The representative is responsible for the timely follow-up, resolution, and collection of outstanding insurance balances for oncology and infusion services. They must analyze denials, coordinate with clinical staff, and ensure accurate documentation and compliance with payer requirements.
The manager will oversee daily billing operations, mentor staff, and drive process improvements to optimize revenue cycle performance. They are responsible for monitoring KPIs, managing denials and appeals, and ensuring compliance with healthcare regulations.
The Patient Financial Services Representative handles inbound patient calls regarding medical billing, payment processing, and insurance inquiries. They are responsible for researching claims, resolving billing disputes, and maintaining accurate documentation in compliance with HIPAA regulations.
The RCM Client Integration Specialist coordinates the end-to-end onboarding process for new clients, managing implementation timelines and cross-departmental collaboration. They also provide structured post-go-live support and monitor operational performance to ensure a successful transition to ongoing services.
Lead a team of billing and coding professionals to optimize revenue cycle operations and ensure accurate claim submissions. Monitor KPIs and collaborate with providers and administration to improve financial performance and regulatory compliance.
The specialist is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for wound care procedures and office services. They collaborate with physicians and billing teams to ensure compliance, resolve coding issues, and maximize appropriate reimbursement.
Responsible for assigning accurate ICD-10-CM, CPT, and HCPCS codes for orthopedic surgeries and office services to ensure compliance and maximize reimbursement. Collaborates with physicians and billing teams to clarify documentation and resolve coding-related claim denials.
Accurately assign CPT, HCPCS, and ICD-10 codes for professional neurosurgery and spine surgery services. Collaborate with providers and auditors to ensure coding compliance and resolve documentation discrepancies.
