Medical Records Technician jobs at STG International - 2482 jobs
HIM FIELD CODER
Liberty Health 4.4
Wilmington, NC jobs
HIM FIELD CODER Liberty Cares With Compassion At Liberty Home Care we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes. Our healthcare professionals are dedicated to offering recovery with independence to our patients. We are currently seeking an experienced: HIM FIELD CODER Full Time (North Carolina Based) Job Summary: * Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days. * Provides LHRS facilities with accurate ICD codes during facility HIM staff new hires, vacation, extended leaves or vacancy. Entering codes into facility EHR within a 24 business hours following resident admit. * Completes LHM home health and hospice intake coding as assigned. Entering codes into EHR within 24 business hours following notification. * Perform ICD code analysis, as requested and report findings to LHM Senior Director of Coding Reimbursement. * Serve as an ICD coding resource, responding to staff questions concerning ICD coding in a timely manner. * Works with other departments as needed to improve documentation quality and/or to improve the processes which are related to accurate ICD code assignment. * Assist with training of staff on ICD coding. * Attends educational sessions pertinent to ICD coding to ensure competency in LTC, home health & hospice coding. * Performs other duties as assigned. Job Requirements: * Must be a high school graduate * Must be a Registered Health Information Administrator/RHIA (BS) or Registered Health Information Technologist/RHIT (AAS), AHIMA Certification required * Extensive knowledge of ICD-10-CM coding required * 1-3 years of relevant coding experience in the LTC and/or home health and hospice setting preferred * Knowledge of Medicare/Medicaid regulations preferred * Must be dependable, flexible, and able to work and cooperate well with staff and have understanding, patience, and tact in working with practitioners and others. * Must be able to prioritize work assignment and complete duties within specified timeframe, but also be flexible to adapt to changing priorities. * Excellent computer skills * Must have a valid N.C. driver's license. * Must have neat professional appearance at all times. Visit *********************** for more information. Background checks/drug-free workplace. EOE. PI815de1ded998-37***********5
$41k-54k yearly est. 2d ago
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Medical Coder
Valley Children's Healthcare 4.8
Madera, CA jobs
This position is responsible for accurately assigning ICD-9-CM/ICD-10-CM diagnosis and procedure codes and CPT-4 procedure codes to inpatient and outpatient medicalrecords using the 3M encoding software. The role includes assigning HCFA-DRG and APR-DRG groupers for inpatient records and abstracting clinical, financial, trauma, and quality management data into the organization's health information system. Additionally, this position monitors accounts receivable, abstract and claims rejections, and other related billing reports. Inpatient hospital coding constitutes 70% or more of the total coding workload.
Experience Requirements
Minimum of one (1) year of experience using ICD-10-CM/PCS and CPT-4 coding classification systems
Working knowledge of encoder software, MS-DRG and APR-DRG groupers, and AHA Coding Guidelines
Demonstrated proficiency in data entry and the ability to perform mathematical calculations accurately
Education, Licensure, and Certification
High school diploma or GED accredited by the U.S. Department of Education required
Successful completion of a formal training program in ICD-10-CM/PCS and CPT coding, anatomy and physiology, and medical terminology required
Certified Coding Specialist (CCS) credential required
Position Details
This is a part time (20 hours per week) hybrid position, combining remote work with regular on-site responsibilities and presence required based on departmental needs and organizational priorities.
About Valley Children's Healthcare
Valley Children's Healthcare is an award-winning pediatric healthcare system located in Madera, California, in the heart of the affordable Central Valley. The organization operates one of the nation's largest pediatric healthcare networks, including a 358-bed children's hospital and multiple outpatient clinics. Valley Children's offers access to three national parks and is within driving distance of California's world-renowned coastline, providing an exceptional balance of professional opportunity and quality of life.
A leading healthcare provider in San Diego, California, seeks a professional to provide coding support and appeal guidance related to reimbursement issues. The ideal candidate has at least 5 years of experience in coding and auditing, and is a Certified Professional Coder (CPC). Responsibilities include acting as a liaison between departments, researching policies, and ensuring timely follow-up collections. A Bachelor's degree is preferred. This role offers competitive hourly pay between $36.830 and $53.230.
