Job Search Results for Revenue Cycle Management

The Client Services Manager serves as the primary interface between PB Rev Cycle and clients. This role involves coordinating communications and services to maximize efficiencies in the Revenue Cycle... More process.Responsibilities:1.) Client Relationship Management:-Manage client relationships across all Revenue Cycle areas.-Act as the main point of contact for front-end revenue cycle issues, streamlining business operations.2.) Onboarding Coordination:-Facilitate onboarding activities for new providers:-Understand services to be provided.-Set up charge documents, EMR, and Practice Management systems.-Document workflows for charge capture.-Establish time-of-service collection processes.-Align with client expectations.3.) Daily Operations Oversight:-Assign specific work tasks to employees.-Review employee activities for accuracy and effectiveness.-Adjust staff workload as needed.4.) Collaboration and Training:-Work closely with coding/compliance departments to ensure proper provider training and feedback.-Partner with operational management and PBS departments for successful charge entry and accounts receivable resolution.5.) Reporting and Special Projects:-Provide accounting and performance reporting/support to clients.-Participate in special projects alongside the AR Manager and PBS management team.-Attend monthly management meetings to enhance service functions.6.) Communication and Coding Support:-Maintain regular communication with the Coding Department to monitor APCs and resolve coding issues.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

The incumbent is responsible for handling and resolving incoming customer inquiries and/or concerns by providing patients/guarantors from both hospitals and physician practices with a consistent and... More seamless experience. The incumbent is also responsible for following up on and collecting outstanding guarantorbalances through outbound phone contact, as well as providing financial counseling resources to physician's offices, hospitals, and patients/guarantors (both hospital and professional), when necessary. This representative reports to the Director, of Customer Service. 1. Make outbound calls to guarantors to follow up on outstanding hospital and physician-based patient balances, including those that have been classified as Bad Debt 2. Accept and process payments on outstanding balances via phone 3. Set up and monitor payment plans for guarantors as appropriate 4. Analyze hospital and physician-based patient accounts to determine resolution to customer inquiries/concerns 5. Document and resolve patient/guarantor inquiries and concerns that are received via telephone, mail and walk-in within an established time frame 6. Access Revenue Cycle systems per patient/guarantor's request and provide any additional information he or she requires; update information in Revenue Cycle systems based on content. provided by or discussions with the patient/guarantor. 7. Provide remote financial counseling when patient/guarantor requires it 8. Determine best steps to forward returned mail to appropriate patient/guarantor 9. Appropriately assess situations from a variety of perspectives, consider various alternatives, and make independent judgments choosing the appropriate course of action. 10. Evaluate the extent of inquiries and notify management of potential trends in types of calls or customer concerns 11. Strive for a positive patient experience; perform daily functions in a customer-friendly and time-efficient manner 12. Evaluate the extent ! of inquiries! and notify management of potential trends in types of calls or customer concerns 13. Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate 14. Maintain a clear understanding and working knowledge of both hospital and professional billing practices 15. Maintain a clear understanding and working knowledge of all information systems required for job scope 16. Maintain a clear understanding of and adhere to Piedmont organizational policies and procedures for relevant location and job scope 17. Complete and/or attend mandatory training and education sessions within approved organizational guidelines and timeframes 18. Other miscellaneous duties as assigned We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

The primary function of this role is to serve as a product subject matter expert, and liaison between IT org and business partners in support of many revenue cycle operations applications. A... More background and operational experience in Healthcare Revenue Cycle IT Solutions is desirable, but not required. Success in this position also includes building strong working relationships with business partners, project teams, and other IT teams. Additionally, the successful candidate will possess a balance of technical and people skills.Supports the efforts in all matters related to the Joint Development portfolio-based new products, development and functionality for enterprise applicationsElicits and documents business, user, functional and non-functional requirementsAnalyzes current or potential business processes and reviews existing information systems to identify opportunities for improvementDesigns and implements reports, maps/flowcharts, and screen layouts to improve business processes and workflowSupports operational applications within the business and other IT areas by providing status and recommending solutionsAssist management in prioritization of work efforts/tasks and ensuring risks/issues are communicated appropriatelyIdentifies impact to other solutions or projects, and works with other Business Analysts, Product Analysts and/or stakeholders to identify options and recommendationsProvides operational support (Tier 2) for applications, supporting the business and other IT areas by providing status and recommending solutions where there are system issues and coordinating resolution of issues with CSS and developmentPossess excellent communication and presentation skillsDrive business centric collaboration with stakeholders, business users, and technical solution providers to understand business needsEvaluate business processes and lead solution definition (workflow, technology, data, etc.) to support business goals and initiativesFacilitate the definition and analysis of business needs and requirements for new and/or enhanced products, services, or optimized business processesCoordinates and assists in prioritizing new enhancement requests through user story reviewsAssist with QA and User Acceptance Testing, prioritizing gaps and negotiating between the business and technical solution providers to gain product acceptanceWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

