5 claims supervisor jobs found

Job Description The City of Naperville’s Fire Department is seeking two full-time Medical Billing Representatives to perform a variety of tasks related to processing claims for emergency services in a newly created, in-house medical billing division .  The Medical Billing Representative are full-time, civilian (non-sworn) positions that work Monday – Friday in the Fire Administration Building and will report to the Medical Billing Supervisor. The anticipated hiring range for this position is $27.74 – $30.51 commensurate with credentials and experience. The Pay Grade for this position is N220. For additional information,  click here.   (Download PDF reader) Duties The Medical Billing Representatives are responsible for billing for ambulance and fire recovery services, receiving payments for those services and the maintenance of payment records in a professional and confidential manner. These positions are also responsible for the organization, preparation,...

SUMMARY/OBJECTIVE:  The RCM Specialist is responsible for all billing duties listed below. The position requires coordination with client contact for the daily and monthly revenue cycle management process.   ESSENTIAL FUNCTIONS: Core duties and responsibilities include the following. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.   Claims Processing Progress notes and account review Patient demographic and insurance updates Billing related alert creation and deletion Claims processing (both paper and electronic) Clearinghouse review and management of rejected claims Management and follow up of client returned claims Payment Processing Daily balancing Payment posting (both manual and electronic) Collection management AR Follow-Up Insurance website navigation and maintenance of log in access E-status review for provider participation...

Senior Billing Compliance Hospital Reviewer  Dana-Farber Cancer Institute  Boston, MA  Full Time Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer will be responsible for the identification and performance of Billing Compliance inpatient and ambulatory activities. The Senior Reviewer will provide oversight related to reviewing the accuracy and appropriateness of ICD-10-PCS procedure coding and assessing DRG assignment. The Senior Reviewer will assist in the development and execution of the annual Billing Compliance work plan. They will monitor federal and state regulatory requirements and industry developments and work to determine applicability and risk to both technical and operational aspects of the organization. Metrics will be developed and reported quarterly. The Senior Reviewer will be expected to pursue successful completion of multiple tasks collaborating effectively with many departments across the institute, Mass...

Position Summary:   The Certified Medical Coder is responsible for reviewing patient medical records and accurately assigning diagnosis and procedure codes using ICD, CPT, and HCPCS classification systems. This role ensures compliance with regulatory guidelines, supports timely claims submission, and collaborates with clinical and billing staff to maintain coding accuracy and completeness. Reports to:   Coding Director Supervisory responsibilities : None Key Responsibilities include but not limited to: Assign accurate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS systems Review and abstract medical record documentation, including chronic conditions and quality measures  Ensure proper code sequencing in compliance with federal regulations and payer requirements  Validate that documentation supports all coded diagnoses, procedures, and charges  Identify and resolve documentation gaps; query providers for clarification when needed...