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$36.8-53.2 hourly 3d ago
Specialty Coder Senior - Neurosurgery
Christus Health 4.6
San Antonio, TX jobs
Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medicalrecord systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines.
Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership.
Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.
Responsibilities
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
Abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medicalrecord system.
Validates admit orders and discharge dispositions.
Works from assigned coding queue, completing and re-assigning accounts correctly.
Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner.
Meets or exceeds an accuracy rate of 95%.
Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
Assists in implementing solutions to reduce backend errors.
Identifies and appropriately reports all hospital‑acquired conditions (HAC).
Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.
Has strong written and verbal communication skills.
Able to work independently in a remote setting, with little supervision.
Participates in both internal and external audit discussions.
All other work duties as assigned by the Manager.
Job Requirements Education/Skills
High school Diploma or equivalent years of experience required.
Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.
Experience
1 - 3 years of experience preferred.
Licenses, Registrations, or Certifications
None required.
Work Schedule
5 Days - 8 Hours
Work Type
Full Time
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$48k-58k yearly est. 2d ago
Hospital Outpatient Coder II, FT, Days, - Remote
Prisma Health 4.6
Maryville, TN jobs
Inspire health. Serve with compassion. Be the difference.
Codes medical information into the organization billing/abstracting systems for multiple facilities. Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes. Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference.
Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate.
Adheres to department standards for productivity and accuracy. Operates under the general supervision of HIM Coding leadership.
Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts daily for final coding.
Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.Communicates with leader when trending requests volumes impact productivity.
Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy.
Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program.
Experience - Two (2) years of coding experience in an acute care or ambulatory setting. Outpatient coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC).
Knowledge, Skills and Abilities
Demonstrates proficiency in utilizing official coding books as well as the electronic medicalrecord and computer assisted coding/encoding software to facilitate code assignment.
Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application.
Participates in on site, remote and/or external training workshops and training.
Ability to pass internal coding test.
Knowledge of electronic medicalrecords and 3M or other Encoder System.
Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently.
Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
Demonstrated competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations.
Basic computer skills
Work Shift
Day (United States of America)
Location
Blount Memorial Hospital
Facility
7001 Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$31k-39k yearly est. 7d ago
HIM Data Specialist
Valley Children's Healthcare 4.8
Madera, CA jobs
Health Information Management Data Specialist
Responsible for case identification, accessioning, and data abstraction for multiple clinical registries, including the California Perinatal Quality Care Collaborative (CPQCC), ImproveCareNow (ICN), and the Pediatric Cardiac Critical Care Consortium (PC4). Accurately abstracts required data elements from the medicalrecord and enters, validates, and maintains data within Valley Children's Healthcare comparative database systems and registries. Supports both internal and external administrative, clinical, and statistical reporting needs.
Experience
Minimum of one (1) year of related experience required
Education / Licenses / Certifications
Associate degree (2-year) in Health Information Technology required
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required
Active California Registered Nurse (RN) license preferred
About Valley Children's Healthcare
The award winning Valley Children's Healthcare, is located in the heart of the affordable, Central Valley of California in Madera, just a short drive to 3 national parks and your choice of California coastline beaches. The hospital is one of the largest pediatric healthcare networks in the Country with a 358-bed hospital and several outpatient clinics.
$130k-183k yearly est. 7h ago
Health Information Specialist, FT, Variable
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Ensures accuracy, accessibility, and confidentiality of patient medicalrecords. Integrates responsibilities in document quality review, chart analysis, transcription, and release of information (ROI). Safeguards the integrity of clinical documentation by verifying completeness and proper indexing, while also ensuring information is disclosed in compliance with HIPAA regulations and Prisma Health policies. Success in this role requires advanced proficiency with electronic medicalrecords (EMR), strong communication skills, meticulous attention to detail, and a firm commitment to regulatory compliance and patient privacy.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
Conducts chart audits to ensure accurate indexing of scanned documents to the correct patient, document type, and encounter level.
Analyzes medicalrecords for completeness and compliance with Medical Staff Rules, regulatory standards, and internal policies.
