Verify, submit, and adjudicate patient billing information; prepare insurance claims; reconcile remittances and accounts receivable; and manage cash flow and deposits. Respond to customer concerns, investigate and correct billing issues, support appeals, maintain compliant records, and coordinate with other departments to resolve accounts promptly.
The Senior Technical Solutions Engineer designs, implements, and supports Microsoft Power Platform solutions to drive organizational innovation. This role acts as a technical advisor, collaborating with stakeholders to resolve complex challenges and optimize system performance.
The Insurance Specialist is responsible for verifying insurance eligibility, obtaining necessary authorizations, and documenting accurate information to ensure proper reimbursement. They also educate patients on their financial responsibilities, collect payments, and assist with charity applications.
The Centralized Scheduler is responsible for interpreting physician orders and scheduling outpatient diagnostic tests according to patient care protocols. They also manage medical necessity validation and maintain accurate data within the health information system.
The Coder II is responsible for the timely and accurate assignment of diagnostic and procedural codes for outpatient charts across Avera Health facilities. They also perform abstracting, editing, and serve as a subject matter expert for clinical documentation and billing communication.
The Coder is responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts across various facilities. They also perform abstracting, editing, and query physicians to ensure complete clinical documentation for appropriate DRG classification.
The Centralized Scheduler manages outpatient diagnostic orders by interpreting physician requests and scheduling tests according to patient care protocols. They also ensure data integrity within the health information system and maintain effective communication with hospital departments and physician offices.
The Registered Nurse Navigator serves as the primary point of contact for cancer patients, performing needs assessments and providing oncology nurse triage. They facilitate access to care, coordinate services, and provide ongoing support and education to patients and their families.
The Registered Nurse is responsible for utilizing the nursing process to provide high-quality care to patients in their homes or facilities. They will develop, implement, and evaluate individualized care plans while collaborating with patients, families, and other healthcare providers.
The Revenue Integrity Analyst enhances financial performance by ensuring accurate charge capture and securing appropriate reimbursement across the revenue cycle. This role involves analyzing trends, conducting audits, and collaborating with cross-functional teams to resolve billing discrepancies and improve documentation.
