SCOPE / GENERAL PURPOSE OF JOB:
Responsible for timely daily claim submissions and file maintenance functions in accordance with RC Billing standards and Reimbursement policy and procedures, including patient billing/EPS, claim submissions electronic and paper, and file maintenance. Is responsible for seeking resolution to problems relating to timely and efficient claim submissions while ensuring excellent communication between the AR department, CBO management, Revenue Cycle IT Department and the Revenue Cycle Credentialing Department while ensuring client satisfaction. Responsible for timely completion of all client Allscripts Pro PM database file builds and Waystar EDIInsight file builds to include documentation and follow-up processes through to completion. Responsible for daily file maintenance within Allscripts Tiger, Allscripts Pro PM and Waystar EDIInsight. Responsible for ensuring daily claim submissions for all clients are successful and monitoring clearinghouse and payor submission edits preventing successful claim submission, ID trends and/or resolution is being sought timely by the AR Department. Responsible for balancing, daily/monthly closing of all databases and preparing month end reporting packages. Responsible for contacting Allscripts or Waystar EDIInsight and working with them directly to timely resolve claim submission issues, patient statement processing issues and HL7 ADT and DFT Interface issues.
...Overview: The Clinical Services Review Nurse position works directly with MotivHealths Medical Director to perform Utilization Management (UM) and Case Management (CM) functions. Responsibilities and Duties Performs clinical intake and reviews cases according to...
...Needed Monday - Saturday OnWay Transport is seeking experienced, responsible Independent Contractors to serve as Lead Drivers for our team of contractors. As a Lead Driver, you will transport various products, train drivers, fill-in any vacant driver slots,...
...experience first-hand how VCHS is leading the pack in the correctional healthcare industry and help us to make a difference in this field! VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in...
...Our client is currently seeking a MEDICAL ASSISTANT to join their team! Scope of Role: Location: North Richland Hills, TX Hours: M-F between 7am - 6pm Job Engagement: Contract (6 months) This job will have the following responsibilities: Perform all...
...required therapeutic and diagnostic modalities provided in the Sleep Disorder Center and may be required to work variable shifts.... ...training course in Polysomnographic skills by a school of sleep medicine. * Completion of medical terminology course. * 1 year experience...