Resolves issues related to incorrectly scanned, misfiled, or incorrectly linked documents by re-scanning, re-indexing, redacting, or requesting system corrections.
Transcribes and proofreads patient medical information dictated by healthcare providers. Maintains logs for transcription activity and ensure timely processing.
Monitors work queues and works assigned electronic work lists, Epic queues, OnBase queues, and document discrepancies to ensure timely resolution.
Completes other tasks as assigned to support the Health Information Management (HIM) department and overall organizational goals.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive
Minimum Requirements
Education - High school diploma or equivalent OR post-high school diploma/highest degree earned
Experience - Two (2) years of experience in health information management, transcription, ROI, or chart analysis. Epic credential or experience preferred.
In Lieu Of
The education and experience requirements noted above, an Associate Degree in Health Information Management may be considered.
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT) preferred
Knowledge, Skills and Abilities
Proficient in EMR systems and document imaging platforms (e.g., Epic, ROI software).
Familiar with HIPAA guidelines, minimum necessary standards, and authorization validation.
Working knowledge of transcription tools, medical terminology, and chart completion requirements.
Excellent customer service and communication skills-verbal, written, and interpersonal.
Detail-oriented with strong organizational, time management, and data entry skills.
Work Shift
Variable (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70017502 HIM-Operations
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$21k-27k yearly est. 7d ago
Health Information Specialist, FT, Variable
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Reviews and validates that scanned documents reside with the correct patient and are indexed to the correct document type and level (encounter, patient, or order) within the document management system. Assesses and reports document imaging quality metrics by employee and by location. Assures inaccurately scanned information is promptly corrected to assure the overall integrity of the patient medicalrecord. Maintains an expert knowledge of the imaging system function and all supportive software.
SA0273 - HIM Specialist
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
Conducts chart audits to ensure accurate indexing of scanned documents to the correct patient, document type, and encounter level.
Analyzes medicalrecords for completeness and compliance with Medical Staff Rules, regulatory standards, and internal policies.
Resolves issues related to incorrectly scanned, misfiled, or incorrectly linked documents by re-scanning, re-indexing, redacting, or requesting system corrections.
Transcribes and proofreads patient medical information dictated by healthcare providers. Maintains logs for transcription activity and ensure timely processing.
Monitors work queues and works assigned electronic work lists, Epic queues, OnBase queues, and document discrepancies to ensure timely resolution.
Completes other tasks as assigned to support the Health Information Management (HIM) department and overall organizational goals.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive
Minimum Requirements
Education - High school diploma or equivalent OR post-high school diploma/highest degree earned
Experience - Two (2) years of experience in health information management, transcription, ROI, or chart analysis. Epic credential or experience preferred.
In Lieu Of
The education and experience requirements noted above, an Associate Degree in Health Information Management may be considered.
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT) preferred
Knowledge, Skills and Abilities
Proficient in EMR systems and document imaging platforms (e.g., Epic, ROI software).
Familiar with HIPAA guidelines, minimum necessary standards, and authorization validation.
Working knowledge of transcription tools, medical terminology, and chart completion requirements.
Excellent customer service and communication skills-verbal, written, and interpersonal.
Detail-oriented with strong organizational, time management, and data entry skills.
Work Shift
Variable (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70017502 HIM-Operations
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$21k-27k yearly est. 7d ago
Medical Receptionist
Allied Physicians Group 4.4
Medford, NY jobs
Peds First PediatricsLocated in: Medford, New York 11763Join Our Team as a Medical Receptionist! Are you the kind of person who makes everyone feel welcome the moment they walk through the door? Do you thrive in a fast-paced environment where multitasking is key? If so, we'd love to have you as part of our team!*The Details You Need to Know:*
*Full-Time Schedule Within Hours:* Monday - Friday, 8:00 AM - 7:00 PM
*Rotating Saturdays and Sundays:* 8:00 AM - 1:00 PM
*How You'll Make an Impact:*
*Be the Friendly First Impression* - Greet patients with warmth, answer phones, and help families feel at ease.
*Keep Us Organized* - Schedule appointments, verify insurance, and manage patient check-in and check-out.
