- Covenant Health Inc. (Knoxville, TN)
- …unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. This ... positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion… more
- Fresenius Medical Center (Waipahu, HI)
- …and patient no show as appropriate. + Completes front end process of billing procedure ensuring all information is entered into the computer registration module. + ... out and includes in registration packet. + Performs pre-certification on all non- Medicare patients before treatment is initiated. + Works closely with billing… more
- Johns Hopkins University (Baltimore, MD)
- …management and coordinates with the Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation. **Specific Duties & ... requirements in accordance with Department policies. + Researches and answers billing and documentation questions or problems submitted by faculty, department, … more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... role in testing, coding, modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) contracts for the MSHS Health System. This individual… more
- Great River Health (Mount Pleasant, IA)
- …applications. Additionally, the Coordinator ensures compliance with the No Surprise Billing Act by coordinating and providing Good Faith Estimates for patients ... provide Good Faith Estimates for patients in compliance with the No Surprise Billing Act, ensuring cost transparency and adherence to federal regulations. + Build… more
- Intermountain Health (Cedar City, UT)
- …to ensure accuracy in order to prevent denials and/or problems with billing and reimbursement. + Obtain insurance eligibility and benefit information, ensures ... history to guide financial conversation. + Educate patient regarding Medicare ABN and potential costs associated with non-coverage, as...Procedure Coding System (HCPCS) + ICD Coding + Medical Billing and Coding + Medical Insurance Coding + Medical… more
- Trinity Health (Des Moines, IA)
- …procedures, and objectives, continuous quality improvement objectives, medical records, billing and safety, environmental, and/or infection control standards. . ... participates in clinical quality improvement initiatives. . Supports appropriate billing for professional service through timely documentation and maintaining… more
- Banner Health (AZ)
- …your career. Banner Plans & Networks (BPN) is an integrated network for Medicare , Medicaid, and private health plans. Known nationally as an innovative leader, BPN ... AAPC or AHIMA.** Required Qualifications: 4+ years of experience in claims processing, billing , or healthcare compliance. 4+ years of experience in managed care or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …timely, and complete clinical quality reporting across multiple programs including Medicare CQMs, HEDIS, Stars, and Commercial payer quality initiatives. This role ... documentation in structured data fields within their EMRs to meet Medicare and Commercial payer quality reporting requirements. + Facilitates the generation,… more
- Masonicare (Wallingford, CT)
- …meetings. + Assists with Medicare denial claims/reviews when need is identified by billing office. + Keeps abreast of changes in the Medicare , Medicaid and ... relates to facility care practices + Manages the patient's Medicare benefit by communication of skilled needs to the...care team. + Organize and participate in the daily Medicare meeting, utilization review and monthly end of close… more