- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and payments; Complaints and appeals; Policies and procedures. +… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …within HCMC. Working with clinical documentation specialists, inpatient coding and billing to resolve documentation issues Current List of non-MN States where ... clinical documentation specialists * Be a resource for clinical documentation specialist regarding documentation and coding issues. * Conduct initial and continued… more
- SSM Health (Madison, WI)
- …established procedures to obtain. Ensures all coded services meet appropriate Medicare , National Correct Coding Initiative (NCCI) or payer-specific guidelines. + ... fail charge review edits, claim edits, and follow up denials. Works to improve billing based on findings/resolution of errors. + Is watchful for charge review, claim… more
- Louisiana Department of State Civil Service (Monroe, LA)
- …with problem issues concerning insurance verification. + Verifies and documents Medicare , Medicaid, and other insurance coverages; this will include scanning ... this vacancy, contact: Ms. Janesia Raybon, MPA Human Resources Specialist Northeast Delta Human Services Authority 2513 Ferrand Street...frame? 04 Do you have experience with payroll and/or billing ? If so, please advise as well as the… more
- University of Texas Rio Grande Valley (Weslaco, TX)
- …and benefits through various payers, including commercial insurances, Medicaid, and Medicare . + Obtains the necessary prior authorizations, referrals, and other ... due on the account. + Educates the patient/responsible parties regarding billing processes, financial responsibilities, third party benefit information and, provides… more
- United Musculoskeletal Partners (Decatur, GA)
- …alongside an amazing group of physicians: + **Dr. Billbrew** - Upper Extremity Specialist + **Dr. Bircoll** - General Orthopaedics & Sports Medicine + **Dr. Traub** ... tasks to insure accurate, timely and complete records for patient safety and billing purposes. + Perform rounding at facilities as assigned.. + Provide clinical care… more
- Hartford HealthCare (Farmington, CT)
- …determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for ... reimbursement purposes. 2. Collaborates with Quality Management and other departments ( Billing Registration, etc.) as required. 3. Seeks clarification from attending… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …of all Access data elements, such as real time eligibility (RTE), Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB ... is not available or not entered by Patient Access Specialist at time of registration to again mitigate loss...to again mitigate loss of revenue and ensure timely billing standards are met as specified by certain payors.… more
- Trinity Health (Grove City, OH)
- …**Shift:** Day Shift **Description:** **Position Purpose:** + Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission ... and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and… more
- Atlantic Health System (Morristown, NJ)
- …interventions, providing patient and family education, documenting interventions, and billing appropriately. Supports Lead Clinicians in competency development and ... Health.3. Preference given to candidates with Board Certification as Specialist in an area suitable for care in an...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more