Current jobs related to Revenue Cycle Specialist - Nashville - Alive Hospice, Inc.
-
Revenue Cycle Specialist
4 days ago
Nashville, Tennessee, United States BrightSpring Health Services Full timeRevenue Cycle Coordinator Job DescriptionBrightSpring Health Services is seeking a skilled Revenue Cycle Coordinator to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring the accurate and timely processing of revenue, billing, and cash processes.Key Responsibilities:Perform general accounts receivable functions,...
-
Revenue Cycle Management Specialist
4 weeks ago
Nashville, United States OneOncology Full timeOneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time...
-
Revenue Cycle Operations Specialist
3 days ago
Nashville, Tennessee, United States Insight Global Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Consultant to join our team at Insight Global. As a key member of our revenue cycle team, you will be responsible for ensuring the efficient and accurate processing of medical claims and related data.Key ResponsibilitiesDevelop and implement process improvements to enhance revenue cycle...
-
Revenue Cycle Strategist
2 weeks ago
Nashville, Tennessee, United States Engage Search, LLC Full timeJob OverviewEngage Search, LLC is seeking a seasoned Revenue Cycle Strategist to join our team. As a key member of our Revenue Cycle Team, you will be responsible for developing and implementing revenue cycle strategies that drive optimal financial performance.Key ResponsibilitiesRevenue Cycle LeadershipLead the development and implementation of revenue...
-
Revenue Cycle Coordinator
2 weeks ago
Nashville, Tennessee, United States BrightSpring Health Services Full timeJob SummaryBrightSpring Health Services is seeking a highly skilled Revenue Cycle Coordinator to join our team. As a key member of our financial operations team, you will be responsible for managing the revenue cycle process, ensuring timely and accurate billing, and resolving any issues that may arise.Key ResponsibilitiesManage accounts receivable...
-
Traveling Revenue Cycle Consultant
4 weeks ago
Nashville, United States Velocity Made Good Full time $25 - $35Job DescriptionJob DescriptionAre you an experienced revenue cycle professional?Do you have a strong background in Cerner, Epic, Meditech, and/or Schedule Maximizer?Are you looking for something new in your career?Do you like a challenge?Do you like contributing to the success of a team?Are you flexible to change?Do you like to travel?If you answered yes to...
-
Revenue Cycle Specialist
2 weeks ago
Nashville, Tennessee, United States Tend Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented individual to join our team as a Revenue Cycle Analyst. As a key member of our financial operations team, you will play a critical role in ensuring the accuracy and efficiency of our billing and reconciliation processes.Key ResponsibilitiesIdentify and resolve patient reimbursement issues in a...
-
Senior Manager, Revenue Cycle
2 weeks ago
Nashville, United States MCKESSON Full timeIt’s More Than a Career, It’s a Mission.Our people are the foundation of our success. By joining our growing team at Sarah Cannon Research Institute (SCRI), a subsidiary of McKesson, you will have the opportunity to become part of one of the largest community-based cancer programs to advance oncology treatments and improve outcomes for cancer patients...
-
Revenue Cycle Analyst
2 weeks ago
Nashville, United States Tend.ai Full timeAt Tend, we do dental differently. Tend is rewriting the playbook of modern dentistry by building a company around the patient and the provider. We believe that with the power of technology, a hospitality-driven mindset, and a top tier clinical team, we can make going to the dentist something to look forward to. Our vision is to transform the dental...
-
Nashville, United States Vanderbilt University Medical Center Full timeDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your...
-
Revenue Cycle Specialist
3 weeks ago
Nashville, Tennessee, United States Tennessee Retina Full timeJob SummaryTennessee Retina is seeking a highly skilled Patient Financial Counselor to join our team. As a Patient Financial Counselor, you will play a critical role in ensuring the financial well-being of our patients and the success of our practice.Key ResponsibilitiesVerify insurance eligibility and confirm authorization/referral requirements for patients...
-
AMG ST REVENUE CYCLE
2 months ago
Nashville, United States Ascension Full timeAMG ST REVENUE CYCLE, part of Ascension Living brings it all together for you at our beautiful community. You will have access to personalized care, exceptional services with a balance of city comforts, cultural opportunities and more, in our community and close by.We are committed to providing services, amenities, opportunities, and support, so seniors can...
-
Nashville, United States Ascension Full timeAscension has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. We strive to expand access to high-quality, low-cost, person-centered care and services for all. At AMG ST REVENUE CYCLE, caregivers can find both a jumpstart to their careers and clinical education opportunities. If you are looking for a rewarding...
-
Healthcare- Referral Specialist
4 weeks ago
Nashville, United States Velocity Made Good Full time $22Job DescriptionJob DescriptionURGENTLY HIRING!!The Referral Specialist plays an integral role ensuring patients receive timely and efficient access to necessary medical services. You will coordinate with healthcare providers, insurance companies, and patients. This position requires a meticulous attention to detail and a strong commitment to patient...
-
Healthcare- Referral Specialist
4 weeks ago
Nashville, United States Velocity Made Good Full time $22Job DescriptionJob DescriptionURGENTLY HIRING!!The Referral Specialist plays an integral role ensuring patients receive timely and efficient access to necessary medical services. You will coordinate with healthcare providers, insurance companies, and patients. This position requires a meticulous attention to detail and a strong commitment to patient...
