- University of Rochester (Rochester, NY)
- …reports when needed, price claims to establish the expected reimbursement in the revenue cycle system. - Initiate payer -related accounts receivable report ... the process conforms to federal and state regulations. The Revenue Cycle Coordinator IV will represent the...$10,000 report - - Claim Edits - - 10% Payer Relations and Escalation Process - Identify… more
- Philips (Plymouth, MN)
- …claims. **Your role:** + Escalating, tracking and reporting on reimbursement trends to the Revenue Cycle Management team on a daily, weekly and monthly basis. + ... claims from cross-functional teams, which includes Cash Application Specialists, Payer Relations , Patient Collections, and Reimbursement. +...1+ years in a lead or supervisory role within Revenue Cycle Management. + Your skills include:… more
- Johns Hopkins University (Middle River, MD)
- We are seeking an **_AR Revenue Cycle Specialist III_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using ... special billing procedures that may be defined by a payer or contract. + Review and update patient registration...using Epic Resolute for A/R functions and resolution of revenue cycle issues in an academic medicine… more
- Johns Hopkins University (Middle River, MD)
- We are seeking an **_AR Revenue Cycle Specialist_** responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM ... special billing procedures that may be defined by a payer or contract. + Review and update patient registration...permitted by the JHU equivalency formula. Classified Title: AR Revenue Cycle Specialist Role/Level/Range: ATO 40/E/02/OC Starting… more
- Johns Hopkins University (Middle River, MD)
- We are seeking an **_AR Revenue Cycle Specialist_** to be responsible for the basic collection of unpaid third-party claims and standard appeals, using various ... follow-up processing, or similar medical specialty environment. Classified Title: AR Revenue Cycle Specialist Role/Level/Range: ATO 40/E/02/OC Starting Salary… more
- ProMedica Health System (Toledo, OH)
- HB Revenue Cycle Supervisor - Billing has oversight and responsibility for designated billing areas and/or teams. This position collaborates with the HB ... Revenue Cycle Manager - Billing to drive...for continuous improvement by focusing on employee engagement, customer relations , quality standards and accountability, and performance standards and… more
- Johns Hopkins University (Middle River, MD)
- We are seeking an **_AR Revenue Cycle Specialist II_** responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using ... special billing procedures that may be defined by a payer or contract. + Review and update patient registration...permitted by the JHU equivalency formula. Classified Title: AR Revenue Cycle Specialist II Role/Level/Range: ATO 40/E/02/OC… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …integrity of charge data prior to billing interface and claims submission. + Assist Revenue Cycle personnel with payer and patient questions about charges. ... researching edited claims for medical necessity, and advising the revenue cycle staff of appropriate HCPCS codes...and respond to various billing audits. Perform patient and payer requested audits in a timely manner. Perform random… more
- Mount Sinai Health System (New York, NY)
- …payer remittances. * Understands the payer denials and impact on MSHS revenue cycle and overall margins. * Displays initiative to resolve 835 remittance ... **Job Description** Provide analysis and demonstrate understanding of pharmacy revenue cycle management to optimize the payment cycle for retail and… more
- AdventHealth (Maitland, FL)
- …Division. This position carries responsibilities which have direct impact on the revenue cycle of AdventHealth. Precision of the contract build ensures ... payer accountability and compliance to the negotiated contract rates...relationship. * Responsible for engaging in communication with hospital revenue and clinical departments * to keep them informed… more
- Methodist Health System (Dallas, TX)
- …aligned with payer requirements. Implement process changes that optimize revenue cycle workflows and enhance overall efficiency. + **Departmental ... up and appeals process, developing staff, and ensuring adherence to best practices in revenue cycle management. This position may require a hybrid or remote work… more
- Community Health Systems (Franklin, TN)
- …departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue cycle processes and optimize payer relationships. **Essential ... data on payment trends, making recommendations for improvements in revenue cycle processes. + Reviews payer...operational teams to address contract compliance issues and enhance payer relations . + Maintains knowledge of medical… more
- Methodist Health System (Dallas, TX)
- …This position will support strategic initiatives in partnership with the CBO, Revenue Cycle departments (Patient Access, Centralized Services, Health Information ... analysis, and managing data sets to support the Payor Relations process. The primary focus will be to consolidate...Management, Revenue Integrity, Utilization Management, and Revenue Cycle IT), and Operational leadership across… more
- Covenant Health Inc. (Knoxville, TN)
- …required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and other payer billing guidelines/policies. ... interprets Medicare and other carrier billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information can be… more
- Emory Healthcare/Emory University (Atlanta, GA)
- … metrics. + Analyze financial data to identify areas for cost reduction and revenue enhancement. **6. Payer Relations :** + Build and maintain relationships ... issues, maintaining compliance with healthcare regulations, and implementing strategies to optimize revenue cycle management and maximize revenue collection… more
- Catholic Health Services (Melville, NY)
- … reimbursement requirements. Requirements: Minimum of 1 year of experience in Revenue Cycle Management or Patient Access Services functions. Insurance ... to the patient in advance if an out-of-network status applies. Ensure payer requirements including the following are met: Verify and document insurance eligibility;… more
- HCA Healthcare (Hickory, NC)
- …you are responsible for the daily operations of all Parallon managed facility-based revenue cycle functions and serve as the on-site liaison between the ... facility and Parallon Client Relations or the SSC. You will integrate the departments'...+ Coordinate with facility departments/administration teams to manage key revenue cycle performance expectations and challenges including:… more
- Methodist Health System (Dallas, TX)
- …+ College degree preferred + Two to four years of experience in healthcare revenue cycle management. + Proficiency in medical billing software EPIC and ... environment. + Certification in medical coding (eg, CPC) or revenue cycle management (eg, CRCR) is a...Investigate and address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to… more
- Seattle Children's (Seattle, WA)
- …on federal and state government program changes, collaborate with internal Government Relations , Revenue Cycle , Compliance, Legal and operational leaders, ... financial/ statistical analysis, and pro-forma statements. + Experience with healthcare revenue cycle and decision support systems. + Minimum five… more
- Catholic Health Services (Melville, NY)
- …delivery services offered (eg, imaging, PT, sports performance, etc.) Proactive Financial and Revenue Cycle Management Lead the preparation and adherence of the ... metrics and overall business results of the practice Monitor the front end revenue cycle performance for the assigned practices including but not limited… more