The CDI Lead Specialist educates the patient care team on documentation guidelines and oversees department workflow and staff training. They are responsible for reviewing medical records to ensure accurate MS-DRG assignment and severity of illness documentation.
The supervisor manages a team of claims personnel and oversees claims inventory according to state and federal guidelines. They are also responsible for coaching staff, conducting performance reviews, and collaborating with other departments to resolve issues.
The Customer Support Manager acts as a liaison between business stakeholders and technical teams to resolve issues and improve operational processes for IBM i-based applications. They are responsible for monitoring support queues, managing case documentation, and recommending modernization or automation initiatives.
The Denials Specialist is responsible for validating denial reasons, generating appeals for underpaid or denied claims, and escalating payment variance trends to management. They also coordinate with clinical teams and research contract terms to ensure accurate billing and resolution.
The supervisor is responsible for mentoring and training patient access staff while ensuring operational goals are met across registration areas. They also monitor daily performance metrics, enforce departmental policies, and assist in managing escalated patient issues.
The supervisor is responsible for mentoring and training Patient Access staff while ensuring operational goals are met across registration areas. They also monitor daily performance metrics, enforce departmental policies, and assist in managing escalated issues.
The Customer Service Representative handles high-volume patient billing inquiries while ensuring quality service and HIPAA compliance. They are responsible for following up on unresolved issues and maintaining professional communication regarding patient balances.
The Clinical Scheduler Representative is responsible for accurately scheduling diagnostic and surgical procedures while managing physician orders and patient information. They coordinate with clinical departments to ensure proper scheduling, bed assignments, and clear communication of hospital guidelines to patients.
The representative is responsible for managing patient accounts throughout the revenue cycle, including claim follow-up, insurance collections, and resolving disputed balances. They must document account actions clearly, maintain productivity standards, and communicate effectively with payors and internal teams to ensure timely revenue resolution.
The Senior Analyst will lead high-complexity projects and define technology-driven solutions within the Product Management team. They are responsible for documenting business requirements, conducting competitive research, and mentoring the analyst team.
The representative is responsible for answering inbound patient accounting calls and performing outbound follow-up on outstanding accounts. They must facilitate issue resolution by escalating complex matters to experts while maintaining professional service standards.
Oversees professional staff responsible for managing and implementing Charge Description Master (CDM) and charge capture initiatives to ensure revenue protection. Facilitates revenue management strategies, maintains system data integrity, and ensures adherence to regulatory directives.
Responsible for resolving patient accounts by following up on claim submissions and pursuing disputed balances from government and non-government entities. The role involves researching accounts, updating insurance information, and identifying payer trends to eliminate revenue leakage.
Assign ICD-10, CPT, and HCPCS codes from medical documentation for physician charges. Resolve pre-bill coding edits and coding denials while maintaining high productivity and accuracy standards.
Assign ICD-10, CPT, and HCPCS codes from medical documentation for physician charges. Resolve pre-bill coding edits and coding denials while maintaining high productivity and accuracy standards.
The Patient Account Manager is responsible for overseeing patient account staff in processing accounts and collaborating with designated payors to ensure accurate reimbursement. This role involves monitoring collection processes, managing accounts receivable aging through analysis, and ensuring staff productivity and quality meet established standards.
