- CenterWell (Tucker, GA)
- …as appropriate. . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed ... the administrative team at the branch to ensure other billing requirements are satisfied to release claims ...other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's… more
- HCA Healthcare (Nashville, TN)
- …research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit, ... 2 Job Description + Works with team members in billing , revenue integrity and/or the Medicare Service Center to...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- UPMC (Pittsburgh, PA)
- …Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing ? Do you thrive in a dynamic environment where your expertise can ... CPT, and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance:** Conduct… more
- UPMC (Pittsburgh, PA)
- …This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal regulations. **Key Responsibilities:** + ... and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + **Post-Audit Training:**… more
- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert...within team, revenue cycle or stakeholders handling charging and billing related issues. May perform other duties as assigned.… more
- Henry Ford Health System (Detroit, MI)
- …measures/countermeasures. + Reviews and audits professional and facility coding and billing from all departments of HFH. + Conducts high-volume coding compliance ... guidelines. + Reports on the accuracy of CPT, E&M, ICD-10-CM/PCS coding, and billing to ensure compliance with payer, legal and procedural policies. + Provides… more
- Select Medical (Camp Hill, PA)
- …bonus after 90 day probationary period._ **Patient Account Representatives** and ** Claims Resolution Specialist ** candidates need to be more **research-focused, ... at $15.50/hr with potential quarterly bonus after 90 day probationary period_ ** Billing Positions** **we** will be looking for **candidates with typing, computer… more
- AdventHealth (Tampa, FL)
- …resolution of accounts discharged but not final billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight of the ... faster payment. Resolves claim edits within the EPIC management billing system to ensure successful claim submission. Monitor payer...accounts within 72 hours of being routed to the claims edit work queue and coding review needed work… more
- Children's Mercy Kansas City (Kansas City, MO)
- …and external customers, researching account and/or payment issues, generating medical claims , addressing guarantor's concerns about their accounts that is received ... Responsibilities + May be assigned to process payments, adjustments, claims , correspondence, refunds, denials, financial/charity applications, and/or payment plans… more
- Trinity Health (Livonia, MI)
- …HIM and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims , denial and appeals issues affecting reimbursement. Maintains CEUs as ... resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: +… more