
Healthcare Revenue Cycle Operations Professional
1 day ago
We are seeking a skilled Revenue Cycle Specialist to join our team. The ideal candidate will possess strong analytical and communication skills, with the ability to work independently and as part of a team.
The Revenue Cycle Specialist will be responsible for managing the revenue cycle process, including insurance verification, authorization management, and physician order tracking. The successful candidate will have excellent problem-solving skills and the ability to prioritize tasks effectively.
- Key Responsibilities:
- 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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