Posts payments based on explanation of benefits (EOBs) from insurance companies and government agencies in an accurate and timely manner Posts patient/guarantor payments received in person or via mail in an accurate and timely manner Transfers, adjusts, and refunds payments when appropriate for accounts Prepares and ensures accuracy of Daily Cash Report that is disseminat

Creating, maintaining, and entering information into databases. Managing filing system. Recording information as needed. Helping organize and maintain Quality office common areas. Performing general Quality clerk duties and shop floor administrative documentation support. Managing correspondence (e mails, letters, packages, etc.) within the Quality department and other fu

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

Under moderate supervision, receives all incoming calls from potential clients and assesses these calls for content, applicability to SCS programs, urgency, lethality, need for pharmaceutical intervention and financial payor source. ESSENTIAL JOB FUNCTIONS Provides telephone screening for people who call SCS Access System. Determines client eligibility for services and ve

Index documents into Epic (Norton's digital medical record system) that are sent from outpatient, physician practices. Store, retrieve, review, assess, and process health related information in both paper format and electronic format Contributes to overall patient safety, revenue cycle management and continuous quality improvement initiatives Serves as a resource for all

The ideal IHI Graduate Research Assistant is a graduate student at NKU enrolled in a research based program with experience in community based research and a range of interviewing techniques. The candidate will need strong organizational skills with attention to detail; excellent client service and networking skills; the ability to work independently but also keep the sit

Vaco has partnered with a growing company that is looking to add more medical billers to their staff!Responsibilities Review industry transmittals and changes related to the specialties billed. Monitor reimbursement and regulatory issues with Medicare, Medicaid and other third party reimbursement. Ensure compliance with industry standards, HIPAA Privacy, Federal and State

Under the supervision of a registered nurse, performs telemetry monitoring and communicates patient care information to nursing staff as indicated. Facilitates communication between members of the healthcare team. Assists nursing staff with tasks based on individual needs within the scope of practice under direct supervision of the registered nurse. Qualifications Minimum

Under moderate supervision, performs variety of administrative or business office functions, including front desk/reception, data entry, filing, typing, and report running, handling problems and deviations according to instructions, procedures, previous training, or accepted SCS practices, with limited discretion to revise existing methods or protocols or develop new one,

Utilization Review Coordinator Opportunity Lincoln Trail Behavioral Health System is a 140 bed hospital offering inpatient services for adolescents, adults, military/veterans and their families. Lincoln Trail Behavioral Health System has a spacious cafeteria, gymnasium, art/activity room, group rooms, classrooms and other areas to create a pleasant atmosphere for patients

CLINICAL DENIALS MANAGEMENT AND AUDIT Job Locations US KY LOUISVILLE ID 2024 141285 Line of Business BrightSpring Health Services Position Type Full Time Our Company BrightSpring Health Services Overview Clinical Denials Management and Audit monitors, responds to, and performs the clinical denial and appeal processes across Home Health branches for all payor types strivin

The Brook Hospital Dupont is hiring a full time HIM Coordinator. This is a day shift position eligible for benefits. Since 1985 The Brook Hospital has been offering hope to individuals, families, and communities. The Brook offers two outstanding hospitals in Louisville, Kentucky, KMI & Dupont. The Brook is the leader in providing quality mental health and addiction treatm

About Us Lifepoint Health's Central Kentucky market is comprised of four acute care, community based hospitals, with over 50 outpatient clinics that provide comprehensive healthcare in the Bluegrass region. (Versailles, KY) , (Paris, KY), (Winchester, KY), and (Georgetown, KY) are committed to our mission of making communities healthier . As an integrated network, our fac

The ideal IHI Graduate Research Assistant is a graduate student at NKU enrolled in a research based program with experience in community based research, a range of interviewing techniques, and intermediate to advanced statistics. The candidate will need strong organizational skills with attention to detail; excellent client service and networking skills; the ability to wo