Billing Resolution Advocate

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Logo of TruBridge

TruBridge

1001 - 5000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

TruBridge is a healthcare solutions company specializing in revenue cycle management, electronic health records, patient access and engagement, and enterprise resource planning for healthcare providers. The company offers comprehensive, customizable services to hospitals, clinics, and ambulatory care facilities, aiming to improve financial health and operational efficiency. TruBridge's solutions include coding technology services, population health and data management, and outsourced revenue cycle management services. Their focus on data-driven insights and innovative products helps eliminate financial and operational obstacles, laying a foundation for long-term success in the healthcare industry.

📋 Description

• Oversee claims production, billing, follow-up, collections, and compliance with third-party payer regulations • Manage process-based revenue cycle functions and improve key revenue cycle indicators, including A/R days, cash collection, posting, denials, underpayment, and contract management • Resolve complex, outstanding claims • Ensure accounts are billed accurately and timely • Provide operational oversight for and mentor the Billing Coordinator • Maintain knowledge of hospital billing systems, government payer systems, laws, regulations, and third-party reimbursement policies • Manage, train, and motivate employees • Organize and lead efforts to maximize operational efficiency and optimize reimbursement • Monitor denials and provide education and reporting • Review statistical reports, monitor trends, identify deficiencies, and implement corrective action plans • Communicate and escalate potential claims, unbilled accounts, and issues to the Director • Maintain patient information confidentiality • Attend required meetings and activities and maintain professional affiliations • Liaise with facility management and serve as lead point of contact • Maintain employee time, attendance, and scheduling • Create accurate monthly customer invoices • Ensure compliance with contract terms • Perform Management Expectations List functions and other assigned duties

🎯 Requirements

• High school graduate or GED equivalent • 3 years previous hospital billing experience • Working knowledge of insurance regulations, procedure and diagnosis coding and automated insurance billing • Excellent communication (written and oral) and interpersonal skills • Excellent critical thinking, organizational and time management skills with a strong attention to detail, accuracy and follow through • Must be able to work through issues to resolution • Associates or Bachelor’s Degree preferred • 2 years Medicare hospital billing experience preferred

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