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The Medicare Billing Manager is responsible for overseeing all aspects of billing, revenue cycle management, and claims processing related to Medicare and other third-party payers.
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This individual will manage billing processes, revenue integrity, claims follow ups, and all other essential revenue cycle operations. The Hospital Manager Revenue Cycle will report directly to the Revenue Cycle Director and will be responsible for overseeing all aspects of the complete revenue cycle.
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As the Revenue Cycle Manager, you'll be the driving force behind the billing department, overseeing a range of critical functions, including medical coding, charge entry, claims submission, payment posting, accounts receivable follow-up, and reimbursement management.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Overview Revenue cycle specialist is a n account receivables and billing expert who will perform necessary tasks for revenue cycle management including but not limited to claims management, A/R and denials follow-up and resolution, payment posting and collections management, Payer enrollment/credentialing and privileges, Authorization management.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing Specialist | Revenue Cycle AR Collections Specialist | Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist | ABA Billing Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist.
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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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Read and interpret contract intent of managed care payor contracts, have knowledge of hospital or physician group billing and collection operations and industry regulations related to managed care contracting, claims processes, medical management processes, medical terminology, and medical coding.
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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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Reporting directly to the Associate Vice President of CPS, the Executive Director leads revenue cycle operations including coding and charge capture, billing and collections, and registration services.
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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 Revenue Integrity Manager should be proficient in Resolute Hospital Billing Charge Description Master; must maintain Epic new version training requirements on an ongoing basis. Under limited supervision, the Manager of Revenue Integrity oversees and manages compliance with the Charge Description Master (“CDM”) and the work of the revenue integrity team by facilitating implementation of standardized processes and accountability to support efficient and effective charge capture outcomes.
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The Director, Revenue Cycle Operations will be responsible for managing Orthopedic Specialist of SW Florida medical billing, insurance and patient collections and related support activities.
$145,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We are looking for an experienced medical biller /AR specialist for a specialty surgery group full-time in Odenton, MD. Must have experience working directly for a private practice, not a hospital or billing company, doing billing, coding, charge entry and AR work only.
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Minimum of 3-5 years as a pre-authorization or utilization review nurse in a payer or acute care setting; preferably medical-surgical or critical care/ED. Succinctly abstracts fact based clinical information to support pre-authorization utilizing applicable nationally recognized and payer-specific criteria; communicates timely the clinical information supporting the medical necessity of an ordered test/treatment/procedure/surgery as applicable to the patient's health plan and documents the outcome of the task.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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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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revenue cycle medical billing claims jobs Company: Surgery Partners in Phoenix, Oregon
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