- Peachtree Orthopedics (Atlanta, GA)
- …or irregularity impacting resolution of AR or daily production workflow to supervisor and other team members and recommend resolution. + Maintains up-to-date ... knowledge of third-party billing and reimbursement, clinic's + financial policies and industry...Familiar with CMS 1500/UB04 claim form completion, knowledge of Medicare , Managed care and commercial insurance products and plans.… more
- Legacy Treatment Services (Marlton, NJ)
- …Complete all corrections in CareLogic and document process. Communicate effectively with Supervisor to address processing issues. Run A/R reports weekly and prepare ... support findings and escalate all denial trends and key issues to Supervisor . Demonstrate knowledge and skills necessary to provide appropriate service to consumers… more
- Houston Methodist (Houston, TX)
- …providing verbal and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in ... support to other team members as advised by the manager and/or supervisor . **SERVICE ESSENTIAL FUNCTIONS** + Completes special projects to improve team performance,… more
- WCG Clinical (Cary, NC)
- …+ Experience reading an interpreting clinical trial protocols + Familiarity with research billing guidelines (eg Medicare NCD 310.1) and/or general healthcare ... quality review process. + Other duties as assigned by supervisor . These may, on occasion, be unrelated to the...billing processes (coding, Medicare regulations, etc.). **TRAVEL REQUIREMENTS:** ☒ 0% - 5%… more
- Nuvance Health (Danbury, CT)
- …PA, SC, TN, TX, VA* Summary: *Purpose:*Provides clinician practice coding, billing , and documentation auditing for professional coding at Nuvance Health. Conducts ... audits, reporting, complaint coding issues etc. 5.Research CMS and NGS Medicare regulations, guidelines, bulletins, and other publications for impact to professional… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding ... entry personnel to ensure proper entry of diagnostic and billing codes in accordance with guidelines and for assigned...Works claim edits identified along with compliance of the Medicare Coverage Determinations ( MCD ) , National Coverage… more
- HCA Healthcare (El Paso, TX)
- …guidelines, CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug ... Administration, Medicare Administrative Contractors and payer websites + Escalates problem...websites + Escalates problem accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities +… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …or TSSLD). Limited license may be required for CFY candidates (directly billing Medicare ). ASHA certification preferred. Essential Job Functions: + Physical ... the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and… more
- Bon Secours Mercy Health (Oberlin, OH)
- …and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms, ... system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate....using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by … more
- Trinity Health (Davenport, IA)
- …Some knowledge of health insurance and governmental programs, regulations, and billing processes, eg, Medicare , Medicaid, Social Security Disability, Champus, ... Posting team at an assigned PBS location responsible for ensuring accurate billing , collections, and posting processes are followed. This position reports to the… more