- Emory Healthcare/Emory University (Atlanta, GA)
- …systems this individual will have deep expertise in includes Resolute Hospital and Professional Billing including SBO, as well as Claims and Remittance. This IT ... Billing including SBO (certification highly preferred) + Epic Claims and Remittance experience and/or certifications highly preferred + Epic Security… more
- Penn Medicine (Philadelphia, PA)
- …+ The Charge Capture Specialist reports to the Supervisor of Billing ; this individual performs all pre-claim submission activities, including verifying existing ... to charge entry and charge review. This position supports billing activities by working charge review work queue to...by working charge review work queue to ensure that claims are clean and should be paid promptly by… more
- University of Rochester (Brighton, NY)
- …This includes, but is not limited to fraud and abuse, billing compliance, corporate transactions, physician employment and compensation, telemedicine, graduate ... not limited to, the Anti-Kickback Statute, the Physician + Self-Referral Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing … more
- UNC Health Care (Smithfield, NC)
- …with prior authorizations and insurance verification to post-service with billing , follow-up and collections. Requires substantial knowledge of all carrier ... for HB & PB Transplant Services. Reviews and corrects billing issues with Research Accounts to ensure proper .... 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or… more
- Northwell Health (Lake Success, NY)
- …and ethical practice. You'll conduct anesthesia chart reviews, identify billing and coding discrepancies, and communicate findings effectively to practitioners ... and teams. Responsibilities: **MUST HAVE ANESTHESIA BILLING AND CODING EXPERIENCE** - Support the Compliance Officer and the overall Compliance Program - Conduct… more
- UPMC (Pittsburgh, PA)
- Purpose: The Clinical Trial Coverage Analyst is responsible for ensuring the billing compliance and proper coverage of clinical trial procedures. This role involves ... departments, and compliance to ensure accurate financial planning and billing for clinical trials. This position works with various...analysis in order to assist in the management of claims review, as well as identifying items that are… more
- UPMC (Pittsburgh, PA)
- …operations. The Coordinator provides education, training and communication on billing and revenue improvement measures, and operational efficiencies. Coordinates ... charge additions, CPT/HCPCS code changes, and pricing updates. + Work with PBS billing staff to identify, analyze and resolve CDM-related claim submission issues. +… more
- Geisinger (Danville, PA)
- …of the billing and capitation system, including the areas of billing , accounts receivable, capitation payable, claims payable, weekly check processing, new ... Job Summary Performs analytics, reporting, Billing /Enrollment Operations support, Finance Operations support, system configuration, processing of TPA capitation… more
- Penn Medicine (Philadelphia, PA)
- …Services Representative is responsible for a broad range of complex billing activities including data entry, payment posting, reconciliation, depositing checks, ... completing log sheets, accounts receivable functions, billing procedures and accurate record maintenance. Review and take action upon a variety of system-generated… more
- HCA Healthcare (Ocala, FL)
- …relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and Practices. **In ... Benefits (EOB) information + Update patient accounts as appropriate + Submit uncollectible claims for adjustment timely and correctly + Resolve claims impacted… more