Perform scheduling, cancellations, and rescheduling of appointments and surgeries while entering orders and completing full pre-registration.
Document demographics, verify insurance, determine patient liability, and collect payments electronically for self-pay and out-of-network patients.
Obtain prior authorizations, monitor medical necessity compliance, and collaborate with OR and ancillary departments to ensure continuity of care.
Southcoast Health is a not-for-profit, charitable health system operating multiple hospitals, clinics, and facilities across Southeastern Massachusetts and Rhode Island. With a workforce of highly skilled caregivers, they have been voted 'Best Place to Work' for seven consecutive years, fostering an inclusive and ethical workplace culture.
Reviews inpatient and outpatient medical records for documentation, abstracting, and assigning codes to the highest level of specificity.
Assigns procedural and diagnosis codes following ICD-10-CM, CPT, HCPCS guidelines, and payer regulations.
Collaborates with Clinical Auditors to improve coding quality and resolves coding-related denials per payer policies.
UnityPoint Health is a healthcare system providing patient services and medical care. It is recognized as a Top 150 Place to Work in Healthcare, with a culture that champions belonging and offers competitive benefits.
Ensure accurate verification of patient insurance benefits and authorizations.
Meet quantity and quality benchmarks for production and denial rates.
Utilize knowledge of medical terminology and insurance processes.
Gastro Health is one of the largest gastroenterology multi-specialty groups in the US with over 130 locations. They have a collaborative team and offer a great work/life balance.
Provide comprehensive Chargemaster expertise across Hospital Billing and Professional Billing.
Analyze charging workflows to identify revenue leakage and optimization opportunities.
Collaborate with client teams to assess processes and implement revenue integrity best practices.
The Wilshire Group is a boutique consulting firm in Los Angeles specializing in revenue cycle optimization and collaboration between operational and IT facets. With a track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.
Review and assign accurate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation.
Ensure coding compliance with CMS guidelines and state/federal regulations, and assist with claim reviews and audits.
Maintain up-to-date knowledge of coding guidelines and meet productivity and quality standards.
Optima Medical is an Arizona-based medical group with 30 locations and 130+ medical providers, caring for over 200,000 patients statewide. They offer a supportive culture with growth opportunities, a fun work environment, and comprehensive benefits.
Lead, coach, and develop a team of coders, ensuring daily accuracy, productivity, and compliance.
Serve as the primary escalation point for complex coding issues, partnering with billing and clinical teams.
Monitor KPIs, manage audits, and drive revenue integrity through cross-functional collaboration.
Alteva RCM helps healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. They are a dedicated, collaborative team committed to excellence, always seeking passionate professionals to grow their careers and make a meaningful impact.
Act as a liaison between patients, providers, and insurance companies to ensure accurate data collection and compliance.
Verify insurance benefits, eligibility, and prior authorization requirements for scheduled patients.
Notify patients of estimated liability and act as a financial counselor regarding insurance and payment options.
Vail Health is the world's most advanced mountain healthcare system, providing exceptional care through a 56-bed hospital and various outpatient services. It is a nonprofit organization committed to patient-centered care and community well-being.