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Hospital Revenue Cycle Manager

Role overview

Qualifications

  • Extensive knowledge of insurance eligibility and verification
  • Immaculate organizational skills
  • Strong time management skills
  • Ability to follow defined processes

Responsibilities

  • Monitor daily census to capture all admissions, discharges, interrupted stays and room changes
  • Verify insurance for all patients
  • Audit new Admissions in Billing Software within 12 hours of Admission
  • Provide financial counseling for all patients

Key facts

Hard skills

Other skills

  • Organizational Skills
  • Time Management
  • Detail Oriented

About the company

Freedom Health & Optimum HealthCare logo

Freedom Health & Optimum HealthCare

Health Insurance (Payers)

Founded and managed by physicians who care about developing better Medicare Advantage programs, along with key management staff, we have long standing experience in organizing, managing and providing medical care services under governmental programs. We have since established a position of leadership in the Medicare Advantage industry and we know how important it is to have the best qualified/motivated workforce to achieve the high standards of excellence in quality care and service to our members that we so proudly provide. Working with us means valuing the care we provide to our members and valuing our workforce. That is why we are always seeking qualified candidates to help provide the best access to healthcare for our members. Joining our Team means: • Enjoying a challenging, fast pace and energetic work environment • Striving for excellence and innovation • Seeking the best results for their peers, companies, community and members. If you want to join our team and are looking for career that will reward and challenge you in the best possible way, then we want to talk to you!

Company details

IndustryHealth Insurance (Payers)
Company size501-1000

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Job description

Role

The role of the Hospital Revenue Cycle Manager is to completely and accurately enter all patient data into the billing software as well as obtain all financial documentation required to allow a complete and accurate claim to be submitted to the responsible parties for payment. The HRCM has a direct effect on financial collectability of account balances. This employee must have the ability to follow defined processes on a daily basis and have extensive knowledge of insurance eligibility and verification. Immaculate organizational and time management skills must be maintained to ensure accuracy and efficiency. Responsibilities include, but are not limited to:

Responsibilities

  • Monitor daily census to capture all admissions, discharges, interrupted stays and room changes.
  • Verify insurance for all patients.
  • Audit new Admissions in Billing Software within 12 hours of Admission.
  • Provide financial counseling for all patients.
  • Maintain complete financial folders on all patients.
  • Accurately and completely enter/audit patient data required for admission into Billing Software.
  • Verify all documentation required to support charges.
  • Perform accurate and complete charge audits and verifications in the Billing Software on a daily basis.
  • Maintain detailed notes in Billing Software.
  • Audit Discharged patients and notify RHIA for coding within 12 hours of discharge.
  • Review the Discharged Not Final Billed report daily, updating accounts as needed.
  • Ensure the diagnosis codes are entered into the Billing Software by the RHIA in an accurate and timely manner.

You will be employed by Marvel Healthcare contracted Solutions, LLC. supporting Freedom Behavioral Hospitals. 


Compensation: Depending on Experience

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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