, claims, itemized bills, Letters of Agreements, proof of timely filing, appeals and other requests as needed. Works out... years in a hospital and/or physician office with insurance claims follow-up experience required. Access Management...
and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials... and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry...
of modifiers, CPT-4, ICD-9 and ICD-10 code ensure appropriate reimbursement. Analyzes and corrects claims to ensure accurate... and timely claims submission. Sets up account for Client Services and collects past due balances. Responsible for resubmission...
ESSENTIAL JOB FUNCTIONS include, but are not limited to: 1. Processes claims populating into Ambulatory Claims Manager (ACM...) PERFORMANCE STANDARDS: Resolve Invalid and Rejected Claims populating into the list within 5 days. Documents the system...
to attorneys. Prepare and submit Proof of Claims (POC’s) to the court, including supporting documents. Creates payment coupons...
for non-covered or nonparticipating provider services in addition to soliciting claims and other related medical information...
for using ICD10 coding and claims knowledge to support improvement of coding and medical record documentation of risk adjusted.... Apply clinical coding knowledge to review claims and medical records for appropriate documentation and coding. Rely upon independent...
with the third party administrator staff for claims processing information, investigatory processes, and representation...
statistics, hospital patient discharge data, claims, and other relevant health sources; and supporting the preparation of reports...
to attorneys. Prepare and submit Proof of Claims (POC’s) to the court, including supporting documents. Creates payment coupons...
, or other requirements such as patient instructions. Utilizes electronic reports, worklists, and queues to identify claims requiring...
Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the... authorization process including intake, logging, tracking and status follow-up. The Authorization Technician II collects...
& Outcomes Research (HEOR) Analyst II to join our team and support the Real-World Evidence (RWE) programs. In this role... claims analysis. This is an excellent opportunity for an individual with a background in healthcare outcomes research...
Salary Range: Procurement and Contracts Clerk II, SR-12: $3,621.00 per month Assembles and formats legal... to appropriate specialist, supervisor or agency. Routes contract documents to proper agencies (e.g. Office of the Attorney General...
our or connecting with us on , , , , or . About This Opportunity A Member Support Specialist II is responsible for representing the... for processing FSA reimbursement claims and must understand documentation and substantiation guidelines as defined by IRS regulations...
revenue functions. The HIM Coder II utilizes experience, education, coding guidelines and Duke coding policies... assign codes for the primary/secondary diagnoses and proced ures using ICD-10-CM, ICD-10-PCS, CPT-4 and HCPCS Level II...
revenue functions. The Medical Records Coder II is a certified Coder. The HIM Coder II utilizes experience, education..., ICD-10-PCS, CPT-4 and HCPCS Level II. Sequence the diagnoses and procedures using coding guidelines and ensures DRG...
Position Summary: We have an exciting opportunity to join our team as a Coding Coordinator II. Become a key member..., claim submission, charge reconciliation, and follow-up on claims denied for coding-related reasons for various specialties...
. JOB DESCRIPTION: Job Title Medical Billing Subject Matter Expert II Working at Abbott At Abbott, you can do work that matters, grow... activities to ensure timely submission of primary, secondary and tertiary insurance claims. Serve as a subject matter expert...
: The Quality Control Specialist is responsible for representing Bernhard's corporate commitment to "Brand" consistency... as a specialist in quality control, keeping up with changes in the industry, and updating staff as well as corporate for any necessary...