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Address and resolve registration-related issues such as insurance verification, demographic updates, and eligibility discrepancies to ensure accurate billing and claims processing.
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The Sr. Epic Resolute Revenue Cycle Analyst works with leadership to establish priorities for the Epic billing module, assisting systems analysts in implementing Epic Resolute updates and establishing Epic Resolute best practices and procedures.
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Support the Revenue Cycle supervisory team to identify and implement solutions to the operational areas, where challenges and/or processing problems have been identified. 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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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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Familiarity with Waystar or similar revenue cycle management software for claims processing and denials management. 6 years of experience in Medicare claims processing and denials management.
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Work with other leaders in the organization to develop best practice revenue cycle processes from intake, documentation, charge capture, billing, and collection. The Revenue Cycle Director is responsible for overseeing and managing the entire revenue cycle process for the organization’s fee-for-service business.
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Duty 9: Establishes, in conjunction with the PFS Director, Revenue Cycle Director, HIS Director and Revenue Integrity Coordinator, adequate internal control procedures to assure the proper recording and billing of all patient charges.
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Collaboration Collaborates closely with the Revenue Integrity Team, all revenue producing Clinical Departments, Compliance, Hospital & Physician Business Offices, Transplant Revenue Cycle, Health Information Management (HIM), Information Technology (IT), Managed Care, and Finance to facilitate proper coding and billing outcomes.
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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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Minimum of 2-3 years of experience in medical billing, with a focus on insurance claims processing and TRICARE for Life billing. The role requires exceptional attention to detail, strong analytical skills, and a thorough understanding of medical billing procedures, particularly in relation to TRICARE for Life. Responsibilities: Insurance Claims Processing: Verify insurance coverage and eligibility for patients, particularly focusing on TRICARE for Life beneficiaries.
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Minimum of 5 years performing and/or managing clinical data abstraction and registries (e.g., core measures, infection prevention, trauma registry, cardiovascular registry) requiredRN preferred "Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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The Revenue Cycle Reimbursement Specialist provides Revenue Cycle Management/Medical Billing services for Azalea clients and operates under the direct supervision of the Revenue Cycle Reimbursement Team Lead.
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Escalate any findings to billing supervisor, operations manager of OBS and project manager of revenue cycle in OBS. Partner with Billing Specialists to ensure accurate processing and billing of Medicare, Medicaid, Managed Care, Worker's Compensation, other government programs, motor vehicle, personal injury and protections, third party payer experience, self-payer/uninsured and commercial insurance processing patient claims in accordance with payer requirements and organization policy.
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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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JOB BRIEF The Medical Coder and Biller is a full-time position responsible for the coding and billing of Ophthalmology, Optometry, Optical and ASC surgery claims. ESSENTIAL RESPONSIBILITIES The billing department encompasses medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
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revenue cycle medical billing claims processing jobs Company: Surgery Partners in Phoenix, Oregon
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