- Molina Healthcare (NE)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care ... concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. *… more
- Omaha Children's Hospital (Omaha, NE)
- …cycle related processes Required and + Experience working with ICD-10, CPT and HCPC coding Preferred and + Experience with universal billing forms such as UB04 ... + Knowledge of the current healthcare climate, including current coding practices in regards to billing and...including current coding practices in regards to billing and processing of Explanation Of Benefit, managed care… more
- CVS Health (Lincoln, NE)
- …with heart, each and every day. **Position Summary** Under supervision of the Billing Manager, the Billing Premium Consultant is responsible for the processing ... and distribution of the monthly premium invoices. The Billing Premium Consultant must review invoices for reasonability and... variances (20%) + Load new rates and specific coding relevant to the group plan and products sold.… more
- Catholic Health Initiatives (Lincoln, NE)
- …and applicable regulatory requirements. **Essential Function** -Provide correct coding and quantities based on insurance guidelines -Process both ... insurance and patient payments -Read and explain EOB's -File disputes and appeal claims that denied incorrectly -identify claims that have not been processed by either insurance or patients and take the next step in payment collection process -maintain… more
- Catholic Health Initiatives (Omaha, NE)
- …+ Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order and ... interpret diagnostic tests, such as lab work and imaging. + Perform procedures as needed + Collaborate with specialists for further diagnostic evaluation. + Team Collaboration: + Collaborate with nurses, specialists, and other healthcare professionals. +… more
- Catholic Health Initiatives (Omaha, NE)
- …+ Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order and ... interpret diagnostic tests, such as lab work and imaging. + Perform procedures as needed + Collaborate with specialists for further diagnostic evaluation. + Team Collaboration: + Collaborate with nurses, specialists, and other healthcare professionals. +… more
- Catholic Health Initiatives (Omaha, NE)
- …+ Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order and ... interpret diagnostic tests, such as lab work and imaging. + Perform procedures as needed + Collaborate with specialists for further diagnostic evaluation. + Team Collaboration: + Collaborate with nurses, specialists, and other healthcare professionals. +… more
- CommonSpirit Health (Lincoln, NE)
- …+ Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order and ... interpret diagnostic tests, such as lab work and imaging. + Perform procedures as needed + Collaborate with specialists for further diagnostic evaluation. + Team Collaboration: + Collaborate with nurses, specialists, and other healthcare professionals. +… more
- Catholic Health Initiatives (Omaha, NE)
- …+ Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order and ... interpret diagnostic tests, such as lab work and imaging. + Perform procedures as needed + Collaborate with specialists for further diagnostic evaluation. + Team Collaboration: + Collaborate with nurses, specialists, and other healthcare professionals. +… more
- Catholic Health Initiatives (La Vista, NE)
- …+ Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order and ... interpret diagnostic tests, such as lab work and imaging. + Perform procedures as needed + Collaborate with specialists for further diagnostic evaluation. + Team Collaboration: + Collaborate with nurses, specialists, and other healthcare professionals. +… more