8 jobs found

What are we looking for in our Medical Biller? Pride Health is hiring Medical Biller with one of our healthcare clients in San Diego, CA for a contract role of 3 months with possible extension. Schedule : Monday-Friday 08:00 am - 05:00 pm Responsibilities The role involves patient, third party, government, physician billing and / or collections activities. Provides for coordinated processes, procedures, and systems, customer service delivery models and ensures compliance with internal policy and external agency regulations. Manages insurance reimbursement from third-party billings and government insurance programs. Keeps abreast of the full array of third-party contracts and billing / collections requirements. Incorporates cash posting, accounts receivable management and financial counseling for securing collections of accounts. Investigates highly complex claims, evaluates alternative funding sources for patients in need, and proposes procedures and systems to...

UCSD Layoff from Career Appointment: Apply by 07/31/23 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Special Selection Applicants: Apply by 08/10/23. Eligible Special Selection clients should contact their Disability Counselor for assistance. Candidates hired into this position may have the ability to work remotely. This position will remain open until filled. DESCRIPTION UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer...

Job Description Job Description At TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values Integrity, Diversity, Mentorship, and Inclusion are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment. JOB SUMMARY Data entry, reporting, and timely completion of billing and reimbursement functions. This position may also work with medical records consistent with health care ethical, legal, and regulatory requirements. RESPONSIBILITIES Reasonable accommodation may be made for individuals with disabilities to perform essential job functions. • Communicate level of staff accurate and timely documentation, and if meeting minimum billable requirements for direct client services. • Capture and enter billing, corrections, reconciliations to ensure accuracy. • Complete admissions and discharges in EHR. • Compile and maintain patients'...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and  your life’s best work.SM  You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Schedule:  This position is full-time (40 hours/week). Employees will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). It may be necessary, given the business need, to work occasional overtime. Primary...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. As a  Certified Sr. (IP) Acute Edits Medical Coder you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient types in addition to periodic coding. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for...

Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global...