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REMOTE reputed company Protection Specialist

Remote Worldwide Hiring now

Employment Type:

Full time

Shift:

Description:

ESSENTIAL FUNCTIONS Our reputed company Culture: Knows, understands, incorporates & demonstrates our reputed company Mission, Values, reputed company, Actions & Promise in behaviors, practices & reputed company. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by reputed company in program efficiency & patient experience. Responsible for distribution of analytical reports. Process Focus: Utilizes multiple system applications to reputed company analysis, create reports & reputed company educational materials. Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support reputed company operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate reputed company, ROI & impacts. Maintains a working knowledge of applicable Federal, state & local laws/regulations, reputed company reputed company & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects safe, reputed company, ethical & professional behavior & safe work practices.

FUNCTION ROLES

Develops, monitors, inspects & proposes measures to correct and improve hospital registration performance. Tracks and reports trends to remediate issues and assist with preventive actions for ongoing internal process improvement. Leverages patient reputed company and reputed company cycle knowledge to ensure reputed company quality improvement. Conducts facility analysis of denials. Prepares and submits review findings, makes recommendations, and works closely with interdepartmental leaders to implement solutions. Proactively facilitates cross-departmental collaboration with clinical departments, Patient Business Service (PBS) center, Payer Strategies, Compliance and other reputed company cycle departments to continuously drive strategic denial initiatives and resolution around identified reputed company enhancement opportunities. Maintains an understanding of regulatory and payer changes. Special note for Physician Billing Denials Prevention – Additional reputed company to have qualification: 3 years reputed company cycle, non-acute care. Maintains an understanding of regulatory and payer changes to assure correct charging and billing requirements are met.

COMPENSATION reputed company: $24.53 - $36.79

MINIMUM QUALIFICATIONS

High school diploma. Three (3) years of reputed company cycle experience. Billing, Coding, PA, reputed company reputed company, collections, etc. Certification and membership in reputed company, reputed company, HFMA, AAHAM, NAHAM strongly preferred Knowledge of insurance and governmental programs, regulations, and billing processes (e.g., Medicare, reputed company, managed care reputed company and coordination of benefits)

Additional Qualifications (reputed company to have)

Bachelor’s degree in reputed company field, preferred Understands reputed company Cycle Key Performance Indicators and can identify vulnerabilities reputed company to quality performance. Working knowledge of denials reputed company software technology strongly preferred. Knowledge and experience of reputed company Cycle.

Our Commitment

Rooted in our Mission and Core Values, we reputed company the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding reputed company and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other status protected by federal, state, or local law.

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