Commercial Revenue Cycle Manager

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đź•’ August 29, 2025

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Logo of Freedom Health & Optimum HealthCare

Freedom Health & Optimum HealthCare

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🛡️ Insurance

Healthcare • Healthcare Insurance • Insurance

Freedom Health & Optimum HealthCare is a company founded and managed by physicians dedicated to developing better Medicare Advantage programs. With extensive experience in organizing, managing, and providing medical care services under governmental programs, they have established a leadership position in the Medicare Advantage industry. The company emphasizes the importance of a qualified and motivated workforce to deliver high standards of excellence in quality care and service to its members, aiming for excellence, innovation, and community impact.

đź“‹ Description

• Transmit claims upon discharge in a timely manner • Follow claims through processing tracking and making calls as directed • Adjust and correct claims as needed • Submit write-off accounts upon eligibility • Submit refund requests as they become due • Answer questions and assist the hospital RCMs as needed • Store electronic remittance advices where designated • Attend meetings as scheduled • Maintain knowledge of federal and state regulations and reimbursement policies

🎯 Requirements

• Experience in Revenue Cycle Management and inpatient claims processing • Knowledge of insurance eligibility and verification • Strong organizational and time management skills • Ability to follow defined processes and work across multiple hospitals • Familiarity with federal and state regulations and reimbursement policies

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