Description
The City of Austin, Austin Public Health is seeking a qualified Contractor to provide comprehensive Revenue Cycle Management services, including professional medical billing, coding, credentialing, compliance support, denial management, and financial performance reporting. The selected vendor shall integrate seamlessly with City systems, align with City governance standards, and enhance data-driven outcomes in public health funding. The Contractor RCM services shall align with APH’s operational needs, compliance requirements, and strategic financial goals. Key services include: professional medical billing and coding, credentialing management, compliance assurance, technology integration, training and education, key performance indicators, data security, and transition-in and transition-out plan.
• The Contractor shall have a minimum of 5 years of RCM experience preferably with public health or government clients.
• The Contractor shall demonstrate experience with successful integration with eClinicalWorks (eCW) or similar Electronic Health Records (EHR) systems.
• The Contractor shall demonstrate experience handling Medicaid, Medicare, and commercial claims.
• The Contractor shall maintain HIPAA, certification of RCM and compliance-related training and cybersecurity compliance certifications.
• The Contractor shall provide seamless integration with eCW and support HL7/API connectivity as needed.
• The Contractor shall establish RCM workflows and compliance training for APH staff and provide ongoing refresher courses, materials, and updates on regulatory changes.