- Baystate Health (Springfield, MA)
- …diversified duties in connection with reviews of medical record documentation for professional billing to ensure it meets the AMA and CMS (Medicare) guidelines for ... using MDAudit based on determined intervals per provider. Validates appropriate billing and documentation that complies with governmental and commercial carrier… more
- Atlantic Health System (Morristown, NJ)
- …for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: Coordinates, schedules, performs the professional ... reimbursement + Serves as a resource to the office staff, providers, and billing department + Provides clarification on coding and compliance policies Required: *… more
- Dartmouth Health (Lebanon, NH)
- …and monitor completeness, accuracy and timeliness of documentation, coding, billing , reimbursement, efficiency and effectiveness of operations and compliance with ... objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans and performs… more
- Humana (Providence, RI)
- …federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators, coordinates ... more years of healthcare experience in revenue cycle management (related to billing , coding, collections for Medicare and Medicaid claims) + Experience with Auditing… more
- Trinity Health (Ann Arbor, MI)
- …preferred. Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid, Social Security Disability, Champus, ... internally and externally. Must possess in-depth familiarity with third party billing requirements and regulations. Excellent verbal and written communication and… more
- Insight Global (Burbank, CA)
- …payments to determine audit findings. - Set up electronic audit files, prepare billing letters, and maintain audit files throughout the collection process. - Bill ... employers for audit findings and pursue collection of outstanding amounts via phone and email. - Regularly interact with the client for MBA matters and pull necessary documents for audits. - Check participant records for errors and correct misreported earnings… more
- Ochsner Health (Meridian, MS)
- …are appropriate and complete for health information management (HIM) and billing purposes. Assists in special projects and conducts internal training to ... ensure competency and compliance in all aspects of the revenue cycle. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or… more
- Virtua Health (Mount Laurel, NJ)
- …system maintenance* Maintains and updates systems to collect accurate data for billing and state data collection as well as hospital statistical requirements.* ... Identifies and resolves problems with the assistance of IS and vendor counterparts.* Manages downtime and puts back up plans into place.* Facilitates timely completion of state reporting by monitoring reports and taking action to resolve accounts in… more
- Meijer (Tipp, OH)
- …computer. + Quality Audits . + Review product to be shipped against billing records to verify and document accuracy. + Inventory Control. + Identify/verify item ... quantity against system records. **What You Bring with You (Qualifications):** + Previous warehouse experience is preferred. + Strong math skills. + Basic to intermediate level computer skills. + Strong attention to detail with the ability to concentrate and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of the department. + Provides expertise and assistance relative to provider billing and payment guidelines consistent with CPHL policies and procedures and State ... or CMS guidelines. + Performs other duties and special projects as assigned and directed. EDUCATION AND EXPERIENCE: Education Required: BA/BS degree in a financial field or equivalent healthcare experience Preferred: Type of Experience Required: 2+ years of… more
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