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The Revenue Cycle Manager is responsible for the implementation, execution, and completion of all day-to-day Revenue Cycle functions, while ensuring workflows remain aligned with strategy, commitments, and goals of PPMW. The Revenue Cycle Manager will lead or direct the work of Reimbursement Specialists and Insurance Benefit Verification specialists to improve billing processes, minimize denials, and ensure timely and correct posting and follow up.
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Billing and Insurance: Assist with billing processes, including submitting claims, tabulates and balances charges; investigates and resolves errors; obtains missing billing information from other medical records and/or patients; determines insurance carriers copays, figures proration of liability between patient, insurance carrier; Investigates and reprocess denials.
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Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary, Generate an appeal based on the dispute reason and contract terms specific to the payor.
$17.2 - $25.7Full-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Cerner Millennium will be the source system for scheduling and registration workflows, prior authorization, financial counseling, point of service collection, eligibility, health information management/medical records, coding, charge capture for both professional and facility billing, follow-up, customer service, claim generation, denials management, and cash posting.
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Performance Improvement/Outcomes Management Ensure Case Managers, Community Health Coordinators & Social Work activities are in regulatory compliance (JC, CMS, DHCF) Track clinical, functional, operational, quality and financial data related to Clinical Resource Management Implement processes to continually improve performance, reduce denials, optimize reimbursement and care coordination Update departmental/team procedures to reflect changes in payor contracts, SCAs and departmental processes.
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As per established protocols, inform the client in a timely manner of all approvals and denials of coverage. Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients.
$15.5 - $20.25 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria. Elevate Patient Financial Solutions has an exciting career opportunity available as a Bilingual Patient Advocate.
$17.5 - $21.71 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assist the Director of Grants Accounting on the daily cash management operation by managing the collection of receivables from both CRI and CNMC, resolution of award invoice denials, bad debt activity and will perform these functions with excellent customer service.
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Obtains appropriate levels of support and responsiveness from Advantia's RCM vendors, including R1 (coding and denials management), Athena (EMR and billing), Phreesia (online visit check-in and patient responsibility collections), collections agencies, and others.
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Develop knowledge of internal billing systems & edits and make recommendations to mitigate denials. Manage large volumes of line item denials, underpayments, and overpayments, and various appeal deadlines to prioritize workload and maximize reimbursement.
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Patient Resource Services Communicate denials, high risk, or changes in level of care using accepted processes to limit financial risk to CNMC and patients' families. Children s National offers expert care through a convenient, community-based primary care network and specialty outpatient centers in the Washington, D.C., metropolitan area, including the Maryland suburbs and Northern Virginia.
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Documents actions taken on each claim in practice management software (eCW) stating the following: who was contacted, what was found, and how it was corrected Review the Denial Report (including ERA DENIAL and INSURANCE REJECTION status codes) bi-monthly, analyze the report for new denials and trends.
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We are specifically looking for a candidate that has experience with facility and/or physician claims follow-up, researching claim denials and preparing/writing appeals to get claims paid. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team.
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Process permits for WHS and state/local government regulations and track approvals/denials. We are seeking an Inside Plant Technician - RCDD to join our team supporting DISA JSP ETM in Arlington, VA.
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Research claim denials and exceptions to determine root causes and take appropriate action for resolution. Education/Licenses and Experience Qualifications Required: Associate of Arts degree in Business or Accounting Minimum of 2 years of experience in medical billing Proficiency in using billing software Strong attention to detail and accuracy in data entry and processing.
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denials job in Arlington, VA
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