Payor Clearance Specialists are members of the Patient Access team dedicated to completing patient access workflows related to navigating insurance payor regulations. Facilitate increasing our patient's access into the care continuum. Decrease payor related barriers and increase financial outcomes for scheduled patient services for the inpatient, ambulatory , and physicia

Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD 10 CM/PCS coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature an

Codes and abstracts primarily Inpatient records using ICD 10 CM and other applicable patient classification schemes. Primary Duties & Responsibilities Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements. Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedS

Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructure of criminal enterprises. FSA Federal (FSA) is focused on delivering unsurpassed services in support of law enforcement and homeland security. We currently have a vacancy for a

The Centralized Credentialing Coordinator completes the credentialing process for medical staff membership and/or clinical privileges in accordance with the appropriate Joint Commission standards and other regulations. Identifies extraordinary information, discrepancies, time gaps and obtains additional explanation and information as required. Provides assistance with que

Under the direction of the Community Health Center Supervisor, the Medical Billing Specialist is responsible for processing all third party (private insurance, Medicare, Medicaid and self pay) claims, filing all claims in a timely manner. This individual also performs a wide variety of duties related to daily fiscal functions and patient relationships. ESSENTIAL DUTIES AN

Requisition # 639892 Location Johns Hopkins Health Plans, Hanover, MD 21076 Category Information Technology Schedule Day Shift Johns Hopkins Health Plans is a leader in provider sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What a

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, IDs, Living Wills, and POAs and verifying and enteri

General Summary of Position Serves as the initial contact person at the medical practice or hospital department and greets patients in a courteous and professional manner. Coordinates efficient patient flow through the practice or hospital department assigned. Makes appointments, registers patients, collects co payments, Time of Service (TOS) payment processing, updates d

General Summary of Position Serves as the initial contact person at the medical practice or hospital department and greets patients in a courteous and professional manner. Coordinates efficient patient flow through the practice or hospital department assigned. Makes appointments, registers patients, collects co payments, Time of Service (TOS) payment processing, updates d

Under general administrative direction, the Clinical Informaticist is accountable for the delivery of value added health care informatics and technology which supports the strategic plan of the organization and achieves clinical, financial and service quality objectives for a multi hospital system with a flagship Academic Medical Center. To achieve this objective, the Cli

The Senior Technical Advisor provides expert technical guidance and expertise to programs or portfolios. The Senior Technical Advisor spends a significant percentage of time (~40%) on business development. This may be higher or lower depending on the pipeline. This position may serve as lead writer or subject matter expert. The Senior Technical Advisor will participate in

Care Management Assistants are administrative professionals who provide direct support to ensure that patients move through the system and receive the treatment and services they require. They are responsible for interacting with Care Management staff, insurance agencies, and post acute care providers/agencies/facilities to bring all aspects of a patient's care together,

The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation i

include, but are not limited to Tasks will be performed in the Washington, D.C., metropolitan area. Specific tasks include Voucher Examination Under the technical direction of M/CFO, the Contractor will provide voucher examiners to perform the regular duties of voucher examination on commercial invoices, posting of LOC, and IPAC transactions, and USPSC transactions, by rev