Responsible for securing pre-authorizations for medical and surgical services to ensure hospital reimbursement and a positive patient experience. This includes verifying insurance coverage, analyzing clinical data for submissions, and coordinating with providers and insurance carriers.
Augusta Health
2 Remote Job Openings at Augusta Health
Responsible for accurately reporting and sequencing ICD-10-CM, HCPCS, and CPT codes while managing bill drop dates and AR expectations. The role involves generating physician queries to clarify patient conditions and ensuring high accuracy in DRG and APC assignments.
