| Skill Set | Skill Level.Identify trends in coverage and point of service patient responsibilty collections for each of the 88 clinic locations. - Communicate with clinical and operations leadership related to coverage discovery, patient responsibility, and. Position SummaryThe Patient Benefits Analyst will support Revenue Cycle operations by analyzing patient coverage information, documenting insurance coverage within Epic, identifying trends related to patient responsibility collections, and recommending process improvements to optimize revenue collection and third-party reimbursements. Required Skills Matrix SkillLevelRequirementEpicAdvancedRequiredRevenue Cycle ClearinghouseSME (7+ years)RequiredInsurance Benefit InterpretationSME (7+ years)Required Preferred Qualifications Public Health revenue cycle experience. Provide support to Revenue Cycle through the following: - Review coverage discovery for scheduled patient appointments to determine patient responsibility - Document coverage appropriately in Epic - Identify trends in coverage and point of service patient responsibilty collections for each of the 88 clinic locations - Recommend process changes that would optimize collection of patient responsibility related revenue and third party payments - Communicate with clinical and operations leadership related to coverage discovery, patient responsibility, and revenue cycle related topics Required Skills/Experience Provide the minimum required skills and/or experience the contractor must possess to qualify for this position. Public health, community health, physician clinic, FQHC, RHC revenue cycle experience Mississippi healthcare experience Beginner: 1-2 years Intermediate: 3-5 years Advanced: 5-7 years SME: 7+ years Skill Set Skill Level (See key code above) Required/Preferred Notes Operating Systems Epic Advanced Required Enter text here Revenue Cycle Clearinghouse SME Required Enter text here Insurance Benefit Interpretation SME Required Enter text here Provide support to Revenue Cycle through the following: - Review coverage discovery for scheduled patient appointments to determine patient responsibility - Document coverage appropriately in Epic - Identify trends in coverage and point of service patient responsibilty collections for each of the 88 clinic locations - Recommend process changes that would optimize collection of patient responsibility related revenue and third party payments - Communicate with clinical and operations leadership related to coverage discovery, patient responsibility, and revenue cycle related topics Required Skills/Experience Provide the minimum required skills and/or experience the contractor must possess to qualify for this position. Public health, community health, physician clinic, FQHC, RHC revenue cycle experience Mississippi healthcare experience Beginner: 1-2 years Intermediate: 3-5 years Advanced: 5-7 years SME: 7+ years Skill Set Skill Level (See key code above) Required/Preferred Notes Operating Systems Epic Advanced Required Enter text here Revenue Cycle Clearinghouse SME Required Enter text here Insurance Benefit Interpretation SME Required Enter text here div>Provide support to Revenue Cycle through the following: - Review coverage discovery for scheduled patient appointments to determine patient responsibility - Document coverage appropriately in Epic - Identify trends in coverage and point of service patient responsibility collections for each of the 88 clinic locations - Recommend process changes that would optimize collection of patient responsibility related revenue and third party payments - Communicate with clinical and operations leadership related to coverage discovery, patient responsibility, and revenue cycle related topics . Job Title:Epic PB (Professional Billing) & Revenue Cycle SME (Patient Benefits Analysis). strong> Required Skills/Experience - Epic PB experience, certification preferred - RHIA/RHIT/CPC certified required - revenue cycle reporting, build, logic, claims adjudication, data, and training - clearinghouse - Third party coverage discovery - RTE interpretation. Provide support to Revenue Cycle through the following
- Review coverage discovery for scheduled patient appointments to determine patient responsibility.
EDUCATION and/or EXPERIENCE: Graduation from accredited four-(4) year college/university with major course work in planning, landscape architecture, architecture, engineering, construction management, or closely related field, and five-(5) years of full-time experience in planning, community development, land use, and building safety functions. Examples: residential, commercial, land disturbance, ROW permits, dumpsters, building demolition, storm water retention; Effectively manage the City's new development (commercial & residential) permit process; Direct City's New Development (commercial & residential) Site Plan Review Committee. ul>Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks. The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. p>ASRC Agile Decision Sciences LLC is currently seeking qualified candidates to support our Army G-1 mission under the CECOM SEC SETA program at Aberdeen Proving Ground, MD. The salary offered will depend on several factors including, but not limited to, relevant experience, skills, education, geographic location, internal equity, business needs, and other factors permitted by law. div>The Mississippi State Department of Health (MSDH) is seeking an experienced Epic PB (Professional Billing) & Revenue Cycle Subject Matter Expert (SME) to support revenue cycle operations and patient benefits analysis across multiple clinic locations. Epic PB, Revenue Cycle, Revenue Cycle Clearinghouse, Insurance Benefit Interpretation, Third-Party Coverage Discovery, Claims Adjudication, RTE Interpretation, Revenue Cycle Reporting, Public Health, Community Health, Physician Clinic, FQHC, RHC, Mississippi Healthcare. |