We are currently looking for a Senior Product Manager (Signal & Governance), who will drive the Signal Acquisition product efforts within the Signal & Governance - Revenue Product group to ensure the... More highest, sustained monetization of any platform in the free, ad-supported TV space. This role has a primary focus on ensuring our ad inventory has the highest quality data signals to further monetization across our global footprint. For example, how you will measure impacts in this space directly come from the initial registration/sign up process for the streaming service from the user, such as, 1st party data that includes personal information (while being compliant with privacy laws). This data from registered users is used to give them a better and tailored ad experience while using the streaming services while also driving the company to better increase viewership, monetization, ad supply/targeted ads, etc. This individual will lead the Signal & Governance product team efforts to ensure the ad monetization opportunities that exist with our advertising, content, and distribution partners are highly available, operationally reliable, and privacy compliant. This role will work with Product, Data Engineering, BI, STE, and Technology stakeholders to understand technical and commercial needs to create products that directly and measurably drive revenue while adhering to our highly scalable and performant technical infrastructure. You will be responsible for identifying and mitigating risks, including opportunity costs, while balancing strategic and tactical approaches will be integral to success, maintaining a thorough understanding of the rapidly evolving technical, industry, and regulatory landscape is expected and will be necessary to inform feature and initiative prioritization and development.This is a significant role with a wide range of additional responsibilities, including:-Cross-Functional Team Relationship: Develop and maintain healthy and productive, working relationships across the core Revenue Product/PMO/Engineering teams, the critical non-Revenue teams (including Legal, Privacy, Paramount Ad Platforms, Ad Operations, Sales Leadership, and Monetization teams).-Product Planning: Become familiar with and contribute to the product OKRs, goals, strategies, and roadmap plans for the Signal Acquisition and Data Analysis initiatives and ensure their prioritization on the all-up Revenue Product Roadmap. This includes defining and managing success metrics. Depending on where we are in the quarterly planning cycle, within your first 60 days define and advocate for at least one Signal related feature to be prioritized within the Scaled Agile Framework we use.-Ad Tech & Revenue Data Analysis (SME): Within 90 days, become the subject matter expert on Signal, including a deep understanding of the technology and market landscape, primary vendors we use, current technology and known evolution of the industry tools used to drive the unique value proposition to Pluto's business. Maintain a current and sophisticated understanding of the evolving privacy and data collection laws as well as new technical challenges and opportunities and plan for future disruptions. Develop and gain approval for specific revenue KPIs related to our Signal Acquisition program.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Duties & Responsibilities:This document in no way states or implies that these are the only duties to be performed by the individual occupying this position. This is a representative list of the... More general duties and it is not intended to be all-inclusive. ? Preparation/review of various billings per the billing calendar monthly.? Review new contracts and changes in billing terms; update billing and confirm accuracy.? Collaborate with other departments to ensure billing and revenue accuracy.? Provide solutions to billing problems and make corrections/adjustments.? Ensure billing accuracy through review/analysis of revenue trends.? Research and resolve disputes timely from customers submitted on the customer portal.? Run accounts receivable aging report and review aged accounts.? Make collection calls to customers with outstanding balances.? Track payment arrangement terms and follow-up with customers.? Prepare customer statements upon request.? Acts as a back-up for cash applications.? Prepare monthly revenue/billing analytical reporting.? Provide ad hoc reporting for management.? Identify and implement process improvement and make the necessary communications. ? Convert accounting terms to understandable business explanations both written and verbally. Test accounting system/payment portal/customer relationship management system to ensure new functionality and updates work as intendedWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Provides administrative support in the billing and collections function of the medical revenue cycle process. Prepares new charges, completes insurance verification, maintains patient records, and is... More responsible for collecting on outstanding accounts receivable. * Obtain needed and or corrected information by contacting the patient, physician's office, hospital, next of kin, insurance carrier, etc. * Verify all patient information uploaded is accurate. * Activate and bill patients within the billing system. * Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports. * Assists in resolution of outstanding accounts receivable problems from past due accounts. * Responds to inquiries from customers or external collection resources. * Places calls and sends messages to those with unresolved issues. * Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers * Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner * Identifies and reports to management any payer issues with regards to billing and collections * Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment * Performs other duties as assigned We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less