SanAntonioTXRecruiter
the smart solution for San Antonio jobs

Revenue Integrity Registered Nurse Team Lead Remote

Company: HCA.
Location: San Antonio
Posted on: April 18, 2019

Job Description:

Standard

Qualifications:

Parallon believes that organizations that continuously learn and improve will thrive. That's why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

Job Summary - The Revenue Integrity Team Lead (Clinical) is responsible for assisting Revenue Integrity Leadership with quality assessment and training of the clinical Revenue Integrity Department Staff. Performs internal quality assessment reviews on all Revenue Integrity Analysts to ensure compliance with Company policies. Monitor and assist staff with claims in RI workflow tools for timely resolution resulting in appropriate reimbursement and data integrity.



Duties (included but not limited to):

--- Perform on-going quality assessments for the clinical staff in the Revenue Integrity Department to ensure accurate completion of accounts being held due to Company or payer edits according to Federal and Company regulations

--- Act as a resource to clinical Revenue Integrity Analysts for complicated cases, reimbursement and compliance information

--- Assist RI Management with trending patterns and identifies training and educational opportunities

--- Assist RI Managers in developing action plans for RI Analyst improvement.

--- Assist Revenue Integrity Managers by delivering standardized approved training and education to the Revenue Integrity Analysts

--- Assist in the development of standardized tools, resources and policies and procedures

--- Openly communicate issues and opportunities to appropriate person(s)

--- Assist management with monitoring of claim volumes in RI workflow tools to ensure accurate and timely resolution.

--- Conduct new clinical analyst orientation and training

--- Work account edits as needed

--- Escalate issues appropriately

--- Meet all educational requirements as assigned by management and HCA

--- Maintain up-to-date knowledge of regulatory changes impacting charging practices

--- Meets with the RI Manager regularly to effectively communicate and resolve issues, set and prioritize goals, improve processes and review department reports

--- Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards

--- Assist the Manager in maintaining established departmental policies and procedures, objectives, patient, and customer service policies

--- Perform quality reviews as required by Parallon/SSC policy.

--- Work as a liaison between team members and SSC staff

--- Assist with payroll activities for team members (i.e., time cards, edit sheets)

--- Assist manager with developing team goals and action plans

--- Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"

--- Other duties as assigned

Keywords: HCA., San Antonio , Revenue Integrity Registered Nurse Team Lead Remote, Healthcare , San Antonio, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


RN PRN, Registered Nurse- Emergency Room
Description: Description br This is a PRN position. Provides professional nursing care for the comfort and well-being of patients. Prepares equipment and assists physician during examinations and treatments. Administers (more...)
Company: Christus Health
Location: San Antonio
Posted on: 04/26/2019

Registered Nurse (RN) III PACU (Evenings)
Description: Standard br br Qualifications: br br Methodist Specialty and Transplant Hospital is licensed for 382 beds and has been nationally recognized by Leapfrog's Hospital Safety Grade A. It receives (more...)
Company: HCA.
Location: San Antonio
Posted on: 04/26/2019

Rn, Registered Nurse - Pedi Hemoc Inpatient Unit
Description: Description br The Children's Hospital of San Antonio/CHRISTUS Health System is seeking pediatric hematology/oncology and BMT nurses to provide care and treatment for children
Company: Christus Health
Location: San Antonio
Posted on: 04/26/2019


General Dentist
Description: Overview Dr. Jesus Espino and his awesome team at Republic Dental in San Antonio, Texas are seeking a highly skilled part-time general dentist ready to take on the needs of a high patient volume practice (more...)
Company: Republic - San Antonio
Location: San Antonio
Posted on: 04/26/2019

Registered Nurse (RN) Intermediate Cardiac Care (FT-Nights)
Description: Standard br br Qualifications: br br Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. From the beginning, we've recognized (more...)
Company: HCA.
Location: San Antonio
Posted on: 04/26/2019

RN PRN, Registered Nurse- Pediatric OR Circulator - San Antonio
Description: DescriptionThis is a PRN position. Provides professional nursing care for the comfort and well-being
Company: Christus Health
Location: San Antonio
Posted on: 04/26/2019

Obstetrics/Gynecology Staff Physician
Description: JOB DESCRIPTION Our Client is a Family of Companies that is a privately held, multi-faceted healthcare management system in operation since 1984. This Corporation is a full service primary healthcare (more...)
Company: MD Doc Jobs
Location: San Antonio
Posted on: 04/26/2019

Registered Nurse
Description: Employer is looking for a Registered Nurse RN --for our dialysis clinic. The Registered Nurse RN provides hemodialysis
Company: U.S. Renal Care
Location: San Antonio
Posted on: 04/26/2019

RN, Coordinator Pre-Screening (Monday-Friday 8a-5p)
Description: DescriptionThis position promotes effective and efficient use of resources for both the patient and the hospital. The PSN will ensure efficient and effective utilization of resources for patient care (more...)
Company: Christus Health
Location: San Antonio
Posted on: 04/26/2019

Licensed Physical Therapist (Pool)
Description: HealthSouth Rehabilitation Institute of San Antonio RIOSA The Physical Therapist provides physical therapy treatment and patient care according to hospital, state, professional and federal regulations (more...)
Company: Encompass Health
Location: San Antonio
Posted on: 04/26/2019

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

San Antonio RSS job feeds