- Intermountain Health (Broomfield, CO)
- …compliance with existing and proposed regulations. 3. Facilitates and chairs the RSC Revenue Integrity Payer Committee. 4. Provides research, seeks legal ... peers. Scope 1.Monitors federal and state regulations that impact revenue cycle. Partners with the revenue cycle...advisement and partners with operational owners implementing government payer changes. 5. Collaborates with the Sr. Director and… more
- Surgery Care Affiliates (Chicago, IL)
- …the growing career opportunities for YOU. Responsibilities SCA Health is currently seeking a Payer Analytics Analyst to join the Payer Analytics Team . We are ... improvements to established or proposed reimbursement process flows to maximize potential revenue + Develop effective quality control processes to ensure data … more
- Trinity Health (Hartford, CT)
- …education and professional development activities, staff empowerment and feedback. + Works with Revenue Integrity leadership and Payer Strategies to ensure ... processes. + Monitors all Medicare and Medicaid websites, other payer websites and newsletters regarding medical policies and changes...preferred. + Knowledge and experience in Revenue integrity in an acute care and/or Physician practice… more
- Trinity Health (Newtown, PA)
- …Mission, Vision, and Values in behaviors, practices and decisions. + Works with Revenue Integrity leadership and Payer Strategies to ensure understanding ... operational supervision for local hospital and/or Medical Group Provider Services (MGPS) revenue integrity functions. Responsible for motivating staff to achieve… more
- Stanford Health Care (Palo Alto, CA)
- …States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is the face of Revenue Cycle Operations ... and the School of Medicine Directors of Finance & Administration (DFA's). The Revenue Integrity Program Manager is responsible for ensuring compliance with… more
- Cedars-Sinai (CA)
- …Best Hospitals. **What you be doing in this role:** The Manager, Compliance and Revenue Integrity (CRI) manages one or more functions within the Compliance and ... Revenue Integrity organization. They are responsible for...monitoring and compliance, and multidisciplinary clinical, operational, and financial revenue practice teams. + Responsible for evaluating… more
- Catholic Health Services (Melville, NY)
- …timely. Leads meetings to discuss charge capture findings. Assists in developing revenue integrity training documentation and policies for training and education ... revenue /charge related issues. Identifies opportunities for capturing additional revenue in accordance with payer guidelines. Develops...within the Revenue Integrity team and departments providing physician… more
- Beth Israel Lahey Health (Charlestown, MA)
- …aspects of the mid- revenue cycle including the following functions: + Revenue Integrity + Health Information Management + Professional and Technical Coding ... a difference in people's lives.** The Vice President of Mid- Revenue Cycle is responsible for systemwide direction and leadership...Operations + Clinical Documentation Integrity + Matrix leadership for related clinic services and… more
- Trinity Health (Des Moines, IA)
- …role expectations. Communicates effectively with colleagues to ensure coordinated efforts between Revenue Integrity , EPFS, and offices. Serves as a subject ... improve revenue performance for THMG. Leads complex projects for practice /clinic locations with focus on ongoing support and continuous improvement. Serves as… more
- AdventHealth (Altamonte Springs, FL)
- … Revenue Cycle (LDRC) serves as the primary contact between assigned Practices, Revenue Integrity , Coding, the Software Vendor and the Central Billing Office ... billing and collection of professional services. Working closely with the Corporate Revenue Cycle Director (CRCD), the LDRC is responsible for the proactive… more
- Rush University Medical Center (Chicago, IL)
- …Verification, Financial Counselling, Coding, HIM, Billing, Follow-up Collections, Revenue Integrity , Cash Posting, Correspondence, Refunds, Self-Pay, ... Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Revenue Cycle **Work Type:** Full Time (Total FTE between 0.9… more
- Catholic Health Services (Melville, NY)
- …up and Cash. Provides billing and charging support to Patient Financial Services, Revenue Integrity , and Revenue Realization consistent with enterprise-wide ... revenue and decrease denials and touches based on payer requirement/regulations. DUTIES/RESPONSIBILITIES: Keeps abreast of all billing and reimbursement… more
- Penn Medicine (Philadelphia, PA)
- …coding and auditing education. Responsible to timely and effectively respond to Practice Revenue Cycle Department inquiries. Provide education and training to ... Tower- 1500 Market Street **Summary:** + The Professional Fee Coding Data Integrity Coordinator is responsible for validating data to further research and identify… more
- Houston Methodist (Houston, TX)
- …time frame. + Acts as a liaison for issues affecting various teams (coding, revenue integrity , accounts receivable (AR) follow up, etc.) of the revenue ... Functions as an educational liaison to clinical staff and revenue cycle staff as needed on payer ...enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an… more
- Arvinas (New Haven, CT)
- …market access strategies for Arvinas products. + Work closely with the Payer Account team to assess customer opportunities and structure contractual agreements that ... are mutually beneficial. + Partner with Payer Account team to advise on negotiations with their...of legislative changes (IRA) on short and long term revenue . + Lead strategic pricing and contracting analytics, including… more
- University of Washington (Seattle, WA)
- …process improvements + Review payer updates and communicate changes impacting revenue cycle **REQUIREMENTS** + Active licensure to practice as a Registered ... to providing excellent customer service to patients + Work closely with Revenue Cycle Leadership **DEPARTMENT DESCRIPTION** UW Medicine Patient Financial Services is… more
- HCA Healthcare (Nashville, TN)
- …services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health ... cause of the denial/downgrade + Explanation of Benefits/Remittance Advice + Payer denial/DRG downgrade letters + Complex NCD/LCD guidelines, CMS/AHCA policies and… more
- Covenant Health Inc. (Knoxville, TN)
- …shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the ... Office ("CBO"). This position assists the CBO Managers and Director of Revenue Cycle with maintaining productivity and with meeting the department's goals. Key… more
- HCA Healthcare (Nashville, TN)
- …services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health ... Compliance Nurse TL will be assisting the Director of Payer Analysis with training, education and performing on-going quality...a registered nurse (RN) or in the state(s) of practice and/or has an active compact license, in accordance… more
- Covenant Health Inc. (Knoxville, TN)
- …Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a ... course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing &… more