2 inpatient complex coder jobs found

Prior Authorization Rep II Job Summary University Medical Billing ( UMB )  is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too.        We are looking for an experienced  Prior Authorization Representative  to join our team. As the Prior Authorization Rep, you will be responsible for ensuring accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that...

POSITION: Revenue Recovery Analyst RESPONSIBLE TO: Director of Revenue Cycle Management JOB SUMMARY: The Revenue Recovery Analyst is responsible for identifying, analyzing, and resolving discrepancies in insurance payments to ensure accurate reimbursement and maintain the organization's revenue integrity objectives. This role involves both targeted recovery initiatives for specific accounts and comprehensive analytics at the population level to detect patterns of underpayment and overpayment, ensure compliance with contracts, and facilitate proactive measures to prevent revenue loss. RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: Identify and resolve underpayments and overpayments across government and commercial payers. Perform detailed account reviews comparing expected vs. actual reimbursement. Initiate and manage payer appeals and refund processes in accordance with regulatory requirements. Track and...