-
RCM Specialist, OMS
4 weeks ago
Nashville, United States Specialty Dental Brands Full timeJob DescriptionJob DescriptionDescription:Specialty Dental Brands (SDB) is a leading dental service organization focused on partnering with the best doctors with a proven record of accomplishment of patient care and community involvement. We provide proven operational support, technology, and overall practice management across a nation-wide network of...
-
RCM Specialist, OMS
2 months ago
Nashville, United States Specialty Dental Brands Full timeJob DescriptionJob DescriptionDescription:Specialty Dental Brands (SDB) is a leading dental service organization focused on partnering with the best doctors with a proven record of accomplishment of patient care and community involvement. We provide proven operational support, technology, and overall practice management across a nation-wide network of...
-
Account Specialist
3 weeks ago
nashville, United States RevSpring Full timeJob Title: Account Specialist Job Summary: The Account Specialist is an integral member of the Client Services team. The primary responsibility of this position is to provide a high level of support for building and maintaining our key client relationships, and to provide advanced administrative support to the larger account team in all its efforts. This...
-
Account Specialist
1 month ago
Nashville, United States RevSpring Full timeJob Title: Account Specialist Job Summary: The Account Specialist is an integral member of the Client Services team. The primary responsibility of this position is to provide a high level of support for building and maintaining our key client relationships, and to provide advanced administrative support to the larger account team in all its efforts. This...
-
Account Specialist
1 month ago
Nashville, United States RevSpring Full timeJob Title: Account Specialist Job Summary: The Account Specialist is an integral member of the Client Services team. The primary responsibility of this position is to provide a high level of support for building and maintaining our key client relationships, and to provide advanced administrative support to the larger account team in all its efforts. This...
Revenue Cycle Specialist
4 months ago
Revenue Cycle Specialist (Medicare) Full Time
Location:Nashville, TN Status:Regular Full Time Days:Monday - Friday Hours: 40/week
Are you a Revenue Cycle/professional who desires to work in a capacity in which your efforts directly impact clinicians, patients and their families? If you are excited to use your talents and skill set in a way that truly makes a difference in the middle Tennessee healthcare market, we can't wait to talk with you
SUMMARY
Primarily responsible for generating billing cycles posting payments and follow-up on claims to ensure timely payment.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Generates patient claims through EMR billing system. Upload EMC file to clearinghouse as soon after target bill date and errors/holds are clear. Continue review of unsubmitted claims to avoid timely filing errors.
- Manage and hold claims waiting compliance review completion. Work with Revenue Cycle team to ensure billing compliance.
- Review, key or follow up on 81A (NOE) prior to submission of initial claim. (if applicable to assigned duties)
- Review, key or follow up on 815's, 817's and 818's when necessary.
- Review and corrects RTP's in the DDE system on a regular basis.
- Post Medicare PIP remittance advices through Clearinghouse auto post or manually when necessary.
- Follows up regularly on unpaid claims by using DDE or phone call to PBGA service center for assistance or unresolved claim issues. Document response and any follow-up actions taken in EMR.
- Work with the Dept. Director on Medicare credit balances to ensure compliance.
- Work with other Hospice agencies to ensure smooth transitions between benefit periods and sequential billing.
- Notifies the Dept. Director of any problems with claims or processes.
- Assists other Revenue Cycle Specialist as needed to meet department goals.
- Submit write off requests with documentation after all collection efforts have been exhausted to the Dept. Director.
- Run admission report, assign and enter appropriate ICD-10 codes into EMR based on physician CTI. (if applicable to assigned duties)
- Using pre-bill CPT audit sample to complete compliance review through physician coding compliance software. Report findings to appropriate Directors and CMO. (if applicable to assigned duties)
- Report individual finds to the physician for review and resolution of the coding discrepancy. After physician review/approval make coding changes and note in EMR. Report to billing staff when claim can be released. (if applicable to assigned duties)
- Other duties may also be assigned.
SUPERVISORY RESPONSIBILITES
No supervision of agency staff is required.
LANGUAGE SKILLS
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
REASONING ABILITY
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
CERTIFICATES, LICENSES, REGISTRATIONS
If required to drive to carry out the duties of this position: current driver's license and automobile insurance as required by Tennessee State Law.
OTHER QUALIFICATIONS
One to three years of medical billing experience, using computer based applications. Good organizational skills.
Communication and Relationship Skills: Exemplifies high level of written oral and listening communication skills, always respecting patient confidentiality.
Agency Policy and Philosophy: Communicates and supports agency mission and values in all professional interactions.
Continuing Education: Seeks to improve knowledge and skills relative to performance of job and personal growth.
Quality and Performance Improvement: Participates in new and continuing programs designed to monitor and improve quality and performance relevant to the mission and philosophy of Alive Hospice, Inc.
Teamwork: Functions consistently and collaboratively as an integral part of Administrative Services Department Team and other teams (committees, etc.) bringing experience and education to contribute to optimal team functions and outcomes.
Ethics: Demonstrates a high level of work, personal and professional ethics.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel. The employee frequently is required to sit and talk and hear. The employee is occasionally required to stand; walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision and the ability to adjust focus.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts and infectious diseases. The noise level in the work environment is usually moderate. Usually in a general office setting.
RequirementsCONTINUING EDUCATION
The agency requires this position to complete 6 hours of continuing education per year covering topics that will contribute to improvements in carrying out the above responsibilities. Regulatory agencies may require some disciplines to have additional hours in order to be licensed or certified.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including meeting the required competencies. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
High School diploma required. One year college or technical school: one to three years related experience or equivalent combination of education and experience.
