. Analyzes and processes refunds as a result of overpayment. 11. Meets system standard quality and productivity expectations...
Overpayment refund requests Medical necessity documentation requests and cert audits Billing/coding audits Full scale random...
, any time an overpayment is identified. Responds to requests from internal departments regarding the proper coding, billing...
, any time an overpayment is identified. Responds to requests from internal departments regarding the proper coding, billing...
entities, any time an overpayment is identified. Responds to requests from internal departments regarding the proper coding...
, or process adjusted claims for payers to retract overpayment within 60 days. Run aging reports in Athena to understand balances...
with overpayment. This includes weekly review to PMS adjustments and timely feedback to HR for corrections and follow-up to reduce... because of overpayment or under payment for staff notification. This also includes sending the Accounting Unit justifications for processed...
any overpayment coordinating with Cash Applications Identify Client issues early and escalate to management and sales. Provide...
and/or refund the overpayment to the appropriate party. Schedule: Full-time 72 hours every 2 weeks Mon-Thurs 7:30am-3:15pm...
that could result in an overpayment through designated channels Conduct data analysis to review claim and case history Reviews claims...) or Certified Fraud Examiner (CFE), or similar Certified Coding Specialist (AAPC or AHIMA) Undergraduate degree in or related...
. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... on overpayment identification Utilize expert knowledge to identify the ICD-10-CM/PCS code assignment, appropriate code sequencing...
. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... on overpayment identification Utilize expert knowledge to identify the ICD-10-CM/PCS code assignment, appropriate code sequencing...
Specialist/Biller.” Ideal candidate will have 2+ years’ experience in a medical business office. Must be self-motivated, detail... Insurance Verification Patient Collections Patient Account Inquiries Review/Process overpayment requests...
quality review of payroll Specialist & Sr Specialist work Administer Pay Cycle process (Verify, Calculate & Preview... Calculation including offsets Overpayment Calculation and Recovery Salary Prorations Proficient in MS Office applications...
as needed with the union to be compliant with the laws and regulations and minimize/eliminate exposure to penalties and overpayment.... 32BJ Union experience or similar is required for this position. Proven experience as a Payroll and benefits specialist...
Transfers cases to the appropriate eligibility specialist, team, or closed caseload Assists clients in completing forms... and restorations due as a result overpayment or underpayment; notifies fraud investigators when case information indicates...
that could result in an overpayment through designated channels Conduct data analysis to review claim and case history Reviews claims... as an Accredited Healthcare Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE), or similar Certified Coding Specialist (AAPC...