*Stay on Top of the Details* - Maintain accurate patient records and ensure smooth office operations.
*Be a Problem-Solver* - Answer questions, assist with paperwork, and help keep things running efficiently.
*Be a Team Player* - Work closely with providers and medical staff to support patient care
.
*What You Bring to the Team:*
High school diploma or GED.
At least one year of experience in a medical office (pediatric experience is a big plus!).
Strong customer service skills and the ability to multitask.
Experience with Electronic MedicalRecords (EMR), especially AthenaOne, is a bonus.
Bilingual? Huge plus-Spanish speakers are highly valued!
*The Physical Side of the Job:*
You'll be on your feet, moving around the office, assisting patients, and handling paperwork.
*If you're ready to be the heart of our front office and help families feel welcome and supported, we'd love to hear from you! Apply today and join a team that makes a difference.*
*Compensation Offered:*
Hourly - Hourly Plan, 19.50 USD HourlyThe salary/rate provided complies with local regulations and reflects the potential base compensation for this role. Actual salary/rate may vary above or below based on the candidate's experience, qualifications, and location.
*Perks & Benefits - Because You Deserve Them! *
We know that taking care of others starts with taking care of *you.* When you work at least *30 hours per week*, here's what you get:
🩺 *Health Coverage That Works for You* - Medical, dental, and vision plans to keep you and your family covered.
💰 *Smart Ways to Save* - Choose between a *Flexible Spending Account (FSA)* or a *Health Savings Account (HSA)* to plan for medical expenses.
📈 *Invest in Your Future* - Our *401K plan* comes with up to a *4% employer match*, helping you grow your savings.
🌴 *Take a Break, You've Earned It* - Paid Time Off to relax, recharge, or handle life's little surprises.
🛡 *Peace of Mind* - Life happens, and we've got you covered with *Basic Life Insurance, Supplemental Life Insurance, and NYS Short-Term Disability (STD). *
🔹 *Extra Protection* - Optional *supplemental insurance* products for added security.
💙 *Wellness Matters* - Access to *wellness programs and coaching* to keep you feeling your best.
🐾 *Care for Your Fur Family* - Access to pet insurance options to help with unexpected vet expenses.
🎉 *Exclusive Discounts* - Employee discount programs to save on things you love.
🚀 *Be Part of Something Bigger* - Join a growing organization that puts *exceptional patient care* at the heart of everything we do.
This organization participates in E-Verify. We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, domestic status, civil union status, pregnancy, employee's or dependent's reproductive decision making, veteran status, military status, sexual orientation (including actual or perceived heterosexuality, homosexuality, bisexuality and asexuality), gender identity or expression, predisposing genetic characteristic, genetic information, Acquired Immune Deficiency Syndrome or HIV status (AIDS/HIV status), arrest record, status as a victim of domestic violence, past convictions (in accordance with applicable law), or any other characteristic protected by applicable federal, state or local laws.
$31k-36k yearly est. 5d ago
Reimbursement Specialist - Hospice
Medical Services of America 3.7
Lexington, SC jobs
Hospice Reimbursement Group, a division of Medical Services of America Inc., is currently seeking experienced Full-Time Hospice Reimbursement Specialist for our corporate office in Lexington, SC.
MSA offers competitive pay and excellent benefits
40 hours paid time off during the first year of employment
Medical, Vision & Dental Insurance
Company paid life insurance
401(k) retirement with a generous company match
Opportunities for advancement
Other great benefits
This person will be responsible for submitting and re-billing claims
Submits claims for all pay sources and locations as assigned.
Tracks reasons for unpaid claims and re-bills claims as necessary.
Files electronic and/or written appeal requests in a timely manner.
Works with locations to resolve any issues that may affect billing.
Job Requirements
High School Diploma or General Education Degree (GED) required.
Previous hospice reimbursement experience preferred.
Previous medical office billing/collection experience preferred.
