Billing & Revenue Cycle Specialist with strong experience in hematology/oncology billing, coding, and revenue cycle management...Job Title: Medical Billing & Revenue Cycle Specialist Location: Bethlehem, PA (On-site) Job Type: Full-time...
and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external... departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns...
with physician practices (both private and hospital affiliated institutions). They interact directly with key management personnel... on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient...
, denials, and corrective action plans. Participate in internal audits and external reviews by funding sources. Serve..., recovery services, or peer support programming. Preferably have at least two (2) years of supervisory or program management...
with Physician 95% of the time. Per provider request. Per departmental audit standards. Investigates claim denials from third... Center encounters per hour. Codes 10 GI/Pain Management encounters per hour. Codes 30 Radiology/OP Diagnostic services...
Verification Skills Matter Most You're not just answering phones – you're our revenue protection specialist and patient financial... are provided, prevent claim denials, and maximize revenue capture Excel at Financial Counseling: Confidently explain costs...
a meaningful difference in the lives of the patients you serve. The Physical Therapy Support Specialist (PTSS) works to support... PTSS is responsible for therapy referral management, patient scheduling, assisting with patient registration and check-out...
Verification Skills Matter Most You're not just answering phones – you're our revenue protection specialist and patient financial... are provided, prevent claim denials, and maximize revenue capture Excel at Financial Counseling: Confidently explain costs...
and optimal charge capture. Req Effectively partner with revenue cycle staff on coding denials management. Req Effectively... communication skills. Preferred Qualifications: Required Licenses/Certifications: Req Certified Coding Specialist - CCS...
management. Key Responsibilities Oversee all aspects of urgent care billing, including charge entry, claims submission..., payment posting, denials, and appeals Manage and support billing staff, including training, performance monitoring...
and optimal charge capture. Req Effectively partner with revenue cycle staff on coding denials management. Req Effectively... communication skills. Preferred Qualifications: Required Licenses/Certifications: Req Certified Coding Specialist - CCS...
, Scheduling Flexibility, Tuition Reimbursement, Employee Discounts and much more! The Pathology Compliance Specialist... management and staff in efforts to continually improve systems to reduce and eliminate exposure to fraud, abuse and negligence...
of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups... presentations, develops learning material, handbook and other educational materials. Edits/Denials/Coding - Assists operational...
to our community. Monarch Behavioral Health is currently searching for an Insurance Billing Specialist, preferably with experience... as needed and prepare accounts for collections when necessary. Track and monitor claim rejections, denials, under and overpayment...
, and leadership to guide rebuttals, and establishing management correction plans when necessary. Additionally, the Compliance Auditor... departments handling Medicare, OIG, or non-Medicare denials. Provide expert analysis on coding, documentation, and applicable...
and PCS coding/denials/audits, we want to hear from you. Schedule: Full time, Monday-Friday 8am-5pm during training... documentation improvement and quality management staff to: align diagnosis coding to documentation to improve the quality...
: The Prior Authorization & Billing Specialist plays a critical role in ensuring timely access to mental health services... & Utilization Management Obtain and manage prior authorizations for outpatient and inpatient mental health services, including...
. This is a permanent leadership role providing strategic oversight of internal audits, risk management, and regulatory compliance..., billing, denials, and documentation inquiries. Lead, mentor, and develop internal audit staff, fostering a culture...
to resolve claim edits and denials. Ensures clinical documentation supports the charges posted, following the American Medical... Coding Specialist (CCS), or Registered Health Information Technician (RHIT). Minimum 3 years of experience within Revenue...
will be responsible for the general supervision and management of the billing and revenue cycle functions for physician practices... supporting complex specialty service lines. This role is responsible for the strategic oversight and operational management...