healthcare billing specialist

Simpson General Hospital

<div><p><b>Join Our Team at Simpson General Hospital!</b></p><p><b>
Position:</b> Medical Billing Specialist<br>
<b>Location:</b> Business Office Financial Services<br>
<b>Schedule:</b> MondayFriday | 8:00 AM 4:30 PM | Full-Time<br>
<b>Reports to:</b> Business Office Director</p><p>
At Simpson General Hospital (SGH), we pride ourselves on delivering high-quality healthcare in a warm, hometown environment. We're currently seeking a Medical Billing Specialist to join our Financial Services team. If you're detail-oriented, experienced in healthcare billing, and passionate about supporting patient care behind the scenes, we'd love to hear from you!</p><h3 class="jobSectionHeader"><b>
Position Summary:</b></h3><p>
The Medical Billing Specialist is responsible for preparing insurance claims, following up on denials, and ensuring accurate billing through patient demographic and insurance updates. This role involves regular communication with patients, families, insurance companies, and internal departments.</p><h3 class="jobSectionHeader"><b>
Essential DutiesResponsibilities:</b></h3><ul><li>
Edit and submit UB and 1500 claim forms</li><li>
File insurance claims and follow up on billing work queues</li><li>
Correct and rebill claims as needed</li><li>
Assist with claims data for audits</li><li>
Provide excellent customer service</li><li>
Demonstrate professionalism aligned with SGH's mission and values</li><li>
Comply with HIPAA, infection control, and safety guidelines</li><li>
Perform other duties as assigned</li></ul><h3 class="jobSectionHeader"><b>
Qualifications:</b></h3><ul><li><b>
Education:</b> High School Diploma or GED (Required); Associate degree (Preferred)</li><li><b>
Experience:</b><br>
<ul><li>
35 years in a healthcare billing/business office setting (Preferred)</li><li>
Proficiency in Microsoft Word, Excel, and customer service</li></ul></li><li>
Strong communication and interpersonal skills</li><li>
Knowledge of claims submission for Medicare, Medicaid, and major insurers</li><li>
Efficient data entry and reconciliation skills</li><li>
Ability to work independently and meet deadlines under pressure</li><li>
Familiarity with healthcare laws and regulations</li></ul><h3 class="jobSectionHeader"><b>
Physical Requirements:</b></h3><ul><li>
Clear speech and hearing for effective communication</li><li>
Visual acuity for close and distant tasks</li><li>
Occasionally lift up to 25 lbs.</li></ul><h3 class="jobSectionHeader"><b>
Benefits Include:</b></h3><ul><li>
Health Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Company-paid Life and AD&amp;D Insurance</li><li>
Supplemental Insurance Options</li><li>
403(b) Retirement Plan</li><li>
Paid Time Off (PTO)</li><li>
Sick Time Off (STO)</li><li>
Discounted In-House Services at SGH ClinicsHospital</li></ul><h3 class="jobSectionHeader"><b>
Ready to Apply?</b></h3><p>
Be part of a team that values accuracy, compassion, and community care. Apply today and help us continue providing exceptional service to our patients and families!</p></div>

Billing Specialist

Rehabilitation Equipment Associates

<p><b>Job Summary</b></p><p>REQ, a family owned Durable Medical Company in Manchester, is looking for a Billing Specialist to join our awesome Billing Team! The Billing Specialist plays a crucial role in the healthcare industry by ensuring accurate and timely billing processes.</p><p><b>Candidate will work with insurance companies to ensure proper reimbursement, management and processing of accounts in a timely manner.</b></p><ul><li>Responsibilities include pre-authorization of benefits and eligibility, refiling claims, payer and client account follow-ups.</li><li>Review and analyze medical records for proper coding and billing.</li><li>Assign appropriate diagnostic and procedural codes.</li><li>Experience in medical office billing or collections is preferred.</li><li>Strong attention to detail and accuracy in data entry.</li><li>Excellent communication skills to interact with patients, providers, and insurance companies.</li></ul><p>On-the-job training provided. Candidate may submit resume.</p><ul><li>We are an Equal Opportunity Employer!</li></ul><p>Job Type: Full-time</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Billing Representative

