information to support accurate and correlated to each payer. Accountable for the information in the charge master and that it... description master (CDM) related work, broad-based knowledge of hospital financial operations including reimbursement, coding and charge...
compensation, and liability third party payer reimbursement, and is accountable for getting those accounts collected. POSITION... and Collection payer rules and guidelines located in the Medicare/Medicaid manuals when contacting insurance carrier. Proficient...
Job Description: The Patient Accounts Specialist is a liaison to review and resolve complex Patient Accounts issues.... The Patient Accounts Specialist may be responsible for the customer service, posting, billing and/or collection process...
including E&M, modifiers, ICD-10-CM, and HCPCS), annual code updates, payer requirements, and payer rejection resolution... Physician/APC education that include coding and/or documentation topics, such as Documentation Specialist clinician low risk...
Functions Manages daily census changes (admissions, discharges, payer changes, room changes etc) Deposits checks daily... Specialist or activity working the Medicaid application Manage annual redeterminations for Medicaid enrollments Meets...
to coding changes (CPT including E&M, modifiers, ICD-10-CM, and HCPCS), annual code updates, payer requirements, and payer... Specialist clinician low risk review meetings, Risk Adjustment/HCC meetings, and/or Medical Group Compliance reviews/meetings...
achieved including providing guidance to the Billing Specialist and Finance Referral Specialist Ensure timely billing... recipient (payer) items needing prompt attention. Ensure and Review monthly all AR/GL reconciliations submitted by the Billing...
. This full-time role will primarily work remotely (Days, M - F). Purpose of this position: The pre-registration specialist... Secondary Payer Questionnaire for Medicare beneficiaries Thoroughly documents all conversations with patients and insurance...
regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains... to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer...
primary/secondary diagnoses and procedures using ICD-10 CM and/or CPT, HCPCS coding conventions, and payer-specific coding... Specialist, Internal Controls, Billing and Collections, and Revenue Managers) to ensure coding feedback to outsourcing vendors...
effectiveness and efficiencies are being achieved including providing guidance to the Billing Specialist and Finance Referral... Specialist 2. Ensure timely billing and maximization of cash flow in all areas of accounts receivable (by monitoring daily...
to accomplish in support of the staff members and/or operations of an organizational unit or program. Work requires individual... Specialist--A by the absence of professional-level duties that involve a variety of administrative functions or management...
operations and liaison with the third-party billing organization to ensure proper processing of all payer claims... statements before being processed/billed. Participate meetings with third party billing organization and insurance payer...
specialist, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical... and appeals of payer rejections relating to coding. You’ll enjoy the flexibility to telecommute* from anywhere within the...
specialist, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical... and appeals of payer rejections relating to coding. You’ll enjoy the flexibility to telecommute* from anywhere within the...
directions for coding operations; assists with providing tools and education to the coding team members to ensure best practice... and operational market leaders are addressed (30%) Charge & Coding and RCM Operations Support Enforces department policies...
software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country... status, schedule physician for IT setup appointment, and connect physician with IT and Implementation Specialist...
and support. We are seeking an Authorization Specialist to join their team. This role ensures smooth financial operations... integrated electronic eligibility systems, payer website portals, and phone calls to contact payers. Prioritize and follow up...
a strong understanding of California FQHC billing requirements and is proficient in OCHIN Epic Prelude and Resolute modules. The specialist... will work closely with operations, billing, EHR Support Analysts, and other administrative professionals to streamline workflow...
information to support accurate and correlated to each payer. Accountable for the information in the charge master and that it... description master (CDM) related work, broad-based knowledge of hospital financial operations including reimbursement, coding and charge...