Ensures compliance with policies and procedures and governmental/accreditation regulations. Reconciles enrollment data and encounter data within the Enterprise Data Warehouse. Reconciles enrollment data with delegated vendors Serves as primary point of contact with MDH on encounter data issues. Reports, tracks, resolves and trends enrollment discrepancies to MDH. This inc

Coding Specialist Location US Remote Job ID 2024 10624 Overview Overview The Coding Specialist position will be filled by a Medical Coding Specialist or health insurance policy expert for the Medical Benefits and Certifications Unit. The Coding Specialist position will participate in management of the codebook of a limited health plan providing medical benefits to respond

Job Description Under the supervision of Manager, assists in clerical support functions, maintains departmental records and files, prepares documents and correspondence, organizes inventory of office supplies and forms, and designs forms, graphs, etc. Assists with chart documentation. Assists with patient scheduling, registration and insurance verifications and obtaining

Sort Lockboxes and flag EFT monies. Post payments and rejections (manual & electronic) in Epic. Posts Time of Service, credit card deposits and journal vouchers to the Epic system. Interacts with clinic and billing office staff. Post auto self pay file. Obtains documentation, organizes, prepares and posts negative remittances from third party payers continuing to track un

The Medical Officer provides overall administrative and clinical direction of client's Health Services Administration, including the design, development, coordination, and delivery of a comprehensive continuum of quality adolescent health care to include screenings and assessments, evaluations, early detection and prevention, treatment, counseling, dental and vision s

Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Manages the intake of patients into the practice, screens for emergent conditions, registers, verifies insurance and explains patient responsibility

Medical Biller Supervisor Baltimore, MD MUST Experienced Medical Biller Supervisor 3+ years of experience as a Medical Biller Supervisor 3+ years of supervisory or team leader experience Must have medical billing experience to include charge entry, AR follow up and payment posting Must have collections experience Must have knowledge of ICD 10 and CPT coding Working knowle

Health Information Specialist II ONSITE Job Locations | US VA Berryville | US WV Martinsburg | US MD Hagerstown | US VA Dulles | US MD Frederick | US VA Chantilly Requisition ID 2024 36393 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's h

The Technical Advisor is responsible for technical support and overall operational implementation for their designated project(s) within the regional portfolio. Under the supervision of the Portfolio Director, he/she/they will work closely with URC home office and country level technical and management staff to provide technical assistance and programmatic support to fiel

Answers all incoming calls; assesses callers' needs and directs to appropriate personnel. Pages clinic personnel as appropriate. Obtains and communicates messages in an accurate and timely manner. Schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelines. For new and or referred patients, sets

The Referral Coordinator works with the care team to process and track routine and urgent referrals to facilitate the process for specialty consults, follow up care and prior authorization when necessary. Make appropriate referrals to/for other services and resources available (e.g., medical, dental, etc.). MAJOR DUTIES AND RESPONSIBILITIES Checking, Examining, and Record

Seeking to fill an open, full time, Call Center Associate position in a Provider Inquiry Department for the DC Medicaid program. The position is telephone based with a focus on delivering quality service to the DC Medicaid Provider community. All applicants should possess excellent communication skills, medical claims knowledge, and experience in handling customer inquirie

As a Patient Service Coordinator at Medstar, you will be responsible for providing the best customer service to patient by greeting them with a warm and friendly smile, checking in/out processes, gathering demographic information, insurance verifications, as well taking copayments and scheduling. Primary Duties 1. Serves as the initial contact person at the medical practi

MedStar Health is looking for a Manager Practice t o join our MMG (MedStar Medical Group) team ! As a Manager Practice, you will plan, manage, and coordinate all patient care activities for medical office location. Implements and maintains organizational policies and procedures pertaining to personnel, federal and state regulations, daily operations, and support of medica

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp