- Cardinal Health (Trenton, NJ)
- **_What Revenue Cycle Management contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a ... medical practice. The Revenue Cycle Management team focuses on a...managed care contracts and fee schedules, including Medicare and Medicaid . **_What is expected of you and others at… more
- Philips (Malvern, PA)
- …the right fit if:** + You've acquired 2+ years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services. + Your ... and identifying payer issue trends. + Knowledge of insurnace payers, including Medicare, Medicaid , Blue Cross Blue Shield and commercial plans. You have the ability… more
- Cardinal Health (Trenton, NJ)
- **Job Summary:** The Manager, Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... billing practices, payer guidelines, and reimbursement methodologies (commercial, Medicare, Medicaid ). + Proven leadership and team management abilities. +… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and ... of the Medicare Coverage Determinations ( MCD ) , National Coverage Determination ( NCD ) as well as...in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or… more
- Penn Medicine (Philadelphia, PA)
- …across the care continuum. This position requires a high-level understanding of Revenue Cycle operations and the ability to facilitate patient collections. ... + Associate of Arts or Science (Required) + And 4+ years Hospital Revenue Cycle ExperienceEducation Specialization: Health related field + Bachelor of Arts… more
- Cardinal Health (Trenton, NJ)
- …are identified by the RCM team or by clinic teams. Leads data analytics and the revenue cycle team in identifying the time period of review and conducts a ... on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS and CCI initiatives, OIG work...compliance orientation training for new providers as well as Revenue Cycle team members, as needed. +… more
- Organon & Co. (Plymouth Meeting, PA)
- …health economics strategies and resources with focus on reduction in healthcare costs, revenue cycle management, cost avoidance, and cost consequence analysis. + ... + Professional certifications suggest certified professional coder (CPC, certified revenue cycle representative (CRCR), or certified healthcare financial… more
- SERV Behavioral Health System (Hamilton, NJ)
- …& Excel) skills is highly preferred. + Experience in behavioral health billing and revenue cycle management or similar field. + Proficiency in medical billing ... claims to insurance companies for behavioral health services. + Responsible for both Medicaid FFS (NJMAPPS) and claims submission through the current EHR system. +… more
- Intermountain Health (Trenton, NJ)
- …**Skills** + Recognizing true overpayments from false credits + Advanced knowledge of revenue cycle and health insurance payers + Reading and Understanding Payer ... (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of … more
- Baylor Scott & White Health (Trenton, NJ)
- …enforcement activities. + Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows. ... degree preferred. + 5+ years of experience in healthcare revenue cycle + 3+ years of experience...for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any… more
- Baylor Scott & White Health (Trenton, NJ)
- …+ Responsible for documenting, monitoring, and analyzing the end-to-end encounter life cycle ., inbound and outbound encounter process. + Monitors and oversees the ... encounter data and process issues. + Analysis and forecasting of risk adjusted revenue PMPM by contact, plan and member cohorts. + Perform analysis and reporting… more
- Cognizant (Hatboro, PA)
- …payer portals. . Familiarity with Epic system. . Familiarity with healthcare revenue cycle technologies and automation tools. **Required Education and ... accounts receivable. . Analyze denial trends and root causes, including National Correct Coding Initiative (NCCI) edits and payer-specific technical policies. .… more
- Humana (Trenton, NJ)
- …+ Drive continuous improvement initiatives to streamline renewal processes, reduce cycle times, and enhance stakeholder satisfaction. **Use your skills to make ... + Strong financial and business acumen (understanding/ability to communicate ' revenue recognition', SLA's, to external partners). + Effectiveness in working… more
- Penn Medicine (Philadelphia, PA)
- …guidelines from Medicare, Medicaid , and other insurance entities. + Answering revenue cycle patient inquiries as well as front desk questions regarding ... to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic… more
- Trinity Health (Philadelphia, PA)
- …problems, and coordination of services to all customers. + Functions to communicate revenue cycle related issues to patients, physicians, physician office staff ... and insurance knowledge + Experience with insurance eligibility systems including Medicaid , Medicare, and other commercial and private payor eligibility systems _We… more
- Genesis Healthcare (Wyncote, PA)
- …the Business Office Manager but also receive training and support from the Revenue Cycle Manager. *Visible position that interacts with the Administrator, ... complete or assist in the oversight of census, billing, accounts receivable, tracking of Medicaid applications and other accounts receivable functions. *Report to… more
- Insight Global (Camden, NJ)
- …and payment resolution. This individual will also upload patient medical records using revenue cycle management tools (NaviNet, Pear, and Availity.) They must ... opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status… more
- Cognizant (Trenton, NJ)
- …experience with managed health care plan . 3 years' experience in health care revenue cycle or clinic operations . Experience in utilization management to ... on the review of clinical documentation in accordance with Medicare, Medicaid , and third-party guidelines. . Effectively document and log claims/appeals information… more
- Cardinal Health (Trenton, NJ)
- …with customers and internal business partners. The Insurance Follow-up Collector generates revenue by monitoring and pursuing payment on all unpaid and delinquent ... claims. + Works / Understands electronic claim interchange + Understands life cycle of primary and secondary claims + Maintains front office support relationship… more