Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co pays, deductibles, and out of pocket expenses. Assesses patients' ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide ass

Collects and reviews all patient insurance information needed to complete the billing process. Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare, etc.) to process the proper billing information in a timely manner as required by all third party payors. Transmits daily all electronic claims to third party pay

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, ID's, Living Wills, and POAs and verifying and enter

The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requiremen

Patient Accounts Specialist Position Number 6039402 Department Surgery Grade 13 Compensation Min USD $18.44/Hr. Compensation Max USD $23.97/Hr. Category Administrative/Clerical Location Location US VA Norfolk Type Regular Full Time Overview Perform duties in the billing division related to all aspects of the revenue cycle to include data entry, denials, patient interactio

Follows physician through his or her work day and charts patient encounters in real time using medical office's Electronic Health Record and existing templates Generate referral letters for physicians, manage and sort medical documents within the EHR system, and assist with e prescribing May handle data management tasks for physicians in real time Applies knowledge of med

Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co pays, deductibles, and out of pocket expenses. Assesses patients' ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide ass

Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co pays, deductibles, and out of pocket expenses. Assesses patients' ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide ass

The Team Lead will assist the Outpatient Coding Manager with daily operations and coordination of work for all the Claims Resolution (CRC) or ED Charging work queues. He/She will work with CRC/ED charging team, nurse audit, coding audit/education, compliance, charge integrity unit and patient finance to assure effective claim resolution practices. Team Lead will monitor r

The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities. The Physician Advisor serves an important role in ensuring compliant hospital status/billi

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, ID's, Living Wills, and POAs and verifying and enter

Responsible for complete, compliant, and timely daily charge capture of ED departmental chargeable medication administration, bedside services and other lines of service as assigned. This position is responsible for ensuring all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department. As necessary, queries and/or subm

This role consists of auditing & educating PACE providers and staff on appropriate HCC coding & documentation. Duties include prospective and concurrent auditing to ensure compliance with appropriate HCC coding & documentation and submission guidelines . Candidate should be geographically located within Hampton Roads. Candidate should be comfortable with Microsoft Office,

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, ID's, Living Wills, and POAs and verifying and enter