- Zelis (NJ)
- …the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, ... ensure accurate results to our clients + Manage assigned claims and claim report, adhering to client turnaround time,...healthcare programs + Strong understanding of hospital coding and billing rules + Clinical and critical thinking skills to… more
- Zelis (FL)
- …clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA ... concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time,...various healthcare programs + Understanding of hospital coding and billing rules + Clinical skills to evaluate appropriate Medical… more
- OhioHealth (Columbus, OH)
- …personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial ... other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert… more
- Sodus Rehab & Nursing Center (Tarrytown, NY)
- …at Personal Healthcare. The Accounts Receivable role will involve tasks such as: + Billing Medicare and Medicaid + Reviewing claims for accuracy + Appealing and ... experienced in the field, with strong Medicare and HMO billing knowledge. + Experience with at least 2 years...at least 2 years of PCC (Point Click Care) billing experience Qualifications + Effective communication abilities. + Quick… more
- Trinity Health (Boise, ID)
- …is responsible to ensure accurate CPT and ICD documentation for the patient billing process. The Coding Specialist creates a positive experience for the patient and ... family members by addressing their billing related questions. They take responsibility for educating fellow...and communicate with providers 5. Understanding of various medical claims formats. 6. Understanding of working on appeals for… more
- UPMC (Altoona, PA)
- …of all monies owed to the provider by insurers and patients. Ensure claims are submitted accurately and timely, communicate with insurance companies, patients and ... Monday-Friday, no weekends, flexible hours. Responsibilities: + Understand Third Party Billing and Collection Guidelines. + Identify root cause issues and… more
- PruittHealth (Greenville, SC)
- …billing . * Work on billing reports daily to ensure timely filing of claims . * Ensure accuracy of daily census. * Track and maintain personnel files for agency ... submitted and paid on a timely basis. * Maintain lines of communication with billing department to ensure paperwork is completed in a timely manner to facilitate… more
- Henry Ford Health System (MI)
- …are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest rate of payment recovery possible + Acts as ... teams and coordinates tasks related to a specific section of the billing /receivable process EDUCATION AND EXPERIENCE: + Associates degree in Business Administration,… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …all work activity in electronic patient files. Responsible for customer service, patient billing problem solving, and account analysis, both on the telephone and in ... + Knowledge of government and third party payer language and reimbursement terms, billing rules and guidelines. + Knowledge of medical terminology, ICD10, CPT, and… more
- LCEC (North Fort Myers, FL)
- …for non-payment and update agreement statuses and alerts for final billing . Initiate field investigations for usage on meters disconnected for non-payment. ... and forms for Supervisor review and approval; submit timely claims and other appropriate paperwork to the courts; update...potential and confirmed energy theft or diversion based on billing or usage anomalies, outside reports and tips, and… more