The Revenue Cycle Lead will oversee and mentor five core teams including Intake, Insurance Authorization, Medical Records, Billing, and Collections. This role is responsible for optimizing financial workflows, ensuring regulatory compliance, and driving performance through data-driven decision-making.
The Pre-Bill Review Specialist conducts comprehensive audits of patient charts to ensure documentation accuracy and compliance before claim submission. They collaborate with clinical and billing teams to resolve documentation gaps and verify insurance authorizations to prevent denials.
The Billing and Collections Lead oversees billing and collections operations, ensuring accurate and compliant reimbursement while managing accounts receivable. This role includes leading teams, managing claim submissions, and developing collections strategies.
The OASIS Reviewer analyzes the data integrity and consistency of OASIS documentation and assessment processes, prospectively reviewing all OASIS assessments for appropriateness, completeness, and compliance with regulations and policy. This role involves consulting with clinical staff to clarify data issues, making corrections, and reporting utilization concerns to management.