Presence Developmental Services, PLLC

<p>Presence Developmental Services, PLLC, is a private health services company. The mission of the company is to provide Social Work, Psychology, Physical Therapy, Occupational Therapy and Speech Pathology Services to persons with Developmental Disabilities in their homes, at program locations, in private offices and at other community sites.</p><p>Our website is www.presencedevelopmental.com</p><p>The company has established relationships with practitioners across New York State to provide services.</p><p>Based in Seneca Falls, NY, we are recruiting a Billing Specialist to support the various activities necessary to bill Medicaid, Medicare and other third party payers electronically for the services that are delivered.</p><p>Familiarity with Office365 based systems is preferred, experiences with electronic health records and third-party insurance billing including Medicare and Medicaid and knowledge of healthcare systems including OPWDD, specifically, would be helpful.</p><p>Minimum Qualifications: High school diploma and applicable experience.</p><p>Job Types: Full-time, Part-time</p><p>Pay: $20.00 - $25.00 per hour</p><p>Benefits:</p><ul><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li></ul><p>Work Location: Hybrid remote in Seneca Falls, NY 13148</p>

SonderMind

<div>
 <strong>
  About SonderMind
  <br/>
  <br/>
 </strong>
 At SonderMind, we believe everyone deserves one personalized, connected, and effective mental health destination to take care of their mental health and well-being at any stage of life. SonderMind care encompasses everything from therapy and medication management to meditation and mindfulness exercises. Our clinicians leverage our digital tools and research to deliver increasingly high-quality care and to develop thriving practices. Combining technology and human connection, SonderMind drives better outcomes through our comprehensive approach. Learn more about SonderMind at sondermind.com or download the mobile app, available on iOS and Android.
 <br/>
 <br/>
 To follow the latest SonderMind news, get to know our clients, and learn about what it&rsquo;s like to work at SonderMind, you can follow us on Instagram, Linkedin, and Twitter.
 <br/>
 <br/>
 <strong>
  About The Role
  <br/>
  <br/>
 </strong>
 As a Healthcare Billing Specialist you will be responsible for all revenue operations activities from benefits verification, claim reconciliations, resolving client billing tickets and payment collections. This position will report directly to the Associate Manager of Billing and will work closely with other functional areas in the department including customer success to promote the highest level of patient satisfaction. You will be joining a team that is highly collaborative, supportive, and adaptable.
 <br/>
 <br/>
 Successful candidates will be able to communicate effectively both to internal stakeholders as well as insurance representatives, think critically to resolve issues, be willing to learn, be open to feedback, and be champions of the SonderMind brand while working in a fully remote environment. This is an excellent opportunity for those with 3+ years of experience in the full revenue cycle, particularly with Managed care Payors and Government Payors. Your journey at SonderMind will be about more than just a job; it will be about personal fulfillment, professional growth, and the chance to leave a lasting legacy in the world of mental health.
 <br/>
 <br/>
 What you&rsquo;ll do
 <br/>
 <br/>
 <ul>
  <li>
   Resolve aging AR through root cause analysis and follow up remediation actions.
  </li>
  <li>
   Handle client and provider billing inquiry escalations
  </li>
  <li>
   Investigate, appeal and resolve denied or underpaid claims
  </li>
  <li>
   Resolve outstanding client and insurance balances through claims reconciliation with Managed Care payors
  </li>
  <li>
   Communicate with providers and support teams to correct billing issues and or provide clear answers to billing tickets.
  </li>
  <li>
   Other responsibilities and ad-hoc projects from time to time based on business needs.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What does success look like?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Within one week: Be able to understand the full revenue cycle, including learning processes, adapting to tools, and becoming familiar with the revenue workflow.
