The Insurance Follow-up Specialist manages billing and collections by acting as an intermediary between medical institutions, patients, and insurance agencies. They are responsible for filing claims, resolving denials, and ensuring accurate reimbursement through diligent follow-up and account analysis.
The Lead Coder acts as a liaison between the company and clients to manage workflow, productivity, and quality standards. They also provide training, support for system issues, and ensure compliance with coding regulations and HIPAA standards.
The Insurance Follow-up Specialist manages billing and collections by resolving outstanding insurance claims and denial issues. They act as an intermediary between medical institutions, patients, and insurance agencies to ensure accurate reimbursements and process improvements.
The Coder Outpatient is responsible for abstracting, coding, and sequencing clinical information from various medical records to ensure accurate billing and reimbursement. They must maintain compliance with regulatory standards while tracking productivity and quality metrics in specified systems.
The Coder Outpatient is responsible for abstracting, coding, and sequencing clinical information from various medical records to ensure accurate billing and reimbursement. They must maintain compliance with regulatory standards while documenting productivity and quality metrics in specified systems.
Review and abstract clinical information from medical records, then assign and sequence accurate diagnosis, procedure, and charge codes for professional fee and other coding work. Maintain coding quality, productivity, regulatory compliance, and patient-record confidentiality while entering codes into client systems.
Abstract and review patient records, assign and sequence accurate diagnosis, procedure, and modifier codes, and enter coding data into client systems for billing and reimbursement. Maintain coding quality and productivity standards while complying with official coding guidelines, HIPAA, and other regulatory requirements; the role may also include training and auditing.
Abstract cancer cases from electronic medical records into registry software, resolve data edits, and submit accurate reports in accordance with state, national, and client standards. Perform case finding, follow-up, registry maintenance, and related duties while complying with company policies and privacy requirements.
The coder will review pathology documentation to assign accurate ICD-10-CM and CPT codes while performing charge entry for professional services. They are responsible for resolving coding edits, maintaining quality standards, and collaborating with providers and billing staff.
The Oncology Data Specialist is responsible for abstracting cancer cases into the registry database and ensuring compliance with state and national reporting standards. They also perform case finding, follow-up, and maintain accurate records in accordance with HIPAA and facility policies.
The representative manages inbound contacts regarding prescription costs, pharmacy benefits, and copay program enrollment. They also research rejected pharmacy claims and coordinate with payers and providers to resolve coverage issues.
The Patient Copay Support Representative manages inbound contacts regarding prescription costs, pharmacy benefits, and financial assistance programs. They are responsible for verifying insurance coverage, resolving claim rejections, and documenting all patient interactions accurately within the CRM system.
The RCM Supervisor leads a team to manage revenue cycle operations, ensuring accurate payor reimbursement and compliance. They analyze contract proposals, resolve payment issues, and maintain strong relationships with payors to support the organization's financial health.
The External Auditor Outpatient performs reviews of medical records for coding accuracy and documentation quality to ensure proper MS-DRG and APC assignments. They are responsible for identifying physician query opportunities, maintaining auditing productivity, and reporting findings to clients.
The Oncology Data Manager oversees daily cancer registry and abstracting operations, ensuring compliance with regulatory standards and client requirements. They are responsible for staff management, performance monitoring, and maintaining the integrity of oncology data systems.
The Vice President of Sales is responsible for driving revenue growth through new business development and expanding services within large hospitals and health systems. This role involves managing the full sales cycle, from prospecting and cold calling to conducting value-driven presentations and maintaining executive-level client relationships.
The Coder Physician is responsible for abstracting, coding, and sequencing clinical information from various medical records to ensure accurate billing and reimbursement. They must maintain compliance with regulatory standards while tracking productivity and quality metrics within specified software systems.
The Coder Physician is responsible for abstracting, coding, and sequencing clinical information from medical records to ensure accurate reimbursement and compliance. They must maintain high quality standards while entering diagnostic and procedural codes into various software systems.
The Insurance Follow-up Specialist manages billing and collections by resolving outstanding insurance claims and denials for hospitals and physician practices. They act as an intermediary between institutions, patients, and insurance agencies to ensure accurate reimbursements and process improvements.
Review inpatient medical records for coding accuracy, data quality, and documentation gaps to ensure compliance with guidelines. Provide feedback and deliver educational sessions to coders and providers to improve documentation and coding precision.
The Oncology Data Specialist is responsible for accurately abstracting and reporting cancer case information into registry software systems. They ensure compliance with state, national, and client-specific data reporting standards while maintaining medical record integrity.
