and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic... in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG...
Job Category: Non-Clinical Support Staff Job Description: Work Schedule: 100% FTE; day shift. Monday - Friday. 8... of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Reimbursement Specialist - Pharmacy...
Position Summary: The Medical Reimbursement Specialist is responsible for the accurate and timely submission of medical... claims to insurance companies and other payors. The medical biller posts payments or adjudications as appropriate. Using...
Email Submit Career Areas Growth and Expansion Financial Coding Specialist- Oncology Infusion, Full Time Location Chicago... and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation...
Email Submit Career Areas Growth and Expansion Financial Coding Specialist- Oncology Full Time Location Chicago, Illinois... care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation...
denial issues and submits technical and clinical appeals in a timely manner. Will mentor the AR Specialist team members... directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolve payment variances...
SCOPE OF POSITION: We are seeking a dedicated, self-motivated, and detail-oriented Clinical Credentialing Specialist... standards to provide member care. The Clinical Credentialing Specialist will be responsible for verifying and maintaining the...
and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic... in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG...
AUTHORIZATION SPECIALIST WINN WAY - CARE MANAGEMENT 307 The Authorization Specialist will be responsible for the... with clinical team members to ensure the State and CMO clinical requirements/standards are being met Coordinate with the...
verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer... electronic or paper r , obtaining patient signatures on necessary documents, files paperwork, notifies appropriate clinical...
verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer... electronic or paper r , obtaining patient signatures on necessary documents, files paperwork, notifies appropriate clinical...
; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical... Educator and/or Claims Resolution Specialist to avoid/reduce future edits. Support Condition 44 notifications (inpatient...
the Hospice Notice of Election (NOE) timely; it is imperative that the Hospice Coding Specialist, in collaboration... with the Documentation Specialists and Support Nurse; reviews, interprets, and analyzes clinical documentation precisely...
Job Functions: Sr Specialist Denial RN primary responsibility is the review of complex claims and escalating clinical or technical... between $62,500.00 - $79,800.00/ based on experience The Sr Specialist Denial RN prepares appeals for clinical and technical claim denials...
. If this is your profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals... Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved indications, helping...
AUTHORIZATION SPECIALIST WINN WAY - CARE MANAGEMENT 307 The Authorization Specialist will be responsible for the... with clinical team members to ensure the State and CMO clinical requirements/standards are being met Coordinate with the...
Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned.... Education Required Associate's Degree in Nursing for Registered Nurses Master's Degree in Social Work for Licensed Clinical...
Operations clinical, contractual and regulatory requirements. The Lead Specialist will be engaged, open to answering questions... to the Manager of Pharmacy Support Operations, the Lead Pharmacy Operations Specialist is responsible for activities ranging...
claims efficiently. Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM...Job Description: MCR Billing Specialist Tutera Senior Living & Health Care Are you a Medicare Billing...
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations... from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party...