  </li>
  <li>
   Within two weeks: Be able to communicate directly with clients, providers and CS teams answering and resolving billing and claim issues; dive into claims submission and research rejected, incorrect, or outstanding claims and/or patient issues.
  </li>
  <li>
   Within one month: Be able to see positive accounts receivable collection improvements through payment posting, working outstanding AR, and charging outstanding cost share in the charging queue.
  </li>
  <li>
   Within two months: Be able to see positive revenue workflow efficiency, with the company goal to increase collection rates to 98% as an individual contributor.
  </li>
  <li>
   Ongoing: Be able to effectively adhere to internal Revenue Operations processes and maintain the productivity metric.
   <br/>
   <br/>
  </li>
 </ul>
 Who You Are
 <br/>
 <br/>
 <strong>
  Required Education/Experience:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High school/GED preferred
  </li>
  <li>
   Knowledge of insurance plans and contractual arrangements affecting payments
  </li>
  <li>
   Strong knowledge of CPT and ICD-10 coding.
  </li>
  <li>
   2+ years of direct customer service in the healthcare industry or related field
  </li>
  <li>
   3+ years of Insurance collection experience (benefit verification, billing and collection, reconsiderations and appeals.)
  </li>
  <li>
   Demonstrated accounts receivable experience
  </li>
  <li>
   Comfort and interest in working in a fast-paced, ever evolving environment
  </li>
  <li>
   Intermediate Excel skills
  </li>
  <li>
   Experience with EMR/EHR systems and payer portals
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Experience in behavioral/mental health billing.
  </li>
  <li>
   Experience working in a remote setting.
  </li>
  <li>
   Self-motivated and driven
  </li>
  <li>
   A team player who communicates clearly and collaborates well.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Our Benefits
  <br/>
  <br/>
 </strong>
 The hourly rate is $21.000 - $23.00/hr.
 <br/>
 <br/>
 As leaders in redesigning behavioral health, we walk the walk with our employees' benefits. We want the experience of working at SonderMind to accelerate people&rsquo;s careers and enrich their lives, so we focus on meeting SonderMinders wherever they are and supporting them in all facets of their lives and work.
 <br/>
 <br/>
 <strong>
  Our benefits include:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   A generous PTO policy, with a minimum of three weeks off per year
  </li>
  <li>
   A holiday schedule that follows standard U.S. holidays
  </li>
  <li>
   Free therapy coverage benefits to ensure employees have access to the care they need (must be enrolled in a qualifying medical plan to participate)
  </li>
  <li>
   Competitive Medical, Dental, and Vision coverage, with plans to meet every need &mdash; including HSA (with $1,100 company contribution) and FSA options
  </li>
  <li>
   Employer-paid short-term disability, long-term disability, life &amp; AD&amp;D, plus coverage of the salary difference for up to seven weeks of short-term disability leave (after the required waiting period)
  </li>
  <li>
   Eight weeks of paid Parental Leave; if the parent also qualifies for STD, this benefit is in addition, allowing for 8&ndash;16 weeks of paid leave
  </li>
  <li>
   401(k) retirement plan with 100% match on up to 4% of base salary, immediately vested
  </li>
  <li>
   Join teammates from across the country at our annual company gathering
  </li>
  <li>
   Company shutdown between Christmas and New Year&rsquo;s
  </li>
  <li>
   Supplemental life insurance, pet insurance, commuter benefits, and more
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Application Deadline
  <br/>
  <br/>
 </strong>
 This position will be an ongoing recruitment process and will be open until filled.
 <br/>
 <br/>
 <strong>
  Equal Opportunity
  <br/>
  <br/>
 </strong>
 SonderMind does not discriminate in employment opportunities or practices based on race, color, creed, sex, gender, gender identity or expression, pregnancy, childbirth or related medical conditions, religion, veteran and military status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including genetic information or characteristics), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.
 <br/>
 <br/>
</div>