MSA is an Equal Opportunity Employer
$32k-44k yearly est. 7h ago
Medical Receptionist
Ent Surgical Associates 3.3
Glendale, CA jobs
We are seeking a professional and personable Medical Front Desk Receptionist to be the first point of contact for our patients. This role is essential in creating a welcoming environment while ensuring smooth daily operations of the front office. The ideal candidate will have strong communication skills, attention to detail, the ability to multitask in a fast-paced medical setting and a passion for patient-centered care.
Responsibilities:
· Greet patients and visitors in a warm, professional manner.
· Answer, screen, and route incoming phone calls.
· Schedule, confirm, and update patient appointments.
· Check patients in and out, ensuring all necessary forms and information are collected.
· Verify and update patient demographics.
· Obtain or verify proper insurance and patient information, collect signatures and ensure accuracy and completion of necessary documentation.
· Collect co-pays, payments, and provide receipts.
· Coordinate with the back office staff for timely and effective patient care.
· Maintain the front desk area in a clean and organized manner.
· Assist with patient inquiries regarding office procedures, policies, and services.
· Communicate effectively with medical staff to ensure smooth patient flow.
· Handle sensitive patient information in compliance with HIPAA regulations.
· Perform general office duties including scanning, faxing, filing, and data entry.
· Maintain a clean, stocked, and safe clinical environment
· Other tasks as assigned
Qualifications:
· High school diploma or equivalent (required)
· Bachelor's degree (preferred)
· Minimum of 1 year experience in a clinical setting (preferred)
· Bilingual proficiency in English and Armenian or Spanish (preferred)
· Strong interpersonal, communication, and organizational skills
· Proficient typing and basic computer application skills
Compensation:
· Competitive hourly pay based on experience and skills.
· $21-$25/hr
$21-25 hourly 7h ago
Reimbursement Specialist II
Novocure Inc. 4.6
Portsmouth, NH jobs
The Reimbursement Specialist II is responsible for executing core reimbursement processes to confirm medical necessity and secure accurate payments, thereby minimizing the financial burden for patients. This role requires independently managing a personal workload, including performing in-depth benefit investigations, conducting timely claims follow-up, submitting authorization and referral requests, resolving claim and authorization denials, and negotiating single case agreements. The Reimbursement Specialist II also collaborates closely with cross-functional teams within Revenue Operations to support departmental goals and ensure seamless reimbursement operations. A key objective of this role is to contribute to the achievement of Reimbursement Team KPIs, including but not limited to authorization and claim resolution rates.
This is a full-time, non-exempt position reporting to the Supervisor or Manager of Reimbursement, based in our Portsmouth, NH location.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Conduct timely insurance benefit verifications to determine patient eligibility and cost-share responsibilities for both new and existing patients.
Ensure the responsible "bill-to" insurance party is set up correctly in each assigned account
Submit authorization requests to insurance carriers and follow up via phone or insurance portals independently with limited supervision
Interpret authorization denials and draft appeals, leveraging all available resources, independently
Research and understand commercial payers' medical policies and guidelines for coverage
Verify the presence and accuracy of authorizations and pricing agreements for all insured patients.
Differentiate between contract and non-contract carriers, including identifying contacts for potential letter of agreement (LOA) negotiations.
Escalate contracting implementation challenges and identify opportunities for process improvement.
Collaborate cross-functionally with other departments to ensure timely and accurate reimbursement from insurance providers.
Investigate and resolve all incorrect payments and escalate trends in change behavior as identified
Submit and track the status of claim appeals for payment disputes
Identify, report, and work to resolve the need for a claims project
Communicate with key personnel within managed care organizations, such as nurse case managers, to streamline the reimbursement processing for patients
Identify and escalate contracting implementation challenges and opportunities
Identify and suggest solutions to authorization processing issues based on payer policies and/or behavior
Perform additional duties and respond to shifting priorities as assigned by management.
Identify new trends in authorization denials by payer.
Independently follow-up on insurance authorization requests and claim status via phone and insurance website in a timely manner.
