Director Hospital Edi & Contract Mgmt at Montefiore Medical Center in Bronx, NY
Direct the development and implementation of electronic data interchange (EDI) and contract management systems within the hospital revenue cycle systems ensuring accurate billing of patient accounts and valuation of account receivables. Direct and implement EDI strategies, including eligibility verification, authorization, bill submission, electronic remittance advice and claims status and other HIPAA transaction standards; Direct and implement for health plan contract management systems to adjust gross revenue to expected reimbursement for accurate valuation of account receivables. Maintain health plan fee schedules and reimbursement rates with Revenue Cycle systems; Sequences the contract configuration to ensure contractual hierarchy to prices the patient services for reimbursement by the health plan. Education/skills:
Bachelor's degree required. 10 years experience. Certified Professional in Operating Rules Administration .(CPORA) Health IT Certification. EPIC Single Billing Office (SBO) Resolute/Prelude Super User
Salary Range:
$200K -- $250K
Minimum Qualification
Healthcare ManagementEstimated Salary: $20 to $28 per hour based on qualifications.
Bachelor's degree required. 10 years experience. Certified Professional in Operating Rules Administration .(CPORA) Health IT Certification. EPIC Single Billing Office (SBO) Resolute/Prelude Super User
Salary Range:
$200K -- $250K
Minimum Qualification
Healthcare ManagementEstimated Salary: $20 to $28 per hour based on qualifications.
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