DUTIES AND RESPONSIBILITIES Charge capture and over-the-counter payment posting. Insurance verification and eligibility. Insurance pre-authorization/pre-certifications. Counseling patients and families on insurance and payment issues prior to surgery. Ensures all insurance, demographic, and eligibility information is obtained
Who We Are Tensure is a platform engineering consultancy built for financial services. We help banks, fintechs, lenders, insurers, and wealth management firms ship better software faster — by building world-class developer platforms that let their
By joining Sedgwick, youll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with
Remote Certified Coders Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegras
DRG Validator/Reviewer The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize their
Remote MSDRG Auditor The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation Team, with responsibility for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
MEDHOST, a division of Harris; is seeking a Manager, Account Follow-Up Services who is experienced, strategic, and able to lead the team. Are you a leader who loves improving financial health and building great client
MEDTEAM, a division of Harris; is seeking an Assistant Director of Revenue Cycle Management who supports the strategic and operational execution of revenue cycle services. This role is responsible for managing teams and overseeing key functional
MEDHOST, a division of Harris; is seeking an Account Follow-up Representative I who is responsible for reviewing and resolving outstanding insurance balances for hospital patient accounts. The Account Follow-up Representative I is required to learn multiple
Job Description Req ID: NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We