19 jobs found in Troy

Business (Non-Clinical) Project Coordinator As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT, HCPCS, ICD used in the development and maintenance of Benefit Administration Manual policies and HAP's coverage tool (Master Tiering Database) as well as actively participate in various HAP code-related committees and ad hoc projects. Principal Duties and Responsibilities: Conduct research for development and update of codes for Benefit Administration Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other issues such as new technology. Maintain organized documentation of findings from research as well as proposed resolutions. Research all types of codes (e.g., CPT, HCPCS, ICD) including new codes, existing codes, additions and deletions of codes, use of modifiers, and revenue codes to be compliant with...

Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences...

GENERAL SUMMARY: Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: Degree in Medical Record Sciences preferred but not required or successful completion of a certification program with certification as a Registered...

Coder Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims,...

Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims,...

Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established policies and procedures - the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. High school diploma or equivalent required. Two years of experience in an office environment or healthcare-related field, required. Prior experience in a healthcare revenue cycle position, preferred. Knowledge of Medical terminology, preferred. Knowledge of CPT/HCPCS revenue codes, preferred. College course work in accounting, business or Health Care Administration,...

Business (Non-Clinical) General Summary: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Education/Experience Required: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding...

GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT, HCPCS, ICD used in the development and maintenance of Benefit Administration Manual policies and HAP’s coverage tool (Master Tiering Database) as well as actively participate in various HAP code-related committees and ad hoc projects. PRINCIPLE DUTIES AND RESPONSIBILITIES: Conduct research for development and update of codes for Benefit Administration Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other issues such as new technology. Maintain organized documentation of findings from research as well as proposed resolutions. Research all types of codes (e.g., CPT, HCPCS, ICD) including new codes, existing codes, additions and deletions of codes, use of modifiers, and revenue codes to be compliant with Medicare rules and...

Description We are looking for a full time medical biller in our office in Troy, Michigan. Must have strong computer/EMR skills and be detailed oriented, experience in healthcare billing required. Position includes claim billing, EOB posting, A/R reduction, claim denials and other tasks as assigned. Some duties: Collecting the information required to create a claim Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid Reviewing and appealing unpaid and denied claims Handling collections on unpaid accounts Managing the facility's Accounts Receivable reports - posting payments both patient and insurance Answering patients billing questions Other tasks as assignedBenefits offered: Paid time off Health insurance Dental and Vision insurance Other types of insurance Retirement benefits/401K

A healthcare organization in Troy, Michigan is looking for a Medical Billing Specialist II to manage insurance accounts and ensure the accuracy of patient financial information. Responsibilities include resolving claims issues and following up on payer responses. The position requires at least a high school diploma and two years of experience in a healthcare environment. Benefits include competitive health plans and additional perks. This role allows for hybrid work arrangements. #J-18808-Ljbffr

Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! Responsibilities As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Qualifications Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology....

A healthcare facility in Troy, Alabama, is seeking a Coder to accurately code diagnoses and procedures across various specialties including Emergency services. The ideal candidate should have a high school diploma, complete an accredited coding program, and possess at least two years of coding experience in an acute hospital setting. Proficiency in ICD-10, DRG optimization, and medical terminology is required, along with strong Excel skills. This role plays a vital part in supporting quality patient care and ensuring proper billing. #J-18808-Ljbffr

Overview Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established policies and procedures - the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. Qualifications High school diploma or equivalent required. Two years of experience in an office environment or healthcare-related field, required. Prior experience in a healthcare revenue cycle position, preferred. Knowledge of Medical terminology, preferred. Knowledge of CPT/HCPCS revenue codes, preferred. College course work in accounting, business or Health Care Administration, preferred....

A healthcare provider in Michigan is seeking a reliable insurance accounts receivable professional to manage patient financial information for compliant claims and resolve issues related to provider denials. Key responsibilities include billing and collecting payments across healthcare facilities. Candidates must have a high school diploma and at least two years of experience, with preferred skills in medical terminology and revenue coding. Strong organizational abilities and effective communication skills are essential. #J-18808-Ljbffr

Overview Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established policies and procedures the accuracy and completeness of patient financial, insurance and demographic information to ensure compliant claims to third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. Responsibilities Identify and verify accuracy and completeness of patient financial, insurance and demographic information to ensure compliant claims to third party payers. Resolve problem accounts from payer denials and follow up on claims requiring a payer response. Bill and collect payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. Qualifications High...

A leading healthcare provider in Central North Carolina seeks a Billing Specialist to manage complex billing processes across multiple Occupational Health Clinics. Candidates should possess an associate degree and extensive billing experience, demonstrating strong organizational and customer service skills. This role involves daily billing processing and effective client communication with a focus on accuracy and compliance. #J-18808-Ljbffr

A healthcare company in Michigan is seeking an Occupational Therapist to provide high-quality care to patients. The role involves evaluating patients, creating care plans, and ensuring documentation is completed promptly. Candidates must hold a Master's in Occupational Therapy and possess a valid license. The company offers competitive compensation, educational incentives, and a supportive work environment focused on diversity and inclusion. #J-18808-Ljbffr

A leading healthcare provider in Michigan seeks a CBO Coding Certified Specialist to review and validate diagnostic coding for billing purposes. The role requires strong knowledge in medical terminology, anatomy, and coding systems such as ICD-10 CM and CPT. Applicants should have a high school diploma, relevant coding certifications, and preferably some billing experience. The job offers competitive health plans and benefits, emphasizing team well-being and support. #J-18808-Ljbffr

Job Description Job Description GENERAL SUMMARY: The Billing Follow-Up Specialist is responsible for participating in billing activities that involve the follow-up process for denied claims, coding errors, and other issues. Additionally, the Billing Follow-Up Specialist monitors the department's incoming materials (mail, deliveries, etc.) and seeing to day-to-day tasks of the greater billing department. Under direct supervision the billing specialist performs general departmental job functions, related clerical tasks including opening and sorting mail, scanning, and the organization and mailing of correspondence.   TYPICAL DUTIES AND RESPONSIBLITIES: Reads incoming materials and sorts according to filing and record keeping system. Opens incoming mail and accurately sorts for distribution. Prepares and maintains various schedules to allow for payment posting (receipt posting log, missing EOB log, settlement documents, etc.) Post patient payments in the PM system....