All posts by nearterm-admin

Billing/Claims Analyst

JOB ID: EB-BCA20190318
Location: Orlando, Florida

Do you have 5 years Healthcare experience as a Billing / Claims Analyst

Our client is a prestigious Medical Center located in Central Florida seeking a dynamic, detail oriented individual to serve as their Hospital Billing Claims Analyst.

The Hospital Billing Analyst is responsible for;

  • Timely, accurate, and compliant charge capture and billing by daily management of key process indicators for revenue which include assuring all encounters are order-based, coded with payer specific requirements, and contain all charge related revenue appropriate for each encounter within 5 days.
  • This includes tracing the charge back to the point of origin (i.e. system generated charge; flow sheet generated charge; associate generate charge) and developing countermeasure(s) to prevent future occurrences, which includes education at point of work flow failure to reduce denials and missed revenue.
  • Epic experience would be a plus but not required.

There are a lot of other details that go into this opportunity besides the role and scope of the position that we would love to tell you about.

If this sounds like something that would be of interest to you, Please Call or email today so we can discuss further.

HOSPITAL EXPERIENCE ONLY!

 

APPLY NOW

 Please send your resume in Word or PDF format to: [email protected]

Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: Billing/Claims Analyst (EB-BCA20190318)

If you have any questions or would like additional information please call (888) 646-1330

 

190318

Posted By: nearterm-admin

What Makes A Good RCM Leader

A good RCM leader must have a deep understanding of financial management.

Whether the job entails leading the revenue cycle management efforts for a clinic, hospital, or an entire health system, there are many aspects and responsibilities to the role of a RCM leader. Therefore, it is essential that a revenue cycle management leader possess certain individual qualities, have a very specialized skill set, and produce specific results while in the role.

The Expanding Role Of RCM Leaders

According to Becker’s Hospital Review, the role of a “revenue cycle management leader is evolving to encompass far more than billing and collections.” In fact, in order to be successful, someone in a RCM leadership role must take on a “much broader view” of the revenue cycle, including strategy and training other employees and departments. Becker’s further assets that “RCM leaders now have a more tangible impact on the hospital or health system’s financial and market success.”

Because of the expansion of the revenue cycle management role, the levels of these positions are also becoming more senior level in order to attract the best talent. Nowadays, it is quite common for hospitals and health systems to be on the search for RCM executives, like a VP of Revenue Cycle or a Chief Finance Officer.

The Qualities A CRM Leader Should Possess

Because the role of a revenue cycle management leader is so complex and moving toward a more executive level, a person in this position should possess certain personal and professional qualities, including:

  • A strong desire to succeed
  • Ambition
  • Accountability
  • Innovation
  • The ability to problem solve quickly
  • The capability to make important decisions and implement actions under pressure
  • Extraordinary communication skills
  • Resourcefulness
  • The ability to not only manage employees and departments, but the capacity to train and mentor others as well

The Skill Set Of A RCM Leader

In order to be successful in the role, a RCM executive should also possess a certain skill set and be knowledgeable about many different aspects of a health system. According to Becker’s, some of the important skills and knowledge a RCM executive must possess include:

  • Subject matter expertise in the realms of medical billing, collections, regulatory standards, and insurance
  • A proactive approach to dealing with insurance (including high deductible plans and managed care contracting) and the ability to anticipate the different problems that may arise with a patient’s coverage
  • An understanding of the complex patient registration process and the desire to improve it
  • A keen attention to detail to ensure all coding is accurate and submitted properly
  • Expertise with different health care billing, technology, IT, and any other systems necessary for the RCM role
  • Strong financial analysis skills
  • A deep understanding of financial management
  • Excellent leadership skills and the desire to train and educate others as well as enforce the new systems and protocols put into place
  • Strong communication skills and the ability to work and collaborate with other hospital employees and departments.

The Results A RCM Executive Should Produce

At the end of the day, in order to be successful, a revenue cycle management leader must produce specific results for a hospital or health system. These results include, but are not limited to the following:

  • Improvement of patient billing and collecting processes
  • Increased revenue and/or cash flow
  • Security of PHI and patient financial information
  • Improved accuracy of patient coding
  • Improved patient/customer satisfaction with financial services
  • Reduced operating cost
  • Increased productivity
  • Reduction of bad debt

Find The Right Person Today!

If you are struggling to find the right person to lead your revenue cycle management efforts, Nearterm can help. Give us a call at (281) 646-1330 or take our Interactive Survey.

Posted By: nearterm-admin

Chief Financial Officer

JOB ID: EB-1804015263
Location: Spokane, Washington

Our client is seeking a dynamic, highly skilled individual to serve as Chief Financial Officer in their Critical Access Facility. The ideal candidate will have Critical Access Hospital experience, strong healthcare experience and CPA. Successful experience in cost reduction initiatives, revenue cycle management, financial reporting, decision support and the budget process. The CFO in this organization must be prepared to interact successfully with the Board, medical staff and all other disciplines. Reduce the days in A/R. Efficiencies in all departments – Revenue Cycle, Controller, HIM, Materials Management, Plant Operations, Nutrition Services.

Qualifications:

  • Critical Access Hospital experience
  • CPA preferred
  • EPIC Computer System experience
  • Proven track record with financial planning, budgeting and building new facilities
HOSPITAL EXPERIENCE ONLY!

 

APPLY NOW

 Please send your resume in Word or PDF format to: [email protected]

Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: Chief Financial Officer (EB-1804015263)

If you have any questions or would like additional information please call (888) 646-1330

 

022819

Posted By: nearterm-admin

Director Revenue Cycle Compliance

JOB ID : EB-1069295726
Location: California

 

Are you well versed in all things coding, compliance, and revenue cycle? Do you value teamwork? Have you been successful in managing a team? An expert in healthcare billing and collections with excellent managerial and interpersonal skills? Do you enjoy receiving bonuses based on goals? If so, our client would love an opportunity to talk with you about their Director of Revenue Cycle Compliance opening.

The successful candidate will have physician billing compliance experience within a large health system. This individual must be comfortable conducting presentations and education sessions in front of chairs, executive leadership and physicians. The Director of Revenue Cycle Compliance will oversee a team of managers, auditors, educators and analysts with 9 FTEs. Finally, this person will have an integral role in vendor management to assist with auditing the compliance program.

The scope of responsibility for this challenging role includes developing and directing a documentation, coding, and data quality compliance program. Expect emphasis on training, education and process innovation. The ability to maintain a cooperative and energetic work environment is crucial. Excellent communication skills are key.

Requirements:

  • Bachelor’s degree from an accredited college or university.
  • Master’s degree preferred.
  • Certified Procedural Coding – CPC.
  • Certified Coding Specialist – CCS preferred.
  • Revenue cycle experience on the professional side is preferred.
  • 5+ years’ experience working in physician billing compliance in a large, preferably academic institution. Experience with the Compliance Program for Physician Practices from the Office of Inspector General.
  • 5+ years’ experience in researching complex coding compliance issues and questions, and ability to develop effective education programs for adult learners (coders, physicians, nurses) is required.
  • Expertise with CPT-4 and ICD-10 coding and medical records documentation.
  • Expertise of procedures and data flow in a health care organization; experience with physician billing preferred.
  • Expertise with project management preferred.

***MUST HAVE HOSPITAL HEALTHCARE EXPERIENCE!***

APPLY NOW

 Please send your resume in Word or PDF format to: [email protected]

Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: Director Revenue Cycle Compliance (EB-1069295726)

If you have any questions or would like additional information please call (888) 646-1330

________________________________________________________

190226

Posted By: nearterm-admin