Cycle Director with creating reporting and dashboards in Epic. Assist Revenue Cycle Director and Epic Director with creating end user training. Assist Revenue Cycle Director with improving work queue functionality.
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This position will demonstrate an understanding of billing and coding practices as appropriate for professional outpatient services and its revenue cycle. The applicant should be adept and comfortable independently managing the complete continuum of professional services from patient access to appropriate coding and billing practices according to legal/ethical guidelines and hospital policy.
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The Billing Manager will be responsible for the supervisory oversight and management of all facets of the billing department to maintain and enhance efficiency and revenue cycle health.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Compliance Auditor - OP/Ambulatory Services educates physicians and staff on error trends and how to prevent/reduce errors to demonstrate compliance with the False Claims Act, the Federal Overpayment Rule, CMS and Medicaid billing and coding requirements to maximize reimbursement.
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Prepares all correspondence and reports for the CFO, Controller, Sr. Director of Revenue Cycle Services, Director of Budget & Reimbursement and for division as requested. Maintains & manages schedules for the CFO, Controller, Sr. Director of Revenue Cycle Services, Director of Budget & Reimbursement, and other Directors in the Finance Division as needed.
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Provides day-to-day office management for the Fiscal Services and Revenue Cycle Services departments. They are a short drive from the Chimney Bluffs, waterfall attractions such as Buttermilk State Park and one of the Great Lakes - Ontario Lake.
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Provides administrative support to the Chief Financial Officer (CFO), Corporate Compliance Officer, and other Directors in the Finance Division. The Finger Lakes region itself is lush with beautiful state parks, hiking trails, lakes and natural wonders.
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Knowledge and experience working in specific revenue cycle management functional areas including patient access (scheduling, insurance verification, financial counselling, registration and admitting), mid revenue cycle (revenue integrity, charge capture, coding) and patient accounting (billing, collections, denials, managed care contract administration, etc.
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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. Experience with integration of Brightree or other Order to Cash platforms with systems in the Revenue Cycle Chain is required.
$125,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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2-3 years experience in a healthcare or medical billing setting, charge master data experience preferred. Identify, assess, and resolve issues impacting the charge capture, documentation, and related revenue cycle processes while providing guidance to charge capture workflows.
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Strives to promote best practices within functional area and revenue cycle; stays current on all processes and regulatory requirements specific to Research Billing. AAPC or AHIMA certification in coding, with experience in research medical billing and coding.
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revenue cycle medical billing medicaid jobs Company: Hca Florida Kendall Hospital in Phoenix, Oregon
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