The Patient Account Specialist is responsible for managing accounts receivable, including following up on unpaid or denied claims with insurance companies. They also communicate with patients and internal teams to resolve billing issues and ensure timely claims processing.
Assigns accurate medical codes for inpatient and outpatient records using ICD-10 and CPT 4 systems to ensure proper reimbursement and regulatory compliance. Monitors coding backlogs, interacts with clinical staff regarding billing issues, and performs quality review audits to maintain data integrity.
The Business Office Representative is responsible for verifying patient insurance coverage, managing billing information, and processing payments. They also handle patient inquiries, perform cost estimates, and resolve payment errors or credit balance issues.
The Patient Accounts Specialist is responsible for managing accounts receivable, including following up on unpaid or denied claims with insurance companies. They also communicate with internal and external stakeholders to resolve billing issues and assist with patient inquiries.
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.
Responsible for the timely and accurate assignment of diagnostic and procedural codes for outpatient charts across multiple facilities. Works independently to meet quality and production goals while querying physicians to ensure full clinical record capture.
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.
The Insurance Specialist is responsible for verifying insurance eligibility, obtaining necessary authorizations, and ensuring accurate documentation to prevent claim denials. They also educate patients on their financial responsibilities, collect payments, and assist with charity applications.
Responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts across various facilities. This includes determining appropriate DRGs and querying clinical staff to ensure complete clinical records.
