Revenue Management Specialist
2 weeks ago
Join Polaris Healthcare as a Revenue Cycle Supervisor
Are you well-versed in the intricacies of Medicare, Medicaid, and various Health Maintenance Organization (HMO) agreements? We are seeking a dedicated professional to oversee patient network affiliations, ensure contract compliance, and enhance billing efficiency. If you are committed to refining billing operations and fostering a culture of continuous improvement, we encourage you to explore this opportunity.
Key Responsibilities:
- Contract Management:
- Demonstrate comprehensive knowledge of Medicare, Medicaid, and HMO agreements.
- Engage with consultants to optimize contract performance.
- Remain updated on changes in regulations affecting contracts.
- Patient Network Coordination:
- Collaborate with administrative staff to facilitate patient enrollment in preferred plans.
- Establish protocols for verifying insurance eligibility.
- Billing and Revenue Oversight:
- Work closely with the billing department to ensure precise claim submissions.
- Evaluate processes for operational efficiency.
- Team Development:
- Support the billing team with ongoing training initiatives.
- Promote a culture of learning and professional growth.
- Compliance and Quality Control:
- Conduct regular audits to ensure adherence to regulations.
- Implement necessary corrective measures based on audit findings.
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