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Lead, Revenue Implementation

Company: alternate solutions health network
Location: Dayton
Posted on: November 11, 2019

Job Description:

OverviewAlternate Solutions Health Network is looking for a?Revenue Implementation Lead?to join our team!?The?Revenue Implementation Lead is responsible for the overall internal revenue operations stand up in collaboration with new partners. Reporting to the VP Implementation, they will have direct interactions at the partner and internal operations level and will ensure that all aspects of revenue and billing operations meet regulatory, compliance, and policy and procedure. This individual will also handle the payor and billing transition process to ensure a smooth EMR migration for the new agency. They will be responsible for demonstrating the commitment to Alternate Solutions? mission and vision in their interactions. Our employees enjoy: Competitive Pay, Quarterly Bonuses, Medical/Dental/Vision Insurance, 401(k) Match, Verizon Wireless Discount, Paid Time Off, and more!Responsibilities

  • Responsible for collating, reviewing, validating and delivering Medicare, Medicaid, and insurance payor information in a manner that allows for timely database setup and billing of home health and hospice related claims.
  • Primary contact for set up of eligibility verification process for new agency.
  • Maintains current knowledge of insurance, Medicare, and Medicaid billing, company and hospital guidelines, policies and protocols.
  • Acts as point of contact for internal revenue departments as well as partner departments to facilitate rapid turnaround of required information.
  • Facilitates the acquisition and review of agency identified physician contacts to ensure smooth order delivery post partnership.
  • Acts as facilitator of third party integration into EMR regarding billing, insurance, and physician order delivery.
  • Responsible for report out and escalation of identified risks as indicated.Qualifications
    • This position requires an associate degree and 1 year of homecare experience.
    • Possess strong critical thinking and problem-solving skills and demonstrated effective verbal and written communication skills.
    • Experience with medical billing is required.
    • Knowledge of medical records maintenance, physician services, and insurance authorization practices is required.
    • Experience in implementation of new business models, partnerships, or mergers is preferred.
    • Experience with logistical and data analysis to ensure efficient agency organization.
    • Thorough understanding of project management phases, techniques, and tools is required.
    • Strong analytical skills, business planning, change management, and project management skills.
    • Expert use in Microsoft Office (Outlook, Word, Excel, Access, Project).
    • Travel up to 50% of the time

Keywords: alternate solutions health network, Dayton , Lead, Revenue Implementation, Other , Dayton, Ohio

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