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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. The scope of support includes acute care hospitals, Ambulatory Surgery Centers (ASCs), Urgent Care Clinics (UCCs), and payor enrollment and delegated credentialing.
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Coordinate with SSC directors/managers to identify trends and address issues related to claim rejections or payment denials directly associated to billing information generated by the charge master, under the guidance of the Charge Master Manager.
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Experience: Minimum3 years health care management/leadership experience required Minimum 5 years recent inpatient hospital coding experience required Certificate/License: RHIA, RHIT and/or CCS preferred "Parallonprovides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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HCA Healthcare Co-Founder. Experience using market BI tools such as Power BI, Tableau, MicroStrategy, QlikView, etc., a plus. Referral services for child, elder and pet care, home and auto repair, event planning and more.
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Understand/explain policies regarding services, pricing, insurance billing, and payment of account. If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call.
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Verify insurance benefits and determine pre-certification/authorization status via online or other resources. Verify all insurance and obtain pre-certification/authorization. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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If you find this opportunity compelling, we encourage you to apply for our Inpatient Coding Auditor opening. Submit your application for our Inpatient Coding Auditor opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare team.
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Responsible for Hospice Room and Board billing process, to include creating Medicaid Room and Board claim, submission of appropriate forms, authorization, and monitoring for pending authorization (expiring authorization.
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Preference is given to candidates with a background in Medicare, Medicaid, Third Party billing, and accounting. The role of the medical billing clerk involves performing accounting and billing tasks to facilitate the processing of medical claims for laboratory services.
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At least an intermediate level of knowledge of billing and claims processing. 3+ years of experience with Medicare and Medicaid regulations (preferably TennCare Medicaid) We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life.
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Understanding of Medicare, Medicaid, and third party billing/coding guidelines. Knowledge of medical terminology Familiar with Chemotherapy and Radiation Billing Required Competencies Ability to work in a team environment and be able to multi task.
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Complete required documentation including IEPs, progress reports, and Medicaid billing. As a Remote Speech-Language Pathologist with TeleTeachers, you will have the unique opportunity to enjoy the benefits of remote work.
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Knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement. Experience working in a physician office or hospital billing-type position preferred. Proven knowledge of Explanation of Benefits forms, claim forms and insurance billing process.
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billing medicaid jobs in Nashville, TN
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