The incumbent would help with reviewing documentation for clinic or surgery billing and posting the charges within Touchworks or Patient Keeper and working corresponding TES edits. Start Date 04/26/2024 Anticipated End Date 12/20/2024 Qualifications 1. High school diploma or equivalent. 2. Current certification as a Certified Coding Specialist (CCS) or Certified Coding Sp

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

Customer Experience Agent I Job Locations US IL Palatine ID 2024 3469 Category Customer Service/Support Position Type Regular Full Time Introduction Come move the world with us! Wake up each day to be part of a global movement . A movement to make an impact . A movement to go for it! A movement to provide best in class solutions . A movement to be empowered . A movement t

The role of the admissions rep is to reach out to individuals via phone, take incoming calls and place outbound calls to prospective students in a call center team environment. Admissions representatives interview prospective students to determine their motivation for attending college, understand their career goals and the obstacles that might prevent them from starting

The Assistant Claim Specialist is an entry level position for claim processing. This person will use independent judgement and discretion to review, analyze, and make determinations regarding payment, partial payment, or denial of medical and dental claims, as well as various types of invoices, based upon specific knowledge and application of each client's customized plan

KLDiscovery, one of the largest national eDiscovery providers, is currently seeking attorneys who are actively licensed in any U.S. jurisdiction, including recently admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers. Responsibilities include reviewing documents for complex litigat

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Include Telephone and face to face crisis intervention Respond quickly and timely to any request for crisis team assistance Crisis assessment, counseling, and referral and linkage to treatment services Supportive follow up calls following a client's contact with crisis services Engage individuals following a discharge from an emergency department or psychiatric hospital Co

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Analyst to join our team. This position focu

The Medical Services Coordinator facilitates medical and other supports to people with Intellectual Developmental Disabilities focused on personal outcome and independence. Responsibilities Reports directly to the Assistant Director Schedule, facilitate and follow up on medical appointments and orders per DHS requirements Collaborate with RN trainer prior to medical appoi

Answer incoming calls, identify the need of the caller, route call to appropriate area and take messages as required. Assist guests with the check in process, verify demographic and insurance information, and update as needed. Proactively assists guests, members of the Care Team, and all team members providing information, direction and legendary hospitality. Assist guest

The HIM Coordinator, assembles, analyzes, and abstracts medical records. Data entry of deficiencies. Backup person for ICD 10 coding of inpatient records. Codees partial/IOP records. Coordinates and processes incoming and in house requests/correspondence as assigned. Retrieves.copies records as requested.Works closely with Utilization Review requests. Answers Department t