2 jobs found in Hamilton

Reviews assigned claims daily for accuracy Monitors payer updates and bulletins and shares with coworkers/manager as appropriate Responsible for reviewing and working accounts receivable and following up on unpaid claims with insurance companies Post insurance and personal payments in an accurate and timely manner Prepare and ensure accuracy of daily cash report Performs requires edit corrections and submits claims/rebills to payers in a manual or electronic format to ensure accurate and timely filing Monitors assigned bill holds and other work lists and ensures expeditious resolution Effectively utilizes payer websites as needed in the execution of daily tasks Transfer, adjust, and refund payments when appropriate for accounts Handles telephone interactions with courtesy and respect ensuring appropriate interactions with patients and staff. Responds promptly to all requests Must be able to understand and direct patients with appeals, grievances, and...

Job Description Job Description Description:    About Primary Health Solutions Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R – Respect I – Innovation S – Stewardship E – Excellence  Billing and Coding Specialist Summary Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty.  A Day in the Life · Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable.  · Review incomplete encounters and code based on available documentation in EHR systems. · Know and understand several different...