We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team, crucial in ensuring accurate billing and coding. The ideal candidate will possess a strong understanding of medical terminology and coding systems, as well as experience in collecting payments for medical services. This position requires a commitment to maintaining the integrity of patient information while ensuring compliance with healthcare regulations.
As a Payer Relations Coordinator, you're responsible for managing relationships with insurance payers to ensure accurate and timely reimbursement for skilled nursing services. This role involves verifying patient insurance benefits, obtaining prior authorizations, and resolving any issues related to insurance coverage. The coordinator will work closely with the admissions, billing, and clinical teams to ensure compliance with insurance requirements optimize revenue cycle outcomes.
The Priority Claims Specialist III - Remote will ensure payment for services provided is accurate, timely and fully documented. Provide efficient cash collection through excellent reimbursement practices while ensuring compliance with relevant laws, regulations and established Hanger policies and compliance programs. Provides strict adherence to adjustment, refund and write-off policies/procedures. Maintain exceptional support and communication with all partners.
The Director of RCM will lead the day-to-day operations and continuous improvement of our revenue cycle, ensuring clean claims, fast collections, and accurate revenue recognition. You’ll manage internal and outsourced teams responsible for collections, while partnering closely with Finance, Product, and Clinical Operations to drive strong financial performance and operational excellence.