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Collect & review subcontract billing documents for completeness and enter into the financial system · Analyze and track Subcontractor and sub-tier lien waivers · Document and track Subcontractor payment deficiency items until cleared obtaining lien waivers for all payments.
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JOB BRIEF The Medical Coder and Biller is a full-time position responsible for the coding and billing of Ophthalmology, Optometry, Optical and ASC surgery claims. ESSENTIAL RESPONSIBILITIES The billing department encompasses medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
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You'll apply your extensive knowledge of hospital billing, coding, and pricing practices, as well as advanced data analysis skills, to monitor, maintain, and improve the charge master records. Eight or more years of experience in hospital finance, billing, coding, revenue integrity, medical analysis, or medical auditing.
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Develop and maintain core business logic, data pipelines, and key metrics for measuring health of the billing, payment, and fraud products across Disney+, Hulu, and ESPN+ 8+ years of relevant data analytics experience including domain expertise in the areas of commerce, billing, payments, and fraud.
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Proven experience with high cost biologics and in-depth knowledge on issues related to billing, coding, appeals across physician types. The Field Reimbursement Manager (FRM) proactively provides education and support on product access programs for physicians and their staff.
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Minimum of two year experience in front office/medical billing and/or current hospital registration/admitting. Minimum of two year experience in insurance verification and/or medical/hospital billing.
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Completes all forms (i.e., labs, tissue, FDA, billing, waiver of liability for visitors) and logs (i.e., tissue, Lens, temperature/humidity) as appropriate. Receives brief report from Pre op RN when the patient is taken to the OR, Assists anesthesiologist in transfer of patient to and from OR, Brings chart and any supplies needed for the patient after discharge to the PACU, Gives brief report to PACU RN when taking the patient from the OR to PACU.
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Oversees the daily operations of the General Accounting (Accounts Payable, Purchasing and Patient Financial Services), Revenue Cycle (Admitting / Registration and Billing and Collections), Health Information Management, Budget / Decision Support, and Payroll departments.
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As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
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The incumbent serves as an expert in quality assurance of design, development, and application of integrated charge capture systems and programming designed to bridge health informatics with charge capture, billing requirements, and workflow for optimal efficiencies and to secure reimbursement.
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QUALIFICATIONS High school diploma or GED and a minimum of 3 years’ recent experience in Los Angeles Department of Mental Health (DMH) billing. SUMMARY The Senior Billing Specialist will review and verify, through the use of reports, that client records are complete for a successful transmission of medical claims for reimbursement from the Department of Mental Health and private third-party providers.
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Provides oversight of the revenue cycle functions including preregistration, insurance verification, point-of-service cash collections, financial counseling, registration, coding, medical records, billing, account follow-up and collections, customer service and cash posting.
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Experience with managing revenue cycle processes including Medicaid and Medi-Cal eligibility, health information management and billing, and charge capture processes. Assist in maintaining eClinical Works patient accounting and registration system tables for registration, patient accounting, eligibility, charge master’s maintenance, billing, claims editing, and account follow-up.
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Understanding of media research a plus (e.g. ComScore, Simmons, Nielsen and media billing tools (Prisma, Strata) Coordinate with Finance teams to ensure timely and accurate client billing and social account payments.
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Sycamores provides a spectrum of equitable mental health services through various programs to multicultural populations of all acuities.
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lien billing jobs in Inglewood, CA
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