- Elevance Health (Denver, CO)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Henry Ford Health System (Troy, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... and professional), related medical terminology, use of medical records, billing claim forms, and federal...medical centers and is leading the Future of Health : Detroit, a $3 billion investment anchored by a… more
- CVS Health (Lansing, MI)
- …concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is consistent with medical ... At CVS Health , we're building a world of health...Qualifications** - 2 years or more previous experience with medical record review within a healthcare insurance … more
- UnityPoint Health (Madison, WI)
- …* 1 year experience in a healthcare setting performing scheduling, registration, insurance verification and/or billing functions. * Experience with, as well ... * Medical Terminology training, Epic System training, Knowledge of Insurance Terminology and processes * Previous experience working with the Epic System… more
- University of Rochester (Rochester, NY)
- …but not limited to, billing issues, claim payments, contract benefits, and medical billing in accordance with HIPAA, Third Party Billing rules ... established call center metrics including turn-around times. - Initiates insurance billing either electronically or via the...error. - Identifies and verifies coverage under the government health insurance programs. - Secures revenue for… more
- Rochester Regional Health (Rochester, NY)
- …and finance team. This includes the need to promptly verify patient's insurance , obtain and verify if not provided, provide accurate patient estimate as ... multiple departments with findings and issues. RESPONSIBILITIES: + Utilize appropriate insurance verification tools to validate patient insurance eligibility +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …options self-pay, payment due and thoroughly explains options, liability and/or school insurance and thoroughly explains options on Health Exchange, par vs. ... Friday 8:30 am - 5:00 pm Message to Applicants: Our benefits package includes health , dental and vision insurance , eligibility for employer 401k funding after 1… more
- HCA Healthcare (Nashville, TN)
- …**Benefits** HCA Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... programs include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
- WellSpan Health (Chambersburg, PA)
- …skills. + Knowledge of medical office operations to include reception, billing and insurance and general office skills. + Computer skills. WellSpan ... of day batch control, cash drawer etc. + Researches billing questions and problems for patients with billing...Medical terminology within 180 days Required and + Insurance and Compliance Training within 1 year Required **Knowledge,… more
- Integra Partners (Troy, MI)
- …to translated them into operational requirements + Strong understanding of DME billing guidelines, medical necessity criteria, coding protocols (ICD-10, HCPCS, ... The Medical Policy & Compliance Specialist is responsible for...expert on healthcare payer policies to develop and update billing procedures, assist with provider inquiries, identify compliance risks… more