Executive of Healthcare Revenue Cycle (EHRC) Application

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EHRC Application

"*" indicates required fields

Personal Information

Professional Experience

Supporting Documents

Document requirements: Accepted file types: jpeg, jpg, png, doc, pdf, ppt, ppts, csv, xls. (Docx, xlsx, and pptx are not accepted.). Supporting documents must be legible. Resubmission request for illegible documents may result in delayed application process.
Accepted file types: jpeg, jpg, png, doc, pdf, ppt, ppts, csv, xls, Max. file size: 1 GB.
Accepted file types: jpeg, jpg, png, doc, pdf, ppt, ppts, csv, xls, Max. file size: 2 GB.
Accepted file types: jpeg, jpg, png, doc, pdf, ppt, ppts, csv, xls, Max. file size: 2 GB.
See full list of acceptable activities.
Accepted file types: jpeg, jpg, png, doc, pdf, ppt, ppts, csv, xls, Max. file size: 5 MB.

By clicking “Submit” on this HFMA online application, I can attest that I meet all the EHRC requirements for the application. The information provided in the attachments herein is accurate and complete to the best of my knowledge.

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