HARBIN CLINIC

<div><div><div><div><div><div><div>Back to Search Results
</div></div></div></div><div></div><div><div><div><div><div><h1 class="jobSectionHeader"><b>Patient Access Operations Coordinator</b></h1>
<p>Rome, GA, United States<br>
Job ID: R201318
<br>
Shift: Various
<br>
Job Type: Regular
</p></div><div><div><div><div>Share: mail</div></div></div></div><div></div><div><br>
</div></div><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>Department:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
13511 Enterprise Revenue Cycle - Floyd Medical Center GA Arrival Emergency Department<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Status:</b>
</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>Full time<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Benefits Eligible:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
Yes<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Hou</b><b>rs Per Week:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
40<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Schedule Details/Additional Information:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
Will primarily be weekends Thurs-Sun 10 hour shifts</p><p></p><p><b>
Pay Range</b></p>
$21.85 - $32.80<p></p><p>
Essential Functions</p><br>
<ul>
<li>Prepares reports of denials, credit balances, payer opportunities.
</li><li>Analyzes rejection reports and errors made by system and teammates. Requests system changes, reports error rates by teammate and collaborates with training to ensure improvement is achieved and sustained.
</li><li>Prepares Medicare/Medicaid quarterly credit balance reports. Approve refunds as defined in departmental threshold guidelines.
</li><li>Assists Supervisor/ Manager with quality checks for all payers and departments.
</li><li>Performs quality assurance tasks as needed to validate workflow builds, claim edit actions, automatic actions in Epic, process improvements, etc.
</li><li>Analyzes denial reasons provided by payers. Collaborates with management to identify, trend and address root causes of denials.
</li><li>Researches and analyzes payer trends and works on special projects involving aged, high dollar or complex account issues.
</li><li>Trains new teammates as needed.
</li></ul><p></p><b>Physical Requirements</b><br>
Requires sitting for long periods of time. Requires bending and may need to lift-up to 10 pounds occasionally.<br>
<p><br>
<br>
<b>Education, Experience and Certifications</b></p><br>
High school diploma or GED required. Two-years' experience in related financial services or healthcare business office required. College (bachelor's or associate) degree preferred. Requires the ability to communicate effectively in verbal and written formats. Proficiency in Word, Excel and Outlook preferred. Prior healthcare computer system and specifically Epic billing experience preferred.<p></p><p><b>
Our </b><b>Commitment to You:</b></p><p></p><p>
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:</p><p></p><p><b>
Compensation</b></p><ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul><p></p><p><b>
Benefits and more</b></p><ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
About Advocate Health</b></p><p></p><p>
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
</p>Patient Accounts Specialist (PAS) works under the immediate supervision of supervisors/managers in Patient Financial Services (PFS). PAS positions perform complex tasks requiring critical thinking skills and experience-based (specialist) knowledge in PFS. Reviews difficult work queues, large dollar accounts, aged accounts and any special projects assigned by leadership. Creates reports/spreadsheets for identification of problem areas and utilizes critical thinking skills to determine appropriate actions to resolve problem. Must demonstrate thorough knowledge and understanding of patient billing, billing transmission, government regulatory/ compliance requirements, and electronic billing systems.</div></div></div></div></div></div></div><div></div>