QUALIFICATIONS/KNOWLEDGE:
Bachelor's degree or equivalent experience preferred
3 - 5 years' experience in a reimbursement-related function, DME-specific experience preferred
Readiness to take on additional responsibilities and seek successful outcomes
Demonstrated excellence in meeting and exceeding customer expectations
Maintain integrity and tenacity while working accounts
Ability to effectively de-escalate and resolve difficult situations
Proven written and verbal communication skills with internal and external customers
Ability to work independently with limited supervision
Ability to work efficiently and cooperatively in a fast-paced office setting
Demonstrated knowledge of medical and insurance terminology required
Demonstrated effectiveness in communicating with insurance companies about medical policies and contracts required
In-depth knowledge of Microsoft Office and SAP preferred
ABOUT NOVOCURE:
Our vision
Patient-forward: aspiring to make a difference in cancer.
Our patient-forward mission
Together with our patients, we strive to extend survival in some of the most aggressive forms of cancer by developing and commercializing our innovative therapy.
Our patient-forward values
- innovation
- focus
- drive
- courage
- trust
- empathy
Novocure is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state, or local law. We actively seek qualified candidates who are protected veteran and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Novocure is committed to providing an interview process that is inclusive of our applicant's needs. If you are an individual with a disability and would like to request an accommodation, please email
#LI-ER
$29k-35k yearly est. 5d ago
Health Plan Request Bench Release of Information Specialist II - Remote
Verisma Systems Inc. 3.9
Remote
Health Plan Request Bench Release of Information Specialist II The Health Plan Request (HPR) Bench Release of Information Specialist (ROIS) II processes release of information (ROI) requests related to health plan audits with accuracy, efficiency, and compliance across multiple client accounts. This role requires a high level of proficiency in various electronic medicalrecord (EMR) systems, adherence to HIPAA regulations and uphold strict confidentiality standards. The HPR Bench ROIS III independently prioritizes tasks, troubleshoots requests, and collaborates effectively with internal teams while adapting to evolving workflows and compliance requirements, as well as ensuring they can fulfill all client-specific onboarding and access requirements.
Duties & Responsibilities:
Process medical ROI requests related to health plan audits quickly and accurately, ensuring compliance with HIPAA and client requirements
Utilize Verisma software applications to input, manage, and track medicalrecords
Organize and retrieve records within multiple EMR systems, ensuring all documentation is properly structured and complete
Interpret medicalrecords, forms, and authorizations to correspond to specific audit measures
Maintain high standards of production, efficiency, and accuracy meeting company standards and performance metrics
Prioritize workload effectively and work independently while meeting productivity goals
Communicate effectively within the HPR team and in a cross-functional manner, as necessary
Attain a solid understanding of client-specific expectations across multiple accounts while ensuring compliance with HIPAA, HITECH, state regulations, and company policies
Utilize Verisma's reference materials and compliance guidelines to maintain confidentiality and accuracy in all tasks
Assist with training and mentoring new associates, as needed, ensuring knowledge transfer and consistency in processes
Attend and actively participate in training sessions, workflow updates and team meetings, as required
Maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench
Perform other related duties, as assigned, to support the effective operation of the department and the company
Live by and promote Verisma Core Values
Minimum Qualifications:
High school diploma or equivalent required; some college preferred
RHIT certification preferred
3+ years of experience in medicalrecords, Release of Information (ROI), or Health Information Management (HIM), with expertise in supporting multiple clients and processing audit requests
Knowledge of HIPAA and state regulations related to the release of protected health information
Must be able to maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench
Clerical or office experience with data entry, document management and proficiency in using general office equipment
Proficient in Microsoft Office Suite and multiple EMR systems, with the ability to troubleshoot and adapt to new technologies
Strong problem-solving, organizational and time management skills with keen attention to detail
Strong ability to work independently while meeting high productivity expectations
Ability to effectively multi-task or change projects, as needed
Prior remote experience, preferred
$34k-53k yearly est. 4d ago
Onsite Release of Information Specialist - Marquette, MI
Verisma Systems Inc. 3.9
Marquette, MI jobs
The Release of Information Specialist (ROIS) initiates the medicalrecord release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Marquette, MI.
