- UCLA Health (Los Angeles, CA)
- …Maintain compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve ... with clinical and ancillary operational departments on correct coding, billing , and charging principles Salary Range: $76,200 - $158,800/annually Qualifications… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Lead ... of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers* Research, analyze… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …units, physicians and their staff, insurance companies, attorneys and Center for Medicare and Medicaid Services. The Financial Counselor is responsible for admission ... facilitating information to respond to inquiries pertaining to admissions and billing questions. Responsible for the coordination of all credit and collection… more
- HCA Healthcare (Tampa, FL)
- …and CCU coding workflow among peer groups. + Stay abreast of coding/ billing regulatory requirements and company compliance policies, ensuring timely staff education ... communicate nuances of unique coding requirements for major payers such as Medicare , Medicaid, HMO's, PPO's, IPA's, employers, etc. + Demonstrate and share knowledge… more
- BrightSpring Health Services (Littleton, CO)
- …and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices. + Research outstanding balances and take ... personnel. + Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly,… more
- HCA Healthcare (Caldwell, ID)
- …aged accounts first, and reports to leadership + Work with team members in billing , revenue integrity and/or the Medicare Service Center to resolve alerts/edits ... research/resolution + Escalate alert/edit resolution issues as appropriate to minimize final billing delays + Monitorthe aging of accounts held by an alert/edit,… more
- Peachtree Orthopedics (Atlanta, GA)
- …members and recommend resolution. + Maintains up-to-date knowledge of third-party billing and reimbursement, clinic's + financial policies and industry knowledge. + ... minimal or no assistance necessary. + Independently assess claims edits and other billing messages to resolve any claims denials to ensure prompt resolution. +… more
- University of Utah Health (South Jordan, UT)
- …during registration, including discussion of HIPAA regulations and important messages from Medicare and Medicare coverage, including Part D. + Assists patients ... with questions about financial arrangements, billing and other financial policies, or refers patient to...+ Corrects and edits registration errors to ensure proper billing . + Collaborates with clinicians and other departments to… more
- Mohawk Valley Health System (Utica, NY)
- …caregivers. + Collects all pertinent data for each account to generate accurate billing . + Verifies insurance ID cards and eligibility at each registration date. ... Maintains working knowledge of insurance carrier, Medicare and Medicaid requirements. Completes Medicare questionnaires and reviews for completeness in the… more
- J&J Family of Companies (Detroit, MI)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance with the ... both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing . + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill,… more