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Billing Operations and Leadership:
- Serve as subject matter expert for payer rules, claim submission, and denial management.
- Monitor team performance and provide coaching and training to billing staff.
- Support operational efficiency through data-driven insights and cross-functional collaboration.
Compliance and Quality Assurance:
- Ensure billing practices comply with HIPAA, CMS, and payer-specific regulations.
- Participate in internal audits and workflow reviews to maintain accuracy.
- Collaborate with revenue integrity and compliance teams on complex issues.
Financial Analysis and Process Improvement:
- Analyze payer denial and payment trends to identify improvement opportunities.
- Assist supervisors with workflow monitoring and reporting for decision-making.
- Partner with cross-functional teams to optimize billing processes and enhance reimbursement.
Emory Healthcare Inc.
Emory Healthcare is a healthcare system providing comprehensive medical services. They foster a supportive culture with benefits, mentorship, and leadership programs for employees.