The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medicalrecords, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
2+ years of medicalrecord experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
$37k-52k yearly est. 24d ago
Onsite Release of Information Specialist II
Verisma Systems Inc. 3.9
Jamestown, NY jobs
Release of Information Specialist II (ROIS II) The Release of Information Specialist II (ROIS II) initiates the medicalrecord release process by inputting data into Verisma Software. The ROIS II works quickly and carefully to ensure documentation is processed accurately and efficiently. This position could be based at a client site. The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medicalrecords, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
RHIT certification, preferred
2+ years of medicalrecord experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
$40k-62k yearly est. 4d ago
Onsite Release of Information Specialist I
Verisma Systems Inc. 3.9
San Diego, CA jobs
Release of Information Specialist I (ROIS I) The Release of Information Specialist I (ROIS I) initiates the medicalrecord release process by inputting data into Verisma Software. The ROIS I works quickly and carefully to ensure documentation is processed accurately and efficiently. This position could be based out of a Verisma facility, at a client site, or in some instances may be done remotely. The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medicalrecords, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
RHIT certification, preferred
2+ years of medicalrecord experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
$39k-58k yearly est. 12d ago
Onsite Release of Information Specialist I
Verisma Systems Inc. 3.9
New York, NY jobs
Release of Information Specialist II (ROIS II) The Release of Information Specialist II (ROIS II) initiates the medicalrecord release process by inputting data into Verisma Software. The ROIS II works quickly and carefully to ensure documentation is processed accurately and efficiently. This position could be based out of a Verisma facility, at a client site, or in some instances may be done remotely. The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medicalrecords, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
RHIT certification, preferred
2+ years of medicalrecord experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
$41k-66k yearly est. 12d ago
Onsite Release of Information Specialist I
Verisma Systems Inc. 3.9
New York, NY jobs
Release of Information Specialist I (ROIS I) The Release of Information Specialist I (ROIS I) initiates the medicalrecord release process by inputting data into Verisma Software. The ROIS I works quickly and carefully to ensure documentation is processed accurately and efficiently. This position could be based out of a Verisma facility, at a client site, or in some instances may be done remotely. The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medicalrecords, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
RHIT certification, preferred
2+ years of medicalrecord experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
$41k-66k yearly est. 2d ago
Release Of Information Specialist
Memorial Regional Health 4.4
Craig, CO jobs
This is a Full Time Position
Compensation Range: $17.99 to $23.99
Benefits: Medical, Dental, Life, Retirement, Paid Time Off
Non-Exempt
Release of information per departmental
Answer telephone, direct calls and assist
Deliver/fax charts as
Pull charts for any/all authorized individuals/groups.
Scan and attach records to
Acts as an internal consultant and educator to hospital staff in areas of expertise as
Performs other duties as assigned
Organization Wide Performance Expectations:
Demonstrates commitment to performing according to the CHOICE values of MRH and representing the organization in a positive and professional manner.
Maintains patient confidentiality at all
Upholds regulatory requirements to ensure continual compliance with departmental, hospital, state and federal regulations and policies.
Follows all policies and procedures to ensure a safe environment for patients, public and
Completes annual education, training, in-service, and licensure/certification requirements; attends departmental and organizational staff meetings or reads meeting minutes.
Reports to work on time and as scheduled; completes work within designated
Establishes and maintains effective verbal and written communication and good working relationships with all patients, staff and vendors.
Utilizes initiative; strives to maintain steady level of productivity; self-motivated; manages activity and
Actively participates in departmental and facility performance improvement and continuous quality
Qualifications Minimum Requirements:
Must be at least 16 years of age (21 for driving positions)
Must be able to legally work in the United States
Must be able to pass a background check
Must be able to pass a drug screen and breath alcohol test (if applicable)
Must complete employee health meeting
Education/Licensure/Certification:
High School Diploma or equivalent preferred
Unencumbered License/Certification (if applicable)
Experience:
Previous experience in a hospital, clinic or physician's office
Medical Terminology
$18-24 hourly 3d ago
Onsite Release of Information Specialist - Clyde, NC
Verisma Systems Inc. 3.9
Clyde, NC jobs
The Release of Information Specialist (ROIS) initiates the medicalrecord release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Clyde, NC.
The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medicalrecords, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
2+ years of medicalrecord experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented