TAL Healthcare

  • The Bronx, NY, United States
TAL Healthcare
TAL Healthcare New York, NY, USA
Job Description Job Description A/R Follow-Up Medical Biller Our client is a fast-growing Accounts Receivables management company in need of an A/R Follow up Medical Biller. The A/R Follow-Up Medical Biller responsible for providing clear and detailed information regarding the status of insurance claims submitted to insurance companies. Responsibilities: ·         Log onto insurance carrier websites. ·         Call insurance carriers for claim status. ·         Take detailed notes. ·         Experience with Mental Health, Behavioral Health, Substance Abuse and OPWDD claims ·         FQHC experience preferred, Article 16, 32 29, 31 ·         Medicaid experience   ·         Document call notes utilizing an in-house system. ·         Identify problems that has stalled the claim process. ·         Take the necessary steps to overcome those problems. ·         Post payments ·         Recognize billing trends ·         Verify and update member demographic information....

TAL Healthcare New York, NY, USA
Job Description Job Description Senior Compliance Coding Auditor Our client, a top NYC academic medical center, is currently seeking to hire a Senior Compliance Coding Auditor. Responsibilities: • Participate in external government audits, including the OMIG, OIG, AG, OSC etc • Communicate with external agencies regarding audits. • Participate in development of voluntary disclosures and repayments to federal and state agencies. • Coordinate, supervise, and perform medical record audits of documentation, coding and billing for technical and professional services, including CPT, ICD10, HCPCSII, DRG, APC, APG, Modifiers, Teaching Physician Guidelines, NPP documentation, electronical and manual documentation, coding and billing systems. • Develop formal audit reports of findings and recommendations, which are presented to senior management of applicable department, the Executive Compliance Committee and the Board of Trustees. • Develop and conduct documentation, coding...