Post-Acute Revenue Cycle Operations Manager
14 hours ago
About Our Revenue Cycle Services:
Our team optimizes revenue cycle operations for post-acute care providers by leveraging industry expertise and solutions.
Industry experience is brought together to guide organizations through challenges, changes, and growth in the healthcare sector.
The Revenue Cycle Specialist supports efficient and compliant revenue cycle operations by ensuring accurate and timely insurance verification, managing authorizations, and tracking physician orders.
This role involves maintaining internal records, verifying patient benefits, securing insurance authorizations, and contributing to training efforts.
Insurance Verification: Perform initial verification of patients' insurance coverage for services. Conduct monthly re-verifications to identify any changes in insurance. Accurately document verification information within the client's Electronic Medical Record (EMR) system.
Authorization Management: Submit initial authorization requests to insurance companies for services requiring pre-certification. Compile and submit required medical documentation from the client's EMR to support authorization requests. Manage follow-up and subsequent authorization requests as needed.
Physician Order Tracking: Send unsigned physician orders to appropriate physician offices for review and signature. Follow up on outstanding or aged unsigned orders and implement strategies for timely completion. Review and upload signed physician orders into the client's EMR, ensuring compliance.
Documentation & Reporting: Develop and maintain internal tracking spreadsheets and databases to support day-to-day workflow.
Team Support: Assist in training new or existing staff on workflows and best practices. Support other administrative or operational duties as assigned.
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