The Clinical Scheduler Representative is responsible for accurately scheduling diagnostic and surgical procedures while managing physician orders and patient information. They coordinate with clinical departments to ensure proper scheduling, bed assignments, and clear communication of hospital guidelines to patients.
The representative is responsible for managing patient accounts throughout the revenue cycle, including claim follow-up, insurance collections, and resolving disputed balances. They must document account actions clearly, maintain productivity standards, and communicate effectively with payors and internal teams to ensure timely revenue resolution.
The Senior Analyst will lead high-complexity projects and define technology-driven solutions within the Product Management team. They are responsible for documenting business requirements, conducting competitive research, and mentoring the analyst team.
The Customer Service Representative handles high-volume patient billing inquiries while ensuring quality service and HIPAA compliance. They are responsible for resolving patient issues, managing outstanding balances, and maintaining professional communication standards.
The representative is responsible for answering inbound patient accounting calls and performing outbound follow-up on outstanding accounts. They must facilitate issue resolution by escalating complex matters to experts while maintaining professional service standards.
The Personal Health Nurse manages member care through a holistic approach, facilitating quality health care and coordinating services between patients, families, and physicians. They are responsible for performing personal health management assessments, developing individualized care plans, and ensuring cost-effective medical management.
Oversees professional staff responsible for managing and implementing Charge Description Master (CDM) and charge capture initiatives to ensure revenue protection. Facilitates revenue management strategies, maintains system data integrity, and ensures adherence to regulatory directives.
Responsible for resolving patient accounts by following up on claim submissions and pursuing disputed balances from government and non-government entities. The role involves researching accounts, updating insurance information, and identifying payer trends to eliminate revenue leakage.
Responsible for resolving patient accounts by following up on claim submissions and pursuing disputed balances from government and non-government entities. The role involves researching accounts, updating insurance information, and identifying payer trends to eliminate revenue leakage.
Responsible for resolving patient accounts by following up on claim submissions and pursuing disputed balances from government and non-government entities. The role involves researching accounts, updating insurance information, and ensuring timely revenue collection while maintaining productivity standards.
Handle inbound customer service calls regarding patient accounting and perform outbound follow-ups on outstanding AR accounts. Focus on first-call resolution by assisting callers or escalating issues to subject matter experts.
Assign ICD-10, CPT, and HCPCS codes from medical documentation for physician charges. Resolve pre-bill coding edits and coding denials while maintaining high productivity and accuracy standards.
Assign ICD-10, CPT, and HCPCS codes from medical documentation for physician charges. Resolve pre-bill coding edits and coding denials while maintaining high productivity and accuracy standards.
The Patient Account Manager is responsible for overseeing patient account staff in processing accounts and collaborating with designated payors to ensure accurate reimbursement. This role involves monitoring collection processes, managing accounts receivable aging through analysis, and ensuring staff productivity and quality meet established standards.
