by insurance companies. Denial Management. Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues... or billing obstacles. Review late charge reports and file corrected claims or write off charges as per client policy. Review...
. Provide support of claims in both verbal and written form that is clear, concise and persuasive. Review Contract and Client... and analytics in order to verify and validate billing accuracy and compliance issues, and to support audit claims. Meet or Exceed...
for adjustment Notify management team of accounts that denied due to lack of medical necessity, etc, to be assigned nurse auditor... English. Ability to communicate clearly and concisely with all levels of management Previous healthcare experience (1-2 yrs...
for adjustment Notify management team of accounts that denied due to lack of medical necessity, etc, to be assigned nurse auditor... English. Ability to communicate clearly and concisely with all levels of management Previous healthcare experience (1-2 yrs...
POSITION DESCRIPTION: The Revenue Site Operations Compliance Coding Auditor/Educator serves as the subject matter... Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines...
with contract management personnel in the review of contracts and other reimbursement or payment arrangements in relation...Overview: Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview...
leads the review, analysis and investigation of providers and claims to confirm contract compliance and/or to suspected... for identifying, preventing insurance fraud and recovering funds lost to insurance fraud, waste and abuse. The SIU Senior Auditor...
leads the review, analysis and investigation of providers and claims to confirm contract compliance and/or to suspected... for identifying, preventing insurance fraud and recovering funds lost to insurance fraud, waste and abuse. The SIU Senior Auditor...
an experienced Senior Financial Auditor to join our team for a 2-3 month contract (with the possibility of extension) based in Iselin... in revenue recognition, project management, and billing. Accounting & Auditing Background: Bachelor’s degree in Accounting...
POSITION SUMMARY: The Route Auditor rides with a driver during his or her scheduled commercial or residential route... to identify enhanced operating efficiencies and ensure accurate billing, as well as opportunities for increases in service...
, billing and/or compliance audits in accordance with client contract Create accurate well written reports summarizing audit... auditing services to clients (i.e., physician groups, billing companies, hospitals, health systems, health care attorneys...
Compliance Coding Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue... in CPT, ICD and HCC coding. The Compliance Coding Auditor/Educator is responsible for professional development of educational...
and mentoring the auditor and providing documented and validated findings. Encourage critical thinking and discussion among team... members on concepts as needed. Provide training on one or more of the following audit types: Outpatient and Specialty Review...
modeling system. Maintain regular contact with Managed Care & Contracting management team to ensure all new contract....uoflhealth.org. Job Summary: Primarily responsible for the review and follow up on paid insurance claims (including $0.00 pay...
regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates... of underpaid or partially paid claims in a timely manner. Ability to review, comprehend, and discuss HCFA billing with Insurance...
regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates... of underpaid or partially paid claims in a timely manner. Ability to review, comprehend, and discuss HCFA billing with Insurance...
processes. You'll review time and expense reports for accuracy, provide recommendations on billing issues, and prepare invoices... of Accounting. This permanent, full-time, contract-covered position offers the chance to dive deep into the world of finance...
accurate and timely billing of group master accounts, processing of credit card inquiries and chargebacks, billing of FIT... monthly Credit Committee meeting. Review and prepare the monthly aging of accounts. Prepare the monthly bad debt reserve...
, etc Assist with monitoring receivable income and supporting project managers with collections Prepare monthly contract, billing... a range of services to federal government clients, including program management, digital solutions, human capital and training...
external auditor requirements of the FQHC. Coordinates grant and contract audits as requested by funding agencies. Stays... statements. Oversees grant management and budgeting, as well as assisting with the financial management and compliance of the...