Performs all Provider enrollment process functions. Participates in the Provider enrollment workflow planning, implementing, and following up on new acquisitions on the Provider/Practice enrollment applications while effectively communicating enrollment status to related departments. Works with the Epic analyst concerning Provider builds and Epic workflows relating to pro

Works collaboratively with department leadership to administer and support bad debt placements, reconciliation, disputes, and collection activity. Assumes responsibility for all collection projects and reconciliation of collection files. Recognizes and makes management aware of issues with collection files. Provides recommendations for process flow changes to streamline c

Executes the timely process of electronic and manual payments, denials, and adjustments to ensure both hospital and physician Account Receivables are current. Manages assigned work queues to ensure timely and accurate distribution of monies to hospital and physician A/R as well as General Ledger allocations. Researches and resolves payment discrepancies, PLB's, questions

Reviews and processes all deposits (patient and non patient) that are received from all LVH point of service collection locations, LVH departments, payments received by mail, and electronic check. Balances all deposits received and reconciles any variances; reconciles deposits with system reports and prepares non patient cash deposits. Job Duties Reconciles cash bags rece

Conducts all breast related procedures, including but not limited to diagnostic breast imaging exams (including mammography, ultrasound, needle localizations, and stereotactic and ultrasound guided biopsy). Creates an environment that is safe and risk free that provides radiation protection according to the standards established by local, state, and federal requirements.

Participates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate. Job Duties Analyzes

Performs CT scans of designated anatomy using professional judgment while imaging with regard to technical quality according to physician specifications. Provides courteous and professional delivery of CT technical exams and procedures while adhering to radiation safety precautions. Supports patient questions and concerns regarding exam procedures and process, while maint

Maintains a very strong knowledge and background in insurance payments and remittances (electronic and paper) in relation to hospital and physician claim payments. Serves as the internal resources and auditor for identifying the correct account for payments to be allocated to ensure that they are posted appropriately. This includes the ability to trouble shoot and resolve

Works as part of a care team to improve the execution of quality requirements, increase throughput, improve efficiency, and enhance the overall patient experience. Provides care to designated patients and care coordination across the continuum. Performs administrative functions in the practice. Job Duties Assists provider by collecting patient history and reason for visit

Conducts all breast related procedures, including but not limited to diagnostic breast imaging exams (including mammography, ultrasound, needle localizations, and stereotactic and ultrasound guided biopsy). Creates an environment that is safe and risk free that provides radiation protection according to the standards established by local, state, and federal requirements.

Reconciles monies received from the bank lock box, insurance carriers checks, patient payments, and vendors payments assigning the monies to the appropriate GL account. Completes all daily and monthly activities needed to report cash receipts to Finance by the designated deadline. Job Duties Maintains logs for multiple financial institutions of all payment batches, resear

Supports the management of documents received within PFS; ensures that documents are indexed, scanned, and distributed to the appropriate parties. Processes incoming mail for distribution and responds to information requests from external parties. Job Duties Opens, sorts, and distributes mail to the appropriate areas within Patient Financial Services. Processes requests f

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

Maintains positive and productive relations with payor representatives, providers, professional services, medical staff services, and the revenue cycle to successfully expedite the enrollment/re enrollment process. Helps resolve issues to ensure that revenue is not negatively impacted. Job Duties Maintains an expanded knowledge and thorough understanding of the IntelliApp

Evaluates, plans, directs, and administers physical therapy programs to restore function, prevent disability, and help patients reach their maximum level of independence. Provides assessment of patient condition based on diagnosis from the referring physician. Develops and updates an appropriate plan of care in collaboration with the patient/family to assist in returning