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Revenue Cycle Manager EMS Services

JOB ID: EB-1749550290

Location: Florida

 

The sky’s the limit in terms of our client’s opportunities as well as personal/professional growth.

The Revenue Cycle Manager EMS Services will be responsible for the daily oversight, management, and direction of all phases of our client’s accounts receivable operation.

Duties of the Revenue Cycle Manager will include, but not be limited to the following:

  • Continuous staff improvement through education, training, and positive enforcement of appropriate best practices will also be critical to ensure performance goals are achieved which include cash collections and A/R days
  • Coordinate daily activities related to the planning, implementation, and maintenance of all functions pertinent to the business office which include billing, coding, collections, cash posting, denials management, and customer service
  • Review and maintain internal controls to ensure timely and accurate billing to third party carriers
  • Monitor daily cash flow and maintain days in accounts receivable at industry standards
  • Prepare report summaries
  • Function as a key member of the revenue cycle leadership team to support and execute critical initiatives
  • Responsible for developing and maintaining positive relationships with key stakeholders including but not limited to Finance, Corporate Compliance, IT, Operations Excellence, and the Senior Leadership team

Qualifications:

  • Bachelor’s degree in healthcare or related business field
  • Minimum 3-5 years of  revenue cycle management experience
  • Bilingual in Spanish preferred
  • Strong leadership skills

APPLY NOW

If you are a leader with the credentials, energy and experience to work with our client……………………

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: Revenue Cycle Director EMS Services (EB-1749550290)

 

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Posted By: nearterm-admin

How The 2020 Budget Proposal Will Impact Healthcare

The new budget proposal consists of drastic cuts to Medicare and Medicaid.

How Will Hospitals Survive In Tomorrow’s Healthcare?

The 2020 budget proposal has a lot of people talking, and not in a good way. This is mainly because if this new budget proposal is passed, it would cut $2.7 trillion over the next decade from many important Health and Human Services programs, including Medicare and Medicaid. Learn how these proposed budget cuts may impact healthcare systems and patients if passed.

The 2020 Budget Proposal

The 2020 budget proposal includes the following actions:

How The 2020 Budget Proposal Will Impact Hospitals And Healthcare Facilities

While curbing the rising price of prescription drugs and increasing funding for pediatric cancer research are both great aspects of this new proposal, the other cuts of the 2020 budget proposal still have many worried, especially healthcare systems.

Essentially, the budget proposal will drastically cut compensation for treating patients who can’t afford medical services for hospitals and other service providers, like teaching hospitals and outpatient departments.  

According to the Federation of American Hospitals, these “massive reductions would drastically reduce resources critical to care for low-income Americans and cripple efforts to stave off the looming physician shortage.”

The president of the Federation of American Hospitals, Chip Kahn stated the following in response to the 2020 budget proposal, “The impact on care for seniors would be devastating.”

How The 2020 Budget Proposal Will Impact Patients

Medicare is a critical program for senior citizens that, sadly, many of them spent their entire lives paying into. So, the fact that this new budget proposal wants to cut Medicare funding by $800 billion and make seniors jump through hoops to get prior approvals for the medical services they need, is such a disservice to this population. It’s going to make it a lot harder for seniors to get the care they need and, quite possibly, make their medical services more expensive, which will definitely add financial stress to to this population, many of which most live on a fixed income.

The impact to those on Medicaid will be detrimental as well and affect over 60 million people. Additionally, the work requirement for low-income people who get their health insurance through Medicaid will cause so many people to use their coverage. The Kaiser Family Foundation estimates that 1.4 million to 4 million people could lose their Medicaid coverage if this budget proposal goes into effect.

It will also have a major negative impact on the disabled population, many of which rely on Medicaid. This includes family caregivers of parents or younger relatives with disabilities.

Find The Right Person Today!

The possibility of these drastic health care cuts makes optimizing your health system’s revenue cycle more important than ever. 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

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

The Importance Of Clinical Documentation Improvement (CDI)

The Importance Of Clinical Documentation Improvement (CDI)

Clinical Documentation Improvement (CDI) is a vital health care initiative that all medical facilities should be fully implementing. Learn why Clinical Documentation Improvement is so important to your organization; how not fully implementing CDI can harm your health care facility; and how Nearterm’s medical support staff can assist you with your clinical documentation needs, so you can focus on what’s most important, your patients.

The Importance Of Clinical Documentation Improvement

According to The American Health Information Management Association (AHIMA), CDI is so important in the health care world because it has a direct impact on patient care.

CDI essentially helps “ensure that the events of the patient encounter are captured accurately and the electronic health record properly reflects the services that were provided.” So, it basically ensures that all members of a patient’s care team have the information necessary to properly treat the patient. Clinical Documentation Improvement also ensures that other physicians and/or nurses who treat the patient later down the road have the information they need to provide proper medical care as well.

How Not Leveraging CDI Can Harm Your Health Care Facility

CDI is not only important, but not fully implementing it can actually harm your facility in several ways.

Becker’s Hospital Review indicates that not using CDI can lead to many problems for your facility, including:

  • Improperly documented coding – This is a chain effect because it also leads to other issues, like claim denials and incomplete reimbursement for claims. And, incomplete reimbursement for claims can financially hurt your medical facility.
  • Miscommunication for other providers – Not having a CDI plan in place can harm patients in the long run because other health care providers tending to them won’t get the proper information they need to administer necessary treatment.
  • Fraud accusal – Submitting incorrect documentation of your patients can lead to your facility being accused of medical fraud.
  • Poor facility reputation – If patients don’t get the care they need and deserve, they may complain or post negative reviews of your facility. Additionally, lack of CDI can lead to improper reporting. And, nowadays, this kind of information is available online for the world to see.

And, most importantly, according to Becker’s, lack of CDI can ultimately negatively impact your quality of care.

Need CDI Support But Don’t Have The Right Resources?

Nearterm can help!

We are a medical staffing service and have a large talented pool of medical support staff, including renowned financial consultants, strategists, and healthcare revenue cycle management consultants that assist health care organizations, like yours, every day.

Our CDI staffing resources can help your facility:

  • Enhance medical data collection
  • Resolve documentation and coding conflicts
  • Maximize claim reimbursement
  • Increase revenues
  • Improve quality of care

Our services are also customizable, and we offer open-ended staff contracts. This means you can use our help for as long as you need it. Our support staff can work from 10 hours a week up to as many hours as you need them.

Find The Right Person Today!

If you are interested in learning more about our CDI support staff and how they can help your organization, give us a call at (281) 646-1330 or take our Interactive Survey.

Posted By: nearterm-admin
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