Patient Access Operations Coordinator

Mogel

<p>Gilbert, AZ (Onsite + 1 Day WFH) <br />$24–$26 per hour <br />Full-Time | Monday–Friday </p><p>  </p><p>MOGEL is partnering with a rapidly growing healthcare technology organization in the East Valley to hire Billing Specialists focused on claims, denials, and payer follow-up. </p><p>If you have experience working denied claims and enjoy solving complex billing issues, this is an opportunity to join a stable, performance-driven revenue cycle team. </p><p>  </p><p><strong>What You’ll Be Doing</strong> </p><p>• Submit and rebill insurance claims <br />• Work denials and rejections to resolution <br />• Research payer guidelines and billing discrepancies <br />• Update EMR demographics and patient information <br />• Meet departmental productivity and quality metrics </p><p>  </p><p>This is a back-end revenue cycle role strong attention to detail and claims knowledge are key. </p><p>  </p><p><strong>Schedule &amp; Flexibility </strong> </p><p>Monday–Friday <br />Consistent 8-hour shift (start time between 7:00 AM – 6:00 PM) <br />Onsite: Monday–Wednesday &amp; Friday <br />Remote: Thursdays </p><p>Schedule remains consistent once selected. </p><p>  </p><p><strong>Ideal Background</strong> </p><p>• Healthcare billing / claims experience preferred <br />• Experience with denials, adjustments, remittance research <br />• Knowledge of payer workflows <br />• Comfortable in a fast-paced environment <br />• Professional, detail-oriented, and metrics-driven </p><p>  </p><p><strong>Nice to have:</strong> Multi-state billing experience (CA, OR, SC, GA, OK) </p><p><strong> </strong> </p><p><strong>Why Consider This Role?</strong> </p><p>• Growing healthcare tech organization <br />• Structured onboarding &amp; training <br />• Stable weekday schedule <br />• Full benefits package (medical, dental, vision, 401k) <br />• Clear performance expectations </p><p>  </p><p>Must work onsite in Gilbert, AZ <br />Must be authorized to work in the U.S. (no sponsorship) </p><p> </p><p><strong>Equal Opportunity Employer</strong> <br />MOGEL and our clients provide equal employment opportunities for all employees and applicants. Hiring decisions are based on job-related qualifications without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any protected category. We celebrate diversity and are committed to an inclusive workplace. </p>

Revenue Cycle Billing Specialists

Parallon

<p></p><div><p><b>Introduction</b></p>
<p><b>This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).</b></p>
<p>Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Billing Integrity Analyst Credentialed today with Parallon.</p>
<p><b>Benefits</b></p>
<p>Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p>
<ul><li>Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
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.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance.</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more</li><li>
Consumer discounts through Abenity and Consumer Discounts</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships)</li><li>
Colleague recognition program</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
<p>Learn more about Employee Benefits</p>
<p><b><i>Note: Eligibility for benefits may vary by location.</i></b></p>
<p>Come join our team as a Billing Integrity Analyst Credentialed. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!</p>
<p><b>Job Summary and Qualifications</b></p>
<p>The Billing Integrity Analyst (credentialed) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the payer. Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges and/or balances. Analyzes accounts for specialized billing requirements that require a review of the medical record documentation, regulatory information, and HCA standards. Combines or splits accounts as appropriate. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities. Provides charge review results and develops and coordinates educational in-services for facility staff related to charging/billing issues. Coordinates retrospective, concurrent, patient requested, and external billing audits. Reviews denial trends for documentation and charging opportunities. Serves as a primary contact for charge related SSC and facility inquiries and issues.</p>
<p><b>In this role you will:</b></p>
<ul><li>Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes the verification (and/or correction) of billing data for accuracy and completeness, by following regulatory requirements, and reviewing the medical record, facility protocol, and other applicable documentation. This also includes the application of modifiers and condition codes, as appropriate.</li><li>
Identify charging, chargemaster coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues that are identified while working on edits.</li><li>
Serve as charge master liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary</li><li>
Review Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Billing Integrity procedures and implement changes as needed.</li><li>
Maintain billing education, attend webcasts and conference calls as required.</li></ul>
<p><b>Qualifications:</b></p>
<ul><li>Associate Degree or above; or healthcare license/certification required.</li><li>
Minimum 1 year directly related Healthcare experience or coding experience required.</li><li>
Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.</li><li>
Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience.</li></ul>
<p><b>Parallon</b> provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.</p>
<p>HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.</p><br>
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<p>&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p>If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Billing Integrity Analyst Credentialed opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. <b>Unlock the possibilities and apply today!</b></p>
<p><i>We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</i></p></div><p></p>

Billing Integrity Analyst Credentialed

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