3 claims supervisor jobs found

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...