Revenue Integrity Manager

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CAN Community Health

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201 - 500 funcionários

CAN Community Health (CAN), uma organização sem fins lucrativos baseada na comunidade com clínicas na Flórida, Arizona, Nova Jersey, Carolina do Sul, Texas e Virgínia, tem oferecido cuidados médicos especializados por mais de 30 anos. O que começou como uma pequena clínica de saúde fundada por nossa pioneira Susan Terry em 1991 na East Ave em Sarasota, FL, transformou-se agora em uma organização nacional de saúde atendendo aqueles afetados por HIV, DSTs e Hepatite Viral.

Descrição

• This position ensures compliance with all regulations, policies, and procedures related to medical billing. • Review systems and processes to identify potential compliance issues. • Work with appropriate departments to correct such issues. • Serve as the internal resource for billing-related questions. • Provide training related to appropriate billing. • Work with various departments to ensure billing compliance. • Implement short and long-term plans and objectives to improve billing, coding, denials/rejections, and appeal processes. • Manage and optimize the revenue cycle process, ensuring accurate and timely billing, coding, and reimbursement. • Conduct analysis of revenue data, identify trends, and generate reports to support decision-making and improve revenue capture. • Implement strategies to enhance revenue capture, reduce denials, and improve overall revenue cycle efficiency.

🎯 Requisitos

• Bachelor’s degree in healthcare, Business, Finance, or more than 5 years equivalent healthcare experience • Five+ years management experience in a healthcare setting. • Strong coaching and development skills with the ability to organize activities for a productive team and lead effectively with time and project management skills. • Ability to research projects using primary sources when appropriate, such as CMS, HRSA, AHCA, etc. • Experience working with medical payers including Medicare, Medicaid, Commercial and third-party administrators. • Knowledge of insurance procedures, reimbursement guidelines, and claim filing processes. • High comfort working in a diverse environment. • Ability to effectively communicate both written and verbally. • Excellent Computer skills and proficiency in Microsoft Office (EXCEL, VISIO, Word, PowerPoint)

🏖️ Benefícios

• Competitive pay • Generous paid PTO and Sick time • 11 Paid Company Holidays • Paid training and certification support • Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1% • Tuition Reimbursement Plan • Other voluntary plans are available to support you and your family • Career growth opportunities in a supportive environment